Traumatic lenticular abscess: clinical description and outcome.
OBJECTIVE
To analyze cases with posttraumatic lenticular abscess and study the etiology, clinical presentation, management, and outcome.


METHODS
Retrospective case series.


METHODS
Seventeen eyes of 17 patients with traumatic lenticular abscesses were managed with extracapsular cataract extraction after aspirating the abscess.


RESULTS
The mean age of the patients was 40.3 years, and males constituted 82%. The mean time to presentation after injury was 14.35 days (range, one to 60 days), and the patients had a mean follow-up of 125.94 days (range, 21 to 300 days). Culture of the lenticular abscess revealed bacterial growth in eight cases (47%) and fungi in four cases (23.5%). In five (29.4%) cases, culture was negative. Staphylococcus epidermidis grew in seven cases (41%). Thirteen eyes (77%) had best-corrected visual acuity better than 20/120.


CONCLUSIONS
Surgical removal of the abscess, with systemic and local antimicrobial treatment is effective in cases of posttraumatic intralenticular abscess.
Rajaraman
Revathi
R
Cornea & Refractive Surgery Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, India.
Lalitha
Prajna
P
Raghavan
Anita
A
Palanisamy
Manikandan
M
Prajna
Namperumalsamy Venkatesh
NV
D000038:Abscess / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002387:Cataract Extraction; D003131:Combined Modality Therapy; D015818:Eye Infections, Bacterial / Q000209:etiology* / Q000628:therapy; D015821:Eye Infections, Fungal / Q000209:etiology* / Q000628:therapy; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D007905:Lens Diseases / Q000209:etiology* / Q000628:therapy; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000293:injuries*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents