Traumatic intralenticular abscess: a case series.
OBJECTIVE
To report the clinical presentation, management and outcome of eyes with traumatic intralenticular abscess.


METHODS
In this interventional case series, records of eight patients (eight eyes) with intralenticular abscess developing following trauma were reviewed. All patients underwent extracapsular cataract extraction with intracameral antibiotics with or without pars plana vitrectomy. Main outcome measures studied were resolution of infection and final visual outcome.


RESULTS
Lens abscess developed in six eyes following penetrating injury and in two eyes following intraocular penetration of caterpillar hair. Gram positive cocci were cultured from the lens aspirate in five eyes and Staphylococcus epidermidis was the most common organism isolated. Cataract extraction resulted in control of the infection in all eyes and seven eyes (87.5%) had a favourable visual outcome.


CONCLUSIONS
Early lens extraction with intracameral antibiotics in eyes with intralenticular abscess allows control of infection with good visual outcome.
Salman
Amjad
A
Institute of Ophthalmology, Joseph Eye Hospital, Tiruchirapalli, India. amjad26@sify.com
Parmar
Pragya
P
Philip
Vinitha R
VR
Thomas
Philip A
PA
Jesudasan
Christdas A N
CA
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002387:Cataract Extraction; D003131:Combined Modality Therapy; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007905:Lens Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D014792:Visual Acuity; D014821:Vitrectomy
D000900:Anti-Bacterial Agents