ORBITAL ABSCESS FOLLOWING A CLOSED FACIAL INJURY IN A YOUNG ADULT

Abstract

Background: Orbital abscess formation is one of the uncommon complications that occur following facial trauma. . We report a rare presentation of orbital abscess in a young adult with post closed facial fracture.

Materials and Methods: a case report

Result: A 19-year old man who sustained head injury and facial bones fractures without any external adnexal wounds from a road traffic accident. He developed left periorbital haematoma and decrease vision after 3 days of trauma. He was suspected to have left optic neuropathy and empirically treated with corticosteroids. However, his left vision deteriorated and developed progressive proptosis within 3 days. Serial CT scan showed new formation of left subperiosteal and intraconal abscess. Endoscopic orbital decompression and drainage of the abscess was performed. Post operatively, his vision and the proptosis improved. Orbital abscess post closed facial fracture is an unusual complication.

Conclusion: High index of suspicion is necessary to diagnose this unusual presentation. Prompt treatment is essential to save the vision.

Keywords: Orbital abscess, optic neuropathy, facial trauma, orbital decompression