title: Panophthalmitis with orbital cellulitis following glaucoma drainage implant surgery in a pediatric patient.
abstract: Here we report a case of childhood glaucoma refractory to angle and trabeculectomy surgery. The patient was treated with an Ahmed™ drainage implant that was subsequently complicated by rapid-onset panophthalmitis and orbital cellulitis. Intravenous and intravitreal antibiotic therapy was initiated and the drainage tube was removed. The infectious process resolved within 3 weeks; however, phthisis bulbi developed subsequently.
authors.affiliation: Department of Ophthalmology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Bruno L B
authors.initials: BL
authors.lastname: Esporcatte
authors.affiliation: Department of Ophthalmology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Luiz Fernando
authors.initials: LF
authors.lastname: Teixeira
authors.affiliation: Department of Ophthalmology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Christiane
authors.initials: C
authors.lastname: Rolim-de-Moura
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020878:Device Removal; D005901:Glaucoma / Q000151:congenital / Q000601:surgery*; D020327:Glaucoma Drainage Implants / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007429:Intraocular Pressure; D008297:Male; D054517:Orbital Cellulitis / Q000188:drug therapy / Q000209:etiology*; D010202:Panophthalmitis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications; D013203:Staphylococcal Infections / Q000188:drug therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents