Brooke Army Medical Center, Ophthalmology Service, TX 78234-6200, USA.
Cornea. 2010 Jul;29(7):833-5. doi: 10.1097/ICO.0b013e3181c58efe.
To report a case of a spontaneous subconjunctival abscess in a patient with no previous ocular surgery or trauma.
Case report.
We report a case of a subconjunctival abscess caused by Haemophilus influenzae after several days of worsening conjunctivitis. Computed tomography scans of the orbits confirmed an abscess cavity adjacent to the globe without orbital extension. The abscess was spontaneously draining at presentation and resolved completely with topical and oral antibiotic therapy.
To our knowledge, this is the first-described case of spontaneous subconjunctival abscess formation in an immunocompetent individual unrelated to preexisting ocular pathology, previous ocular surgery, or trauma. H. influenzae species may possess the ability to penetrate an intact conjunctiva and develop subconjunctival abscess. We recommend that patients presenting with bacterial conjunctivitis be closely examined to rule out subconjunctival abscess, which may require additional aggressive medical or surgical management.
报告一例无既往眼部手术或外伤史的自发性结膜下脓肿病例。
病例报告。
我们报告了一例由流感嗜血杆菌引起的结膜下脓肿病例，该患者在数天的结膜炎加重后出现了这种情况。眼眶计算机断层扫描证实了一个紧邻眼球的脓肿腔，没有眼眶扩展。脓肿在就诊时自行排出，经局部和口服抗生素治疗后完全消退。
据我们所知，这是首例在免疫功能正常的个体中，与既往眼部疾病、先前的眼部手术或外伤无关的自发性结膜下脓肿形成病例。流感嗜血杆菌可能具有穿透完整结膜并形成结膜下脓肿的能力。我们建议对患有细菌性结膜炎的患者进行仔细检查，以排除可能需要额外积极的药物或手术治疗的结膜下脓肿。
