Abstract
PurposeOrbital 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 ReportHere, 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.ConclusionOC is a rare postoperative complication of GDD implantation. Prompt evaluation and treatment are required, often combined with GDD explantation.
Highlights
Glaucoma drainage devices (GDDs) are surgical devices commonly implanted in eyes with
A systematic literature review revealed a total of 11 cases of Orbital cellulitis (OC) following GDD surgery, including the present case (Table 1)
The most common GDD associated with post-implantation OC was the Ahmed valve (n = 7),[2,3,4,5,6,7] Molteno,[1] Krupin–Denver,[2] and Baerveldt[8, 9] implants have been associated with post-implantation OC
Summary
Glaucoma drainage devices (GDDs) are surgical devices commonly implanted in eyes with. How to cite this article: Zheng CX, Uhr JH, Deaner JD, Anhalt J, Lin MM, Moster SJ, Razeghinejad R. Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature. Orbital Cellulitis Following Uncomplicated GDD Surgery; Zheng et al Figure 1. Showed minimal improvement with intravenous (IV) antibiotics and underwent GDD explantation
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