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Asymptomatic endophthalmitis following strabismus correction in a pediatric patient

Cory M Pfeifer1, Rana M Yazdani1

  • 1Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.

Radiology Case Reports
|September 21, 2018
PubMed

Insights

Pediatric endophthalmitis is rare, but this case shows its occurrence after strabismus surgery in a child with Down syndrome. MRI is crucial for diagnosing this condition and distinguishing it from retinoblastoma.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Radiology

Background:

  • Endophthalmitis, an intraocular infection, is typically observed in adults post-cataract surgery.
  • Its occurrence in pediatric patients is exceptionally rare, posing diagnostic challenges.

Observation:

  • A 9-month-old infant with Trisomy 21 developed leukocoria 15 days after strabismus repair.
  • The infant presented without overt signs of infection, prompting an MRI to rule out retinoblastoma.

Findings:

  • The MRI revealed characteristic findings of endophthalmitis, a rare pediatric presentation.
  • Magnetic resonance imaging proved essential in identifying the condition and guiding further management.

Implications:

  • This case underscores the importance of MRI in evaluating pediatric leukocoria, especially in atypical presentations.
  • It highlights the need for heightened clinical suspicion for endophthalmitis in infants following ocular surgery, even without typical infectious symptoms.

Keywords:
EndophthalmitisLeukocoriaStrabismus

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