Concurrent endophthalmitis and orbital cellulitis in a child with congenital glaucoma and a glaucoma drainage device

A 3-year-old monocular boy with a history of congenital glaucoma and aqueous shunt implantation presented with periorbital swelling, erythema, and purulent discharge in his seeing right eye. Examination revealed an extensive hypopyon. Computed tomography (CT) showed right-sided proptosis, and a disp...

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Bibliographic Details
Published in:Digital journal of ophthalmology 2011-11, Vol.17 (4), p.58-61
Main Authors: Kassam, Faazil, Lee, Bonita E, Damji, Karim F
Format: Article
Language:English
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Summary:A 3-year-old monocular boy with a history of congenital glaucoma and aqueous shunt implantation presented with periorbital swelling, erythema, and purulent discharge in his seeing right eye. Examination revealed an extensive hypopyon. Computed tomography (CT) showed right-sided proptosis, and a displaced aqueous shunt device deep in the orbit. Significant purulent fluid was encountered when the device was removed; vitreous and orbital cultures revealed Streptococcus pneumoniae. The patient received intravitreal, topical, intravenous, and oral antibiotics as well as intraocular tissue plasminogen activator and topical steroid. Orbital and intraocular inflammation decreased significantly but he developed a cataract, further complicated by a retinal detachment.
ISSN:1542-8958
1542-8958
DOI:10.5693/djo.02.2011.10.002