0 70

Cited 1 times in

Implications of enlarged infraorbital nerve in idiopathic orbital inflammatory disease

Authors
 Ka Hyun Lee  ;  Sun Hyup Han  ;  Jin Sook Yoon 
Citation
 British Journal of Ophthalmology, Vol.100(9) : 1295-1300, 2016 
Journal Title
 British Journal of Ophthalmology 
ISSN
 0007-1161 
Issue Date
2016
MeSH
Adult ; Aged ; Female ; Follow-Up Studies ; Humans ; Hypertrophy ; Male ; Maxillary Nerve/pathology* ; Middle Aged ; Orbital Pseudotumor/diagnosis* ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed
Keywords
Imaging ; Inflammation ; Orbit ; Pathology
Abstract
PURPOSE: To investigate the clinical characteristics of idiopathic orbital inflammatory (IOI) disease with infraorbital nerve (ION) enlargement. DESIGN: Retrospective, comparative case series. METHODS: PARTICIPANTS: Consecutive patients who were diagnosed with IOI between January 2009 and December 2013 were identified. The study included patients whose medical and radiological data at diagnosis were available and whose follow-up period was more than 12?months after treatment. The patients were divided into two groups according to accompaniment of ION enlargement and were compared. MAIN OUTCOME MEASURES: clinical manifestation, radiology and treatment outcome. RESULTS: Among 89 patients with IOI, 12 (13.5%) were identified to have ION enlargement. The ION-enlarged group showed a higher percentage of the patients with diffuse inflammation (66.7%, p<0.001). 91.7% of the ION-enlarged group showed inferiorly located inflammation. Patients with ION enlargement showed a significantly higher incidence rate of proptosis (p=0.013), pain (p=0.004) and altered sensation (p<0.001). The recurrence rate was significantly higher in the ION-enlarged group (83.3%) than in the other group (33.8%) (p=0.001). Repetitive inflammation (recurrence ≥3) with steroid dependency was found only in 19.5% patients without ION enlargement but in 66.7% patients with ION enlargement. CONCLUSIONS: Patients with ION-enlarged IOI showed distinct clinical and radiological characteristics. As IOI accompanied by ION enlargement showed significantly higher steroid dependency and recurrence rate, a more careful follow-up of patients during steroid tapering might be helpful to prevent recurrence of IOI.
Full Text
http://bjo.bmj.com/content/100/9/1295
DOI
10.1136/bjophthalmol-2015-307232
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
윤진숙(Yoon, Jin Sook) ORCID logo https://orcid.org/0000-0002-8751-9467
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152422
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse