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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 217-219

A rare presentation of neonatal retrobulbar orbital abscess secondary to acute dacryocystitis


Department of Orbit, Oculoplasty and Ocular Oncology, Shri Sadguru Seva Sangh Trust, Chitrakoot, Madhya Pradesh, India

Correspondence Address:
Dr. Gaurav Garg
Oculoplasty, Ocular Oncology and Facial Aesthetic Services, View Care - Vision and Eye Wellness Centre, New Delhi - 110091
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1210_21

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Clinical presentation of a neonate with acute dacryocystitis may vary considerably. A retrobulbar orbital abscess secondary to pediatric acute dacryocystitis is extremely rare. Currently, the treatment of choice is a surgical intervention in view of the life-threatening condition. Our short report shows a 28-day-old neonate with bilateral pediatric acute dacryocystitis, preseptal cellulitis, and retrobulbar orbital abscess in the right eye. Radiological examination of the orbit showed bilateral lacrimal sac mucocele and intra-orbital large abscess in the right eye. A trial of medical management in the form of microbial culture and sensitivity-proven intravenous antibiotics were given because of parents' hesitancy toward surgical intervention. The neonate had a successful anatomic and functional outcome.


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