CONCURRENT ENDOPHTHALMITIS AND ANTERIOR SEGMENT ISCHEMIA AFTER STRABISMUS SURGERY.

作者信息

Smith Jesse M, Hwang Richard Y, Siringo Frank, Quiroz-Mercado Hugo, Oliver Scott C N, Mandava Naresh, Mathias Marc T, Olson Jeffrey L

机构信息

*Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia; and †Department of Ophthalmology, University of Colorado School of Medicine, Denver, Colorado.

出版信息

Retin Cases Brief Rep. 2017;11(2):148-151. doi: 10.1097/ICB.0000000000000315.

DOI:10.1097/ICB.0000000000000315

PMID:27124792

Abstract

BACKGROUND/PURPOSE: To report a case of simultaneous endophthalmitis and anterior segment ischemia (ASI) that occurred in a patient after strabismus surgery. This is the first known case of both complications occurring at the same time.

METHODS

Case report.

RESULTS

A 60-year-old woman presented with eye pain and loss of vision 6 days after uncomplicated strabismus surgery for thyroid eye disease. On examination, she had corneal edema, anterior segment fibrin, an atonic iris, and no view to the posterior segment. On fluorescein angiography of the anterior segment, a large portion of the iris was nonperfused. Posterior segment ultrasound showed dense vitritis and a choroidal abscess. Intraoperative cultures grew methicillin-resistant Staphylococcus aureus.

CONCLUSIONS

Endophthalmitis and anterior segment ischemia are both exceedingly rare complications of strabismus surgery. It is possible that each one occurred independently, but more likely one process potentiated the other. One possible mechanism is inflammation-induced thrombosis.

摘要