An Abscess Causing a Delayed Optic Neuropathy after Decompression for Thyroid Eye Disease
journal contributionposted on 2016-03-31, 00:00 authored by Rakesh M Patel, Vinay K Aakalu, Stephanie Joe, Pete Setabutr
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.
All authors supported by an unrestricted grant from Research to Prevent Blindness, New York, NY. Dr. Vinay K Aakalu is supported by a NIH/NEI K12 Clinical Scientist Development Program, Bethesda, MD.