| Orbital Cellulitis Following Strabismus Surgery. |
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Gyu Ah Kim, Ae Young Kwak, Jung Bum Choi, Hae Song Park |
1Department of Ophthalmology, The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
2Siloam Eye Hospital, Seoul, Korea. pangdolp@hanmail.net |
| 사시수술 후 발생한 안와 연조직염 |
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김규아1,2⋅곽애영1,2⋅최정범2⋅박혜성2 |
Department of Ophthalmology, The Institute of Vision Research, Yonsei University College of Medicine1, Seoul, Korea
Siloam Eye Hospital2, Seoul, Korea |
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| Abstract |
PURPOSE
To report a case of sudden orbital cellulitis presenting 2 weeks after strabismus surgery in a patient who had previously undergone retinal surgery for rhegmatogenous retinal detachment. CASE SUMMARY: A 45-year-old male visited the ophthalmology clinic with a 3-day history of left eye pain and lid swelling which suddenly developed 2 weeks after left lateral rectus muscle recession surgery for secondary sensory exotropia. The patient had undergone trans pars plana vitrectomy twice, scleral encircling, oil injection and removal for rhegmatogenous retinal detachment 1.3 years prior. His best corrected visual acuity was 0.2 in his left eye and physical examination revealed eyelid edema, chemosis, and subconjunctival hemorrhage of the left eye. The next day, eye movements were moderately restricted. Computed tomography scanning with contrast enhancement demonstrated diffuse periorbital soft tissue swelling and enhanced fat stranding suggesting left orbital cellulitis. The patient was hospitalized with intravenous broad spectrum antibiotics. He was discharged after a 5-day course of intravenous antibiotic treatment, but readmitted for symptom aggravation and purulent discharge from the left conjunctival fornix. Culture of conjunctival fornices revealed penicillin-resistant staphylococcus aureus. Intravenous anitibiotics were maintained for 11 days additionally and left eye swelling, tenderness and ocular movement restrictions were improved. The patient was discharged from the hospital with a best corrected visual acuity of 0.2. |
| Key Words:
Orbital cellulitis;Strabismus surgery |
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