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Masquerading Orbital Abscess Following Attempted Hydrogel Scleral Buckle Removal: Diagnostic Value of Orbital Magnetic Resonance Spectroscopy Publisher Pubmed



Pakdel F1 ; Hadizadeh H2 ; Pirmarzdashty N1 ; Kiavash V3
Authors
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Authors Affiliations
  1. 1. Ophthalmic Plastic and Reconstructive Surgery Department, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Radiology Department, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Ophthalmic Plastic and Reconstructive Surgery Department, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

Source: Orbit (London) Published:2015


Abstract

A 59-year-old patient developed acute proptosis, peri-orbital swelling and restriction of ocular movements 2 days after attempted scleral buckle removal. Initial clinical and orbital MRI findings were suggestive for orbital cellulitis and orbital abscess. Empiric intravenous antibiotics were not effective. Proton magnetic resonance spectroscopy (MRS) revealed a distinctive composition and helped rule out suppurative and neoplastic processes. The patient recovered soon after removing clear liquefied and tiny particles of the hydrogel buckle by an effective peristaltic technique. © 2015 Informa Healthcare USA, Inc. All rights reserved.