title: An abscess causing a delayed optic neuropathy after decompression for thyroid eye disease.
abstract: A 63-year-old female with Graves' disease and chronic sinusitis presented with acute left orbital pain and proptosis five years after bilateral orbital decompression and sinus surgery. Imaging revealed bilateral frontal sinus opacification, frontoethmoidal mucoceles and left subperiosteal mass. Presence of an optic neuropathy drove emergent management with intravenous antibiotics and orbitotomy with exploration. Intra-operatively, a left orbital abscess and left frontal sinus purulence were drained. The patient regained her vision with relief of proptosis and pain.
authors.affiliation: University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences , Chicago, Illinois , USA and.
authors.forename: Rakesh M
authors.initials: RM
authors.lastname: Patel
authors.forename: Vinay K
authors.initials: VK
authors.lastname: Aakalu
authors.forename: Stephanie
authors.initials: S
authors.lastname: Joe
authors.forename: Pete
authors.initials: P
authors.lastname: Setabutr
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019299:Decompression, Surgical / Q000009:adverse effects*; D004359:Drug Therapy, Combination; D005094:Exophthalmos / Q000209:etiology; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D058447:Eye Pain / Q000209:etiology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009916:Orbital Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids