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Bilateral orbital bone infarction in sickle-cell disease.
MedLine Citation:
PMID:  20577135     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This is a case of a 2-year-old boy with sickle cell disease who presented with bilateral eyelid swelling, limited extraocular motility, and lateral subperiosteal fluid collection associated with bilateral lateral orbital wall infarctions on MRI. The patient was managed medically with intravenous fluids, analgesics, broad-spectrum antibiotics, systemic steroids, and clinically improved. Patients with sickle cell disease are susceptible to infarction of the orbital bones during vaso-occlusive crises. Orbital wall infarction can lead to acute proptosis and restricted extraocular motility. Orbital wall infarction should be considered in sickle cell patients with orbital diseases so that appropriate treatment can be instituted promptly to prevent the serious sequelae of orbital compression syndrome.
Authors:
Roya H Ghafouri; Irene Lee; Suzanne K Freitag; Tony N Pira
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  27     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-03-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e26-7     Citation Subset:  IM    
Affiliation:
*Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts; and †Department of Ophthalmology, New York University School of Medicine, New York, New York, U.S.A.
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