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 language | English |
|---|---|
| Pages (from-to) | 1075-1079 |
| Number of pages | 5 |
| Journal | Ophthalmology |
| Volume | 91 |
| Issue number | 9 |
| State | Published - Jan 1 1984 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Trochleitis with superior oblique myositis
AU - Tychsen, L.
AU - Tse, David
AU - Ossoinig, K.
AU - Anderson, R. L.
PY - 1984/1/1
Y1 - 1984/1/1
N2 - 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').
AB - 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').
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UR - http://www.scopus.com/inward/citedby.url?scp=0021206871&partnerID=8YFLogxK
M3 - Article
C2 - 6387570
AN - SCOPUS:0021206871
VL - 91
SP - 1075
EP - 1079
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 9
ER -