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Subretinal Abscess Complicated by Post-infectious Retinal Vasculitis Following Strabismus Surgery.

Harshvardhan Chawla, Joshua N Pahng, Joseph D Benevento

Journal of Pediatric Ophthalmology and Strabismus

|May 25, 2023

Summary

A subretinal abscess following strabismus surgery in an 8-year-old girl was successfully treated. Recovery involved managing post-infectious retinal vasculitis with extended corticosteroid therapy.

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Area of Science:

Ophthalmology
Surgical Complications
Infectious Diseases

Background:

Strabismus surgery can rarely lead to intraocular infections.
Subretinal abscesses are a severe but treatable complication.

Observation:

An 8-year-old girl developed a subretinal abscess post-strabismus surgery.
The abscess was successfully treated with surgical intervention and antibiotics.

Findings:

The patient required medial rectus suture removal, pars plana vitrectomy, and both intravitreal and intravenous antibiotics.
Post-infectious retinal vasculitis developed during corticosteroid tapering, necessitating a prolonged 2-month treatment course.

Implications:

This case highlights the importance of prompt diagnosis and multimodal treatment for post-surgical intraocular infections.
Management of associated inflammatory complications like retinal vasculitis is crucial for visual recovery.