A Case of Orbital Abscess following Porous Orbital Implant Infection.
10.3341/kjo.2006.20.4.234
- Author:
Seung Woo HONG
1
;
Ji Sun PAIK
;
So Youl KIM
;
Suk Woo YANG
Author Information
1. Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, College of Medicine The Catholic University of Korea, Seoul, Korea. swyang @catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Porous orbital implant infection;
Orbital abscess;
Partial orbital exenteration
- MeSH:
Prosthesis-Related Infections/diagnosis/*etiology/surgery;
Porosity;
Orbital Implants/*adverse effects;
Orbital Diseases/diagnosis/*etiology/surgery;
Magnetic Resonance Imaging;
Humans;
Follow-Up Studies;
Female;
Eye Enucleation;
Device Removal;
Aged;
Abscess/diagnosis/*etiology/surgery
- From:Korean Journal of Ophthalmology
2006;20(4):234-237
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We present a case of orbital abscess following porous orbital implant infection in a 73-year-old woman with rheumatoid arthritis. METHODS: Just one month after a seemingly uncomplicated enucleation and porous polyethylene (Medpor(R)) orbital implant surgery, implant exposure developed with profuse pus discharge. The patient was unresponsive to implant removal and MRI confirmed the presence of an orbital pus pocket. Despite extirpation of the four rectus muscles, inflammatory granulation debridement and abscess drainage, another new pus pocket developed. RESULTS: After partial orbital exenteration, the wound finally healed well without any additional abscess formation. CONCLUSIONS: A patient who has risk factors for delayed wound healing must be examined thoroughly and extreme care such as exenteration must be taken if there is persistent infection.
