Orbital Cellulitis Following Uncomplicated Glaucoma Drainage Device Surgery: Case Report and Review of Literature.
| Autor: | Zheng CX; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Uhr JH; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Deaner JD; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Anhalt J; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Lin MM; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Moster SJ; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA., Razeghinejad R; Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of ophthalmic & vision research [J Ophthalmic Vis Res] 2020 Aug 06; Vol. 15 (3), pp. 412-418. Date of Electronic Publication: 2020 Aug 06 (Print Publication: 2020). |
| DOI: | 10.18502/jovr.v15i3.7460 |
| Abstrakt: | 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. (Copyright © 2020 Zheng et al.) |
| Databáze: | MEDLINE |
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