A Case of Delayed Orbital Cellulitis after Orbital Wall Fracture Repair Using Absorbable Implant
Journal of the Korean Ophthalmological Society
;
: 1165-1169, 2016.
Article
in Korean
| WPRIM
| ID: wpr-174267
ABSTRACT
PURPOSE:
To report a case of delayed orbital cellulitis with subperiosteal abscess after orbital floor fracture repair using an absorbable sheet implant (Macropore®, Medtronic Inc., Minneapolis, MN, USA). CASESUMMARY:
A 16-year-old male visited the oculoplastic clinic for left eye pain, lower eyelid swelling and vertical diplopia for 1 day. The patient had a history of inferior orbital wall fracture repair surgery using Macropore® 20 months prior. The orbital computed tomography scan showed a subperiosteal cystic mass with surrounding infiltration at the left orbital floor, and ethmoidal and maxillary sinusitis; however, sheet implant was not clearly observed. Despite systemic antibiotic treatment for 3 days, his clinical findings did not improve, thus we decided to drain the subperiosteal abscess through a transconjunctival approach. Intraoperatively, the Macropore® sheet was almost dissolved, but small pieces remained. The culture of drained contents showed no microorganisms. Systemic antibiotics were continued for 18 days after surgery, and clinical symptoms completely improved.CONCLUSIONS:
Delayed orbital cellulitis should be considered in patients with extraocular muscle movement limitation and painful orbital swelling if the patient has a history of orbital wall fracture repair, even if a bioresorbable implant was used. Prompt imaging evaluation should be emphasized for early diagnosis and proper treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Orbital Fractures
/
Maxillary Sinusitis
/
Absorbable Implants
/
Early Diagnosis
/
Abscess
/
Diplopia
/
Eyelids
/
Orbital Cellulitis
/
Eye Pain
Type of study:
Diagnostic study
/
Screening study
Limits:
Adolescent
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2016
Type:
Article
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