Orbital cellulitis with choroidal detachment following strabismus surgery in an adult

Kim, Jenna M; Megalla, Marez; Howard, Martha A.; Sinard, John H.; Pointdujour-Lim, Renelle

doi:10.1016/j.jaapos.2018.04.016

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…In traumatic endophthalmitis, the wound may implant the pathogenic bacteria directly in the periocular or orbital tissues. By a similar mechanism, cataract, strabismus, or retinal detachment surgery can also lead to OC [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Preprint

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Background: Adult orbital cellulitis (OC) occurs relatively rarely, and comprehensive studies that retrospectively evaluate OC are lacking. Here we aimed to examine the clinical characteristics and prognosis of OC in a tertiary general hospital. Methods: Between October 2010 and May 2019, patients presenting with clinical symptoms of OC in a tertiary general hospital were analyzed in this retrospective study. Twenty-six cases were identified for a detailed review. In these cases, 16 males and 10 females were diagnosed with orbital cellulitis by clinical characteristics and multimodal examinations. We divided patients into three groups: (1) patients secondary to rhinosinusitis, (2) patients secondary to endogenous infection(s) without endophthalmitis, and (3) patients secondary to endophthalmitis. For each group, the age, gender, eye type, combined systemic diseases, clinical presentation, leukocyte count, blood culture, diagnostic imaging, therapeutic methods, length of stay, time of post-operation, and patient prognosis were analyzed in detail. Results: There were no significant differences regarding age, gender, preoperative leukocyte count, exophthalmia, blood culture, treatment, or visual changes within the three groups (P>0.05). There were significant differences, however, in postoperative leukocyte count and ophthalmoplegia between the three groups (P<0.05). The preoperative and postoperative logarithm of the minimum resolution angle scored by the best-corrected visual acuity (LogMAR BCVA) of group 3 were statistically significant compared to group 1 and group 2 (P<0.05). Conclusion: We confirmed that the prognosis of OC patients combined with systemic diseases was poor; the visual outcome of OC secondary to endophthalmitis was more serious than that, secondary to sinusitis or endogenous infection without endophthalmitis. The level of leukocytes may indicate the condition of the disease.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…There was a predominance of young children especially preschool age patients [1,4] . While Kim et al [3] reported a 76-yearold patient presented with orbital cellulitis after strabismus surgery, even developed choroidal detachment on postoperative day 9. Staphylococcus aureus is the most common pathogenic bacteria in conjunctival cultures [1,5] .…”

mentioning

confidence: 99%

“…Kivlin and Wilson [1] surveyed members of the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) and reported the details of 25 cases of cellulitis in 1995. The infection usually appears within 5d after surgery [1,3] , and the earliest time reported was one day after operation [4] . There was a predominance of young children especially preschool age patients [1,4] .…”

mentioning

confidence: 99%

Unilateral orbital cellulitis after bilateral strabismus correction: a rare complication after strabismus surgery

Zhang

Zhou

et al. 2021

Int J Ophthalmol

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Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Journal of Ophthalmology

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Purpose. Adult orbital cellulitis (OC) occurs relatively rarely, and comprehensive studies that retrospectively evaluate OC are lacking. Here, we aimed to examine the clinical characteristics and prognosis of OC in a tertiary general hospital. Methods. Between October 2010 and May 2019, patients presenting with clinical symptoms of OC in a tertiary general hospital were analyzed in this retrospective study. Twenty-six cases were identified for a detailed review. In these cases, 16 males and 10 females were diagnosed with orbital cellulitis by clinical characteristics and multimodal examinations. We divided patients into three groups: (1) patients secondary to rhinosinusitis, (2) patients secondary to endogenous infection(s) without endophthalmitis, and (3) patients secondary to endophthalmitis. For each group, age, gender, eye type, combined systemic diseases, clinical presentation, leukocyte count, blood culture, diagnostic imaging, therapeutic methods, length of stay, time of postoperation, and patient prognosis were analyzed in detail. Results. There were no significant differences regarding age, gender, preoperative leukocyte count, exophthalmia, blood culture, treatment, or visual changes within the three groups ( P < 0.05 ). There were significant differences, however, in postoperative leukocyte count and ophthalmoplegia between the three groups ( P < 0.05 ). The preoperative and postoperative logarithms of the minimum resolution angle scored by the best-corrected visual acuity (LogMAR BCVA) of group 3 were statistically significant compared to group 1 and group 2 ( P < 0.05 ). Conclusion. We confirmed that the prognosis of OC patients combined with systemic diseases was poor. Patients with OC secondary to endophthalmitis infrequently experience ophthalmoplegia; however, these patients still have poor visual outcomes. Patients cultured positive for Klebsiella pneumoniae infection may not be associated with liver abscess. The level of leukocytes may indicate the condition of the disease.

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Orbital cellulitis with choroidal detachment following strabismus surgery in an adult

Cited by 4 publications

References 7 publications

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Unilateral orbital cellulitis after bilateral strabismus correction: a rare complication after strabismus surgery

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

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