A case of orbital abscess following porous orbital implant infection.
OBJECTIVE
We present a case of orbital abscess following porous orbital implant infection in a 73-year-old woman with rheumatoid arthritis.


METHODS
Just one month after a seemingly uncomplicated enucleation and porous polyethylene (Medpor) orbital implant surgery, implant exposure developed with profuse pus discharge. The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket. Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed.


RESULTS
After partial orbital exenteration, the wound finally healed well without any additional abscess formation.


CONCLUSIONS
A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.
Hong
Seung Woo
SW
Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Paik
Ji-Sun
JS
Kim
So-Youl
SY
Yang
Suk-Woo
SW
D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000368:Aged; D020878:Device Removal; D015353:Eye Enucleation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020273:Orbital Implants / Q000009:adverse effects*; D016062:Porosity; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery