Effects of Additional Prednisolone Treatment in Orbital Cellulitis after Bougination.

Ryu, Won Yeol; Park, Jae Kwan; Ahn, Hee Bae

doi:2011.52.6.647

J Korean Ophthalmol Soc > Volume 52(6); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(6):647-652.
DOI: https://doi.org/10.3341/jkos.2011.52.6.647 Published online June 15, 2011.

Effects of Additional Prednisolone Treatment in Orbital Cellulitis after Bougination.

Won Yeol Ryu, Jae Kwan Park, Hee Bae Ahn

Department of Ophthalmology, College of Medicine, Dong-A University, Busan, Korea. hbahn@dau.ac.kr

부지법 후 발생한 안와 연조직염 환자에서 스테로이드 추가요법의 효과

류원열⋅박재관⋅안희배

Department of Ophthalmology, College of Medicine, Dong-A University, Busan, Korea

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.

Key Words: Bougination;Orbital cellulitis