McElnea Elizabeth M, Hynes Sean, Fahy Gerry T
Department of Ophthalmology, University College Hospital Galway, Galway, Ireland.
BMJ Case Rep. 2014 Mar 4;2014:bcr2013009761. doi: 10.1136/bcr-2013-009761.
A 77-year-old man presented with a right lower eyelid swelling. Biopsy and histopathology of the lesion identified idiopathic granulomatous orbital inflammation. Clinical resolution of this patient's orbital mass was achieved with injection of 40 mg triamcinolone acetonide, perilesionally, at three sites in the right orbit. Such treatment may thus form an alternative to oral corticosteroid therapy in the management of granulomatous orbital inflammation.
一名77岁男性患者出现右下眼睑肿胀。病变的活检及组织病理学检查确诊为特发性肉芽肿性眼眶炎症。通过在右侧眼眶三个部位病变周围注射40毫克曲安奈德,该患者眼眶肿物获得临床缓解。因此,这种治疗方法可能成为肉芽肿性眼眶炎症治疗中口服糖皮质激素疗法的替代方案。