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X. Zheng C, H. Uhr J, D. Deaner J, M. Lin M, J. Moster S, Razeghinejad R. Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature. JOVR [Internet]. 2020Jul.29 [cited 2024Apr.25];15(3):412–418. Available from: https://knepublishing.com/index.php/JOVR/article/view/7460

https://doi.org/10.18502/jovr.v15i3.7460

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authors

  • Cindy X. Zheng

    Cindy X. Zheng

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA
    https://orcid.org/0000-0001-7313-9212
  • Joshua H. Uhr

    Joshua H. Uhr

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA
  • Jordan D. Deaner

    Jordan D. Deaner

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA
  • Michael M. Lin

    Michael M. Lin

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA
  • Stephen J. Moster

    Stephen J. Moster

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA
  • Reza Razeghinejad

    Reza Razeghinejad

    Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA

Published Date

  • Jul 29, 2020
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

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

Journal of Ophthalmic and Vision Research (JOVR) / July–September 2020, Volume 15, Issue 3 / Pages 412–418

Abstract

Purpose: Orbital 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 Report: Here, 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.


Conclusion: OC is a rare postoperative complication of GDD implantation. Prompt evaluation and treatment are required, often combined with GDD explantation.

Keywords:

Ahmed Tube Shunt, Orbital Cellulitis, Glaucoma Drainage Device

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