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Orbital Cellulitis as a Late Complication of Glaucoma Shunt Implantation
Arch Ophthalmol. 2002;120:849-851.
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Orbital cellulitis is a rare complication of glaucoma tube shunt implantation.
We describe a patient who developed orbital cellulitis 15 months after placement
of a Baerveldt tube shunt (Pharmacia Corporation, Peapack, NJ). The proximal
portion of the Baerveldt tube shunt had eroded through the conjunctiva, presumably
serving as a portal of entry for microorganisms. The cellulitis was successfully
treated with intravenous antibiotics and subsequent removal of the glaucoma
tube shunt.
Report of a Case
A 78-year-old African American woman was seen with a 3-day history of
left eye pain, eyelid swelling, and decreased vision in her left eye. According
to the referring ophthalmologist, the left intraocular pressure had become
elevated to the 40–mm Hg range and vision had worsened from counting
fingers to no light perception over the preceding 3 days. She had been treated
with oral acetazolamide, timolol maleate, dorzolamide hydrochloride, and brimonidine
tartrate.
The patient had an extensive medical and ocular history. . . . [Full Text of this Article]
Comment
Corresponding author and reprints: James C. Tsai, MD, Harkness Eye
Institute, 635 W 165th St, New York, NY 10032 (e-mail: jct2002@columbia.edu).
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