Bacterial Conjunctivitis Accompanying Spontaneous Subconjunctival Abscess

Subconjunctival abscess is a rare form of ocular infections. Subconjunctival abscesses often develop in the eyes with previous surgery or trauma. It is extremely rare in patients without surgery or trauma. In this study, we aimed to present a rare case of subconjunctival abscesses associated with spontaneous bacterial conjunctivitis. The patient was admitted to the hospital with complaints of redness, swelling and burning in two eyes. He said he used antibiotic drops for about a week, but his complaints did not decline. A subconjunctival abscess was detected in the right eye. There was no history of previous ocular surgery and trauma. Abscess drainage and subconjunctival antibiotic injection were performed. Oral and topical antibiotics were prescribed. There was no growth in culture. The third week was a complete recovery. In conclusion, spontaneous subconjunctival abscess formation should be considered in the differential diagnosis in unhealed eyes after bacterial conjunctivitis.


1. Kivlin JD, Wilson ME Jr. Periocular infection after strabismus surgery. Periocular Infection Study Group. J Pediatr Ophthalmol Strabismus 1995;32:42–9.

2. Yang KS, Chen YF, Hwang YS, Hsu WC, Hsiao CH. Idiopathic subconjunctival abscess. Chang Gung Med J 2004;27:555–7.

3. Brooks CW 3rd, Demartelaere SL, Johnson AJ. Spontaneous subconjunctival abscess because of Haemophilusinfluenzae. Cornea. 2010;29:833–5.

4. Sykes SO, Riemann C, Santos CI, Meisler DM, Lowder CY, Whitcher JP, et al. Haemophilus influenzae associated scleritis. Br J Ophthalmol 1999;83:410–3.

5. St Geme JW 3rd, Falkow S. Haemophilus influenza adheres to and enters cultured human epithelial cells. Infect Immun 1990;58:4036–44.

6. Hindman HB, Patel SB, Jun AS. Rationale for adjunctive topical corticosteroids in bacterial keratitis. Arch Ophthalmol 2009;127:97–102.

7. O’Brien TP, Hazlett LD. Pathogenesis of ocular infection. In: Pepose JS, Holland GN, Wilhelmus KR, editors. Ocular Infection and Immunity. St. Louis, MO: Mosby; 1996.

8. Wilhelmus KR. Bacterial keratitis. In: Pepose JS, Holland GN, Wilhelmus KR, editors. Ocular Infection and Immunity. St. Louis, MO: Mosby; 1996.

9. Tjia KF, van Putten JP, Pels E, Zanen HC. The interaction between Neisseria gonorrhoeae and the human cornea in organ culture. An electron microscopic study. Graefes Arch Clin Exp Ophthalmol 1988;226:341–5.

10. Virji M, Makepeace K, Ferguson DJ, Achtman M, Sarkari J, Moxon ER. Expression of Opc protein correlates with invasion of epithelial and endothelial cells by Neisseria meningitidis. Mol Microbiol 1992;6:2785–95.

11. Chandler JW, Milam DF. Diptheria corneal ulcers. Arch Ophthalmol 1978;96:53–6.

12. Rácz P, Tenner K, Szivessy K. Electron microscopic studies in experimental keratoconjunctivitis listeriosa. I. Penetration of Listeria monocytogenes into corneal epithelial cells. Acta Microbiol Acad Sci Hung 1970;17:221–36.

13. Labrec EH, Schneider H, Magnani TJ, Formal SB. Epithelial cell penetration as an essential step in the pathogenesis of bacillary dysentery. J Bacteriol 1964;88:1503–18.

Kaynak Göster