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: Wiley 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/9630698
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author Margaret L. Pfeiffer
Alexander Hacopian
Helen Merritt
Margaret E. Phillips
Karina Richani
author_facet Margaret L. Pfeiffer
Alexander Hacopian
Helen Merritt
Margaret E. Phillips
Karina Richani
author_sort Margaret L. Pfeiffer
collection DOAJ
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.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-3bb70523b04f412c913fbcce09a6aa142025-08-20T02:08:00ZengWileyCase 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
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
title 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_short Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis
title_sort complete vision loss following orbital cellulitis secondary to acute dacryocystitis
url http://dx.doi.org/10.1155/2016/9630698
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