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Traumatic intralenticular abscess: a case series.

Amjad Salman1, Pragya Parmar, Vinitha R Philip

  • 1Institute of Ophthalmology, Joseph Eye Hospital, Tiruchirapalli, India. amjad26@sify.com

Clinical & Experimental Ophthalmology
|April 14, 2007
PubMed
Summary
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Traumatic intralenticular abscesses, often caused by penetrating injuries, can be effectively treated with early lens extraction and intracameral antibiotics. This approach leads to infection control and favorable visual outcomes in most cases.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Intralenticular abscess is a rare but serious ocular complication following trauma.
  • Prompt diagnosis and management are crucial to preserve vision.

Observation:

  • This case series reviewed eight patients with traumatic intralenticular abscess.
  • Causes included penetrating eye injury and intraocular penetration of foreign bodies.
  • Gram-positive cocci, notably Staphylococcus epidermidis, were common causative organisms.

Findings:

  • Extracapsular cataract extraction with intracameral antibiotics successfully controlled infection in all cases.
  • Seven out of eight (87.5%) eyes achieved a favorable visual outcome post-treatment.
  • Pars plana vitrectomy was an optional adjunct in some cases.

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Implications:

  • Early surgical intervention combined with targeted antibiotics is key for managing intralenticular abscess.
  • This strategy offers a high likelihood of preserving or restoring vision after traumatic ocular infections.