Sir,
We thank the authors for presenting a very interesting case of orbital cellulitis and exudative serous retinal detachment with excellent MRI scans showing orbital pathology.1 The authors suggest orbital cellulitis as a possible cause of the retinal detachment. The hematological tests suggest that the patient may have had a septicemia, with elevated ESR, C-reactive protein level, and a neutrophilic leukocytosis. Septicemia is well known to cause serous retinal detachments.
We wonder if the serous retinal detachment described in this case report was caused by the septicemia resulting from the primary infection, and if blood cultures were done to exclude this possibility.
References
Farah E, Kalantzis G, Papaefthimiou I, Koutsandrea C, Georgalas I . Spontaneously resolved exudative retinal detachment caused by orbital cellulitis in an immunocompromised adult. Eye 2014; 28: 109–110.
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Perera, S., Ali, H. Re: Spontaneously resolved exudative retinal detachment caused by orbital cellulitis in an immune compromised adult. Eye 28, 1144 (2014). https://doi.org/10.1038/eye.2014.116
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DOI: https://doi.org/10.1038/eye.2014.116
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Eye (2014)