Surgical management of a traumatic intralenticular abscess

Author: Jihene Sayadi (Tunisia)

Co-authors: Jihene Sayadi, Manel Mekni, Racem Choura, Haythem Raihane, Ines Malek, Leila Nacef

Purpose

lntralenticular abscess is a very rare entity that has been described after penetrating trauma, intraocular surgery and metastatic spread. We report a case of intralenticular abscess following thorn injury treated surgically by phacoemulsification with good postoperative results.

Setting/Venue

Department A of Ophthalmology, Hedi Rais Institute of Ophthalmology, Tunis, Tunisia.

Methods

Case report and literature revue.

Results

A 52-year-old patient presented with right eye redness and defective vision of 4 days following thorn injury. At presentation, visual acuity was limited to counting fingers. Anterior segment examination revealed healed lamellar corneal tear, 3+ cells, hypopion and heterogenous opacity of the crystalline lens. Fundoscopy was normal. In a first time, we prescribed topic corticosteroids, fortified antibiotic eye drops, cycloplegic, and large spectrum systemic antibiotic and antifungal. Lens extraction was done after 1 month by manual small incision cataract surgery with primary intraocular lens (IOL) implantation and intracameral cefuroxime. The immediate postoperative recovery was uneventful. The visual acuity at last follow-up was 8/10th.

Conlusions

It is important to recognize and treat this sequestrated infection to prevent chronic endophthalmitis. In our experience with this patient, lens extraction with systemic and local antimicrobial treatment allows control of infection with a good visual outcome.

Financial Disclosure

The authors declare no conflict of interest.