Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report

Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We report a case of recurrent orbital cellulitis with anterior segment ischemia foll...

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Main Authors:	Hor, SM, Noor Aniah A, Mushawiahti Mustapha, Malisa A, Mae-Lynn Catherine Bastion
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/12289/ http://journalarticle.ukm.my/12289/ http://journalarticle.ukm.my/12289/1/13._hor_et_al_0.pdf

id	ukm-12289
recordtype	eprints
spelling	ukm-122892018-11-02T21:50:09Z http://journalarticle.ukm.my/12289/ Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report Hor, SM Noor Aniah A, Mushawiahti Mustapha, Malisa A, Mae-Lynn Catherine Bastion, Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We report a case of recurrent orbital cellulitis with anterior segment ischemia following a forgotten episode of previous scleral buckling surgery, presenting with blurring of vision, redness and swelling of the lids. The presence of scleral buckle was detected by detailed examination and confirmed by orbital imaging. Orbital infection and rubeosis iridis were successfully treated with scleral buckle removal, intravenous antibiotics and intracameral ranibizumab. However, the retinal detachment recurred and the visual acuity deteriorated to light perception. There was no further intervention as the family declined in view of her old age. In cases of recurrent orbital infection, detailed clinical examination is important to look for evidence of ocular prostheses as a source of infection. Orbital imaging is an adjunct for making the diagnosis especially in cases where history is unreliable. Anterior segment ischemia due to scleral buckle responds well to buckle removal with ranibizumab injection. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12289/1/13._hor_et_al_0.pdf Hor, SM and Noor Aniah A, and Mushawiahti Mustapha, and Malisa A, and Mae-Lynn Catherine Bastion, (2017) Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report. Journal of Surgical Academia, 7 (2). pp. 49-52. ISSN 2231-7481 http://jsurgacad.com/toc/7/2
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We report a case of recurrent orbital cellulitis with anterior segment ischemia following a forgotten episode of previous scleral buckling surgery, presenting with blurring of vision, redness and swelling of the lids. The presence of scleral buckle was detected by detailed examination and confirmed by orbital imaging. Orbital infection and rubeosis iridis were successfully treated with scleral buckle removal, intravenous antibiotics and intracameral ranibizumab. However, the retinal detachment recurred and the visual acuity deteriorated to light perception. There was no further intervention as the family declined in view of her old age. In cases of recurrent orbital infection, detailed clinical examination is important to look for evidence of ocular prostheses as a source of infection. Orbital imaging is an adjunct for making the diagnosis especially in cases where history is unreliable. Anterior segment ischemia due to scleral buckle responds well to buckle removal with ranibizumab injection.
format	Article
author	Hor, SM Noor Aniah A, Mushawiahti Mustapha, Malisa A, Mae-Lynn Catherine Bastion,
spellingShingle	Hor, SM Noor Aniah A, Mushawiahti Mustapha, Malisa A, Mae-Lynn Catherine Bastion, Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
author_facet	Hor, SM Noor Aniah A, Mushawiahti Mustapha, Malisa A, Mae-Lynn Catherine Bastion,
author_sort	Hor, SM
title	Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
title_short	Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
title_full	Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
title_fullStr	Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
title_full_unstemmed	Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
title_sort	recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/12289/ http://journalarticle.ukm.my/12289/ http://journalarticle.ukm.my/12289/1/13._hor_et_al_0.pdf
first_indexed	2023-09-18T20:02:16Z
last_indexed	2023-09-18T20:02:16Z
_version_	1777406927963160576

Recurrent orbital cellulitis secondary to the ‘forgotten’ scleral buckle: a case report

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