Citation

Chang JH, Mills RA, Pater J, Crompton JL. Clin. Exp. Ophthal. 2012; 40(7): 669-674.

Affiliation

Department of Ophthalmology, Royal Adelaide Hospital & South Australian Institute of Ophthalmology, Adelaide, South Australia, Australia Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, SA, Australia Department of Ophthalmology, Women's & Children's Hospital, North Adelaide, SA, Australia.

Copyright

(Copyright © 2012, John Wiley and Sons)

DOI

10.1111/j.1442-9071.2012.02783.x

PMID

22394395

Abstract

Background:  To describe the clinical features and management of cat-scratch inflicted corneal lacerations. Design:  Retrospective, observational case series. Participants:  Three patients (aged 3, 7 and 35 years) with cat-scratch inflicted full-thickness corneal lacerations. Methods:  Retrospective medical chart review and review of the published literature. Main outcome measures:  Details of clinical presentation, surgical management, antibiotic treatment, and clinical outcomes on longitudinal follow-up. Results:  Cat-scratch inflicted corneal lacerations are rare. Only 5 other cases were found in the literature. Wide spectrum of clinical presentation and severity of injuries exists. Two of our cases required emergency surgical repair of the laceration, however one case had spontaneously healed and was only diagnosed 5 years after the initial injury. One case required secondary cataract extraction and subsequent excision of a vascularised posterior lens capsule. There were no cases of secondary microbial keratitis or endophthalmitis. All cases had a favourable ocular outcome after at least 6 months of follow-up. Conclusions:  Cat-scratch inflicted corneal injuries are rare but do occur in Australia, in particular amongst younger children. If the principles of prompt surgical repair and antibiotic prophylaxis are adhered to, excellent visual outcomes are possible. © 2012 The Authors. Clinical and Experimental Ophthalmology © 2012 Royal Australian and New Zealand College of Ophthalmologists.

Language: en