amoxicillin-potassium-clavulanate-combination and Glaucoma--Open-Angle

To date, there have only been 5 reported cases of orbital cellulitis following implantation of an aqueous tube shunt for glaucoma. Previously reported cases have involved eyes with significant comorbidities and successful management has often required the removal of the device alongside systemic antibiotic therapy.. We present a 53-year-old man with severe orbital cellulitis, 3 months after routine implantation of a Baerveldt tube shunt for primary open angle glaucoma. The patient was managed medically, with topical and systemic antibiotic therapy. The patient went on to make a full recovery with the tube in situ.. We report that a more conservative approach (without tube removal) to be successful in a case where there is no evidence of tube exposure. It is important to appreciate that in some cases of orbital cellulitis without clear signs of intraocular involvement, a tube can be left in situ.

Topics: Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Drug Therapy, Combination; Floxacillin; Glaucoma Drainage Implants; Glaucoma, Open-Angle; Humans; Intraocular Pressure; Levofloxacin; Male; Middle Aged; Orbital Cellulitis; Postoperative Complications; Retrospective Studies; Tomography, X-Ray Computed