Blinding orbital cellulitis: A complication of strabismus surgery

Erika Hoyama, Vanessa Limawararut, Igal Leibovitch, John Pater, Garry Davis, Dinesh Selva

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)472-473
Number of pages2
JournalOphthalmic plastic and reconstructive surgery
Volume22
Issue number6
DOIs
StatePublished - Nov 1 2006

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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