Document Detail


Proptosis after retrobulbar corticosteroid injections.
MedLine Citation:
PMID:  12578795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This report describes the clinical, radiographic, and histopathologic findings in patients with proptosis secondary to lipomatosis after retrobulbar corticosteroid injection. DESIGN: Retrospective, noncomparative, interventional case series and review of the literature. METHODS: Five patients who developed symptomatic unilateral proptosis after steroid injection were studied and the literature was reviewed. RESULTS: No previous description was found in the literature. All five cases were studied with computed tomography, and two cases were confirmed with histopathology. No fibrosis or granulomatous inflammation was identified. CONCLUSIONS: Orbital lipomatosis is a potential complication of retrobulbar steroid injections. Symptomatic relief can be provided by a transconjunctival approach to the lower lid fat compartment.
Authors:
Omesh P Gupta; James R Boynton; Paul Sabini; Walter Markowitch; Vito C Quatela
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  110     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-11     Completed Date:  2003-03-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  443-7     Citation Subset:  IM    
Affiliation:
School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Exophthalmos / chemically induced*,  radiography,  surgery
Female
Glucocorticoids / adverse effects*
Humans
Injections
Lipomatosis / chemically induced*,  radiography,  surgery
Male
Middle Aged
Orbital Diseases / chemically induced*,  radiography,  surgery
Retrospective Studies
Tomography, X-Ray Computed
Triamcinolone Acetonide / adverse effects*
Visual Acuity
Chemical
Reg. No./Substance:
0/Glucocorticoids; 76-25-5/Triamcinolone Acetonide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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