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Query: UMLS:C0038379 (strabismus)
 9,317 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A three and one-half year-old female who presented with orbital cellulitis and leukocoria is described. Enucleation was performed as the eye was microophthalmic, blind, and painful. Histopathologic study revealed uveitis with total retinal detachment. The etiology of the retinal detachment was indeterminable. The differential diagnosis of orbital cellulitis in children is reviewed.
J Pediatr Ophthalmol Strabismus
PMID:Unusual case of acute orbital cellulitis. 73 34

Orbital cellulitis is a rarely reported, but potentially vision- and life-threatening complication after strabismus surgery. To date, only seven cases of orbital cellulitis complicating strabismus surgery have been reported in the world literature, and only two cases were reported in adult patients, both occurring more than 100 years ago. We describe a case of unilateral orbital cellulitis after bilateral strabismus surgery in an adult. Early diagnosis (aided by computed tomography) and aggressive intravenous antibiotic therapy resulted in a favorable visual outcome. Diagnosis and management are discussed, and this case is compared with previous cases in the literature.
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PMID:Orbital cellulitis complicating strabismus surgery: a case report and review of the literature. 178 2

In the US, leukocoria is the most common presenting sign of retinoblastoma, and strabismus is the second most common finding. Retinoblastoma less frequently presents as an inflammatory process involving the eye or orbit, which often masks the symptoms of retinoblastoma. Children who present with leukocoria strabismus, hypopyon, heterochromia, rubeosis, hyphema, or an orbital cellulitis should be referred to an ophthalmologist for a dilated fundus examination of both eyes, under general anesthesia if necessary, to rule out the possibility of a retinoblastoma in the differential diagnosis.
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PMID:Unusual presenting signs of retinoblastoma: a case study. 206 38

The Molteno seton implant has recently been used in pediatric patients with advanced childhood glaucoma, who would otherwise have been treated with cyclodestructive surgery. We report a case of Molteno implant (first stage) associated with orbital cellulitis in a 1-year-old child. The presence of the implant was initially unrecognized until, in the course of evaluation for orbital cellulitis, computerized tomography of the orbit suggested a foreign body. We believe this is the first report of a complication associated with the first stage of this procedure.
J Pediatr Ophthalmol Strabismus
PMID:An unusual case of cellulitis associated with a Molteno implant in a 1-year-old child. 234 9

The traditional treatment of subperiosteal orbital abscess consists of surgical drainage and antibiotic therapy. We successfully treated with antibiotics alone nine children (age range 26 months to 12 years) with clinical signs and symptoms of orbital cellulitis and computerized tomographic (CT) evidence of subperiosteal abscess and contiguous ethmoid sinusitis. Two additional patients successfully treated with nonsurgical therapy were identified retrospectively. All patients were admitted to the pediatric service with normal vision. Their visual function was assessed twice daily during the early stages of their illness. All patients improved with intravenous antibiotic therapy. One additional patient required surgical drainage for persistent pain after 1 week of slow but steady clinical improvement. All other patients were clinically cured with medical therapy alone. Five of the medical "cures" had posttreatment CT, which documented the resolution. No patient had a recurrence. We conclude that orbital subperiosteal abscess, like some other abscesses located elsewhere, may be amenable to non-surgical treatment, or that these patients may have had a phlegmon rather than an abscess and the currently accepted CT criteria for diagnosis of a subperiosteal abscess may require modification. We recommend that children with a subperiosteal abscess from contiguous ethmoidal sinusitis who have no evidence of compromised optic nerve function be given a trial of intravenous antibiotic therapy prior to consideration of surgical drainage.
J Pediatr Ophthalmol Strabismus
PMID:Medical management of orbital subperiosteal abscess in children. 291 7

The authors report a case of orbital cellulitis after strabismus surgery. Diagnosis was confirmed by computerized tomography. Subsequent therapy and follow-up are discussed. Attention is drawn to the importance of this syndrome.
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PMID:[Orbital cellulitis following surgery of strabismus]. 325 Sep 68

Orbital cellulitis is a rare complication of extraocular muscle surgery. Two cases have been reported since 1935. No report of this sight-threatening and life-threatening complication of strabismus surgery has appeared since computerized tomography became readily available. The following is a report of a case of orbital cellulitis occurring unilaterally following bilateral strabismus surgery in which computerized tomography was helpful in verification and management. Early antibiotics resulted in a favorable outcome. The case is compared to those reported by von Noorden.
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PMID:Orbital cellulitis following strabismus surgery. 357 73

Forty-nine cases of orbital cellulitis were reviewed. The average age of patients at presentation was 31 years. The onset of symptoms varied from seven days or less in 28 patients, one to four weeks in 17 patients, and more than four weeks in four patients. The leucocyte count, available in 33 patients, was greater than 10 X 10(9)/l in only nine. Abnormal sinuses were noted radiographically in 61%. Computed tomography scans, performed on nine patients, revealed non-localised inflammation in three and an orbital mass in six. Cultures, in general, were disappointing. Seventeen surgical procedures were performed on 14 patients. The complications of orbital cellulitis, occurring in five patients, included osteomyelitis of the maxillary bone, strabismus, afferent pupillary defect, chronic draining sinus, and scarred upper eyelid. Usually the treatment of orbital cellulitis requires aggressive parenteral antibiotic therapy and judicious surgical intervention.
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PMID:Orbital cellulitis. 395 74

A wide variety of pediatric ophthalmologic diseases may present to the emergency physician. It is important for emergency physicians to know which diseases can be treated and which require urgent ophthalmologic intervention. Any asymmetry in a patient's ophthalmologic examination must be referred to a specialist for continuing care and definitive treatment. When identified early, strabismus, esotropia, or exotropia can be treated with significant benefit to the child's vision in the future. Abnormalities in size, shape, or color of the anterior portions of the eye are easily detected with inspection and may be indications of more serious illnesses such as conjunctivitis, glaucoma, cataracts, or tumors. These entities can be recognized by their distinguishing characteristics, and treatment can be initiated. Chlamydial and herpetic conjunctivitis, orbital cellulitis, posterior uveitis, and glaucoma are a few of the more urgent problems that may present to the emergency physician and should not be missed. A good history and careful examination will prevent the devastating effects of these diseases.
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PMID:Pediatric ophthalmology. 763 88

The role of infection in the etiology and persistence of congenital nasolacrimal duct (NLD) obstruction is examined in a group of 334 infants who had conjunctival swabs cultured. One hundred and fifty eight (47%) of these had evidence of NLD obstruction and 176 (53%) did not. The types of organism grown from those with and without NLD obstruction were similar and occurred in almost equal proportions in each group. In addition, the rate of spontaneous resolution in those with NLD obstruction was the same, whether pathogenic bacteria were grown or not. There were no cases of orbital cellulitis, dacryocystitis, or ocular infection in those with NLD obstruction and no suggestion that secondary infection was more common in this group.
J Pediatr Ophthalmol Strabismus
PMID:Value of bacterial culturing in the course of congenital nasolacrimal duct (NLD) obstruction. 780 2


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