title: Orbital cellulitis after phacoemulsification and intraocular lens implantation.
abstract: We report a case of orbital cellulitis after uneventful phacoemulsification and intraocular lens implantation under peribulbar injection. The eyelid skin was prepared with chlorhexidine gluconate before the peribulbar injection, and the eyelid and conjunctival cul-de-sac were prepared with povidone-iodine before phacoemulsification. Five days postoperatively, the patient presented with reduced visual acuity and lid swelling. Ocular examination showed signs of orbital cellulitis, which was confirmed by a computed tomography scan. Oral erythromycin and metronidazole were given, after which the symptoms improved with successful outcomes.
authors.affiliation: Department of Ophthalmology, H.M. Stanley Hospital, St. Asaph, LL17 0LD North Wales, United Kingdom. vkumar65@hotmail.com
authors.forename: Vijaya
authors.initials: V
authors.lastname: Kumar
authors.forename: David
authors.initials: D
authors.lastname: Saunders
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D018918:Phacoemulsification / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole; D004917:Erythromycin