Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature
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,...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Knowledge E
2020-08-01
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| Series: | Journal of Ophthalmic & Vision Research |
| Subjects: | |
| Online Access: | https://doi.org/10.18502/jovr.v15i3.7460 |
| _version_ | 1811248597774106624 |
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| author | Cindy X. Zheng Joshua H. Uhr Jordan D. Deaner John Anhalt Michael M. Lin Stephen J. Moster Reza Razeghinejad |
| author_facet | Cindy X. Zheng Joshua H. Uhr Jordan D. Deaner John Anhalt Michael M. Lin Stephen J. Moster Reza Razeghinejad |
| author_sort | Cindy X. Zheng |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T15:30:52Z |
| format | Article |
| id | doaj.art-fd8b09b4677e4028bfa03d566ba99862 |
| institution | Directory Open Access Journal |
| issn | 2008-322X |
| language | English |
| last_indexed | 2024-04-12T15:30:52Z |
| publishDate | 2020-08-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-fd8b09b4677e4028bfa03d566ba998622022-12-22T03:27:06ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2020-08-0115341241810.18502/jovr.v15i3.7460jovr.v15i3.7460Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of LiteratureCindy X. Zheng0Joshua H. Uhr1Jordan D. Deaner2John Anhalt3Michael M. Lin4Stephen J. Moster5Reza Razeghinejad6 Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USAPurpose: 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.https://doi.org/10.18502/jovr.v15i3.7460ahmed tube shuntorbital cellulitisglaucoma drainage device |
| spellingShingle | Cindy X. Zheng Joshua H. Uhr Jordan D. Deaner John Anhalt Michael M. Lin Stephen J. Moster Reza Razeghinejad Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature Journal of Ophthalmic & Vision Research ahmed tube shunt orbital cellulitis glaucoma drainage device |
| title | Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature |
| title_full | Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature |
| title_fullStr | Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature |
| title_full_unstemmed | Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature |
| title_short | Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature |
| title_sort | orbital cellulitis following uncomplicated glaucoma drainage device surgery case report and review of literature |
| topic | ahmed tube shunt orbital cellulitis glaucoma drainage device |
| url | https://doi.org/10.18502/jovr.v15i3.7460 |
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