American journal of ophthalmology case reports · 2026
Strep pyogenes infection causing rapid onset orbital cellulitis, superior ophthalmic vein thrombosis, and necrotizing scleritis with dehiscence of extraocular muscle following strabismus surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Gray Michael E, Dosunmu Eniolami, Rivera Roxana Y
Аннотация
PURPOSE: To report an infrequent but potentially devastating complication following strabismus surgery and its approach to management.
OBSERVATIONS: A 5-year-old girl underwent bilateral medial rectus recessions for esotropia. She quickly developed progressive orbital cellulitis that was confirmed on computed tomography along with non-occlusive thrombosis of the superior ophthalmic vein. She was treated with intravenous antibiotics, additional surgery (which found a dehisced medial rectus muscle), and anticoagulation. Cultures grew Streptococcus pyogenes (Group A). Ultimately the patient made a full recovery.
CONCLUSION AND IMPORTANCE: Although orbital cellulitis is a known complication following strabismus surgery, surgeons should be aware of additional secondary complications that can occur and have a low threshold for imaging and repeat surgical intervention.
OBSERVATIONS: A 5-year-old girl underwent bilateral medial rectus recessions for esotropia. She quickly developed progressive orbital cellulitis that was confirmed on computed tomography along with non-occlusive thrombosis of the superior ophthalmic vein. She was treated with intravenous antibiotics, additional surgery (which found a dehisced medial rectus muscle), and anticoagulation. Cultures grew Streptococcus pyogenes (Group A). Ultimately the patient made a full recovery.
CONCLUSION AND IMPORTANCE: Although orbital cellulitis is a known complication following strabismus surgery, surgeons should be aware of additional secondary complications that can occur and have a low threshold for imaging and repeat surgical intervention.