Endogenous endophthalmitis and liver abscesses

2012 ◽  
Vol 11 (1) ◽  
pp. 27-27
Author(s):  
S Koay ◽  
◽  
S Jain ◽  
I Cropley ◽  
H Petrushkin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Diverticular Disease ◽  
Visual Outcome ◽  
Endogenous Endophthalmitis ◽  
Medical Comorbidities ◽  
Streptococcus Anginosus ◽  
Liver Abscesses ◽  
Good Visual Outcome ◽  
Prompt Diagnosis

Abstract We present a case of endogenous endophthalmitis secondary to liver abscesses, in a patient with no previous medical comorbidities or risk factors for immunosuppression. The patient presented with acute painless loss of vision and feeling generally unwell. Investigations revealed Streptococcus anginosus-constellatus bacteraemia, and evidence of diverticular disease that likely predisposed to the liver abscesses. Due to prompt diagnosis and administration of antibiotics, the patient had a good visual outcome. This case highlights the importance of being aware of endogenous endophthalmitis, as early diagnosis and prompt administration of antibiotics will optimise visual outcomes.

scholarly journals Clinical profile and outcomes of descemetopexy in descemet membrane detachment (DMD) post-cataract surgery

2021 ◽  
Vol 7 (3) ◽  
pp. 482-485
Author(s):  
Harshika Chawla ◽  
Vishal Vohra ◽  
Asif Khan ◽  
Monika Bareja
Keyword(s):  
Risk Factors ◽  
Cataract Surgery ◽  
Sulfur Hexafluoride ◽  
Visual Outcome ◽  
Small Incision Cataract Surgery ◽  
Preoperative Risk Factors ◽  
Good Visual Outcome ◽  
The Mean ◽  
Final Visual Outcome ◽  
Descemet Membrane Detachment

To identify the preoperative risk factors, type of cataract surgery, cataract grade, and final visual outcome in patients undergoing descemetopexy for DMD. This was a retrospective study in which records of patients who underwent descemetopexy with either air or 20% sulfur hexafluoride (SF6) between 1st July 2014 and 30th June 2017. Grade of cataract, type of surgery, visual outcomes, and site of DMD were recorded.The mean age of the patients was 63.21 ± 5.8 years. Of the total 23 cases undergoing descemetopexy, 20 cases (87%) were after manual small incision cataract surgery (MSICS) and three cases (13%) were post phacoemulsification. The mean duration of presentation with a detachment was 13.03± 10.9 days (1-40 days). The most common types of DMD were total (34.8%) followed by temporal (30.4%) and superior (26.1%). Two patients (8.6%) obtained LOGMAR visual acuity (VA) of 0.0 and 5 of 23 patients (21.7%) achieved LOGMAR VA 0.3 after descemetopexy. Reattachment rates were 87% and three cases had reintervention. : This study identifies mature cataract and pre-existing corneal pathology as major risk factors for DMD during cataract surgery. DMD can be treated effectively and good visual outcome after successful descemetopexy.

scholarly journals Two Cases of Endogenous Endophthalmitis Caused by Gram-Positive Bacteria with Good Visual Outcome

2010 ◽  
Vol 1 (2) ◽  
pp. 56-62 ◽  
Author(s):  
Machiko Itoh ◽  
Junko Ikewaki ◽  
Kenichi Kimoto ◽  
Yuji Itoh ◽  
Kei Shinoda ◽  
...  
Keyword(s):  
Visual Outcome ◽  
Endogenous Endophthalmitis ◽  
Gram Positive ◽  
Gram Positive Bacteria ◽  
Good Visual Outcome

scholarly journals Treatment of Bilateral Endogenous Aspergillus Endophthalmitis with Multiple Intravitreal Voriconazole Injections with Good Visual Outcome

2021 ◽  
pp. 1002-1007
Author(s):  
Inas F. Aboobakar ◽  
Sally S. Ong ◽  
Akosua Nti ◽  
Kim Jiramongkolchai ◽  
J. Fernando Arevalo
Keyword(s):  
Visual Outcome ◽  
Intravitreal Injections ◽  
Endogenous Endophthalmitis ◽  
Visual Outcomes ◽  
Good Visual Outcome ◽  
The Right ◽  
Final Visual Outcome

Endogenous endophthalmitis caused by <i>Aspergillus</i> species tends to be very aggressive, often leading to devastating visual outcomes. Historically, intravitreal amphotericin injections have played a central role in management, but with variable visual outcomes and a risk of toxicity. Limited reports suggest that use of intravitreal voriconazole is a safe and efficacious alternative, though these cases were treated with only few intravitreal injections. Here, we report a case of bilateral endogenous <i>Aspergillus</i> endophthalmitis treated with 8 intravitreal voriconazole injections in the right eye and 11 in the left eye with good best-corrected final visual outcome (20/50 right eye and 20/40 left eye).

GOOD VISUAL OUTCOME AFTER LISTERIA MONOCYTOGENES ENDOGENOUS ENDOPHTHALMITIS

Retina ◽  
1999 ◽  
Vol 19 (6) ◽  
pp. 566-567 ◽  
Author(s):  
VINCENT A. DERAMO ◽  
GAURAV K. SHAH ◽  
MARK GARDEN ◽  
JOSEPH I. MAGUIRE
Keyword(s):  
Listeria Monocytogenes ◽  
Visual Outcome ◽  
Endogenous Endophthalmitis ◽  
Good Visual Outcome

scholarly journals Prevalence of and risk factors for endogenous endophthalmitis in patients with pyogenic liver abscesses

2015 ◽  
Vol 30 (4) ◽  
pp. 453 ◽  
Author(s):  
In Hyung Park ◽  
Chung Hwan Jun ◽  
Jin Woo Wi ◽  
Seon Young Park ◽  
Wan Sik Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Endogenous Endophthalmitis ◽  
Liver Abscesses

Early diagnosis of amblyopia

2018 ◽  
Vol 35 ◽  
Author(s):  
DAVID HUNTER ◽  
SUSAN COTTER
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Early Identification ◽  
Visual Outcome ◽  
Subsequent Treatment ◽  
Older Children

AbstractAmblyopia can be improved or eliminated more easily when treated early in life. Because amblyopia in older children is generally less responsive to treatment (Holmes et al., 2011), there is a premium on the early identification of amblyopia and its risk factors and the subsequent treatment thereof. Clinical preference is to institute treatment in children before 7 years of age when an optimal visual outcome is typically easier to obtain.

scholarly journals Sever inadvertent globe perforation during supplemental peribulbar anesthesia injection

2019 ◽  
Vol 6 (2) ◽  
pp. 608
Author(s):  
Nayef F. Alswaina
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Local Anesthesia ◽  
Axial Length ◽  
Vitreous Hemorrhage ◽  
Visual Outcome ◽  
Careful Attention ◽  
Peribulbar Anesthesia ◽  
Retrobulbar Hemorrhage ◽  
Final Visual Outcome

A globe perforation is a well-known serious complication during peribulbar anesthesia. A second supplement injection may further increase the risk of this complication. Retrobulbar hemorrhage and brainstem injection are other serious complications have been reported following peribulbar injections. Although there is an increasing popularity for needle-free procedures of local anesthesia such as sub-tenon's injection and topical anesthesia, peribulbar anesthesia remains one of the favorite techniques for providing anesthesia in ophthalmic procedures. The risk for inadvertent globe perforation is increased if the patient has long axial length or posterior staphyloma. However, careful attention should be done to all patients and not only those with risk factors for globe perforation. Here we report a 69-year-old male patient referred to vitreoretinal surgeon with a vitreous hemorrhage due to a sever globe perforation during peribulbar anesthesia, in which early diagnosis and management helped in achieving a good final visual outcome. Also, in this case we discussed the safety of peribulbar anesthesia supplements, and how to avoid such complication. Using of balloon compression for adequate time to spread the local anesthesia around the globe and giving the injection with a shorter needle syringe may reduce the risk for inadvertent globe perforation following a supplemental peribulbar anesthesia injection.

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