Orbital ‘pseudo-abscess’ in a patient with spontaneous subluxation of globe: A case report
| Autor: | Todd Goodglick, Hari Mylvaganam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
genetic structures Globe 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Case report medicine Globe subluxation 030223 otorhinolaryngology Abscess Subluxation Past medical history Orbital abscess business.industry medicine.disease Extravasation eye diseases Surgery Orbitotomy Ophthalmology Serous fluid medicine.anatomical_structure lcsh:RE1-994 030221 ophthalmology & optometry sense organs business Venous return curve |
| Zdroj: | American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Vol 7, Iss C, Pp 20-22 (2017) |
| ISSN: | 2451-9936 |
| Popis: | Purpose We describe this case and review the literature, to allow this to be a cautionary tale in the interpretation of fluid collections in the setting of spontaneous globe subluxations (GS). Observations A 58 year old female, with a past medical history of globe subluxation, was diagnosed radiographically with an orbital abscess, and managed with an orbitotomy. However, no abscess was identified operatively and subsequent imaging showed only extravasation of serous fluid. Conclusions and importance We postulate that in the case here, the fluid collection posterior to the globe was in fact due to increase venous congestion and decrease venous return posteriorly from the globe to the cone, leading to an efflux of clear serous fluid. We postulate that in the case of GS without other clinical indications suggesting orbital abscess one can consider a posterior globe collection of fluid to be an extravasation of serous fluid, secondary to increased venous congestion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|