| A Case of Acute Orbital Abscess following Repair of Orbital wall Fracture with Alloplastic Implant. |
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Sang Moon Jeong, Jae Seok Yim, Do Hoon Park, Ju Yeong Kwak |
1Department of Ophthalmology Wallace Memorial Baptist Hospital, Pusan, Korea. oph@wmbh.co.kr
2Elephant Eye Clinic, Pusan, Korea. |
| 인공 삽입물을 이용한 안와골절 수술 후 급성으로 발생한 안와농양 1예 |
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정상문1,임재석1,박도훈2,곽주영1 |
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Department of Ophthalmology Wallace Memorial Baptist Hospital1, Pusan, Korea Elephant Eye Clinic2, Pusan, Korea |
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Correspondence:
Ju Yeong Kwak, M.D. |
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| Abstract |
PURPOSE
To report a case of acute orbital abscess after Medpor(R) implantation for orbital floor fracture repair. CASE SUMMARY: A 15-year-old boy who was punched in the right orbit visited our clinic because of diplopia. An orbital CT scan demonstrated a fracture of the right orbital floor. At surgery, a Medpor sheet was placed over the orbital floor defect. Over the first three days, clinical improvement was gradual, but at four days postoperatively, depression of the right eye was restricted, and lower lid edema and proptosis was present in the right eye. At eight days postoperatively, the orbital CT scan showed a large cystic mass surrounding the Medpor sheet and fine needle aspiration cytology showed a number of inflammatory cells. Because systemic antibiotics were ineffective, the Medpo(R) sheet and the cystic mass were removed through a transconjunctival approach to the orbit. A culture of the removed Medpor(R) sheet grew Staphylococcus aureus and signs of inflammatory cells in the tissue were present. After removal of the abscess, most clinical symptoms showed improvement except for the remaining depression of the right eye. CONCLUSIONS: Symptoms of eye movement restriction, lower lid edema, and proptosis may be uncommon after orbital floor fracture repair but can occur. We should also consider the possibility of abscess formation due to infection of the implant and emphasize the importance of prompt diagnosis and treatment of such a case. |
| Key Words:
Alloplastic implanat;Complication;Orbital abscess;Orbital fracture |
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