Table 1.
Case | Age at presentation (years) | Sex | Cranial nerve involvement | Visual acuity at presentation | Serum IgG4 level (normal < 135) mg/dL | Treatment | Visual acuity at final follow-up visit | Orbital involvement | Extra orbital involvement | Malignancy |
---|---|---|---|---|---|---|---|---|---|---|
Lee et al. (2015) [7] | 54 | Male | Possible enhancement along right optic nerve sheath | No light perception in both eyes | 148 | Oral corticosteroids followed by methotrexate | Bare light perception in both eyes | No | Hypertrophic pachymeningitis, chronic subdural hematoma, recurrent sinusitis | No |
Lemaitre et al. (2018) [8] | 78 | Caucasian male | Bilateral optic perineuritis | 20/20 in the right eye, 20/40 in the left eye | 71 (within normal limits) | Oral corticosteroids followed by rituximab | 20/50 in the right eye, counting fingers in the left eye | Right orbital fat, lateral and medial rectus muscles involvement | Pansinusitis | Subsequently died due to colon cancer with liver metastasis |
This case report (2020) | 38 | Asian male | Bilateral optic perineuritis, bilateral maxillary nerves with perineural spreading to the infraorbital nerves | 20/30 in the right eye, 20/40 in the left eye | 2650 | Oral corticosteroids followed by azathioprine | 20/20 in the right eye, 20/25 in the left eye | Enlargement of bilateral inferior rectus, right medial rectus, bilateral superior rectus, and bilateral lateral rectus muscles | Pansinusitis | No |
IgG4 Immunoglobulin G4