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Related Experiment Videos

Socket infection due to retained gauze after evisceration.

Yi-Sheng Chang1, Chung-Liang Ho, Sung-Huei Tseng

  • 1Department of Ophthalmology the Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|December 8, 2004
PubMed
Summary

Retained surgical gauze after eye evisceration can cause late-onset socket infections. Prompt surgical debridement and antibiotics effectively treated this rare complication.

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Area of Science:

  • Ophthalmology
  • Surgical Complications

Background:

  • Late-onset socket infections following ocular evisceration are uncommon.
  • Retained foreign bodies, such as surgical gauze, are a potential cause.

Observation:

  • A 64-year-old male presented with symptoms of a late-onset socket infection.
  • Physical examination revealed a mass of retained surgical gauze with purulent discharge and gas bubbles.
  • Computed tomography confirmed a heterogeneous mass with gas entrapment.

Findings:

  • Microbiological analysis identified a polymicrobial infection including Pseudomonas aeruginosa, Streptococcus viridans, Peptostreptococcus, and Fusobacterium species.
  • The patient underwent surgical debridement and received antibiotic therapy.

Implications:

Related Experiment Videos

  • This case highlights the risk of retained surgical gauze leading to severe socket infections post-evisceration.
  • Emphasizes the importance of meticulous surgical technique and post-operative checks to prevent such complications.