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Bilateral Staphylococcus aureus sub-Tenon's abscess following strabismus surgery in a child

Mihir Kothari1, Najeeha Sukri

  • 1Aditya Jyot Eye Hospital Pvt. Ltd., Opp. SIWS College, Wadala, Mumbai-31, Maharashtra, India. drmihirkothari@jyotirmay.com

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 23, 2010
PubMed

Insights

Infection following strabismus surgery is uncommon. A rare case of bilateral staphylococcal sub-Tenon

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Strabismus surgery is a common ophthalmic procedure.
  • Postoperative infections, such as sub-Tenon's abscess, are rare complications.

Observation:

  • A 5-year-old girl presented with bilateral staphylococcal sub-Tenon's abscess post-strabismus surgery.
  • The abscess showed resistance to fourth-generation fluoroquinolones.

Findings:

  • Successful resolution was achieved through surgical drainage and irrigation with povidone-iodine.
  • Oral amoxicillin and clavulanic acid were administered post-operatively.
  • A lost muscle necessitated surgical exploration and reattachment.

Implications:

  • This case highlights a rare but serious complication of strabismus surgery.
  • Effective management involves surgical intervention and appropriate antibiotic therapy.
  • Povidone-iodine irrigation may be a valuable adjunct in treating such infections.

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