Abstract
A 6-month-old boy presented with a unilateral motility defcit of the right eye in all felds of gaze. Neuroimaging revealed unilateral enlargement of the medial, lateral, and inferior rectus muscles with sparing of the tendons. An evaluation for thyroid eye disease, idiopathic orbital inflammation, myositis, inflammatory and neoplastic infltration of the muscle, vascular anomalies, and metastatic neuroblastoma was unrevealing. Biopsy of the muscle revealed normal architecture with an absence of inflammation, infltration, or fbrosis. A review of the literature reveals the exceptionally rare nature of this fnding. While the authors cannot rule out an atypical case of congenital euthyroid eye disease, this constellation of fndings is not consistent with thyroid eye disease and may represent previously described cases of idiopathic enlargement of the extraocular muscles.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e143-e145 |
| Journal | Ophthalmic Plastic and Reconstructive Surgery |
| Volume | 32 |
| Issue number | 6 |
| DOIs | |
| State | Published - 2016 |
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ASJC Scopus subject areas
- Surgery
- Ophthalmology
Cite this
Idiopathic unilateral enlargement of the extraocular muscles in an infant. / Modi, Yasha; Erickson, Benjamin; Ranadive, Isha; Pasol, Joshua; Wester, Sara; Cavuoto, Kara M.
In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 32, No. 6, 2016, p. e143-e145.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Idiopathic unilateral enlargement of the extraocular muscles in an infant
AU - Modi, Yasha
AU - Erickson, Benjamin
AU - Ranadive, Isha
AU - Pasol, Joshua
AU - Wester, Sara
AU - Cavuoto, Kara M
PY - 2016
Y1 - 2016
N2 - A 6-month-old boy presented with a unilateral motility defcit of the right eye in all felds of gaze. Neuroimaging revealed unilateral enlargement of the medial, lateral, and inferior rectus muscles with sparing of the tendons. An evaluation for thyroid eye disease, idiopathic orbital inflammation, myositis, inflammatory and neoplastic infltration of the muscle, vascular anomalies, and metastatic neuroblastoma was unrevealing. Biopsy of the muscle revealed normal architecture with an absence of inflammation, infltration, or fbrosis. A review of the literature reveals the exceptionally rare nature of this fnding. While the authors cannot rule out an atypical case of congenital euthyroid eye disease, this constellation of fndings is not consistent with thyroid eye disease and may represent previously described cases of idiopathic enlargement of the extraocular muscles.
AB - A 6-month-old boy presented with a unilateral motility defcit of the right eye in all felds of gaze. Neuroimaging revealed unilateral enlargement of the medial, lateral, and inferior rectus muscles with sparing of the tendons. An evaluation for thyroid eye disease, idiopathic orbital inflammation, myositis, inflammatory and neoplastic infltration of the muscle, vascular anomalies, and metastatic neuroblastoma was unrevealing. Biopsy of the muscle revealed normal architecture with an absence of inflammation, infltration, or fbrosis. A review of the literature reveals the exceptionally rare nature of this fnding. While the authors cannot rule out an atypical case of congenital euthyroid eye disease, this constellation of fndings is not consistent with thyroid eye disease and may represent previously described cases of idiopathic enlargement of the extraocular muscles.
UR - http://www.scopus.com/inward/record.url?scp=84996542613&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84996542613&partnerID=8YFLogxK
U2 - 10.1097/IOP.0000000000000331
DO - 10.1097/IOP.0000000000000331
M3 - Article
C2 - 27828922
AN - SCOPUS:84996542613
VL - 32
SP - e143-e145
JO - Ophthalmic Plastic and Reconstructive Surgery
JF - Ophthalmic Plastic and Reconstructive Surgery
SN - 0740-9303
IS - 6
ER -