Suprachoroidal septic effusion leading to panophthalmitis following strabismus surgery

• Published in: Journal of pediatric ophthalmology and strabismus Vol. 42; no. 4; pp. 250 - 252
• Main Authors: Ruby, Alan, Shaikh, Saad, Khammar, Alexander J, Trese, Michael
• Format: Journal Article
• Language: English
• Published: United States SLACK INCORPORATED 01.07.2005
• Subjects: Anesthesia; Anti-Bacterial Agents; Antibiotics; Bacteremia - diagnosis; Bacteremia - etiology; Bacteremia - therapy; Choroid Diseases - diagnosis; Choroid Diseases - etiology; Choroid Diseases - therapy; Combined Modality Therapy; Drug Therapy, Combination - therapeutic use; Esotropia - congenital; Esotropia - surgery; Eye Infections, Bacterial - diagnosis; Eye Infections, Bacterial - etiology; Eye Infections, Bacterial - therapy; Hemorrhage; Humans; Infant; Magnetic Resonance Imaging; Male; Oculomotor Muscles - surgery; Panophthalmitis - diagnosis; Panophthalmitis - etiology; Panophthalmitis - therapy; Pediatrics; Pneumococcal Infections - diagnosis; Pneumococcal Infections - etiology; Pneumococcal Infections - therapy; Postoperative Complications; Streptococcus infections; Streptococcus pneumoniae - isolation & purification; Surgery; Vitrectomy
• ISSN: 0191-3913; 1938-2405
• DOI: 10.3928/01913913-20050701-11

We describe a case of endophthalmitis following strabismus surgery. Drainage of the suprachoroidal effusion with injection of antibiotics was unsuccessful in salvaging vision. Endophthalmitis following strabismus surgery may present with findings simulating a choroidal effusion or hemorrhage. Treating physicians should be alert to signs and symptoms of this severe complication of strabismus surgery in preverbal children.