Painful acute esotropia as a presenting sign of presumed post-infectious orbital myositis in a child: a case report
Fawzia Alhaimi, Rahaf Alluhaidan, Nawaf Alsanea · 2026
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Description
Fawzia Alhaimi and two colleagues report a nine-year-old boy whose eyes crossed and ached after a feverish cold and a bout of conjunctivitis. His vision measured 20/40 in each eye, and his gaze showed an inward turn of 30 to 35 prism units, with outward movement limited. MRI scans of his orbits found both eye muscles swollen and bright with inflammation, the picture of orbital myositis, inflammation of the eye-moving muscles. The tear gland looked involved as well.
Pain, double vision, and redness were already easing within a day, before any drug was given. Antibiotics were prescribed and steroids planned, yet the steroids were never started because he could not tolerate them. By three months his eyes were straight and moved fully. The authors present the case as a recognisable, self-limited pattern that imaging can separate from nerve or focusing causes, sparing children unneeded treatment.
Catalog record
| CREATOR | Fawzia Alhaimi, Rahaf Alluhaidan, Nawaf Alsanea |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22433 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |