Abstract
Background
We report the case of a systemically well 4-year-old Aboriginal boy who developed a choroidal abscess after being poked in the left eye with a blunt object.
Case report
This boy presented with redness and reduced vision in the left eye after a blunt object was poked into his eye by his sibling. He was noted to have a choroidal mass which finally manifested as a choroidal abscess.
Results
His initial visual acuity was 6/60, and dilated fundus examination demonstrated a localised solid-appearing choroidal elevation involving the posterior pole, including the macula. An ultrasound of the eye revealed a choroidal haematoma with an atypical appearance, whose height was 8 mm with a base of 12 mm × 10 mm. The lesion failed to resolve, and eventually resulted in orbital cellulitis that did not respond to intravenous and topical antibiotic treatment. He then went on to achieve complete visual recovery after successful management by transcleral incision, drainage and systemic antibiotic therapy.
Conclusion
Choroidal abscess has been described in patients who are debilitated, immunocompromised or suffer with systemic disease such as cystic fibrosis or endocarditis. This case represents a unique report of staphylococcal choroidal abscess in a healthy child that completely resolved after transcleral drainage and systemic antibiotics.
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There are no conflicts or commercial interests to declare. This paper has not been published elsewhere, nor is it being considered for publication elsewhere.
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Durkin, S.R., Muecke, J.S. Successful treatment of a large choroidal abscess in an immunocompetent child. Graefes Arch Clin Exp Ophthalmol 245, 1233–1235 (2007). https://doi.org/10.1007/s00417-006-0509-x
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DOI: https://doi.org/10.1007/s00417-006-0509-x