J Korean Ophthalmol Soc > Volume 58(7); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(7):776-781.
DOI: https://doi.org/10.3341/jkos.2017.58.7.776    Published online July 15, 2017.
Clinical Characteristics of Idiopathic Orbital Inflammation Accompanied with Paranasal Sinusitis.
Ka Hyun Lee, Jin Sook Yoon
1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. yoonjs@yuhs.ac
2Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea.
코곁굴염이 동반된 특발안와염의 임상양상
이가현1,2⋅윤진숙1
연세대학교 의과대학 안과학교실 시기능개발연구소1, 건양대학교 의과대학 안과학교실2
Correspondence:  Jin Sook Yoon,
Email: yoonjs@yuhs.ac
Received: 20 April 2017   • Revised: 3 June 2017   • Accepted: 25 June 2017
Abstract
PURPOSE
To investigate the clinical characteristics of idiopathic orbital inflammatory disease (IOI) with paranasal sinusitis. METHODS: This study is a retrospective, comparative case series of patients who were diagnosed with IOI between January 2009 and December 2016. This study included patients with available medical and radiologic data at diagnosis and who participated in follow-up for more than 12 months after treatment. The patients were divided into two groups according to accompaniment of paranasal sinusitis and were compared. RESULTS: Among 101 patients with IOI, 13 (12.9%) were identified to have paranasal sinusitis. The incidence of pain was higher in patients with sinusitis (69.2%) than in patients without sinusitis (25.0%, p = 0.003). More patients with paranasal sinusitis experienced recurrence after systemic steroid therapy (69.2%) than in the other group (34.1%, p = 0.033). Additional immunosuppressants and/or radiation therapy were needed only in 9.1% patients without sinusitis but in 38.5% patients with sinusitis (p = 0.039). CONCLUSIONS: IOI patients with sinusitis showed a significantly higher recurrence rate. More careful follow-up of patients during steroid tapering and treatment of sinusitis might be helpful to prevent recurrence of IOI.
Key Words: Idiopathic orbital inflammation;Sinusitis


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