Orbital inflammations encompass a broad spectrum of diseases, all of which have a similar clinical presentation. Common symptoms are pain, swelling, redness ad warmth, which may occur in differing proportions. A detailed history and examination is of utmost importance, and along with other investigational modalities, can help narrow down the differential diagnosis.

What investigations are needed if suspecting orbital inflammation?

The investigations requested will be guided by clinical suspicion. They may include:

  • Complete blood count
  • Autoimmune profile (including ANA, cANCA, RF, anti dsDNA)
  • Serum electrophoresis
  • Serum ACE levels
  • Thyroid function test
  • Chest X-ray
  • Orbital imaging with CT/ MRI/ USG

Despite all these investigations, if a diagnosis is not reached, or for those who do not respond to medical treatment, an orbital biopsy may be required, to get a pathological diagnosis

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