Local Triamcinolone Injection in Active Thyroid Orbitopathy

Peribulbar and Subconjunctival Kenalog Injection for Thyroid Orbitopathy

Comparing the effectiveness of subconjunctival and peribulbar Triamcinolone injection to systemic Steroid therapy for patients with active thyroid orbitopathy.

Local Steroid treatment may help in active thyroid orbitopathy. till today, systemic Steroids are the treatment for active thyroid orbitopathy which is associated with systemic adverse effects.

In this study the investigators want to compare the effectiveness of local Triamcinolone therapy for active thyroid orbitopathy.

Inclusion Criteria:

• Age>18 years.
• Active thyroid orbitopathy according to clinical activity score>=3.

Exclusion Criteria:

• Intraorbital or active infections.
• Tuberculosis.
• Other orbital disease.
• Pregnancy.
• Compressive optic neuropathy.
• Systemic steroid therapy within 6 months of study start.