An abscess causing a delayed optic neuropathy after decompression for thyroid eye disease. Orbit 2014 Feb;33(1):65-7
Date
10/23/2013Pubmed ID
24144317Pubmed Central ID
PMC4124005DOI
10.3109/01676830.2013.842256Scopus ID
2-s2.0-84891949269 (requires institutional sign-in at Scopus site)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.
Author List
Patel RM, Aakalu VK, Joe S, Setabutr PAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbscessAnti-Bacterial Agents
Decompression, Surgical
Drug Therapy, Combination
Exophthalmos
Eye Infections, Bacterial
Eye Pain
Female
Glucocorticoids
Graves Ophthalmopathy
Humans
Magnetic Resonance Imaging
Middle Aged
Optic Nerve Diseases
Orbital Diseases
Staphylococcal Infections
Tomography, X-Ray Computed
Visual Acuity
