Download PDF
Klin Monbl Augenheilkd 2020; 237(04): 524-526
DOI: 10.1055/a-1081-1793
Der interessante Fall

Fulminating Orbital Cellulitis after Uncomplicated Cataract Surgery in an Immunocompromised Patient with Secondary Endophthalmitis

Fulminante Orbitaphlegmone nach einer komplikationslosen Kataraktoperation bei einer immunosupprimierten Patientin mit sekundärer Endophthalmitis
María E. Correa Pérez
Augenklinik, Universitätsspital Zürich, Zürich, Switzerland
,
Karla Chaloupka
Augenklinik, Universitätsspital Zürich, Zürich, Switzerland
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Background

Cataract surgery is one of the most frequent ophthalmic surgeries, usually a short and minimally invasive procedure with minimal pain, under topical or regional anesthesia [1]. Many of the patients undergoing cataract surgery are elderly and on systemic treatments and therapies [2].

Orbital cellulitis is an infection of the orbital soft tissue posterior to the orbital septum [3].



Publication History

Received: 26 September 2019

Accepted: 07 December 2019

Article published online:
04 March 2020

Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Kumar CM, Seet E, Eke T. et al. Peri-operative considerations for sedation-analgesia during cataract surgery: a narrative review. Anaesthesia 2019; 74: 1601-1610
    CrossrefPubMedGoogle Scholar
  • 2 Kara-Junior N, Santhiago MR, Almeida HG. et al. Safety of warfarin therapy during cataract surgery under topical anesthesia. Arq Bras Oftalmol 2015; 78: 173-174
    PubMedGoogle Scholar
  • 3 Danishyar A, Sergent SR. Orbital cellulitis. StatPearls. Treasure Island, FL: StatPearls Publishing; 2019
    Google Scholar
  • 4 Ossa-Giraldo AC, Echeverri-Toro LM, Santos ZM. et al. Risk factors for multidrug-resistant Pseudomonas aeruginosa infection, in a tertiary hospital in Colombia. Rev Chilena Infectol 2014; 31: 393-399
    CrossrefPubMedGoogle Scholar
  • 5 Liu IT, Kao SC, Wang AG. et al. Preseptal and orbital cellulitis: a 10-year review of hospitalized patients. J Chin Med Assoc 2006; 69: 415-422
    CrossrefPubMedGoogle Scholar
  • 6 Patel A, Gruber P. Severe infections in neutropenic patients. Curr Opin Crit Care 2015; 21: 586-592
    PubMedGoogle Scholar
  • 7 Baker B, Al-Salman M, Daoud F. Management of acute perianal sepsis in neutropenic patients with hematological malignancy. Tech Coloproctol 2014; 18: 327-333
    CrossrefPubMedGoogle Scholar
  • 8 Durand ML. Endophthalmitis. Clin Microbiol Infect 2013; 19: 227-234
    CrossrefPubMedGoogle Scholar
  • 9 García-Sáenz MC, Arias-Puente A, Rodríguez-Caravaca G. et al. Endophthalmitis after cataract surgery: epidemiology, clinical features and antibiotic prophylaxis. Arch Soc Esp Oftalmol 2010; 85: 263-267
    CrossrefPubMedGoogle Scholar
  • 10 Kochanek M, Schalk E, von Bergwelt-Baildon M. et al. Management of sepsis in neutropenic cancer patients: 2018 guidelines from the Infectious Diseases Working Party (AGIHO) and Intensive Care Working Party (iCHOP) of the German Society of Hematology and Medical Oncology (DGHO). Ann Hematol 2019; 98: 1051-1069
    CrossrefPubMedGoogle Scholar