title: Orbital cellulitis and intraconal abscess formation after strabismus surgery in an adult patient.
abstract: We report a 60-year-old woman who presented with orbital cellulitis, restricted ocular motility, proptosis, and visual acuity of counting fingers in her left eye 3 days after strabismus surgery. Although she initially responded well to antibiotic and anti-inflammatory therapy, visual acuity in the left eye again decreased on postoperative day 5. Radiographic imaging revealed an intraconal orbital abscess, and she underwent left lateral orbitotomy with abscess drainage, with continued antibiotics and a tapering dose of steroids. To our knowledge, this is the first case of orbital cellulitis and intraconal abscess after strabismus surgery in an adult.
authors.affiliation: Presbyterian St. Luke's Hospital, Denver, Colorado. Electronic address: sstrul@ufl.edu.
authors.forename: Sasha
authors.initials: S
authors.lastname: Strul
authors.affiliation: Department of Ophthalmology, University of Colorado Denver School of Medicine, Aurora.
authors.forename: Michael S
authors.initials: MS
authors.lastname: McCracken
authors.affiliation: Presbyterian St. Luke's Hospital, Denver, Colorado.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Cunin
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D000077731:Meropenem; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D054517:Orbital Cellulitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013285:Strabismus / Q000601:surgery*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013845:Thienamycins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D002981:Clindamycin; D002443:Ceftriaxone; D000077731:Meropenem