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1
題名:REFRACTORY ORBITAL PSEUDOTUMOR TREATED SUCCESSFULLY BY POSTERIORLY INTRAORBITAL INJECTION OF TRIAMCINOLONE ACETONIDE──A CASE REPORT     (16點)
以眼窩才灸注射Triamcinolone Acetonide成功治療難處理的眼窩偽腫瘤──病例報告
著者:Hsiang-Wen Chien(簡湘文) ;Szu-Yuan Lin(林思源) ;I-hua Wang(汪宜樺) ;Jieh-Ren Jou(周介仁)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Orbital pseudotumor ; Intraorbital injection ; Triamcinolone acetonide
刊名:中華民國眼科醫學會雜誌
卷期:49卷2期(2010.6)
頁碼:253-260
語言:英語
摘要:
目的:報告一個以後眼窩注射Triamcinolone Acetonide 成功治療難治療的眼窩部備腫瘤病例。 方法:病例報告。 結果:一位25 歲女性左眼視力模糊約4 個月。 左眼最佳矯正視力為20/400 '並有色彩覺受損及相對 性瞳孔傳入障礙,腦部CT 及MRI 表現為一左眼眼窩 尖端腫塊。經診斷為眼窩部偽腫瘤所造成之視神經病 變,她接受了三天類固醇脈衝治療,左眼視力在兩天 內有戲劇性的改善(20/16) 。然而,當類固醇減量時, 視力再度下降,更出現了月亮臉、水牛肩等類固醇造 成的副作用。我們以後眼窩注射的mg/1 mL Triamcinolone Acetonide 來取代全身性類固醇'病人左眼視 力回到20/20 '而全身性類固醇造成的副作用也減少 了。 結論:當病人對類固醇反應很好卻產生嚴重的全 身性副作用時,後眼窩注射類固醇可為有效的替代性 治療。
Purpose: To repo 付a case of refractory orbital pseudotumor which was successfully treated by posteriorly intraorbital injection of Triamcinolone Acetonide Method: A case repo比 Results: A 25-year-old female complained of painfully blurred vision in her left eye for 4 months. The best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/400 in the left eye. Impaired color vision and relatively afferent pupillary defect in the left eye were also noted. Brain CT and MRI revealed a left orbital apex mass lesion. Under the impression of optic neuropathy caused by orbital pseudotumor, she received methylprednisolone pulse therapy for 3 days. Her visual acuity improved dramatically from 20/400 to 20/16 in the left eye within 2 days. However, her vision deteriorated whenever the oral steroid dosage was tapered. Moreover, obvious moon face, buffalo hump, the red striae of the legs and trunk related to systemic steroids were noted. Therefore posteriorly intraorbital injection of Triamcinolone acetonide 40 mg/1 mL was performed in her left eye in place of the use of systemic steroid. Her BCVA finally improved to 20/20 at last. The steroid side effects ceased after ending systemic steroid use. Conclusion: Posteriorly intraorbital injection of steroids may be an alternative treatment for patients who have good response to systemic steroids but are intolerant to the related adverse reactions.


    

本卷期目次
中華民國眼科醫學會雜誌 49卷2期 (2010.6)
誘導多功能幹細胞在網膜退化性疾病之應用/ 方怡謨
黃斑圓孔/ 游建章
氧化壓力(oxidative stress)與糖尿病視網膜病變/ 王律鈞
息肉狀脈絡朕血管病變/ 楊長豪
台北市低視能病患健康檢查及健康促進生活型態調查/ 蔡明足吳宗燕翁林仲蔡景耀
EARLY LASER TREATMENT FOR ADVANCED RETINOPATHY OF PREMATURITY/ Chia-Min WuJia-Kang Wang
QUANTIFICATION OF RETINAL NERVE FIBER LAYER THICKNESS IN HIGHL Y MYOPIC EYES USING OPTICAL COHERENCE TOMOGRAPHY/ Chi-Hsin HsuYung-Feng Shih
CLINICAL AND OCT CHARACTERISTICS OF PERIPAPILLARY DETACHMENT IN PATHOLOGIC MYOPIA/ Tien-Ying Fan ChiangShu-I YehWei-Chun ChanLee-Jen Chen
台灣研究植入多焦點人工水晶體在生活品質及視覺功能之成果/ 謝靜茹何一滔林克忠尤之浩
LONG-TERM FOLLOW-UP OF CONGENITALANIRIDIA ──A CASE REPORT/ Yu-Hung GuoAn-Fei LiYu-Chi LiuShui-Mei Lee
ORBITAL EMPHYSEMA──A CASE REPORT/ Wei-Ting LiuChieh-Chih TsaiPei-Yu LinShu-Ching KaoShui-Mei Lee
LEUKEMIC INFILTRATION OF THE OPTIC NERVE WITH INTRAOCULAR EXTENSION IN RELAPSING ACUTE LYMPHOBLASTIC LEUKEMIA/ Yao-Chung ChangChun-Yuan Wang
IMMUNOHISTOCHEMICAL STUDIES OF CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA/ Chia-Hung LiJiann-Tomg ChenHemg-Sheng LeeJy-Been Liang
UPPER EYELID COLOBOMAASSOCIATED WITH CONGENITAL HEART DISEASE──A RARE CASE REPORT/ Hsiu-Fen LinJui-Pin LaiWu-Ping LoHuan-Chen HsuHui YangChing-Liang Kuo
CORNELIA DE LANGE SYNDROME──A CASE REPORT/ Chia-Ming HsuChiu-Tung ChuangPao-Ching ChiuTsun-Tien WuShwu-Jiuan Shen
A RARE CASE OF ORBITAL ROSAI-DORFMAN DISEASE, WITH INTRACRANIAL EXTENSION/ Pei-Fen HsuSui-Chia SungJack Yu-Shin LinChien-Liang Wu
IRIS CYST WITH TREATMENT OF Nd:YAG LASER IRIDOCYSTOTOMY/ Chan-Wei NienHung-Yu LinChing-Yang LinShih-Chun Chao
DIFFUSE IRIS MALIGNANT MELANOMA WITH SECONDARY GLAUCOMA──A CASE REPORT/ Pei-Yuan SuJehn-Yu HuangChi-Huang Hsiao
KIMURA'S DISEASE OF ORBIT AND ELBOW IN AN ASIAN CHILD──A CASE REPORT/ Chin-yun ChenCheng-Hsien ChangShyh-Shih Chiou
UNILATERAL PANUVEITIS AND OCCLUSIVE RETINAL ARTERITIS IN A PATIENT WITH SYSTEMIC SCLEROSIS/ Chih-Jen LinYo-Chen ChangKai-Chun ChengWen-Chuan Wu
REFRACTORY ORBITAL PSEUDOTUMOR TREATED SUCCESSFULLY BY POSTERIORLY INTRAORBITAL INJECTION OF TRIAMCINOLONE ACETONIDE──A CASE REPORT/ Hsiang-Wen ChienSzu-Yuan LinI-hua WangJieh-Ren Jou
以雙眼弓漿蟲視網膜目良炎為起始表現的後天免疫缺乏症候群──病例報告/ 何采璇莊秋同龔雅欣吳宗典許淑娟
 
   
 
   

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