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Retrobulbar abscess in a child.

M I Hossain1, L Nahar, A K Talukder

  • 1Dr Md Ismail Hossain, Assistant Professor, Department of Ophthalmology, Mymensingh Medical College, Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
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Summary
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A pediatric retrobulbar abscess caused severe eye proptosis and vision loss. Surgical drainage rapidly resolved symptoms, restoring ocular function and preventing long-term complications in this case.

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Orbital infections can lead to severe ocular complications in children.
  • Retrobulbar abscesses are rare but critical conditions requiring prompt diagnosis and management.
  • Early intervention is crucial to prevent vision loss and systemic spread.

Observation:

  • A 14-month-old male presented with fever, right eye redness, swelling, watering, and severe proptosis.
  • Clinical examination revealed restricted ocular movement, conjunctival chemosis, and exposure keratitis.
  • CT scan confirmed a retrobulbar abscess in the right orbit.

Findings:

  • Surgical drainage of the retrobulbar abscess via a wide-bore needle was performed.
  • Within 48 hours post-surgery, the patient showed improvement in extraocular motility and pupillary reaction.
  • Fever and toxic signs resolved, and proptosis significantly reduced by discharge.

Implications:

  • Prompt surgical intervention for pediatric retrobulbar abscesses can lead to rapid recovery.
  • Effective management can prevent permanent visual impairment and orbital complications.
  • This case highlights the importance of timely diagnosis and treatment in pediatric orbital emergencies.