Grand Rounds
  Most Recent Cases
  Dates Cases
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
1999
1998
1997
1996
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
4 year old boy with proptosis of the left eye and an afferent pupillary defect
Digital Journal of Ophthalmology 1999
Volume 5, Number 9
February 8, 1999
Printer Friendly



Peter A.D. Rubin, M.D.,F.A.C.S. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Ramin Tayani, M.D., M.P.H. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
History
Presenting History: A four year old boy was referred to our service for progressive proptosis of the left eye over a two day span. The patient complained of pain over the left eye six days prior to presentation.. On the fourth and fifth day prior to admission he would complain of pain throughout the day, and at times scream in anguish. He continued to eat and play normally until two days prior to admission when he refused to eat and didn't want to even walk. One day prior to his acute transfer to our institution he was emergently admitted to another hospital for a rapidly evolving orbital process, characterized by progressive proptosis, limited extraocular motility, and acute pain. He had no fever, chills, recent illnesses, similar prior episodes, or recent trauma

Past Ocular History: none

Past Medical History: Food allergies to preservatives

Medications: Benadryl p.r.n.

Prenatal History: Delivered at 38 weeks (cesarean section). Mother had toxemia of pregnancy.

Developmental History: No developmental delay

Family History: Non-contributory.
top