Tag Archives: EMage 2020

3rd Place EMage Winner: Teenager With Swollen Eye

Chloe Knudsen-Robbins
University of Pittsburgh Medical Center

Nelson Bansil
CHOC Children’s

A 13-year-old-female with a past medical history of Crohn’s disease, presented to the Pediatric Emergency Department (PED) with 8 hours of headache, left eye pain and periorbital swelling. She denied trauma or fevers.

Exam demonstrated left periorbital swelling with ecchymosis and tenderness to palpation. Swelling prevented assessment. Intra-ocular pressure (IOP) was unobtainable.

Emergent ophthalmology consult was obtained and a lateral canthotomy with cantholysis was performed in the PED.  CT of the orbits showed left periorbital swelling with diffuse enlargement of the recti muscles.  Diagnosis was determined to be most consistent with orbital compartment syndrome (OCS) secondary to orbital inflammatory pseudotumor (OIP) as a complication of IBD. read more