{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:54:38Z","timestamp":1791381278835,"version":"4.3.3"},"reference-count":21,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"unspecified","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,22]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>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.<\/jats:p>\n                  <jats:p>\n                    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\n                    <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                    bacteraemia, which may have been the underlying cause of the ocular condition.\n                  <\/jats:p>\n                  <jats:p>\n                    Intraocular involvement in BL is rare, and although\n                    <jats:italic>P. aeruginosa<\/jats:italic>\n                    is a leading cause of infective necrotising scleritis, scleral perforation due to this bacterium without prior surgery has not been reported.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-275255","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:15:31Z","timestamp":1791378931000},"page":"e275255","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Scleral perforation in a young adult with Burkitt lymphoma"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7995-0676","authenticated-orcid":false,"given":"Orsolya","family":"B\u00e1lint","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen Faculty of Medicine, Debrecen, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7951-6004","authenticated-orcid":false,"given":"Eva","family":"Suranyi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen Faculty of Medicine, Debrecen, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1201-0284","authenticated-orcid":false,"given":"Yi-Che","family":"Chang Chien","sequence":"additional","affiliation":[{"name":"Institute of Pathology, University of Debrecen, Debrecen, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1390-0548","authenticated-orcid":false,"given":"Dorottya","family":"Pasztor","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen Faculty of Medicine, Debrecen, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"2026100706152752000_19.10.e275255.1","doi-asserted-by":"crossref","DOI":"10.1186\/s13244-019-0733-7","article-title":"An update on Burkitt lymphoma: a review of pathogenesis and multimodality imaging assessment of disease presentation, treatment response, and recurrence","volume":"10","author":"Kalisz","year":"2019","journal-title":"Insights Imaging"},{"key":"2026100706152752000_19.10.e275255.2","doi-asserted-by":"publisher","DOI":"10.1097\/MOH.0b013e3281bccdee"},{"key":"2026100706152752000_19.10.e275255.3","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2019004099"},{"key":"2026100706152752000_19.10.e275255.4","doi-asserted-by":"crossref","DOI":"10.1093\/ofid\/ofy140","article-title":"Infectious Scleritis: What the ID Clinician Should Know","volume":"5","author":"Guerrero-Wooley","year":"2018","journal-title":"Open Forum Infect Dis"},{"key":"2026100706152752000_19.10.e275255.5","doi-asserted-by":"crossref","DOI":"10.1007\/s11274-019-2739-1","article-title":"Metabolomic studies of Pseudomonas aeruginosa","volume":"35","author":"Mielko","year":"2019","journal-title":"World J Microbiol Biotechnol"},{"key":"2026100706152752000_19.10.e275255.6","doi-asserted-by":"crossref","first-page":"1493831","DOI":"10.3389\/fopht.2025.1493831","article-title":"Infectious scleritis: a review of etiologies, clinical features, and management strategies","volume":"5","author":"Sharma","year":"2025","journal-title":"Front Ophthalmol"},{"key":"2026100706152752000_19.10.e275255.7","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1159\/000439054","article-title":"Recurrent Immunodeficiency-Associated Burkitt Lymphoma Presenting as Severe Anterior Uveitis","volume":"2","author":"Huang","year":"2015","journal-title":"Ocul Oncol Pathol"},{"key":"2026100706152752000_19.10.e275255.8","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajoc.2024.102238","article-title":"Primary lacrimal sac Burkitt lymphoma: A case report and literature review","volume":"37","author":"Yeoh","year":"2025","journal-title":"Am J Ophthalmol Case Rep"},{"key":"2026100706152752000_19.10.e275255.9","doi-asserted-by":"crossref","first-page":"37","DOI":"10.9790\/0853-0513739","article-title":"A rare case of Burkitt\u2019slymphoma in an AIDS patient presenting as proptosis - 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