Kim Jenna May, Megalla Marez, Howard Martha, Sinard John, Pointdujour-Lim Renelle
Yale Eye Center, Yale New Haven Hospital, New Haven, Connecticut.
Department of Pathology, Yale New Haven Hospital, New Haven, Connecticut.
J AAPOS. 2018 Dec;22(6):477-480. doi: 10.1016/j.jaapos.2018.04.016. Epub 2018 Aug 29.
We report the case of a 76-year-old man who presented with left eye pain, eyelid swelling, and restricted extraocular motility 3 days after strabismus surgery. Computed tomography of the orbits did not show drainable abscesses, but magnetic resonance imaging on postoperative day 9 showed choroidal detachment with retrobulbar abscess and dural enhancement despite broad-spectrum intravenous antibiotic use. Following incision and drainage of the abscess, which grew methicillin-resistant Staphylococcus aureus, the patient showed improvement in visual acuity, pain, and extraocular motility. This is the first report of choroidal detachment occurring in the setting of orbital cellulitis after strabismus surgery.
我们报告了一例76岁男性患者，该患者在斜视手术后3天出现左眼疼痛、眼睑肿胀及眼球运动受限。眼眶计算机断层扫描未显示可引流的脓肿，但术后第9天的磁共振成像显示尽管使用了广谱静脉抗生素，仍存在脉络膜脱离伴球后脓肿及硬脑膜强化。脓肿切开引流后培养出耐甲氧西林金黄色葡萄球菌，患者的视力、疼痛及眼球运动均有所改善。这是斜视手术后眼眶蜂窝织炎背景下发生脉络膜脱离的首例报告。
