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Orbital myositis
Last reviewed: 07.07.2025
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[ Symptoms of Orbital Myositis
Orbital myositis manifests itself in young adults as acute pain that intensifies with eye movements.
Eyelid edema, ptosis, and chemosis. Increased pain when looking toward the affected muscle(s), usually with diplopia due to limited mobility. Injection of vessels over the affected muscle. Mild exophthalmos.
Course of orbital myositis
- acute non-recurrent disease that spontaneously resolves within 6 weeks;
- chronic course in the form of a long-term (more than 2 months, often years) single episode or recurrent exacerbations, which can lead to restrictive myopathy.
Where does it hurt?
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Treatment of orbital myositis
Aimed at relieving discomfort and restoring functions, reducing the duration of relapses and preventing them.
- NSAIDs may be quite effective in mild cases.
- Systemic steroid therapy is usually necessary and produces significant effects, although relapses occur in 50% of cases.
- Radiotherapy is also effective, especially in preventing recurrence.
More information of the treatment