Journal of Ophthalmic & Vision Research (Aug 2020)

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

DOI
https://doi.org/10.18502/jovr.v15i3.7460
Journal volume & issue
Vol. 15, no. 3
pp. 412 – 418

Abstract

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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.

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