Orbital cellulitis following silicone-sponge scleral buckles
A 52-year-old woman presented with 4 days of right-eye pain with eyelid redness and swelling. Her VA was hand movements before eyes. An SB and radial sponge had been inserted for RRD 19 years previously. She refused to be admitted to the department, and oral amoxicillin/clavulanic acid with topical antibiotics and steroid was initiated. A few days later, there was exacerbation of the pain, limitation with globe elevation, and anterior-chamber reaction with cells +2. CT revealed infiltration around the SB (). IV amoxicillin/clavulanic acid was initiated, and the implant was removed. There was a growth of Sphingomonas paucimobilis sensitive to the entire antibiotics list. She was followed for the next 2.5 years, and her last VA was hand movements.