Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature

PURPOSEOrbital cellulitis (OC) is a rare postoperative complication of glaucoma drainage device (GDD) implantation. To date, there have only been 10 reported cases of OC following GDD implantation. CASE REPORTHere, we report a case of OC in a 57-year-old man who developed pain, proptosis, and limite...

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Bibliographic Details
Published in:Journal of ophthalmic & vision research 2020, Vol.15 (3), p.412-418
Main Authors: Zheng, Cindy X, Uhr, Joshua H, Deaner, Jordan D, Anhalt, John, Lin, Michael M, Moster, Stephen J, Razeghinejad, Reza
Format: Report
Language:English
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Summary:PURPOSEOrbital cellulitis (OC) is a rare postoperative complication of glaucoma drainage device (GDD) implantation. To date, there have only been 10 reported cases of OC following GDD implantation. CASE REPORTHere, we report a case of OC in a 57-year-old man who developed pain, proptosis, and limited extraocular motility two days after uneventful Ahmed FP7 implantation in the right eye. Contrast-enhanced computed tomography of the orbits demonstrated fat stranding and a small fluid collection, consistent with OC. He had minimal improvement with intravenous antibiotics and ultimately underwent GDD explantation. A systematic review of the literature showed that the development of OC following GDD implantation can occur in the early or late postoperative period. Immediate hospitalization with intravenous administration of broad-spectrum antibiotics is recommended. Explantation of the infected GDD is often required for source control. CONCLUSIONOC is a rare postoperative complication of GDD implantation. Prompt evaluation and treatment are required, often combined with GDD explantation.
ISSN:2008-2010
DOI:10.18502/jovr.v15i3.7460