In their excellent article on idiopathic orbital inflammatory disease,Yuen and Rubin1 describe treatment optionsfor this disorder. They point out that corticosteroids are the mainstay ofanti-inflammatory therapy for idiopathic orbital inflammation. Because thesecases are often chronic and recurring, treating physicians frequently facethe problem of balancing the benefit of steroid use with the systemic complications.We were surprised, therefore, that the authors did not comment on the useof orbital steroid injections.