Orbital compartment syndrome caused by intraorbital bacitracin ointment after endoscopic sinus surgery.

Autor: Castro E; Department of Ophthalmic Plastic and Reconstructive Surgery, Cole Eye Institute, the Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA., Seeley M, Kosmorsky G, Foster JA
Jazyk: angličtina
Zdroj: American journal of ophthalmology [Am J Ophthalmol] 2000 Sep; Vol. 130 (3), pp. 376-8.
DOI: 10.1016/s0002-9394(00)00557-2
Abstrakt: Purpose: To present an unusual case of orbital compartment syndrome after endoscopic sinus surgery.
Methods: Case report.
Results: Acute proptosis, chemosis, decreased vision, and ophthalmoplegia were found immediately after endoscopic sinus surgery. Ophthalmologic evaluation showed a tense orbit, and intraocular pressure increased to 54 mm Hg. Treatment was initiated and the intraocular pressure dropped. Computed tomography (CT) revealed the presence of bacitracin ointment in the orbit.
Conclusion: Ophthalmic complications after sinus surgery are well identified. Postoperative orbital compartment syndrome may be caused by retrobulbar hemorrhage, edema, air (emphysema), or foreign material. In this case, the findings were caused by inadvertent injection of bacitracin ointment into the orbit.
Databáze: MEDLINE
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