Post-Strabismus Surgery Endophthalmitis With Subretinal Abscess and Frosted-Branch Angiitis in a Child
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Updated: Oct 31, 2026
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Malik Muhammad Hamza Khan1, Richard Yi1, Alina V Dumitrescu1
1Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, IA, USA.
Purpose:
To report a rare case of post-strabismus surgery endophthalmitis complicated by subretinal abscess, frosted branch angiitis, and delayed rhegmatogenous retinal detachment, with a favorable visual outcome.
Methods:
A 9-year-old female developed methicillin-sensitive Staphylococcus aureus (MSSA) endophthalmitis following bilateral medial rectus recession, complicated by subretinal abscess, frosted-branch angiitis, and orbital extension. She underwent emergent pars plana vitrectomy (PPV) with infected suture removal, serial intravitreal vancomycin and ceftazidime, and systemic antibiotics. A superonasal rhegmatogenous retinal detachment developed at 3.5 weeks and was repaired with a second PPV and perfluoropropane gas tamponade.
Results:
Best-corrected visual acuity at 4-month follow-up was 20/25. Good postoperative eye alignment was maintained.
Conclusions:
Aggressive intervention, including early PPV, operative source control, and systemic antibiotic therapy can achieve meaningful visual recovery in pediatric post-strabismus endophthalmitis despite a severe initial presentation.
