Effects of Additional Prednisolone Treatment in Orbital Cellulitis after Bougination

ABSTRACT

PURPOSE: To investigate the effects of additional prednisolone treatments in orbital cellulitis after bougination. METHODS: The medical records of five patients treated for orbital cellulitis after bougination were reviewed. The number of times bouginated, clinical symptoms, biopsy findings, treatment course, recurrence, and prognosis were reviewed. RESULTS: A diffuse, erythematous mass on the lower lid around the medial canthal area was found in all patients. Bougination was performed more than twice in three patients. Chronic inflammation was checked via pathologic tissue biopsy examination in four patients. No patients receiving antibiotic treatments improved, thus additional prednisolone was used and showed satisfactory results, although recurrence was observed in two patients. The recurred two patients improved with repetitive prednisolone treatments. CONCLUSIONS: Although antibiotics are administered for the treatment of orbital cellulitis after bougination, the use of additional corticosteroids may be beneficial when inflammation is sustained.