Idiopathic Orbital Inflammation Associated with Panuveitis in an Adult and a Review of the Literature

Purpose:To report an unusual case of idiopathic orbital inflammation associated with panuveitis. Case report:We report a case of a 47-year-old female with a history of uveitis who presented with abrupt and painful prop tosis with complete vision loss unresponsive to antibiotic therapy.B-scan ultrasonography and magnetic resonance imaging both showed retinal detachment and an orbital space-occupying mass. The patient underwent orbitotomy and the diagnosis of idiopathic orbital inflammation was confirmed by histopathology. Anterior uveitis is rarely seen in idiopathic orbital inflammation in adults. We report for the first time an unusual case of idiopathic orbital inflammation associated with panuveitis. Conclusion:Inflammation involving both the eye and the orbit is rarely seen in adults. Idiopathic orbital inflammation and panuveitis may share a similar mechanism in this case. (Eye Science 2013; 28:40-43)

Folded technique of self-adherent wrap improves clinical outcomes for wounds after orbital tumour extirpation:a single-center,prospective randomized controlled trial

Background:Using a randomized controlled trial(RCT),to assess the efficacy of the folded technique of self-adherent wrap to eyes after orbital tumour extirpation and compare it with the classic technique.Methods:A single-centre,prospective,randomized,controlled study was conducted among 128 patients who underwent orbital tumour extirpation in this study.The folded and classic techniques of applying self-adherent wraps were randomly allocated to patients(1:1).The primary endpoint was the interface pressure on the affected eye.Secondary efficacy endpoints were the interface pressure above and below the ear of the affected side,above the ear of the non-affected side,and discomfort scores.Postoperative complications were observed for 24 hours.Results:The interface pressure with the folded technique on the affected eye was neither inferior nor superior to the classic technique(1.33±0.07 vs.1.41±0.09 mmHg,P=0.480).Most importantly,the pressure at three other points outside of the affected eye,including above and below the ear of the affected side,and above the ear of the non-affected side,were significantly higher when using the classic technique than when using the folded technique(P=0.041,0.019,and 0.047,respectively).Discomfort scores were higher in the classic technique group than in the folded technique group(2.93±0.30 vs.1.52±0.19,P≤0.001).Conclusions:Findings demonstrated the advantages of using folded technique to apply self-adherent wrap for wounds after orbital tumour extirpation with lower interface pressure outside of the affected eye and patient discomfort scores,without influencing pressure on the affected eye comparing with the classic technique.