Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis

Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis

We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underw...

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Main Authors: Margaret L. Pfeiffer, Alexander Hacopian, Helen Merritt, Margaret E. Phillips, Karina Richani
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/9630698
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spelling doaj-3bb70523b04f412c913fbcce09a6aa142020-11-25T01:00:37ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/96306989630698Complete Vision Loss following Orbital Cellulitis Secondary to Acute DacryocystitisMargaret L. Pfeiffer0Alexander Hacopian1Helen Merritt2Margaret E. Phillips3Karina Richani4Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USAMedical School, The University of Texas Health Science Center at Houston, Houston, TX, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USAWe present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.http://dx.doi.org/10.1155/2016/9630698
collection DOAJ
language English
format Article
sources DOAJ
author Margaret L. Pfeiffer
Alexander Hacopian
Helen Merritt
Margaret E. Phillips
Karina Richani
spellingShingle Margaret L. Pfeiffer
Alexander Hacopian
Helen Merritt
Margaret E. Phillips
Karina Richani
Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
Case Reports in Ophthalmological Medicine
author_facet Margaret L. Pfeiffer
Alexander Hacopian
Helen Merritt
Margaret E. Phillips
Karina Richani
author_sort Margaret L. Pfeiffer
title Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_short Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_full Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_fullStr Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_full_unstemmed Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_sort complete vision loss following orbital cellulitis secondary to acute dacryocystitis
publisher Hindawi Limited
series Case Reports in Ophthalmological Medicine
issn 2090-6722
2090-6730
publishDate 2016-01-01
description We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.
url http://dx.doi.org/10.1155/2016/9630698
work_keys_str_mv AT margaretlpfeiffer completevisionlossfollowingorbitalcellulitissecondarytoacutedacryocystitis
AT alexanderhacopian completevisionlossfollowingorbitalcellulitissecondarytoacutedacryocystitis
AT helenmerritt completevisionlossfollowingorbitalcellulitissecondarytoacutedacryocystitis
AT margaretephillips completevisionlossfollowingorbitalcellulitissecondarytoacutedacryocystitis
AT karinarichani completevisionlossfollowingorbitalcellulitissecondarytoacutedacryocystitis
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