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CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 2  |  Page : 64-66

Eyelid gangrene and endophthalmitis after Chalazion surgery: About a case


1 Department of Ophthalmology, University Hospital of Brazzaville, Brazzaville, Congo
2 Medical department (Dermatology Unit), Talangaļ Hospital, Brazzaville, Congo

Correspondence Address:
Pepin Williams Atipo-Tsiba
Department of Ophthalmology, University Hospital of Brazzaville
Congo
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DOI: 10.4103/1858-540X.169440

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A chalazion is caused by an obstruction of excretion channel of the meibomian gland due to the accumulation of its own secretions. It can be ovoid, lobed, but most often it is a round nodule, variable in size, usually painless. Conservative treatment is the rule. When this fails, surgery is the only alternative, especially for nodules located far from the inner canthus due to the risk of seeing the section of lacrimal organs. This surgery is simple, with local anesthesia in adults and sometimes general anesthesia in children. It is exceptionally the cause of complications that can compromise the visual and/or vital prognosis. We have only found three cases in the literature, one apex orbital syndrome, an eyelid necrosis and one severe orbital bleeding. This observation reports a case of an eyelid gangrene associated with endophthalmitis due to Pseudomonas aeruginosa, which occurred after surgery for Chalazion in a healthy patient.


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