Optic atrophy after propoxyphene overdose: report of a case.

An 18-year-old woman suffered cardiac arrest and became comatose after ingesting a large amount of proxyphene and salicylates. Six days after admission, her pupils, initially miotic, became fixed and dilated. On the seventh day disc edema developed. This was due to optic neuritis from acute Darvon overdose. Within eight weeks the disc edema resolved into a pale white atrophy with severe loss of vision. This is the first reported case of optic atrophy after propoxyphene overdose.

Tarsal buckling after sutureless Fasanella-Servat procedures.

A patient who underwent bilateral, sutureless Fasanella-Servat procedures experienced wound dehiscence that resulted in a distorted eyelid contour which rquired substantial wound and eyelid revision. Other methods of handling the problem of suture abrasion exist that may prevent tarsal buckling after a Fasanella-Servat procedure.

Pseudomonas orbital cellulitis.

A 3-month-old infant being treated for bronchitis developed a rapid onset but otherwise typical orbital cellulitis. Because gram-negative infections and septicemia are common occurrences in the newborn nursery, this patient was given systemic gentamicin and ampicillin. Sinus x-rays were not attempted. Two days after treatment the eyelids were opened. A strikingly large corneal ulcer with perforated globe and endophthalmitis was found. Pseudomonas aeroginosa was cultured from the blood, conjunctiva, and throat. A diagnosis of Pseudomonas orbital cellulitis with secondary corneal perforation and endophthalmitis was made. The source of infection was believed to be the respiratory tract.

Retrobulbar hemorrhage occurring after placement of a superior rectus muscle suture.

A retrobulbar hemorrhage occurred in a 25-year-old woman after placement of a superior rectus muscle traction suture. In evaluating the causes of a retrobulbar hemorrhage, one must consider the possibility of a needle injury to an extraocular muscle.