Necrotizing Tenon's capsule infection in a lymphopenic Down syndrome patient following strabismus surgery

Melinda Y Chang, Wenjing Liu, Ben J. Glasgow, Sherwin J. Isenberg, Federico G. Velez

Research output: Contribution to journalArticle

3 Scopus citations


Periocular infection is a rare complication of strabismus surgery. We describe a case of necrotizing Tenon's capsule infection after uncomplicated strabismus surgery in a boy with Down syndrome and blepharitis. Pathologic diagnosis was severe acute necrotizing inflammation with Gram positive coccal forms. Resolution of infection occurred after surgical debridement and intravenous and topical antibiotics. Work-up revealed lymphopenia related to Down syndrome. Patients with Down syndrome may have risk factors for postoperative infection including blepharitis and immunologic abnormalities.

Original languageEnglish (US)
Pages (from-to)333-335
Number of pages3
JournalJournal of AAPOS
Issue number4
StatePublished - Aug 1 2017


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

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