Idiopathic Inflammatory Orbital Syndrome : A Case Report

MEDICINE Research project

This is a case of an 8-year old female presenting with swelling of the left upper lid. Painless mass was palpated on the superolateral area of the left orbit. Oral steroid was given but there was persistence of the orbital signs and symptoms, thus the patient underwent orbital exploration with excision biopsy of orbital mass through lateral orbitotomy with bone flap. Frozen section biopsy was signed out as benign histomorphologic features consistent with chronic inflammatory process and histopathologic diagnosis was chronic inflammatory process. However, there was persistence of on and off inflammation postoperatively. Repeat CT scan revealed a prominent enhancing soft tissue mass that could be one or a combination of the following: enhancing fibrosing/scar tissue, recurrence of previously resected benign lacrimal gland related mass or extralacrimal mass pathology. Given the persistence of the orbital signs and the repeat CT findings, specimen was reviewed by an ocular pathologist signed out as chronic inflammatory process. Thus, the patient was treated as such.