RESUMO
Orbital cellulitis is a rarely reported sight-threatening complication of sub-Tenon anaesthesia. We report a case of orbital cellulitis in a patient who had received sub-Tenon anaesthesia for routine cataract surgery. We discuss the potential under-reporting of complications of sub-Tenon anaesthesia that had a delayed presentation, and the possible association between the use of hyaluronidase in the anaesthetic mixture and orbital cellulitis following sub-Tenon anaesthesia.
Assuntos
Anestesia Local/efeitos adversos , Celulite (Flegmão)/etiologia , Doenças Orbitárias/etiologia , Facoemulsificação , Complicações Pós-Operatórias , Idoso , Antibacterianos/uso terapêutico , Celulite (Flegmão)/diagnóstico por imagem , Celulite (Flegmão)/tratamento farmacológico , Seguimentos , Humanos , Masculino , Doenças Orbitárias/diagnóstico por imagem , Doenças Orbitárias/tratamento farmacológico , Tomografia Computadorizada por Raios XRESUMO
Orbital apex syndrome secondary to mucormycosis in immuno-compromised patients is well described; however, few reports exist of a paranasal sinus mycetoma resulting in this presentation in the immuno-competent patient. The case is reported of a 92-year-old man who developed orbital apex syndrome secondary to a sphenoidal sinus mycetoma of Pseudallescheria boydii.
