Choroidal Effusions and Posterior Scleritis in Idiopathic Orbital Inflammation

A 67-year-old woman presented with 1 week of progressive left orbital pain and swelling. Her vision was normal. Her left eye had restriction of abduction and inferoduction, prominent periorbital edema, chemosis, and posterior choroidal folds and detachments (Fig A). Neuroimaging demonstrated a hyperintense enhancing lesion in the inferotemporal orbit (arrowhead) with surrounding fat stranding, scleral and choroidal thickening, enhancement, and...