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May 1991

Intralesional Steroid in the Treatment of an Orbital Eosinophilic Granuloma

Author Affiliations

Montreal, Quebec

Arch Ophthalmol. 1991;109(5):617-618. doi:10.1001/archopht.1991.01080050023015

Orbital eosinophilic granuloma (EG) is a rare, benign, clinical entity. Conventional, curative management includes surgical curettage and/or low-dose irradiation.1 We describe a patient treated with intralesional steroid injection with computed tomographic guidance who had a complete response.

Report of a Case.  —A 17-year-old boy presented with a 6-week history of lid swelling and pain in September 1988. The patient had no significant medical or ophthalmic history. A mass was palpated beneath the right superotemporal orbital rim, displacing the globe inferiorly. Exophthalmometer (Hertel) readings were 16.5 mm OD and 16.0 mm OS. The remainder of the ocular examination findings were within normal limits.A computed tomographic scan demonstrated a large, soft-tissue mass located in the temporal quadrant of the right orbital roof, with extensive bony destruction and intracranial invasion (Fig 1).A complete systemic workup for disseminated disease did not reveal any other site of pathology. An incisional biopsy was

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