NOT a finding associated with Orbital Pseudotumor?

• A. Lacrimal gland enlargement
• B. Unilateral increase of IOP
• C. Unilateral conjunctival chemosis
• D. Myopic shift

Answer: (D)

Orbital pseudotumor is an inflammatory process within the orbit that can involve lacrimal gland, extraocular muscles, or orbital fat, producing mass effect and edema. This inflammation leads to signs like lacrimal gland enlargement when the gland is involved, and edema of the conjunctiva (chemosis) from surrounding tissue swelling. It can also cause a unilateral rise in intraocular pressure due to crowding of the anterior segment and venous congestion. A myopic shift is not a characteristic finding of this condition; refractive changes are not driven by the inflammatory processes in the orbit. The typical presentation focuses more on proptosis, eye movement restriction, and ocular discomfort rather than changes in refractive error.