A sighting of orbital pseudotumor

A 39-year-old woman developed bilateral proptosis, photophobia, and pain wi th extraocular movements over the course of 5 days. Her findings initially were ocular pain and photophobia which progressed to periorbital edema and nasal discharge ultimately resulting in proptosis with vertical globe displ acement and decreased visual acuity, She was diagnosed with corneal abrasio n and sinusitis respectively during two initial emergency department visits . On her third visit to the emergency department within 4 days, she develop ed acute visual deficits. The patient was subsequently diagnosed with orbit al pseudotumor after computed tomography scan revealed inflammation of orbi tal structures bilaterally. Copyright 2000 by W.B. Saunders Company.