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Orbital Intraosseous Abscess After Lateral Bony Orbital Decompression
Priscilla April O Lao1, Usma Chatha2, Aaron Fay3
1From the Department of Ophthalmology, Hamilton Eye Institute, The University of Tennessee Health Science Center, Memphis, Tennessee.
Ophthalmic Plastic and Reconstructive Surgery
|December 19, 2024
Summary
A recurrent orbital abscess caused by Staphylococcus epidermidis was successfully treated with antibiotics. This rare complication following orbital decompression for thyroid eye disease highlights the importance of advanced imaging and surgical intervention.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Neurosurgery
Background:
- Thyroid eye disease (TED) can necessitate orbital decompression surgery.
- Complications, though rare, can arise post-operatively.
- Recurrent infections in the orbit require thorough investigation.
Purpose of the Study:
- To report a rare case of intraosseous orbital abscess.
- To detail the diagnostic and management challenges.
- To emphasize successful treatment outcomes.
Main Methods:
- A patient with recurrent orbital symptoms post-decompression was evaluated.
- Magnetic Resonance Imaging (MRI) identified an intraosseous fluid collection.
- Surgical debridement, irrigation, and targeted antibiotic therapy were employed.
Main Results:
- An intraosseous abscess in the greater sphenoid wing was diagnosed.
- Staphylococcus epidermidis was identified as the causative agent.
- A 6-week course of intravenous antibiotics led to complete symptom resolution.
Conclusions:
- Intraosseous orbital abscess is a rare but treatable complication of orbital surgery.
- Advanced imaging like MRI is crucial for diagnosis.
- Prompt surgical intervention combined with appropriate antibiotic therapy ensures favorable outcomes.
