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Neonatal orbital abscess.

Al-Salem KM, Alsarayra FA, Somkawar AR - Indian J Ophthalmol (2014)

Bottom Line: Orbital complications due to ethmoiditis are rare in neonates.A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery.From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Mutah University, Al-Karak, Jordan.

ABSTRACT
Orbital complications due to ethmoiditis are rare in neonates. A case of orbital abscess due to acute ethmoiditis in a 28-day-old girl is presented. A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery. From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.

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CT scan showed a poorly defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. Ethmoidal air cells are inflamed
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Figure 2: CT scan showed a poorly defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. Ethmoidal air cells are inflamed

Mentions: Ocular examination showed severe right eye proptosis, minimal swelling of both upper and lower eyelids [Fig. 1]. There was extra-ocular motility restriction in all gazes. She had normal pupil and fundus exams . CT scan showed a poorly-defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. The ethmoidal air spaces were inflamed. [Fig. 2] White blood cell count was (19,200/mm3). Blood culture was negative for bacteria.


Neonatal orbital abscess.

Al-Salem KM, Alsarayra FA, Somkawar AR - Indian J Ophthalmol (2014)

CT scan showed a poorly defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. Ethmoidal air cells are inflamed
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4061682&req=5

Figure 2: CT scan showed a poorly defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. Ethmoidal air cells are inflamed
Mentions: Ocular examination showed severe right eye proptosis, minimal swelling of both upper and lower eyelids [Fig. 1]. There was extra-ocular motility restriction in all gazes. She had normal pupil and fundus exams . CT scan showed a poorly-defined, retrobulbar, slightly hypodense mass extending to the preseptal space, displacing the right medial rectus and reaching up to the superior rectus. The ethmoidal air spaces were inflamed. [Fig. 2] White blood cell count was (19,200/mm3). Blood culture was negative for bacteria.

Bottom Line: Orbital complications due to ethmoiditis are rare in neonates.A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery.From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Mutah University, Al-Karak, Jordan.

ABSTRACT
Orbital complications due to ethmoiditis are rare in neonates. A case of orbital abscess due to acute ethmoiditis in a 28-day-old girl is presented. A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery. From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.

Show MeSH
Related in: MedlinePlus