How’s Chase?

Ophthalmology (Oculoplastics) Update —
The oculoplastics team met with us after surgery to explain what happened and what comes next.

What Happened in the OR:
The oculoplastics team was called into the operating room when the ENT surgeon identified that the pressure in Chase’s eye was dangerously elevated. The team performed a procedure to release the eyelids, which were acting like a constricting belt around the eye itself. The pressure came down very well following the procedure, and medication was also administered to help bring it down further. The immediate danger to Chase’s vision is now significantly lower as a result of this intervention.

Why Did This Happen:
When Chase was seen by the eye team yesterday, everything appeared normal. Something changed significantly between yesterday and today — the swelling worsened dramatically. The walls surrounding the eye are very thin, making it relatively easy for a sinus infection like Chase’s to spread into the surrounding tissue. The team believes this progression is most likely related to the underlying sinus disease rather than anything that occurred during surgery.

What Comes Next — CT Scan:
Chase will be taken for a CT scan while still in the recovery area. The scan will look for a collection or abscess within the four walls of the orbit — the bony cavity surrounding the eye — that may be applying pressure to the eye itself. The team will review the results and communicate the plan promptly.

If an Abscess Is Found — Possible Second Surgery:
If the CT scan reveals a drainable abscess, Chase would need to return to the operating room — potentially tonight. The procedure would involve a small incision through the natural crease of the eyelid to access and drain the infection. The team noted that the skin around the eyelid heals very well and they would not expect significant scarring or lasting problems from such an incision.

If No Abscess Is Found:
The team would continue managing the eye pressure medically and monitor Chase very closely.
On the Second CT Scan:
Two CT scans within a short period is not ideal, but given the urgency of the situation and the fact that an MRI remains non-interpretable due to Chase’s braces, a CT scan is the only viable path forward. MGH uses low radiation dose protocols, and Chase’s vision and health are the clear priority.

We will share more as soon as we have news. Thank you for your continued love and support.