Skaat Alon, Rosen Nachum, Rosner Mordechai, Schiby Ginette, Simon Guy J Ben
Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.
Orbit. 2009;28(6):401-3. doi: 10.3109/01676830903071208.
To report a patient with atypical idiopathic orbital inflammation who was successfully treated with intra-orbital injections of triamcinolone acetonide.
Interventional case report and literature review.
Resolution of orbital inflammation.
A 71-year-old female with right orbital mass and conjunctival inflammation underwent orbital biopsy that was consistent with the diagnosis of atypical idiopathic orbital inflammation. Inflammation has deteriorated despite oral steroids. The patient underwent two additional orbital biopsies that confirmed the initial diagnosis. Intra-orbital injections of triamcinolone acetonide resulted in significant improvement and cessation of active inflammation.
Intra-orbital injections of triamcinolone acetonide may be an effective alternative in patients with atypical idiopathic orbital inflammation unresponsive to systemic steroids.
报告一例非典型特发性眼眶炎症患者，经眶内注射曲安奈德成功治疗。
介入性病例报告及文献综述。
眼眶炎症消退情况。
一名71岁女性，有右侧眼眶肿物及结膜炎症，接受眼眶活检，结果符合非典型特发性眼眶炎症的诊断。尽管使用了口服类固醇药物，炎症仍恶化。患者又接受了两次眼眶活检，证实了最初的诊断。眶内注射曲安奈德使炎症显著改善并停止了活动性炎症。
对于对全身类固醇药物无反应的非典型特发性眼眶炎症患者，眶内注射曲安奈德可能是一种有效的替代治疗方法。
