Proptosis after retrobulbar corticosteroid injections.

Abstract

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 Jr, Vito C Quatela
• Journal: Ophthalmology (Ophthalmology) Vol. 110 Issue 2 Pg. 443-7 (Feb 2003) ISSN: 0161-6420 [Print] United States
• PMID: 12578795 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Triamcinolone Acetonide

Topics

• Adult
• Aged
• Aged, 80 and over
• Exophthalmos (chemically induced, diagnostic imaging, surgery)
• Female
• Glucocorticoids (adverse effects)
• Humans
• Injections
• Lipomatosis (chemically induced, diagnostic imaging, surgery)
• Male
• Middle Aged
• Orbital Diseases (chemically induced, diagnostic imaging, surgery)
• Retrospective Studies
• Tomography, X-Ray Computed
• Triamcinolone Acetonide (adverse effects)
• Visual Acuity