advertisement
Abstract #14003 Published in IGR 8-3
Late leakage of filtering bleb in a patient with orbital pseudotumor
Luk FO; Leung DY; Yuen HK; Lam DSEuropean Journal of Ophthalmology 2006; 16: 611-613
PURPOSE: To report an unusual case of spontaneous late leakage of filtering bleb in a patient with orbital pseudotumor. METHODS: Single case report. RESULTS: A 53-year-old woman developed spontaneous leakage of bleb in her right eye 23 years after trabeculectomy with application of mitomycin-C (MMC). Two weeks later, her symptoms were blurring of vision, increasing redness, and dull ocular pain in the right eye. The inflammatory signs were suggestive of endophthalmitis, orbital cellulites, or pseudo-tumor. Absence of ophthalmoplegia, fever, and raised white cell count, together with the computed tomographic scan finding, confirmed the diagnosis of orbital pseudotumor. She responded well to oral steroids. CONCLUSIONS: Orbital pseudotumor may initially present with spontaneous late leakage in a bleb augmented by MMC. Orbital pseudotumor should be added to the list of differential di agnoses when facing a patient with an inflamed, chemotic, proptotic eye in the presence of a late bleb leak.
Dr. F.O. Luk, Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong, People's Republic of China
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
