DR. KIRANDEEP KAUR

DR BHARAT GURNANI, Dr. S. BALA MURUGAN, Dr.SHIVANANDA NARAYANA

Abstract

To retrospectively analyze the clinical profile and visual outcome of eyes with traumatic iridolenticular abscess (ILA).

Methods:169 eyes of 169 patients were evaluated with B-scan and AS-OCT. Lens extraction without primary IOL was done. Secondary IOL was planned after quiescence.

Results: All eyes had full-thickness entry wound with BCVA range from Hand moments to light perception. 159 eyes had inflammatory control after cataract extraction and 10 eyes had nonresolving endophthalmitis. After 6 months, 101(59.8%) eyes had secondary IOL implantation. Bacterial growth was reported in 71(42.01%), fungal in 29(17.2%) and no growth in 69(38.8%) cases. Among bacterial, 59 showed Staphylococcus epidermis, 7 Nocardia, 4 Moraxella and 1 Rhizobium. Final BCVA ranged from 20/30–20/120.

Conclusion: Primary IOL implantation is contraindicated in ILA. Early lens extraction with systemic and local antibiotics helps in eradicating microbial load and resolution of inflammation with good visual outcome

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