A child with rapidly progressive necrotizing group a streptococcal Tenon's capsule infection one day after strabismus surgery

Postoperative infection following strabismus surgery: case series and increased incidence in a single large referral center

“…Signs and symptoms of infection described in our series (Table 3) were similar to previous reports. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Patients presenting with systemic features tended toward more severe infection. Many less severe infections presented with a red "bump" or localized swelling over the muscle insertion, without visible underlying purulent material or computed tomography (CT) evidence of an abscess, in contrast to previously described cases.…”

“…Many less severe infections presented with a red "bump" or localized swelling over the muscle insertion, without visible underlying purulent material or computed tomography (CT) evidence of an abscess, in contrast to previously described cases. 7,8,10,12,13 Apparent poststrabismus surgery abscess can be due to an infected epithelial inclusion cyst. 19 Onset of clinical features of infection averaged 7.2 days (range, 1-20; median, 3).…”

“…Over the last decade, surveys 1,2 and case reports have described postoperative infections manifesting as conjunctivitis, preseptal or orbital cellulitis, subconjunctival or sub-Tenon's abscess, or endophthalmitis. [3][4][5][6][7][8][9][10][11][12][13][14][15] Reported signs and symptoms included: conjunctival erythema, mucopurulent discharge, photophobia, periorbital and eyelid edema, tenderness, pain with eye movements, fever, and fatigue. [3][4][5][6][7][8][9][10][11][12][13] Though permanent changes to vision have been reported, 4 the majority of infections resolved with swift diagnosis, systemic antibiotics, and, when indicated, surgical drainage or debridement.…”

“…[3][4][5][6][7][8][9][10][11][12][13][14][15] Reported signs and symptoms included: conjunctival erythema, mucopurulent discharge, photophobia, periorbital and eyelid edema, tenderness, pain with eye movements, fever, and fatigue. [3][4][5][6][7][8][9][10][11][12][13] Though permanent changes to vision have been reported, 4 the majority of infections resolved with swift diagnosis, systemic antibiotics, and, when indicated, surgical drainage or debridement. [1][2][3][4][5][6][7][8][9][10][11][12][13] Proposed risk factors for post-strabismus surgery infection have included excessive eye rubbing, sinusitis, poor hygiene, young age, and Down syndrome.…”

“…[3][4][5][6][7][8][9][10][11][12][13] Though permanent changes to vision have been reported, 4 the majority of infections resolved with swift diagnosis, systemic antibiotics, and, when indicated, surgical drainage or debridement. [1][2][3][4][5][6][7][8][9][10][11][12][13] Proposed risk factors for post-strabismus surgery infection have included excessive eye rubbing, sinusitis, poor hygiene, young age, and Down syndrome. 1,12 There is a lack of consensus on appropriate preventive strategies, such as perioperative antibiotics and postoperative povidoneiodine.…”