Lower eyelid herniation of orbital fat may complicate periocular corticosteroid injection

Am J Ophthalmol. 2002 Jun;133(6):845-7. doi: 10.1016/s0002-9394(02)01412-5.


Purpose: To report a case of lower eyelid herniation of orbital fat occurring after periocular corticosteroid injection.

Design: Interventional case report.

Methods: A 44-year-old man with asymmetrical pars planitis complicated by right cystoid macular edema was treated with multiple right orbital floor injections of triamcinolone through the lower eyelid.

Results: Right lower eyelid orbital fat herniation occurred during the course of the treatment.

Conclusion: A herniation of orbital fat may complicate the injection of corticosteroid through the lower eyelid.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adipose Tissue / pathology*
  • Adult
  • Eyelid Diseases / chemically induced*
  • Glucocorticoids / adverse effects*
  • Hernia / chemically induced*
  • Humans
  • Injections / adverse effects*
  • Macular Edema / complications
  • Male
  • Orbital Diseases / chemically induced*
  • Pars Planitis / drug therapy
  • Pars Planitis / etiology
  • Triamcinolone Acetonide / adverse effects*


  • Glucocorticoids
  • Triamcinolone Acetonide