Trochleitis with superior oblique myositis

L. Tychsen, David Tse, K. Ossoinig, R. L. Anderson

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Thirteen patients complained of recent fluctuating aching of one orbit, punctuated by stabbing pains. All had exquisite point tenderness over the trochlea and in half of the patients the pain was aggravated by eye movement. Standardized A-scan echography demonstrated swelling of the peritrochlear tissue and thickening of the superior oblique muscle with low internal acoustic reflectivity, typical of myositis. CT scan showed a soft tissue density in the region of the trochlea. Biopsy, performed on two patients, revealed peri-trochlear inflammation. In all patients the symptoms resolved within a period of weeks or months: indomethacin or naproxen were not effective, but oral or locally injected corticosteroids shortened the course compared to no treatment. None of the patients had ptosis, proptosis, Brown's syndrome, or a click, nor did they have echographic or radiographic signs of sinusitis or inflammation away from the trochlea. This probably represents a highly localized subtype of idiopathic orbital inflammation ('pseudotumor').

Original languageEnglish
Pages (from-to)1075-1079
Number of pages5
JournalOphthalmology
Volume91
Issue number9
StatePublished - Jan 1 1984
Externally publishedYes

Fingerprint

Myositis
Inflammation
Oculomotor Muscles
Orbital Pseudotumor
Pain
Naproxen
Exophthalmos
Sinusitis
Orbit
Eye Movements
Acoustics
Indomethacin
Ultrasonography
Adrenal Cortex Hormones
Biopsy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Tychsen, L., Tse, D., Ossoinig, K., & Anderson, R. L. (1984). Trochleitis with superior oblique myositis. Ophthalmology, 91(9), 1075-1079.

Trochleitis with superior oblique myositis. / Tychsen, L.; Tse, David; Ossoinig, K.; Anderson, R. L.

In: Ophthalmology, Vol. 91, No. 9, 01.01.1984, p. 1075-1079.

Research output: Contribution to journalArticle

Tychsen, L, Tse, D, Ossoinig, K & Anderson, RL 1984, 'Trochleitis with superior oblique myositis', Ophthalmology, vol. 91, no. 9, pp. 1075-1079.
Tychsen L, Tse D, Ossoinig K, Anderson RL. Trochleitis with superior oblique myositis. Ophthalmology. 1984 Jan 1;91(9):1075-1079.
Tychsen, L. ; Tse, David ; Ossoinig, K. ; Anderson, R. L. / Trochleitis with superior oblique myositis. In: Ophthalmology. 1984 ; Vol. 91, No. 9. pp. 1075-1079.
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