DR. ROLIKA BANSAL

Dr.Deepthi Elizabeth Kurian, DR. ROLIKA BANSAL, DR. KAUSTUBH MULAY, DR. SANTOSH G. HONAVAR

Abstract

Purpose: To describe the outcome of orbital eosinophilic granuloma (EG) following incisional biopsy, rapid intra-operative diagnosis and intra-lesional triamcinolone acetate (ITA). Methods: Consecutive patients with histopathologically confirmed EG, treated by a single surgeon in South India were reviewed retrospectively. Results: Eight patients, who constituted 0.5% of 1582 orbital biopsies performed, were reviewed. Seven were males, mean age was 8.9 ± 11.1 years and mean duration of symptoms was 61.8 ± 51.4 days. Computerised tomography showed bone erosion in all, dural involvement in 50% and intracranial extension (ICE) in one. Following the procedure, complete bone remodelling was noted at 7.9 ± 6.0 months with 100% disease control with no recurrences. Mean follow-up duration was 60.9 ± 64.2 months. One patient developed diabetes insipidus. Conclusion: EG is amenable to ITA that avoids aggressive surgery and dural breach. Monitoring systemic associations is essential.