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291 Possible Causes for Diplopia, Episcleritis, Sinusitis

  • Granulomatosis with Polyangiitis

    A 77-year-old Japanese woman presented to an ophthalmologist with an erythematous swollen upper eyelid and diplopia which was initially diagnosed to be idiopathic dacryoadenitis[] CT of the sinuses showed severe mucosal thickening.[] Most common ophthalmic manifestations were orbital masses, episcleritis/conjunctivitis, and scleritis (74/226, 32/226, and 12/226, respectively).[]

  • Carotid Cavernous Sinus Fistula

    On following up 4 months after coiling, cranial nerve VI palsy and related symptoms-diplopia and limit of ocular movement-were improved significantly.[] We assumed that local maxillary sinusitis caused by dental implant might spread hematogenously into the sphenoid and cavernous sinuses and formed a carotid cavernous sinus[] […] approach to assess episcleral vasculature.[]

  • Orbital Cellulitis

    Abstract The authors describe the case of a 48 years old woman who presented with a one week history of a painful, swollen left eye with proptosis and diplopia.[] We report a case of invasive fungal sinusitis caused by Scopulariopsis in 57 year-old man who had recurrence of orbital cellulitis.[] Systemic autoimmune diseases are associated with ocular inflammatory conditions such as episcleritis, scleritis, keratitis, and uveitis.[]

  • Microscopic Polyangiitis

    On the fifth day after the initiation of treatment, the patient suddenly developed diplopia and blepharoptosis of the left eye.[] ., sinusitis) frequently seen in people affected by GPA.[] MPA can have conjunctival, episcleral, scleral, and corneal manifestations.[]

  • Relapsing Polychondritis

    Typical FDG accumulation was noted in the tracheobronchial trees of nine patients, the costal cartilage of five, joints of five, larynx of four, nasal cavity/paranasal sinuses[] The most common clinical presentations were auricular chondritis (n 9), episcleritis or scleritis (n 5), and large airway involvement (n 3).[] Authors , , , Source MeSH Adult Cartilage Diseases Eye Manifestations Female Hearing Disorders Humans Sinusitis Pub Type(s) Journal Article Language jpn PubMed ID 5748634[]

  • Orbital Mass

    A 77-year-old female presented with longstanding fatigue and one-month of diplopia.[] We present a case of aspergillus sinusitis complicated by intractable epistaxis after debridement of the nasal septum, which caused pain and rapid distension of the nasolacrimal[] […] such as Dermoids, Inflammatory or Infectious Lesions (Sarcoidosis and other granulomatous diseases, Inflammatory Pseudotumor, Subperiosteal Orbital Abscess, Papillitis, Episcleritis[]

  • Orbital Disease

    The patient received 1.5g intravenous methylprednisolone with marked improvement, but a month later presented with a red left eye and diplopia.[] Acute bacterial sinusitis, especially when the ethmoid sinuses are involved, is a major cause of infection in orbit.[] [An unusual case: episcleral and orbital varicose veins.] Klin Monatsbl Augenheilkd 1987;191(2):146–148. PubMed CrossRef Google Scholar 21.[]

  • Cavernous Sinus Thrombosis

    An allograft recipient is described who presented with diplopia and developed CST in the early post-transplant period likely caused by a filamentous fungus.[] Cavernous sinus thrombosis (CST) is a rare and serious complication secondary to invasive fungal sinusitis, but rarer still in cases of allergic fungal sinusitis.[] Fishbein and Bernard Schwartz, Increased Pressure of Dilated Episcleral Veins with Open-angle Glaucoma without Exophthalmos, Ophthalmology, 90, 3, (257), (1983).[]

  • Orbital Pseudotumor

    An orbital pseudotumor causing proptosis, diplopia, and gaze palsy was imaged with Ga-67 citrate and showed persistent intense activity for five days.[] Paranasal sinuses spiral CT scan with and without contrast revealed chronic sinusitis, significant inflammatory change and increased density of peri-orbital fat at infero-medial[] Significant clinical findings included mild hyperemia and edema of the left upper lid, marked engorgement and tortuosity of the conjunctival and episcleral vessels, mild chemosis[]

  • Orbital Abscess

    […] a 15-year-old patient with a history of acute pharyngodinia early followed by improvise fever and a progressive formation of a diffuse orbital edema, corneal hyperaemia, diplopia[] However, the authors experienced an orbital abscess secondary to contralateral sinusitis.[] Ocular manifestations occur secondary to an adjacent granulomatous sinusitis or as a result of focal vasculitis  The nasolacrimal duct may be obstructed and there may be episcleritis[]

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