Introduction: Orbital abscess (OA) is a very rare condition in which there is a collection of purulent discharge behind the orbital septum. It may lead to both serious ocular and systemic complications with high morbidity and mortality. It usually occurs as a sequalae of orbital cellulitis, post-traumatic and rare postoperative complications. Case Report: A 53-old female patient who underwent an uneventful subscleral trabeculectomy (SST) for advanced primary open angle glaucoma. Ten days after surgery the patient developed limited motility in the inferior gaze of the operated eye with conjunctival chemosis which progressed to total ophthalmoplegia after a few days. An orbital magnetic resonance imaging (MRI) was performed for her and revealed orbital collection. Management and outcome: The patient was hospitalized and started empirical broad-spectrum antibiotics. Unfortunately, the patient deteriorated much further, necessitating surgical evacuation. Conclusion: Orbital abscess is a very rare complication that may require urgent intervention to secure not only the patient’s eye but also her life.
Gafar et al. (Sat,) studied this question.