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Traumatic lenticular abscess: clinical description and outcome
Revathi Rajaraman1, Prajna Lalitha, Anita Raghavan
1Cornea & Refractive Surgery Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, India.
American Journal of Ophthalmology
|July 3, 2007
Summary
Surgical removal of traumatic lenticular abscesses, combined with antimicrobial treatment, effectively restores vision. This study analyzed 17 cases, finding bacterial infections common and visual outcomes often positive.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Posttraumatic lenticular abscesses are a rare but serious complication of ocular trauma.
- Prompt diagnosis and management are crucial to prevent vision loss.
Purpose of the Study:
- To analyze the etiology, clinical presentation, management, and outcomes of posttraumatic lenticular abscesses.
- To evaluate the effectiveness of surgical intervention and antimicrobial therapy.
Main Methods:
- Retrospective case series of 17 patients with traumatic lenticular abscesses.
- Management involved aspiration of the abscess followed by extracapsular cataract extraction.
- Cultures were obtained to identify causative organisms.
Main Results:
- The mean age of patients was 40.3 years, with 82% males.
- Bacterial growth (Staphylococcus epidermidis common) occurred in 47% of cases; fungi in 23.5%.
- Seventy-seven percent of eyes achieved best-corrected visual acuity better than 20/120 post-treatment.
Conclusions:
- Surgical removal of the abscess is effective for posttraumatic intralenticular abscess.
- Systemic and local antimicrobial treatment is essential for successful outcomes.
- Early intervention can lead to favorable visual prognoses.
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