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Ophthalmic Plast Reconstr Surg ; 31(6): e141-2, 2015.
Article in English | MEDLINE | ID: mdl-24896771

ABSTRACT

Infectious orbital complications after strabismus surgery are rare. Their incidence is estimated to be 1 case per 1,100 surgeries and include preseptal cellulitis, orbital cellulitis, subconjunctival and sub-Tenon's abscesses, myositis, and endophthalmitis. This report describes the case of an otherwise healthy 3-year-old boy who underwent bilateral medial rectus recession and disinsertion of the inferior obliques. A few days after surgery, the patient presented with bilateral periorbital edema and inferotemporal chemosis. A series of CT scans with contrast revealed inferotemporal orbital collections OU. The patient immediately underwent transconjunctival drainage of fibrinous and seropurulent collections in the sub-Tenon's space and experienced rapid improvement a few days later. The patient is reported to be in stable condition in a follow-up examination performed more than a year after the reported events.


Subject(s)
Abscess/microbiology , Eye Infections, Bacterial/microbiology , Orbital Diseases/microbiology , Postoperative Complications , Strabismus/surgery , Streptococcal Infections/microbiology , Streptococcus pyogenes/isolation & purification , Abscess/diagnostic imaging , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , Child, Preschool , Drug Therapy, Combination , Eye Infections, Bacterial/diagnostic imaging , Eye Infections, Bacterial/drug therapy , Glucocorticoids/therapeutic use , Humans , Infusions, Intravenous , Oculomotor Muscles/surgery , Ophthalmologic Surgical Procedures , Orbital Diseases/diagnostic imaging , Orbital Diseases/drug therapy , Streptococcal Infections/diagnostic imaging , Streptococcal Infections/drug therapy , Tomography, X-Ray Computed
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