Acute dacryocystitis: An unusual cause of life-threatening orbital intraconal abscess with frozen globe

被引:20
|
作者
Mauriello, JA
Wasserman, BA
机构
[1] Department of Ophthalmology, UMDNJ-New Jersey Medical School, Newark, NJ
[2] Department of Ophthalmology, UMDNJ - New Jersey Medical School, Doctors Office Center, Newark, NJ 07103-2499
来源
关键词
orbital abscess; dacryocystitis; proptosis;
D O I
10.1097/00002341-199612000-00013
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
An 84-year-old woman developed a markedly proptotic right eye with external ophthalmoplegia and displacement of the globe into the superotemporal orbit. She had minimal pain and no history of the usual predisposing causes of orbital cellulitis. Vision was unaffected. Orbital computed tomography (CT) showed an extraconal inferomedial abscess with an adjacent intraconal component. A purulent abscess in the anterior inferomedial aspect of the orbit, which extended into the medial aspect of the intraconal spare, was incised and drained. After surgery, the orbital inflammation and proptosis resolved, but an irreducible, nonpurulent lacrimal sac mucocele persisted. A dacryocystectomy was performed. Pathologic examination of the lacrimal sac biopsy specimen showed only chronic nongranulomatous inflammation. This case demonstrates that acute dacryocystitis may cause an intraconal orbital abscess with proptosis and complete external ophthalmoplegia, and represent a sight- and life-threatening condition.
引用
收藏
页码:294 / 295
页数:2
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