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December 19, 1977

Cosmetic Eye Shadow Mimicking Orbital Calcification

JAMA. 1977;238(25):2695-2696. doi:10.1001/jama.1977.03280260025004

To the Editor.—  Orbital calcification is usually of two types, metastatic or dystrophic. The first is seen with abnormalities in calcium and phosphate metabolism, while the latter is caused by calcification within damaged tissues such as tumors, inflammation, infarcts, trauma, or degeneration. Calcifications may be intraocular or extraocular. When seen roentgenographically, some of the deposits are so typical as to suggest a correct cause, while others are less specific. Of more importance is the fact that calcification within the orbit is almost always abnormal and deserves further evaluation.1 Because of this, we present a case of pseudocalcification of the orbit, which could initiate a long, needless workup.

Report of a Case.—  A 16-year-old girl came to Keesler Air Force Base Hospital with a two-month history of increasing headaches. The pain was described as "retro-ocular" and at times became so intense that "spots appeared before her eyes." Her past medical