Orbital cellulitis following silicone-sponge scleral buckles
A 79-year-old man presented with a few days of pain, eyelid redness, significant chemosis and restriction in globe movements, and proptosis of his eye operated on 6 years previously, with SB and radial sponge for RRD. On presentation, VA was 1/24, and CT revealed air around the buckle laterally with infection infiltration in the orbit. IV cefuroxime and metronidazole treatment was initiated, and an operation for the removal of the two implants was undertaken. S. aureus was identified, and the treatment was changed to cloxacillin according to the infection sensitivity. He was followed for the next 2.5 years and his last VA was 20/70.