Upendran Muralidharan R, McLoone Eibhlin
Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK.
BMJ Case Rep. 2013 Mar 8;2013:bcr2013008676. doi: 10.1136/bcr-2013-008676.
A 7-month-old child presented with a 6-day history of right eyelid swelling and redness. She was being treated with chloramphenicol ointment and oral flucloxacillin by the general practitioner. Clinical examination revealed features of preseptal cellulitis. There was no evidence of orbital involvement and the child was generally well otherwise. Her oral antibiotics were changed and she was adviced to attend for a review in 2 days time. However, the child did not return for a review. Three weeks later following resolution of the eyelid swelling, the child represented with a divergent squint in the right eye. Clinical and orthoptic investigations suggested occlusion amblyopia. The child is currently receiving patching treatment for the amblyopia and is awaiting surgery for squint eye.
一名7个月大的儿童出现右眼睑肿胀和发红6天的症状。全科医生正在用氯霉素眼膏和口服氟氯西林对她进行治疗。临床检查发现有睑前蜂窝织炎的特征。没有眼眶受累的证据，且该儿童其他方面总体状况良好。她的口服抗生素被更换，并被建议在两天后复诊。然而，该儿童没有回来复诊。三周后，眼睑肿胀消退，该儿童再次就诊，表现为右眼外斜视。临床和斜视检查提示为遮盖性弱视。该儿童目前正在接受弱视遮盖治疗，等待斜视手术。
