IgG4-related ophthalmic disease

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IgG4-related ophthalmic disease
Optic disc lesion in IgG4-related ophthalmic disease
Synonyms IgG4-ROD
Pronounce N/A
Specialty N/A
Symptoms Proptosis, diplopia, vision loss, periorbital swelling
Complications Optic neuropathy, vision impairment
Onset Middle-aged to elderly adults
Duration Chronic
Types N/A
Causes IgG4-related disease
Risks Unknown
Diagnosis Clinical examination, imaging studies, biopsy
Differential diagnosis Thyroid eye disease, orbital cellulitis, lymphoma
Prevention N/A
Treatment Corticosteroids, immunosuppressive therapy
Medication Prednisone, rituximab
Prognosis Variable, can lead to permanent vision loss if untreated
Frequency Rare
Deaths N/A


Breakdown of diagnosis in orbital lymphoproliferative disorders
Rectus muscle and infraorbital nerve lesions in IgG4-related ophthalmic disease
Lesions of rectus muscles and nerves
Orbital nerve enlargement in IgG4-related ophthalmic disease

IgG4-related ophthalmic disease is a type of IgG4-related disease that affects the eyes and surrounding tissues. It is characterized by the infiltration of IgG4-positive plasma cells and lymphocytes into various organs, including the eye, lacrimal gland, and orbit. This disease can cause a variety of symptoms, including eye pain, swelling, and vision loss.

Symptoms[edit | edit source]

The symptoms of IgG4-related ophthalmic disease can vary widely, depending on the specific tissues affected. Common symptoms include:

Causes[edit | edit source]

The exact cause of IgG4-related ophthalmic disease is unknown. However, it is thought to be an autoimmune disease, in which the body's immune system mistakenly attacks its own tissues.

Diagnosis[edit | edit source]

Diagnosis of IgG4-related ophthalmic disease is often challenging due to its nonspecific symptoms and overlap with other diseases. It typically involves a combination of clinical evaluation, imaging studies, and tissue biopsy.

Treatment[edit | edit source]

Treatment for IgG4-related ophthalmic disease typically involves corticosteroids to reduce inflammation and suppress the immune response. In severe cases, other immunosuppressive drugs may be used.

See also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD