Orbital pseudotumor in a child

Abstract

Introduction: Orbital pseudotumor is a rare inflammatory condition in children. It is misdiagnosed as orbital cellulitis or orbital mass. Purpose: The paper presents the case of a pediatric patient with unilateral proptosis and intermittent exophthalmos, of unclear etiology, in which the diagnostic challenges, evaluation and management strategies, will be presented. Materials and methods: A 12-year-old child presented with marked proptosis and intermittent exophthalmos OD. A detailed ophthalmological examination was performed, after which, the suspicion of exophthalmia of unclear etiology was established. Multiple investigations were performed, which included MRI and CT with contrast. Conclusion: The case was a real challenge, in establishing the diagnosis and in the therapeutic approach, which required a multidisciplinary approach in the management of acute eye pathology.