Abstract

Ocular pseudotumor is an inflammatory condition of the orbit which may resemble clinically with orbital cellulitis. Here, we report a case of a 14-year-old male patient who presented with acute onset of swelling, DOV and mild pain in the left eye for 3 days. He was diagnosed with orbital cellulitis and treated with oral antibiotics elsewhere, but no improvement after 48 hours. On presentation, the patient had DOV in left eye with restriction of EOM. On examination, left eye revealed grade 1 RAPD and the right eye findings were WNL. A CT scan of the orbits and PNS revealed acute pansinusitis. Injectable antibiotics started as per ENT opinion. After no improvement, CEMRI was done and it showed ill-defined soft tissue lesion in left orbit, pointing towards diagnosis of orbital pseudotumor. He was started on oral steroids and rapid improvement was noted within a week. Steroids was tapered over six weeks and no recurrence of inflammation at six months follow-up.