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BOTRYOMYCOSIS; also known as bacterial pseudomycosis is a rare chronic granulomatous bacterial infection that affects the skin, and sometimes the viscera. Here we report a rare case of orbital botryomycosis in a patient who presented with painful nodular lesion in right eye following repair of tissue for Road Traffic Accident(RTA). MRI revealed foreign body granuloma or pseudotumour subsequent histopathology proved botryomycosis and she was treated with antibiotics and surgery . INTRODUCTION: Botryomycosis; also known as bacterial pseudomycosis is a rare chronic granulomatous bacterial infection that affects the skin, and sometimes the viscera.(1) Botryomycosis is an uncommon chronic bacterial infection that generally presents as cutaneous lesion or rarely with visceral involvement. It was first considered a fungal infection, thus the term botryomycosis (from Greek, botrys – bunch of grapes, mycosis – fungal origin). Later, the bacterial etiology was discovered and other terms were reported, including actinophytosis, staphylococcal actinophytosis, bacterial pseudomycosis and granular bacteriosis (2,3). Many species of bacteria have been implicated most commonly staphylococcus aureus, but also pseudomonas aeruginosa, E coli & streptococcus species. (5) Winslow summarized the literature and subcategorized botryomycosis into integumental and visceral forms.(4)The integumental form is more common and is characterized by localized granulomatous skin infections often associated with trauma, foreign body and wound contamination. It usually involves the exposed parts. Visceral effects liver, lung, kidney, prostate, caecum, brain, lymph tissue. Surgery, abrasions and lacerations in road accidents, piercing of pinna are documented etiological factors that may lead to the development of botryomycosis. Chronic cutaneous irritation and lichenified lesions of the scalp often predispose to botryomycosis. Diabetes, alcoholism, poor hygiene, cystic fibrosis and general debility are the known predisposing factors. Botryomycosis is also reported in children. In most cases infection remains localized

PURPOSE : The aim of this study is to determine the frequency of positive serology among patients who underwent elective cataract surgery. METHODS : Retrospective study of 800 cases who underwent thorough laboratory work up as a part of clinical study. 490 were male (61.25%) and 310(38.75%) were female. 35 cases (4.37%) were positive for serology. Hepatitis A in 9(1.13%) cases , Hepatitis B in 6 (0.75%)cases ,hepatitis C in 10 (1.3%)cases ,HIV positive in 8 (1%)cases , VDRL in 2 (0.25%)cases. All cases were grouped as high risk cases for Operating theatre (OT) supportive staffs and surgeons and operated with extra caution. RESULTS : Retrospective analysis of incidence of positive serology in camp cases were found significant. All were operated with all safety measures to protect surgeons and other supportive staffs. CONCLUSIONS : Study proves that serological work up is necessary for all the cases posted for elective cataract surgery. Serology positive patients need special attention to safe

1. Professor. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 2. Post Graduate. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 3. Professor & HOD. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 4. Assistant Professor. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 5. Post Graduate. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 6. Post Graduate. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 7. Post Graduate. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre. 8. Post Graduate. Department of Ophthalmology, Kempegowda Institute of Medical Sciences and Research Centre.