title: Proptosis after retrobulbar corticosteroid injections.
abstract: OBJECTIVE
  This report describes the clinical, radiographic, and histopathologic findings in patients with proptosis secondary to lipomatosis after retrobulbar corticosteroid injection.
  
  
  METHODS
  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.affiliation: School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
authors.forename: Omesh P
authors.initials: OP
authors.lastname: Gupta
authors.forename: James R
authors.initials: JR
authors.lastname: Boynton
authors.forename: Paul
authors.initials: P
authors.lastname: Sabini
authors.forename: Walter
authors.initials: W
authors.lastname: Markowitch
authors.forename: Vito C
authors.initials: VC
authors.lastname: Quatela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005094:Exophthalmos / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007267:Injections; D008068:Lipomatosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014222:Triamcinolone Acetonide / Q000009:adverse effects*; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide