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

Cindy X. Zheng, Joshua H. Uhr, Jordan D. Deaner, John Anhalt, Michael M. Lin, Stephen J. Moster, Reza Razeghinejad

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)412-418
Number of pages7
JournalJournal of Ophthalmic and Vision Research
Volume15
Issue number3
DOIs
StatePublished - Sep 2020
Externally publishedYes

Keywords

  • Ahmed Tube Shunt
  • Glaucoma Drainage Device
  • Orbital Cellulitis

ASJC Scopus subject areas

  • Ophthalmology

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