Orbital abscess following posterior subtenon injection of triamcinolone acetonide

Orbit. 2017 Jun;36(3):135-136. doi: 10.1080/01676830.2017.1279668. Epub 2017 Mar 3.

Abstract

Orbital cellulitis is a serious sight threatening and potentially life threatening condition which can be complicated by orbital abscess formation. Posterior subtenon (PST) injection of corticosteroid is commonly used in the treatment of posterior segment inflammation including post-operative macular oedema. We report a case of orbital abscess formation as a late complication of PST triamcinolone acetonide and discuss the presentation, diagnosis and management.

Keywords: Orbital abscess; orbital cellulitis; orbitotomy; subtenon triamcinolone.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnostic imaging
  • Abscess / drug therapy
  • Abscess / etiology*
  • Anti-Bacterial Agents / therapeutic use
  • Ceftriaxone / therapeutic use
  • Drug Therapy, Combination
  • Floxacillin / therapeutic use
  • Glucocorticoids / administration & dosage*
  • Humans
  • Infusions, Intravenous
  • Injections, Intraocular / adverse effects*
  • Macular Edema / drug therapy
  • Magnetic Resonance Imaging
  • Male
  • Metronidazole / therapeutic use
  • Middle Aged
  • Orbital Cellulitis / diagnostic imaging
  • Orbital Cellulitis / drug therapy
  • Orbital Cellulitis / etiology*
  • Tenon Capsule / drug effects*
  • Triamcinolone Acetonide / administration & dosage*

Substances

  • Anti-Bacterial Agents
  • Glucocorticoids
  • Metronidazole
  • Floxacillin
  • Ceftriaxone
  • Triamcinolone Acetonide