Conservative management of orbital cellulitis secondary to Pseudomonas aeruginosa scleral buckle infection: A case report and mini-review

We report a rare case of a 60-year-old man who developed orbital cellulitis caused by Pseudomonas aeruginosa 28 years after scleral buckling. Cultures confirmed the pathogen, and imaging suggested buckle involvement. He was managed with systemic and topical antibiotics, conjunctival peritomy, abscess drainage, and antibiotic irrigation, without buckle removal due to patient preference and severe tissue adhesions. Inflammation resolved after three weeks with no recurrence. This case highlights the role of early recognition and conservative management in selected patients.