Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis.
We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USA; Robert Cizik Eye Clinic, Houston, TX, USA.
Margaret L
ML
Pfeiffer
Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Alexander
A
Hacopian
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USA; Robert Cizik Eye Clinic, Houston, TX, USA.
Helen
H
Merritt
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USA; Robert Cizik Eye Clinic, Houston, TX, USA.
Margaret E
0000-0002-7503-2678
ME
Phillips
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USA; Robert Cizik Eye Clinic, Houston, TX, USA.
Karina
0000-0002-1966-2675
K
Richani