Bilateral dacryocystitis complicated by unilateral retrobulbar abscess in a five-week-old infant.

Autor: Juul-Dam M; Department of Ophthalmology, Aarhus University Hospital, Aarhus N, Denmark., Laursen C; Department of Pediatrics, Viborg Regional Hospital, Viborg, Denmark., Wiboe L; Department of Ophthalmology, Aarhus University Hospital, Aarhus N, Denmark., Hertz B; Department of Pediatrics, Viborg Regional Hospital, Viborg, Denmark., Bille J; Department of Oto-Rhino-Laryngology, Aarhus University Hospital, Aarhus N, Denmark., Næser K; Department of Ophthalmology, Aarhus University Hospital, Aarhus N, Denmark.
Jazyk: angličtina
Zdroj: Orbit (Amsterdam, Netherlands) [Orbit] 2020 Jun; Vol. 39 (3), pp. 209-211. Date of Electronic Publication: 2019 Sep 11.
DOI: 10.1080/01676830.2019.1663883
Abstrakt: Retrobulbar orbital abscess in children is a rare condition, and diagnosis and management can be challenging. We report the case of a 5-week-old male infant with retrobulbar orbital abscess secondary to acute dacryocystitis developed from a dacryocystocele. The patient presented with respiratory difficulty, sepsis and progressive clinical findings suggestive of post-septal cellulitis. He was successfully treated with endonasal incision of subturbinate dacryocystoceles followed by probing of the lacrimal ducts. Congenital dacryocystocele must be considered a differential diagnosis in infants with respiratory difficulty and may develop into a vision- and life-threatening condition requiring immediate intervention.
Databáze: MEDLINE
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