title: Orbital Cellulitis Following Uncomplicated Aqueous Shunt Surgery.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Sunderland Eye Infirmary, Sunderland, Tyne and Wear.
authors.forename: Daniel E R
authors.initials: DE
authors.lastname: Beck
authors.forename: Karim S L
authors.initials: KS
authors.lastname: El-Assal
authors.forename: Mark D
authors.initials: MD
authors.lastname: Doherty
authors.forename: Nicholas K
authors.initials: NK
authors.lastname: Wride
mesh_terms: D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005436:Floxacillin / Q000627:therapeutic use; D020327:Glaucoma Drainage Implants; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D064704:Levofloxacin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D054517:Orbital Cellulitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D005436:Floxacillin; D064704:Levofloxacin; D019980:Amoxicillin-Potassium Clavulanate Combination