OCULAR MYOSITIS

We report a young woman presenting with ('')painful diplopia'' caused by inflammation of external eye muscles affecting both eyes sequential ly. Orbital MRI disclosed swelling, signal hyperintensity and enhancem ent of isolated eye muscles. Corticosteroid treatment led to a complet e remission within a few days. The compiled data of a literature revie w enclosing 52 sufficiently documented patients diagnosed as orbital m yositis is reported with respect to clinical features, laboratory find ings, associated disease, value of imaging procedures (CT, MRI). Thera peutic aspects and differential diagnosis are reviewed.