Authors
Orsolya Bálint, Eva Suranyi, Yi-Che Chang Chien, Dorottya Pasztor
Published in
BMJ case reports. Volume 19. Issue 10. Oct 07, 2026. Epub Oct 07, 2026.
Abstract
A male in his 20s with Burkitt lymphoma (BL) treated with chemotherapy was referred for lagophthalmos and left facial nerve palsy and re-evaluated weeks later due to acute scleral perforation.The perforated area was surgically closed, but on the first postoperative day, corneal thinning down to the Descemet membrane was noted, with iris adherence to the endothelium and progressive expansion of the affected sclera. Further globe reconstruction was deemed impossible; therefore, enucleation was performed. Histopathology revealed keratoconjunctivitis and acute perforative scleritis, though the aetiology could not be determined. A review of internal medicine records identified Pseudomonas aeruginosa bacteraemia, which may have been the underlying cause of the ocular condition.Intraocular involvement in BL is rare, and although P. aeruginosa is a leading cause of infective necrotising scleritis, scleral perforation due to this bacterium without prior surgery has not been reported.
PMID:
42843907
Bibliographic data and abstract were imported from PubMed on 08 Oct 2026.
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