Proptosis after retrobulbar corticosteroid injections.
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.
Gupta
Omesh P
OP
School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
Boynton
James R
JR
Sabini
Paul
P
Markowitch
Walter
W
Quatela
Vito C
VC
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
D005938:Glucocorticoids; D014222:Triamcinolone Acetonide