Sekhar G C, Mandal A K, Vyas P
L.V. Prasad Eye Institute, Hyderabad India.
Doc Ophthalmol. 1993;84(2):155-70. doi: 10.1007/BF01206250.
The understanding of 'pseudotumors' has significantly changed with the advent of modern imaging techniques by which the tissues affected in the orbit can be identified, and nonspecific orbital inflammatory disease is classified according to the tissue involved. Twenty cases of nonspecific orbital inflammatory diseases were treated between July 1987 and September 1991. Eight patients had myositis, 6 had diffuse disease, 2 each had dacryoadenitis, periscleritis and perineuritis. Involvement of all four recti in one patient and isolated superior rectus and superior oblique each in 2 others are the unusual forms of myositis. Perineuritis presented as diffuse thickening of the optic nerve on CT scan with disc edema and normal vision in both patients with external ophthalmoplegia in one of them. All patients responded to oral steroids while the patient with myositis of all four recti required radiotherapy in addition. This series documents the spectrum of clinical presentation, diagnosis and management of nonspecific orbital inflammatory disease.
随着现代成像技术的出现，对“假瘤”的认识发生了显著变化，通过这些技术可以识别眼眶中受影响的组织，并且非特异性眼眶炎性疾病可根据受累组织进行分类。1987年7月至1991年9月期间，对20例非特异性眼眶炎性疾病进行了治疗。8例患者患有肌炎，6例患有弥漫性疾病，2例分别患有泪腺炎、巩膜炎和神经炎。1例患者四条直肌均受累，另外2例分别为孤立的上直肌和上斜肌受累，这些是肌炎的不常见形式。神经炎在CT扫描上表现为视神经弥漫性增厚，伴有视盘水肿，其中1例伴有外展神经麻痹的患者双眼视力正常。所有患者对口服类固醇均有反应，而四条直肌均受累的肌炎患者还需要进行放射治疗。本系列记录了非特异性眼眶炎性疾病的临床表现、诊断和治疗范围。
