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Keywords:

  • cataract extraction;
  • intralenticular abscess;
  • trauma

Abstract

Purpose:  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.

Conclusion:  Early lens extraction with intracameral antibiotics in eyes with intralenticular abscess allows control of infection with good visual outcome.