case_images: PMC8496094_01
case_images: Extraocular movements 48 h following intravitreal antibiotic injection. Right eye showed important eyelid edema and erythema as well as important conjunctival erythema and chemosis. Extraocular movements were limited and painful in all directions.
case_images: gr1.jpg
case_images: PMC8496094_01_gr1.jpg
case_images: fig0005
case_images: The presentation with painful ophthalmoplegia (Fig. 1) and a right relative afferent pupillary defect led to suspect concomitant orbital cellulitis (not only preseptal), cavernous sinus involvement or apex syndrome.
case_images: Right eye 48 h following intravitreal antibiotic injection: conjunctival chemosis and erythema, corneal edema, cataract with fibrin on the anterior capsule, 3-4+ cells in the anterior chamber with a 1.5 mm hypopyon.
case_images: gr2.jpg
case_images: PMC8496094_01_gr2.jpg
case_images: fig0010
case_images: The patient was treated empirically with meropenem 2 g IV every eight hours and PF 1% drops were continued hourly (Fig. 2).