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Case Reports in Ophthalmological Medicine
Volume 2016, Article ID 9630698, 3 pages
http://dx.doi.org/10.1155/2016/9630698
Case Report

Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis

1Ruiz Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, TX, USA
2Robert Cizik Eye Clinic, Houston, TX, USA
3Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA

Received 13 July 2016; Accepted 8 September 2016

Academic Editor: Kostas G. Boboridis

Copyright © 2016 Margaret L. Pfeiffer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.