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https://hdl.handle.net/2440/33901
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Type: | Journal article |
Title: | Blinding orbital cellulitis: A complication of strabismus surgery |
Author: | Hoyama, E. Limawararut, V. Leibovitch, I. Pater, J. Davis, G. Selva-Nayagam, D. |
Citation: | Ophthalmic Plastic and Reconstructive Surgery, 2006; 22(6):472-473 |
Publisher: | Lippincott Williams & Wilkins |
Issue Date: | 2006 |
ISSN: | 0740-9303 1537-2677 |
Abstract: | A 56-year-old healthy man underwent left medial rectus recession and lateral rectus resection for esotropia. The next day he developed severe left periocular pain with decreased vision, an afferent pupillary defect, periorbital edema, limited ocular motility, and proptosis. Computed tomography showed fat stranding and less than 90 degrees of posterior globe tenting. Despite intravenous antibiotics to treat orbital cellulitis, and a lateral canthotomy and cantholysis to decompress the orbit, visual acuity worsened to no light perception. The patient underwent emergent orbital decompression including release of the superior and inferior septum and outfracturing of the orbital floor and medial wall; however, there was no recovery of vision. Blinding orbital cellulitis is a rare complication after strabismus surgery. Despite poor prognosis, prompt diagnosis and aggressive treatment may maximize visual potential. |
Keywords: | Oculomotor Muscles Humans Cellulitis Strabismus Blindness Orbital Diseases Postoperative Complications Diagnosis, Differential Tomography, X-Ray Computed Ophthalmologic Surgical Procedures Follow-Up Studies Visual Acuity Middle Aged Male |
DOI: | 10.1097/01.iop.0000245486.61228.8d |
Published version: | http://dx.doi.org/10.1097/01.iop.0000245486.61228.8d |
Appears in Collections: | Aurora harvest 6 Surgery publications |
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