DR. DIPIKA SAINATH

Dr. (Lt.Col) KIRTI NATH JHA, Dr.Rajalakshmi A R, Dr. SWATHI NAGARAJAN

Abstract

Nonspecific orbital inflammation (NSOI) is a benign inflammatory process of the orbit. NSOI is characterized by polymorphous lymphoid infiltrate with varying degrees of fibrosis, without any local or systemic cause. It is a diagnosis of exclusion and commonly involves middle age. We report a case of an 82-year-old diabetic male with redness and swelling of his left eye (LE) for 1 month, and pain for 3 days. LE showed complete ptosis, proptosis, chemosis and congestion, ill sustained pupil, and vision of hand movement. Eyeball was immobile. Right eye was normal. Orbital imaging revealed clear sinuses with periorbital and intra orbital inflammatory changes, and bulky lacrimal gland. General and systemic examination were normal. The case was diagnosed as NSOI. Treatment with systemic prednisolone showed complete resolution. 6 months follow-up has shown no recurrence. This case is being presented since NSOI in elderly is a rarity.