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Idiopathic Isolated Abscess in an Extraocular Muscle in a Child
Arch Ophthalmol. 2004;122:1233-1234.
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An idiopathic muscle abscess is a rare condition that should be considered in the differential diagnosis of painful limitations of eye movements and double vision in children.
We herein present the case of an idiopathic muscle abscess in an 11-year-old girl. Myositis was initially suspected, but the magnetic resonance imaging (MRI) scan showed typical signs of an abscess. Antibiotic therapy led to a rapid and complete improvement of all symptoms. To our knowledge, this is the first report of an idiopathic isolated abscess in an extraocular muscle in a child.
Report of a Case
An otherwise healthy 11-year-old girl was intially seen because of a 4-week history of periorbital and upper eyelid edema (Figure 1A), pain during eye movements of the left eye, and double vision. Visual acuity was 20/20 OD and 20/40 OS. A maximum of 9° of hypotropia was found on the left side in upgaze and abduction. Binocular visual . . . [Full Text of this Article]
Comment
Timo Haufschild, MD;
Peter Weber, MD;
Ines Nuttli, MD;
Burkhard Hecker, MD;
Josef Flammer, MD;
Hedwig J. Kaiser, MD
Correspondence: Dr Flammer, University Eye Clinic, Mittlere Strasse 91, PO Box, CH-4012 Basel, Switzerland (Josef.Flammer@uhbs.ch). Dr Haufschild may be contacted at THaufschild@uhbs.ch
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