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Noninfectious Orbital Inflammations

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Albert and Jakobiec's Principles and Practice of Ophthalmology

Abstract

Noninfectious orbital inflammation represents a wide variety of disease including idiopathic orbital inflammation or orbital pseudotumor, sarcoidosis, vasculidities, granulomatosis with polyangiitis, polyarteritis nodosa, giant-cell arteritis, Sjogren’s syndrome, IgG4-related ophthalmic disease, and others. The cardinal signs and symptoms of orbital inflammation include swelling, erythema, pain, and possibly loss of function. The tempo of the disease is typically acute, often having onset over just a few days. Additionally, response to appropriate therapy is generally rapid although the process may be recurrent and can become chronic. Orbital inflammation can be a manifestation of a systemic process. Clinicians should maintain a high degree of vigilance for systemic disease and biopsy as appropriate. Corticosteroids are the mainstay of therapy; however, there is a role for immunosuppression and judicious use of biologic agents.

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Tooley, A.A., Garrity, J.A., Snebold, N.G. (2022). Noninfectious Orbital Inflammations. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_62

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