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  • Title: Bilateral dacryocystitis complicated by unilateral retrobulbar abscess in a five-week-old infant.
    Author: Juul-Dam M, Laursen C, Wiboe L, Hertz B, Bille J, Næser K.
    Journal: Orbit; 2020 Jun; 39(3):209-211. PubMed ID: 31509038.
    Abstract:
    Retrobulbar orbital abscess in children is a rare condition, and diagnosis and management can be challenging. We report the case of a 5-week-old male infant with retrobulbar orbital abscess secondary to acute dacryocystitis developed from a dacryocystocele. The patient presented with respiratory difficulty, sepsis and progressive clinical findings suggestive of post-septal cellulitis. He was successfully treated with endonasal incision of subturbinate dacryocystoceles followed by probing of the lacrimal ducts. Congenital dacryocystocele must be considered a differential diagnosis in infants with respiratory difficulty and may develop into a vision- and life-threatening condition requiring immediate intervention.
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