Concurrent endophthalmitis and orbital cellulitis in a child with congenital glaucoma and a glaucoma drainage device

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Supertemporal dissection exposing Ahmed valve tube buried deep in the orbit and diffusely cloudy cornea and removal of the Ahmed valve device showing associated purulent discharge.
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Published: Nov 6, 2011
DOI: https://doi.org/10.5693/djo.02.2011.10.002
Keywords:
endophthalmitis

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Faazil Kassam, MD
Department of Ophthalmology, University of Alberta, Canada
Bonita E. Lee, MD, FRCP(C), MSc (Epi)
Department of Pediatrics, University of Alberta, Canada
Karim F. Damji, MD, FRCS(C), MBA
Department of Ophthalmology, University of Alberta, Canada

Abstract

A 3-year-old monocular boy with a history of congenital glaucoma and aqueous shunt implantation presented with periorbital swelling, erythema, and purulent discharge in his seeing right eye. Examination revealed an extensive hypopyon. Computed tomography (CT) showed right-sided proptosis, and a displaced aqueous shunt device deep in the orbit. Significant purulent fluid was encountered when the device was removed; vitreous and orbital cultures revealed Streptococcus pneumoniae. The patient received intravitreal, topical, intravenous, and oral antibiotics as well as intraocular tissue plasminogen activator and topical steroid. Orbital and intraocular inflammation decreased significantly but he developed a cataract, further complicated by a retinal detachment.

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How to Cite
1.
Kassam F, Lee BE, Damji KF. Concurrent endophthalmitis and orbital cellulitis in a child with congenital glaucoma and a glaucoma drainage device. Digit J Ophthalmol. 2011;17(4):58-61. doi:10.5693/djo.02.2011.10.002
Issue
Vol. 17 No. 4 (2011)
Section
Case Reports
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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