title: Bilateral Orbital Abscesses After Strabismus Surgery.
abstract: Infectious orbital complications after strabismus surgery are rare. Their incidence is estimated to be 1 case per 1,100 surgeries and include preseptal cellulitis, orbital cellulitis, subconjunctival and sub-Tenon's abscesses, myositis, and endophthalmitis. This report describes the case of an otherwise healthy 3-year-old boy who underwent bilateral medial rectus recession and disinsertion of the inferior obliques. A few days after surgery, the patient presented with bilateral periorbital edema and inferotemporal chemosis. A series of CT scans with contrast revealed inferotemporal orbital collections OU. The patient immediately underwent transconjunctival drainage of fibrinous and seropurulent collections in the sub-Tenon's space and experienced rapid improvement a few days later. The patient is reported to be in stable condition in a follow-up examination performed more than a year after the reported events.
authors.affiliation: *Edward S. Harkness Eye Institute, Columbia University, New York; †Ophthalmic Consultants of Long Island, Long Island; and ‡The Center for Eye Care and Optical, West Slip, New York, U.S.A.
authors.forename: Elona
authors.initials: E
authors.lastname: Dhrami-Gavazi
authors.forename: Winston
authors.initials: W
authors.lastname: Lee
authors.forename: Aakriti
authors.initials: A
authors.lastname: Garg
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Garibaldi
authors.forename: Michelle
authors.initials: M
authors.lastname: Leibert
authors.forename: Michael
authors.initials: M
authors.lastname: Kazim
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007262:Infusions, Intravenous; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011183:Postoperative Complications; D013285:Strabismus / Q000601:surgery*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids