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

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.

Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta

“… 5 Regarding management, all sight-threatening complications were managed accordingly by the same author (MFF). Management of the case of consensual orbital cellulitis and endophthalmitis following Ahmed glaucoma valve implantation was in accordance with management of similar cases in literature, 15 , 16 and it was discussed in detail in a previous article. 8 With regard to the case of persistent hypotony secondary to formation of dense inflammatory cyclitic membrane, associated UBM signs included severe corneal edema, lost anterior chamber, dense peripheral anterior synechia, iridocorneal and lenticulo-corneal touch, posterior synechia, dense cataract and ciliary body detachment ( Figure 3A ).…”