An unusual case of painful ophthalmoplegia in a patient with rheumatoid arthritis

A 43-year-old woman with long-standing rheumatoid arthritis and systemic lupus erythematosus had pain and horizontal diplopia. Clinical symptoms were consistent with inflammation of the right superior oblique tendon sheath, but a computed tomographic scan showed no pathology. Treatment with systemic...

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Bibliographic Details
Published inAnnals of ophthalmology (Birmingham) Vol. 21; no. 11; p. 412
Main Author Knopf, H L
Format Journal Article
LanguageEnglish
Published United States 01.11.1989
Subjects
Adult
Arthritis, Rheumatoid - complications
Diplopia - etiology
Eye Movements
Female
Humans
Lupus Erythematosus, Systemic - complications
Ophthalmoplegia - drug therapy
Ophthalmoplegia - etiology
Pain - etiology
Prednisolone - therapeutic use
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Summary:A 43-year-old woman with long-standing rheumatoid arthritis and systemic lupus erythematosus had pain and horizontal diplopia. Clinical symptoms were consistent with inflammation of the right superior oblique tendon sheath, but a computed tomographic scan showed no pathology. Treatment with systemic corticosteroids reduced the symptoms, but the patient was left with a persistent muscle imbalance.
ISSN:0003-4886