PDF(Pubmed)
Abstract：
UNASSIGNED: After strabismus surgery, infections and complications are uncommon but avoidable with the right aseptic measures. Rarely have cases of non-infectious sub-tenon abscesses been documented in the past; these cases need to be appropriately recognized and treated.
METHODS: In this report we describe a case of bilateral sub-tenon abscess 4 weeks after medial rectus recession. Despite receiving topical antibiotics for 7 days, there was no improvement, and multiple conjunctival cultures and sensitivity showed no growth. Both eye\'s sub-tenon abscess was drained, irrigated with gentamicin, and the fragile suture was removed.
UNASSIGNED: Sub-tenon abscess has been associated with bacterial infection which has more sever presentation. Several facts, including the lack of organisms in the pre-operative and intraoperative cultures, the presence of big cells resembling foreign bodies, and the improvement that occurred after suture extrusion, make infection unlikely in this case.
CONCLUSIONS: We concluded that suture reaction is most likely to be responsible for a late-onset sub-tenon abscess with a negative culture and no response to antibiotics, and the suture should be removed.
METHODS: In this report we describe a case of bilateral sub-tenon abscess 4 weeks after medial rectus recession. Despite receiving topical antibiotics for 7 days, there was no improvement, and multiple conjunctival cultures and sensitivity showed no growth. Both eye\'s sub-tenon abscess was drained, irrigated with gentamicin, and the fragile suture was removed.
UNASSIGNED: Sub-tenon abscess has been associated with bacterial infection which has more sever presentation. Several facts, including the lack of organisms in the pre-operative and intraoperative cultures, the presence of big cells resembling foreign bodies, and the improvement that occurred after suture extrusion, make infection unlikely in this case.
CONCLUSIONS: We concluded that suture reaction is most likely to be responsible for a late-onset sub-tenon abscess with a negative culture and no response to antibiotics, and the suture should be removed.
摘要：
■斜视手术后，感染和并发症并不常见，但通过正确的无菌措施可以避免。过去很少有非感染性肌腱下脓肿的病例；这些病例需要得到适当的认识和治疗。
方法：在本报告中，我们描述了一例内侧直肌衰退后4周的双侧肌腱下脓肿。尽管接受了7天的局部抗生素治疗，没有任何改善,多个结膜培养和敏感性无生长。两只眼睛的肌腱下脓肿被引流，用庆大霉素灌溉，脆弱的缝合线被移除。
■肌腱下脓肿与细菌感染有关，细菌感染具有更严重的表现。几个事实,包括术前和术中培养中缺乏生物体，类似于异物的大细胞的存在，以及缝线挤压后发生的改善，在这种情况下不太可能感染。
结论：我们得出的结论是，缝合反应最有可能是迟发性肌腱下脓肿的原因，培养物呈阴性，对抗生素没有反应。缝线应该被移除。
方法：在本报告中，我们描述了一例内侧直肌衰退后4周的双侧肌腱下脓肿。尽管接受了7天的局部抗生素治疗，没有任何改善,多个结膜培养和敏感性无生长。两只眼睛的肌腱下脓肿被引流，用庆大霉素灌溉，脆弱的缝合线被移除。
■肌腱下脓肿与细菌感染有关，细菌感染具有更严重的表现。几个事实,包括术前和术中培养中缺乏生物体，类似于异物的大细胞的存在，以及缝线挤压后发生的改善，在这种情况下不太可能感染。
结论：我们得出的结论是，缝合反应最有可能是迟发性肌腱下脓肿的原因，培养物呈阴性，对抗生素没有反应。缝线应该被移除。
