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Unusual infection reported after cataract surgery
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A recurrent scleral abscess, an unusual complication after uncomplicated cataract surgery, was successfully treated with good visual outcome, according to a recent case report.
Michael Goldstein, MD, and colleagues at the New England Eye Center report the case of a 77-year-old healthy woman who underwent uncomplicated cataract surgery and developed a scleral abscess. The authors noted these are more usually associated with keratitis or endophthalmitis.
In this patient’s case, multiple cultures and antibiotic treatments failed to resolve presenting symptoms. All cultures were negative. After draining the abscess, the patient’s symptoms cleared but returned 6 months later, showing a positive Gomori methenamine silver stain consistent with Candida. This time the patient was treated with amphotericin, natamycin and fluconazole. Visual acuity returned along with a resolution of symptoms.
The case is reported in the January issue of Cornea.