Limits...
A case of orbital abscess following porous orbital implant infection.

Hong SW, Paik JS, Kim SY, Yang SW - Korean J Ophthalmol (2006)

Bottom Line: The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket.Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed.A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.

View Article: PubMed Central - PubMed

Affiliation: Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT

Purpose: We present a case of orbital abscess following porous orbital implant infection in a 73-year-old woman with rheumatoid arthritis.

Methods: Just one month after a seemingly uncomplicated enucleation and porous polyethylene (Medpor) orbital implant surgery, implant exposure developed with profuse pus discharge. The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket. Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed.

Results: After partial orbital exenteration, the wound finally healed well without any additional abscess formation.

Conclusions: A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.

Show MeSH

Related in: MedlinePlus

T1-weighted, gadolinium enhanced horizontal magnetic resonance imaging of the brain and orbits, showing myositis in all four rectus muscles, and an abscess pocket between the medial wall and medial rectus muscle (arrow).
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2908858&req=5

Figure 1: T1-weighted, gadolinium enhanced horizontal magnetic resonance imaging of the brain and orbits, showing myositis in all four rectus muscles, and an abscess pocket between the medial wall and medial rectus muscle (arrow).

Mentions: The wound seemed to recover well, but two months later, purulent discharge was again seen from the wound site. Magnetic resonance imaging of the left orbit revealed myositis of the four rectus muscles, inflammatory granulations, and abscesses around the orbit, especially around the optic nerve (Fig. 1). Extirpation of the four rectus muscles, removal of underlying inflammatory granulation, and abscess drainage were performed, and the wound was then soaked with betadine and antibiotic solution.


A case of orbital abscess following porous orbital implant infection.

Hong SW, Paik JS, Kim SY, Yang SW - Korean J Ophthalmol (2006)

T1-weighted, gadolinium enhanced horizontal magnetic resonance imaging of the brain and orbits, showing myositis in all four rectus muscles, and an abscess pocket between the medial wall and medial rectus muscle (arrow).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2908858&req=5

Figure 1: T1-weighted, gadolinium enhanced horizontal magnetic resonance imaging of the brain and orbits, showing myositis in all four rectus muscles, and an abscess pocket between the medial wall and medial rectus muscle (arrow).
Mentions: The wound seemed to recover well, but two months later, purulent discharge was again seen from the wound site. Magnetic resonance imaging of the left orbit revealed myositis of the four rectus muscles, inflammatory granulations, and abscesses around the orbit, especially around the optic nerve (Fig. 1). Extirpation of the four rectus muscles, removal of underlying inflammatory granulation, and abscess drainage were performed, and the wound was then soaked with betadine and antibiotic solution.

Bottom Line: The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket.Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed.A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.

View Article: PubMed Central - PubMed

Affiliation: Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT

Purpose: We present a case of orbital abscess following porous orbital implant infection in a 73-year-old woman with rheumatoid arthritis.

Methods: Just one month after a seemingly uncomplicated enucleation and porous polyethylene (Medpor) orbital implant surgery, implant exposure developed with profuse pus discharge. The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket. Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed.

Results: After partial orbital exenteration, the wound finally healed well without any additional abscess formation.

Conclusions: A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.

Show MeSH
Related in: MedlinePlus