CONCURRENT ENDOPHTHALMITIS AND ANTERIOR SEGMENT ISCHEMIA AFTER STRABISMUS SURGERY

Area of Science:

• Ophthalmology
• Surgical Complications
• Infectious Diseases

Background:

• Strabismus surgery, while common, carries risks of ocular complications.
• Simultaneous occurrence of endophthalmitis and anterior segment ischemia (ASI) is exceptionally rare after such procedures.

Observation:

• A 60-year-old woman experienced severe eye pain and vision loss post-strabismus surgery.
• Clinical examination revealed corneal edema, iris atrophy, and inability to visualize the posterior segment.
• Anterior segment fluorescein angiography demonstrated significant iris non-perfusion.

Findings:

• Posterior segment ultrasound confirmed dense vitritis and a choroidal abscess.
• Intraoperative cultures identified methicillin-resistant Staphylococcus aureus (MRSA) as the causative agent.
• The patient presented with a unique combination of infectious endophthalmitis and ischemic anterior segment.

Implications:

• This case highlights the potential for severe, concurrent complications following strabismus surgery.
• Inflammation-induced thrombosis is a plausible mechanism linking endophthalmitis and ASI.
• Prompt diagnosis and management are crucial for patients presenting with post-operative visual compromise.