Idiopathic Orbital Inflammation in a Child Mimicking Orbital Cellulitis

Idiopathic orbital inflammatory disease (IOID) is a benign, noninfectious, and nonneoplastic clinical syndrome with no identifiable local or systemic cause. The disease, which is rare in pediatric population, can be easily misdiagnosed as orbital abscess or cellulitis due to the very similar clinical pictures. We describe a pediatric case of IOID that was initially diagnosed as orbital cellulitis but had no response to systemic antibiotics and had a quick recovery by the administration of systemic steroids.