A rare case of isolated pyomyositis of superior rectus in a young woman
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 4
Abstract
A young woman presented with acute onset diminution of vision, painful ocular movements in LE, and binocular diplopia since 10 days. Examination revealed Visual Acuity(VA) of 20/240, mild proptosis 3 mm, limitation on down gaze and RAPD with no signs of inflammation. Fundus revealed multiple bilateral disc drusen. ENT examination was normal. Suspecting orbital cysticercosis/leaking demoid/ orbital cellulitis MRI was ordered which revealed abscess of posterior aspect of Superior Rectus (SR) muscle. A diagnosis of pyomyositis of superior rectus causing retrobulbar neuritis was made. IV antibiotics were administered. VA, diplopia improved with mild residual restriction of down gaze at 4 weeks and grade 1 RAPD. Serial USG B scan revealed decreasing size of abscess. This case demonstrates a rare occurrence of superior rectus abscess causing retrobulbar neuritis which resolved with intravenous antibiotics alone. Pyomyositis should also be considered when there is painful limitation of extraocular movements.
Authors and Affiliations
Neha Singh, Jolly Rohatgi, Upreet Dhaliwal, Shubhank Khare, Manisha Manisha
Keywords
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