10027/20337
Rakesh M Patel
Rakesh M
Patel
Vinay K Aakalu
Vinay K
Aakalu
Stephanie Joe
Stephanie
Joe
Pete Setabutr
Pete
Setabutr
An Abscess Causing a Delayed Optic Neuropathy after Decompression for Thyroid Eye Disease
University of Illinois at Chicago
2016
thyroid eye disease, orbital abscess, orbital mucocele; delayed optic neuropathy
2016-03-31 00:00:00
Journal contribution
https://indigo.uic.edu/articles/journal_contribution/An_Abscess_Causing_a_Delayed_Optic_Neuropathy_after_Decompression_for_Thyroid_Eye_Disease/10761152
A 63-year-old female with Graves’ disease and chronic sinusitis presented with acute left orbital pain and proptosis five years after bilateral orbital decompression and sinus surgery. Imaging revealed bilateral frontal sinus opacification, frontoethmoidal mucoceles and left subperiosteal mass. Presence of an optic neuropathy drove emergent management with intravenous antibiotics and orbitotomy with exploration. Intra-operatively, a left orbital abscess and left frontal sinus purulence were drained. The patient regained her vision with relief of proptosis and pain.