Abstract
Purpose: We report a case of bilateral infraorbital nerve enlargement (IONE) associated with immunoglobulin (Ig)G4-related ophthalmic disease and describe the associated histopathologic findings. Case: An otherwise healthy 59-year-old man presented with bilateral exophthalmos and right visual disturbance. Orbital magnetic resonance imaging showed bilateral IONE and a soft tissue mass in the right orbit. Excisional biopsy in the left infraorbital canal was performed. Histopathologic assessment revealed igG4-related disease involving the epineurium of the infraorbital nerve. The patient received systemic steroid therapy, to which he responded well. Conclusion: IONE in igG4-related ophthalmic disease is due to igG4-related disease involving the epineurium.
Original language | English |
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Pages (from-to) | 511-514 |
Number of pages | 4 |
Journal | Japanese Journal of Ophthalmology |
Volume | 56 |
Issue number | 5 |
DOIs | |
Publication status | Published - Sept 2012 |
Keywords
- IgG4-related disease
- Infraorbital nerve
- Nerve tumor
- Orbital tumor
- Trigeminal nerve lesion
ASJC Scopus subject areas
- Ophthalmology