Case series of cat-scratch-inflicted full-thickness corneal lacerations and a review of the literature.

Clin Exp Ophthalmol 2012 Sep-Oct;40(7):669-74. Epub 2012 May 17.

Department of Ophthalmology, Royal Adelaide Hospital and South Australian Institute of Ophthalmology, Adelaide, South Australia, Australia.

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 five other cases were found in the literature. Wide spectrum of clinical presentation and severity of injuries exists. Two of the cases here 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 vascularized 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 among younger children. If the principles of prompt surgical repair and antibiotic prophylaxis are adhered to, excellent visual outcomes are possible.

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http://dx.doi.org/10.1111/j.1442-9071.2012.02783.xDOI Listing
January 2013
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References

(Supplied by CrossRef)
[Corneal abscess caused by Pasteurella following cat scratch injury]
Algan et al.
Bull Soc Ophtalmol Fr 1989
Pasteurella multocida keratitis and corneal laceration from a cat scratch
Ho et al.
Ophthalmic Surg 1993
Panophthalmitis due to Pasteurella septica
Galloway et al.
Br J Ophthalmol 1973
Pasteurella multocida endophthalmitis after a cat bite
Yokoyama et al.
Ophthalmic Surg 1987

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