Orbital cellulitis following silicone-sponge scleral buckles
A 75-year-old woman presented 3 days following a circular buckling for RRD with pain, eyelid redness, significant chemosis, proptosis, and VA of 20/240. Five years previously, she had had cataract surgery in her right eye. CT revealed orbital abscess (). The SB was removed and IV ciprofloxacin and cefazolin treatment was initiated. There was growth of P. aeruginosa, and IV ciprofloxacin was continued accordingly. She was followed for the next 12 months and her last VA was 20/30.