title: Lower eyelid herniation of orbital fat may complicate periocular corticosteroid injection.
abstract: OBJECTIVE
  To report a case of lower eyelid herniation of orbital fat occurring after periocular corticosteroid injection.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 44-year-old man with asymmetrical pars planitis complicated by right cystoid macular edema was treated with multiple right orbital floor injections of triamcinolone through the lower eyelid.
  
  
  RESULTS
  Right lower eyelid orbital fat herniation occurred during the course of the treatment.
  
  
  CONCLUSIONS
  A herniation of orbital fat may complicate the injection of corticosteroid through the lower eyelid.
authors.affiliation: Casey Eye Institute, Oregon Health & Science University, Portland, Oregon 97201-4197, USA. smithjus@ohsu.edu
authors.forename: Justine R
authors.initials: JR
authors.lastname: Smith
authors.forename: Roger K
authors.initials: RK
authors.lastname: George
authors.forename: James T
authors.initials: JT
authors.lastname: Rosenbaum
mesh_terms: D000273:Adipose Tissue / Q000473:pathology*; D000328:Adult; D005141:Eyelid Diseases / Q000139:chemically induced*; D005938:Glucocorticoids / Q000009:adverse effects*; D006547:Hernia / Q000139:chemically induced*; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008269:Macular Edema / Q000150:complications; D008297:Male; D009916:Orbital Diseases / Q000139:chemically induced*; D015868:Pars Planitis / Q000188:drug therapy / Q000209:etiology; D014222:Triamcinolone Acetonide / Q000009:adverse effects*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide