scholarly journals Good Visual Outcome in Post Traumatic Exogenous Endophthalmitis Caused by Trichophyton Species

Cureus ◽  
2021 ◽  
Author(s):  
Prakash Supahiah ◽  
Nooramad Abbas Bin Ahmad ◽  
Wee Min Teh ◽  
Nor Fadzillah Bt Abd Jalil ◽  
Norshamsiah Md Din
Keyword(s):  
Visual Outcome ◽  
Good Visual Outcome ◽  
Post Traumatic ◽  
Exogenous Endophthalmitis

Vitreous Prolapse

2013 ◽  
Author(s):  
Tony Realini ◽  
Albert S. Khouri
Keyword(s):  
Cataract Surgery ◽  
Visual Outcome ◽  
Glaucoma Surgery ◽  
Clinical Settings ◽  
Shunt Placement ◽  
Tube Lumen ◽  
Good Visual Outcome ◽  
Aphakic Eyes ◽  
Post Traumatic ◽  
Tube Shunt

There are few absolutes in glaucoma surgery. Here is one: vitreous is bad. Anticipating and avoiding it are the best ways to avoid complications, but managing it is necessary when it rears its ugly head. There are several clinical settings in which vitreous anticipation is appropriate and expected. Recognizing these settings in advance will allow for a prepared surgical approach. Aphakic eyes pose perhaps the highest risk of encountering vitreous during tube shunt placement. In an aphakic eye, the natural barrier holding the vitreous back—the lens and specifically its posterior capsule—is no longer present. These eyes typically have vitreous at or only just behind the pupil, bare millimeters from where the tip of the tube will rest. If vitreous is in the anterior chamber prior to surgery, judicious use of viscoelastics will typically keep the vitreous away from the tube; however, if the vitreous has breached the pupil, it would be wise to clean it up prior to tube insertion. (See below for surgical details.) With vitreous just peeking through the pupil, it might be tempting to try to slip the tube in quickly and get out without stirring things up, with possible success in the short term. Postoperatively, however, if the eye is cursed with a bout of hypotony or as vitreous syneresis progresses, vitreous will almost certainly find its way to the tube lumen, the operation will no longer be successful, and the vitreous will have to be dealt with anyway. Vitreous occasionally presents during cataract surgery, during which time a good clean-up yields a good visual outcome. An incomplete clean-up may also permit a good visual outcome, but leaves the equivalent of a landmine for the glaucoma surgeon who might follow in the cataract surgeon’s wake. It behooves the glaucoma surgeon to review the operative reports for all pseudophakic eyes—particularly those with pseudoexfoliation that are prone to zonular dehiscence and subsequent vitreous laden complications during cataract surgery—so that any encounter with vitreous during tube shunt placement has been anticipated and planned for. The post-traumatic eye can offer a variety of unpleasant surprises for the unprepared surgeon.

Retinotomy and retinectomy for anterior inferior proliferative vitreoretinopathy: Can visual outcome be improved?

2021 ◽  
pp. 112067212110128
Author(s):  
Mumin Hocaoglu ◽  
Murat Karacorlu ◽  
M. Giray Ersoz ◽  
Isil Sayman Muslubas ◽  
Serra Arf
Keyword(s):  
Proliferative Vitreoretinopathy ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Clinical Stage ◽  
Case Series ◽  
Visual Outcome ◽  
Attachment Rate ◽  
Good Visual Outcome ◽  
The Mean

Purpose: To describe the treatment outcomes and prognostic factors of retinotomy/retinectomy for rhegmatogenous retinal detachment (RD) complicated anterior inferior proliferative vitreoretinopathy (PVR). Methods: Retrospective, nonrandomized, single-center case series. The outcomes of 126 cases of retinotomy/retinectomy for RD complicated by advanced (Grade C) anterior inferior PVR managed consistently by one surgeon during a 15-year period were evaluated. Results: Forty-two eyes (33%) had primary RDs and 84 (67%) had recurrent RDs. The extent of retinotomy/retinectomy varied: 90° in 21 eyes (17%), >90° to <180° in 49 eyes (39%), and ⩾180° to ⩽240° in 56 eyes (44%). The retinotomy/retinectomy location was peripheral in 58 eyes (46%) and equatorial in 68 eyes (54%). The mean follow-up period was 43 ± 42 months. The silicone oil (SO) was removed from 98% of the eyes. The single-operation success rate after the primary retinectomy was 87%, and the final attachment rate was 94%. Visual acuity improved from 20/630 to 20/160 ( p < 0.001). Vision ⩾20/200 was achieved in 101 eyes (80%). Good visual outcome was correlated positively with preoperative VA ( p = 0.02), previous vitrectomy with gas tamponade ( p = 0.007), and was negatively correlated with number of previous RD operations ( p = 0.01), larger extent of RD ( p = 0.02) and more extensive retinotomy/retinectomy ( p = 0.04). Conclusions: An appropriate and timely intervention, including vitrectomy alone, inferior relaxing retinotomy/retinectomy and standard SO tamponade provide satisfactory outcomes for RDs complicated by PVR. Lesser extension of grade C PVR at baseline, such as PVR limited to one quadrant should encourage vitreoretinal specialists to consider retinotomy/retinectomy at a milder clinical stage of PVR development.

Rubeosis iridis and macular hemorrhages from multiple Corkscrew retinal vessels in a patient with NF1

2021 ◽  
pp. 112067212199663
Author(s):  
Marilyn A Márquez ◽  
Claudio P Juárez ◽  
Maria C Sánchez ◽  
Jose D Luna
Keyword(s):  
Intravitreal Bevacizumab ◽  
Visual Outcome ◽  
Neovascular Glaucoma ◽  
Retinal Vessels ◽  
Retinal Hemorrhages ◽  
Fluorescein Angiogram ◽  
Rubeosis Iridis ◽  
Good Visual Outcome ◽  
Av Malformation ◽  
Sudden Decrease

Purpose: To report a case of a patient with NF1 presenting with ocular findings of AV malformation, multiple retinal hemorrhages, and neovascular glaucoma in the absence of retinal ischemia. Methods: Review of the medical record was conducted in accordance with the local IRBt. Results: A 60-year-old female patient with diagnosis of Neurofibromatosis type1 (NF1) and sudden decrease of vision in her left eye was found to have rubeosis iridis and high intraocular pressure (IOP). On fundus exam multiple corkscrew retinal vessels and retinal hemorrhages were present in her left eye. On Optical Coherence Tomography (OCT) the foveal hemorrhages appeared as outer layer hyperreflective retinal infiltrates whereas in the parafoveal area the hyperreflectivity was present between the RPE and neurosensory retina. Fluorescein Angiogram (FA) showed normal perfusion and no areas of leakage or ischemia. Treatment with anti-angiogenics in a timely manner correlated with a good visual outcome. Conclusions: We present a unique patient with NF1, rubeosis iridis, high IOP, and macular hemorrhages from multiple corkscrew retinal vessels in a well perfused retina, who underwent treatment with a single dose of intravitreal Bevacizumab and had an excellent response

scholarly journals Post-Traumatic Exogenous Endophthalmitis Caused By Nocardia Farcinica

2021 ◽  
Author(s):  
Marie Česká Burdová ◽  
Kateřina Donátová ◽  
Gabriela Mahelková ◽  
Vanda Chrenková ◽  
Dagmar Dotřelová
Keyword(s):  
Anterior Chamber ◽  
Infectious Agent ◽  
Corneal Injury ◽  
Nocardia Farcinica ◽  
Complicated Course ◽  
Post Traumatic ◽  
Exogenous Endophthalmitis ◽  
Treatment Procedures

Abstract A case report of post-traumatic exogenous endophthalmitis caused by Nocardia farcinica, including treatment procedures, microbiology examination, and systemic medications. A 23-year-old male suffered a penetrating corneal injury that was treated with sutures. The sutures were individually removed during the 4th and 5th months after surgery. On the thirteenth day after the final suture was removed, an anterior uveitis developed and progressed to whitish, plump, nodular, and tufted exudates within the anterior chamber over the next 10 days; this led to an indication for intraocular surgery. Anterior chamber lavage and resection of solid fibrinous exudates (using a vitrectomy knife) for a complete microbiological examination were performed. Nocardia farcinica was identified. Systemic medications were chosen according to sensitivity, and a fixed combination of sulfamethoxazole 400 mg/trimethoprim 80 mg was administered long-term (months). After a complicated course, the final visual acuity was 0.5. In this case, accurate, early detection of an atypical infectious agent and determination of its sensitivity to antibiotic treatment enabled effective treatment that achieved the best functional and anatomical results under the circumstances.

Refractive and Visual Outcomes after Scleral Fixated Intraocular Lens Implantation in Children with Ectopia Lentis

2020 ◽  
Vol 12 (1) ◽  
pp. 75-82
Author(s):  
Regina Lalramhluni ◽  
Soveeta Rath ◽  
Ankita Shrivastav ◽  
Prem Kumar Singh ◽  
Rahul Mayor ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Visual Outcome ◽  
Ectopia Lentis ◽  
Corrected Visual Acuity ◽  
Good Visual Outcome ◽  
Induced Astigmatism ◽  
The Mean ◽  
The Stability ◽  
Scleral Fixated Intraocular Lens

Introduction: This study was conducted to report the refractive and visual outcome after Scleral Fixated Intraocular Lens (SFIOL) implantation in children with nontraumatic ectopia lentis. Methods: Retrospective review of the medical records of 25 eyes of 15 patients who underwent SFIOL implantation in children with non-traumatic ectopia lentis. Results: The mean best corrected visual acuity (BCVA) before SFIOL implantation was 1.07 ± 0.9 logMar units [median: 0.9, Interquartile range (ΙQR): 0.415 to 1.555] which improved to 0.41 ± 0.33 logMar units (median: 0.22, ΙQR: 0.180 to 1.555) at two months postoperative follow up. In phakic group, the mean spherical refraction preoperatively was -12.04 ± 7.82 DS (dioptre sphere) (IQR: +16 to -5.875) and postoperatively was +0.93 ± 2.67DS (IQR: -0.375 to +2). In aphakic group, the mean spherical refraction preoperatively was +12.22 ± 2.05 DS and postoperatively was +1.2 ± 1.9 DS. The mean total astigmatism preoperatively was -6.44 ± 4.95 DC (dioptre cylinder) (median: 6, IQR: -10.50 to +2) and postoperatively was -1.47 ± 0.98 DC (median: -1.5, IQR: -2 to - 0.625 ). The mean IOL induced astigmatism was -1.01 ± 0.95 DC (median -0.75, IQR: -1.33 to - 0.25). The spherical refractive equivalent was within 2 Diopter (D) of the target refraction calculated preoperatively in 20 eyes and in five eyes it was more than 2 D. Conclusion: SFIOL implantation is associated with good visual outcome with a significant improvement in the refractive error. However, a longer follow up is required to assess the change of refraction and the stability of the SFIOL.

scholarly journals An Eleven-Year Retrospective Study of Endogenous Bacterial Endophthalmitis

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Takashi Nishida ◽  
Kyoko Ishida ◽  
Yoshiaki Niwa ◽  
Hideaki Kawakami ◽  
Kiyofumi Mochizuki ◽  
...  
Keyword(s):  
Visual Outcome ◽  
Causative Organism ◽  
Ocular Involvement ◽  
Bacterial Endophthalmitis ◽  
Poor Visual Outcome ◽  
Ocular Symptoms ◽  
Good Visual Outcome ◽  
The Mean ◽  
Systemic Antibiotics ◽  
Endogenous Bacterial Endophthalmitis

Purpose. To determine the clinical features, microbial profiles, treatment outcomes, and prognostic factors for endogenous bacterial endophthalmitis (EBE).Methods. The medical records of 27 eyes of 21 patients diagnosed with EBE for 11 years were reviewed. Collected data included age, site of infection, visual acuities (VAs), microbial profiles, and treatment regimen.Results. The mean age was 68.5 years. Gram-positive organisms accounted for 76.2%, while gram-negative ones accounted for 19.0%.Staphylococcus aureuswas the most common causative organism (52.3%) of which 72.7% wasmethicillin-resistant S. aureus. A final VA of ≥20/40 was achieved in 44% and 20/200 or better was in 64%. Eyes with initial VA of ≥20/200 (P= 0.003) and focal involvements (P= 0.011) had significantly better final VA. Initial VA (P= 0.001) and the interval between onset of ocular symptoms and intravitreal antibiotic injection (P= 0.097) were associated with final VA in eyes receiving intravitreal antibiotics.Conclusions. EBE is generally associated with poor visual outcome; however the prognosis may depend on initial VA, extent of ocular involvement, and an interval between onset of ocular symptoms and intravitreal antibiotic injection. Early diagnosis and early intravitreal injection supplement to systemic antibiotics might lead to a relatively good visual outcome.

Good visual outcome of tuberculous chorioretinitis after ART initiation in a HIV-infected patient

2014 ◽  
Vol 34 (6) ◽  
pp. 1263-1265 ◽  
Author(s):  
Erik Schaftenaar ◽  
Christina Meenken ◽  
G. Seerp Baarsma ◽  
Georges M. G. M. Verjans ◽  
Remco P. H. Peters
Keyword(s):  
Infected Patient ◽  
Visual Outcome ◽  
Art Initiation ◽  
Good Visual Outcome
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