J Korean Ophthalmol Soc > Volume 53(10); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(10):1523-1527.
DOI: https://doi.org/10.3341/jkos.2012.53.10.1523    Published online October 15, 2012.
A Case of Orbital Abscess with Central Retinal Artery Occlusion.
Young Seung Kim, Seung Kook Baek, Myung Sook Ha
Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. hmseye@hanmail.net
안와농양과 동반된 중심망막동맥 폐쇄 1예
Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea
To report a case of rapidly progressed orbital abscess after central retinal artery occlusion. CASE SUMMARY: A 60-year-old man with right periorbital pain and edema starting 3 days earlier visited the hospital. His first visual acuity was 1.0 for the right eye with peripheral edema and tenderness; severe hemorrhagic chemosis, proptosis (approximately 3 mm) and extraocular motility limitation were also observed. According to the CT findings, a 2.5 x 1 cm-sized encapsulated cystic mass was found in the right orbital cavity, along the medial orbital wall; with a diagnosis of orbital abscess, he was hospitalized with systemic antibiotic treatment and abscess drainage. On the second day of hospitalization, the best corrected visual acuity was reduced to light perception, and relative afferent pupillary defect, pale retina and cherry red spot were found. Therefore, emergent incisional drainage, optic massage, and antibiotics were given to the patient. Immediately after the surgery, the peripheral edema and proptosis improved; nevertheless, central retinal artery occlusion did not resolve and vision did not improve. Two months later, best corrected visual acuity for the right eye was counting fingers and central retinal artery occlusion showed no further improvement. CONCLUSIONS: No case report on rapidly progressing orbital abscess has been proposed in Korea to date. In the case of rapidly progressed orbital abscess, incisional drainage and antibiotics should be administered promptly.
Key Words: Central retinal artery occlusion;Orbital abscess

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