Asymptomatic endophthalmitis following strabismus correction
Endophthalmitis is most commonly seen in adults shortly after cataract surgery. It is rare in the pediatric population. Presented in the journal Radiology Case Reports, is a case of endophthalmitis following strabismus repair in a 9-month-old patient with Trisomy 21.

Leukocoria was observed 15 days after surgery, but the child did not exhibit symptoms of infection, and the ordering clinician requested an MRI of the brain and orbits to assess the possibility of retinoblastoma.

MRI showed an irregular noncalcified lesion within the left vitreous body abutting the posterior margin of the lens with adhesions extending from the mass to the optic nerve head and nasal sclera (Fig. 1). The retina was detached. Diffusion restriction was apparent within the lesion (Fig. 2).

The anterior chamber, surrounding vitreous humor, posterior choroid, and uvea exhibited contrast enhancement (Fig. 3). No periorbital or preseptal swelling was appreciable. After reviewing the images, it was determined that there was no chance for recovery of vision in the left eye. The patient thus underwent enucleation surgery. No evidence of retinoblastoma or other malignancy was present.

This case highlights the importance of MRI in the evaluation of leukocoria and displays typical MRI findings of this infrequently-encountered condition in the pediatric population.

Read in detail about the case here:
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