Delhi Journal of Ophthalmology

Simple Technique For The Management Of A Cataract Surgery Wound Site Scleral Abscess and Endophthalmitis

1Manpreet Kaur, 2Tajinder Pal Singh, 1Manoj Gupta 
1Sankara Eye Hospital, Ludhiana, Punjab, India
2ESIC Model Hospital, Baddi, Solan, Himachal Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Manpreet Kaur MS
Sankara Eye Hospital, Ludhiana, India
Email id: drmanpreet4j@gmail.com 


Received: 01-DEC-2017 Accepted: 24-DEC-2017 Published Online: 05-MAR-2018
DOI: https://dx.doi.org/10.7869/djo.343

Abstract
To report satisfactory outcome in a patient with scleral abscess at scleral incision cataract surgery wound site, along with endophthalmitis. Simple adjunctive measures enhance the success of conservative management for such cases. Method: Seventy-year-old female was diagnosed as scleral abscess with acute post operative endophthalmitis after one week of an uneventful scleral incision cataract surgery. The patient was managed with surgical wound debridement adjunctive to topical, intravitreal and systemic antibiotics. Results: Satisfactory final best corrected visual acuity of 20/40 was achieved at the last follow-up at 20 weeks. Conclusion: Post cataract surgery scleral abscess and endophthalmitis pose a significant management challenge. This condition may respond favourably with adjunctive meticulous surgical wound debridement.

Keywords :scleral abscess, SICS, endophthalmitis