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Granulomatous inflammation of the orbit: diagnosis, management and therapy

During the 2000-2005 period, we treated 32 patients with unilateral or bilateral granulomatous inflammation of the orbit. After careful exclusion of specific systemic and local diseases, the diagnosis was based on a combination of clinical and radiological findings. Examinations were performed to exclude the presence of a malignant or other form of tumor. Subsequently, we started treatment with high-dose steroids or a combination of steroids and surgical therapy. After therapy, we analyzed visual acuity, exophthalmometry, intraocular pressure and visual fields. There was no tumor reccurence during the follow up of 1-4 years. The findings suggested the treatment with high-dose steroids or a combination of steroids and surgical therapy to be an efficient therapeutic option for granulomatous inflammation.

granulomatous inflammation; orbit; steroid therapy

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