Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, Chennai, India.
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata (A Unit of Medical Research Foundation, Chennai), India.
Orbit. 2022 Oct;41(5):611-615. doi: 10.1080/01676830.2021.1903043. Epub 2021 Mar 26.
A 28-year-old male presented with gradually progressive swelling of the right lower eyelid along with a prominence of the eye for 6 months. He had received oral steroids and intraorbital triamcinolone acetonide injection in the inferior quadrant for active thyroid eye disease. External examination revealed right eye proptosis and swelling along the inferior orbital region. Magnetic resonance imaging showed an ill-defined soft tissue lesion in the inferior extraconal space and a bulky right inferior rectus. Histopathology of the biopsied material revealed inflammation with septate fungal filaments, identified as on culture. He responded well to oral voriconazole despite a recurrence during the course of treatment. Intraorbital steroids are given for idiopathic and thyroid-associated orbital inflammation. This is a report of a rare complication of fungal orbital abscess following intraorbital corticosteroid injection in an immunocompetent young patient.
一位 28 岁男性因右眼下眼睑逐渐肿胀，并伴有眼球突出 6 个月就诊。他曾因活动性甲状腺眼病接受过口服类固醇和眼眶内下象限曲安奈德注射治疗。眼部检查发现右眼突出伴下眶区肿胀。磁共振成像显示下眶外间隙内界限不清的软组织病变和右眼下直肌肥大。活检材料的组织病理学显示有炎症和分隔真菌丝，培养后鉴定为 。尽管在治疗过程中复发，但他仍对口服伏立康唑反应良好。眼眶内类固醇用于特发性和甲状腺相关眼眶炎症。这是一例免疫功能正常的年轻患者在接受眼眶内皮质类固醇注射后发生真菌性眼眶脓肿的罕见并发症报告。
