RESUMO
A 77-year-old man presented with a right lower eyelid swelling. Biopsy and histopathology of the lesion identified idiopathic granulomatous orbital inflammation. Clinical resolution of this patient's orbital mass was achieved with injection of 40 mg triamcinolone acetonide, perilesionally, at three sites in the right orbit. Such treatment may thus form an alternative to oral corticosteroid therapy in the management of granulomatous orbital inflammation.
Assuntos
Glucocorticoides/uso terapêutico , Pseudotumor Orbitário/tratamento farmacológico , Triancinolona/uso terapêutico , Idoso , Humanos , Masculino , Pseudotumor Orbitário/diagnóstico , Pseudotumor Orbitário/etiologiaRESUMO
PURPOSE: To describe 5 cases of endophthalmitis secondary to corneal sutures. SETTING: Department of Ophthalmology, University College Hospital, Galway, Ireland. METHODS: A retrospective review was done of 5 patients who presented over a period of 19 months with suture-related bacterial keratitis that progressed to endophthalmitis. Intravitreal antibiotics were used to control the infection. RESULTS: Despite intensive topical broad-spectrum antibiotic treatment for suture-related infective keratitis, the infection progressed to endophthalmitis in all 5 patients. Intravitreal antibiotics resolved the infection. CONCLUSIONS: Corneal sutures are a risk factor for infective keratitis irrespective of their site. Suture-related keratitis may progress rapidly to endophthalmitis despite intensive topical antibiotics. Intravitreal antibiotics are indicated when endophthalmitis is present.
