Cataract Surgery in Patients with a Previous History of KAMRA Inlay Implantation: A Case Series

Purpose: To document the complications of Manual suture-less cataract surgery in eyes with pseudo-exfoliation. Study Design: Interventional case series. Place and Duration of Study: Naseer memorial hospital, Dadyal, Azad Jammu Kashmir, from 4 July 2017 to 3 July 2019. Methods: One hundred and fifty patients with pseudo-exfoliation (PEX) and cataract were selected by convenient sampling. Patients with systemic diseases, history of trauma, intraocular pressure ≥15 mm Hg on Applanation tonometry and any other associated ocular disease for example retinal detachment or retinal disease, previous history of glaucoma or narrow/closed angle on Gonioscopy were excluded from the study. Dark brown cataracts were also excluded. Pseudo-exfoliation was diagnosed on slit lamp on the basis of presence of dandruff like material on the pupil and the anterior lens capsule. The patients underwent manual suture less cataract surgery under local anesthesia Intraoperative and post-operative complications were noted. first day postoperatively. The collected data and analyzed using statistical package for social sciences (SPSS) version 21 for analysis. Results: The study group consisted of 64% males and 36% females with mean age of 65 ± 15.32 years. The most common difficulty encountered was poor pupil dilatation in 37.3% cases followed by Zonular dehiscence in 7.3%. On the first post-operative day, the most common complication was intraocular lens decentration in 2.6% of the cases. Conclusion: Pupils of patients with pseudo-exfoliation dilate poorly and makes surgery difficult. With good pupillary dilatation, careful capsulorhexis and minimal stress on the zonules, MSCS can be safely performed in eyes with cataract and PEX. Key Words: Pseudo-exfoliation, Cataract, Pupil.

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CATARACT SURGERY;

The Professional Medical Journal ◽

10.29309/tpmj/2008.15.03.2833 ◽

2008 ◽

Vol 15 (03) ◽

pp. 387-391

Author(s):

EJAZ AHMAD JAVED ◽

MUHAMMAD SULTAN

Keyword(s):

Cataract Surgery ◽

Axial Length ◽

Previous History ◽

Anterior Chamber Depth ◽

Case Series ◽

Retrospective Case ◽

Axis Ii ◽

Corneal Scarring ◽

History Of ◽

Iol Power

Objectives: To describe the variation of axial length in patients undergoingcataract surgery. Study design: A retrospective case series. Place and duration of study: At OpthalmologicalDepartment, Allied Hospital, PMC, Faisalabad from May 2006 to June 2007. Patients and methods: The axial lengthof 566 patients who were admitted for cataract surgery were measured with A. scan (Axis II, Quantel). The elevenpatients with age below 15 years and above 90 years and with history of trauma, corneal scarring were excluded. Sothere were 555 patients for this study. A careful history of diabetes mellitus, hypertension, trauma, previous history ofsurgery, glaucoma and uveitis was taken, and slit lamp examination, tonometry, pupillary reactions, perception andprojection of light was done. The data collected was entered in specially designed Performa. An average of tenreadings of axial lengths with A-Scan for each patient was taken. Results: Out of 555 patients, there were 350 male(63.06%) and 205 female (36.94%) patients. There were 250(45.05%) patients having age between 46 to 60 years.There were 27(4.86%) patients having age between 15 to 30 years and the same number 27(4.86%) of patients wasseem having age between 76 to 90 years. The most of the patients 273(49.18%) had axial length between 23mm to25 mm. There were only 3 patients with axial length between 29.01 to 31 mm. There were a significant number ofpatients, 230(41.45%) having axial length between 21.01 to 23mm. Conclusion: The biometry depends upon axiallength, kratometry and anterior chamber depth. Most of the formulae supposed for IOL calculations depend upon onlytwo factors, the axial length and the keratometry. In our community, short and long eyes are very rare and so SRK-Tformula for IOL calculations provides satisfactory postoperative results. The axial length carries more importance asits variation causes a gross change in IOL power and postoperative refractive errors.

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Malaria among migrants in a university hospital in Colombia during 2018: A case series

Tropical Doctor ◽

10.1177/0049475520981301 ◽

2020 ◽

pp. 004947552098130

Author(s):

Fabián R Carreño-Almánzar ◽

Adán Coronado-Galán ◽

Sonia A Cala-Gómez ◽

Agustín Vega-Vera

Keyword(s):

Latin American ◽

Previous History ◽

Case Series ◽

Cross Sectional Study ◽

Imported Malaria ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Clinical Profiles

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.

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Xeroderma Pigmentosum: Ocular Findings in an Isolated Brazilian Group with an Identified Genetic Cluster

Journal of Ophthalmology ◽

10.1155/2019/4818162 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Maria Claudia Schelini ◽

Luis Fernando O. B. Chaves ◽

Marcia C. Toledo ◽

Francisco W. Rodrigues ◽

Tauan de Oliveira ◽

...

Keyword(s):

Ocular Surface ◽

Xeroderma Pigmentosum ◽

Genetic Disorder ◽

Skin Pigmentation ◽

Previous History ◽

Case Series ◽

Corneal Neovascularization ◽

University Hospital ◽

Ocular Symptoms ◽

History Of

Purpose. Xeroderma pigmentosum (XP) is a rare autosomal recessive genetic disorder characterized by increased susceptibility to UV radiation- (UVR-) induced skin pigmentation, skin cancers, ocular surface disease, and, in some patients, sunburn and neurological degeneration. Eight different genes are affected, and the prevalence of the disease differs across the world. The present study describes the main ophthalmologic features and symptoms in patients with XP in this case series. Methods. Patients were examined consecutively at the University Hospital of the Federal University of Goias between January 2016 and June 2018. All patients underwent ophthalmologic examination and were asked about their ophthalmological history and the presence of ocular symptoms. Results. Twenty-one patients with genetic confirmation were evaluated. The genetic variants XPV and XPC were detected in the patients. The most prevalent findings include eyelid changes, observed in 80.9% of the patients, and ocular surface changes as punctate keratopathy, occurring in 16 patients (76.2%), corneal neovascularization, and corneal opacities. Six patients (28.5%) presented corneoconjunctival tumor. More than half of patients had previous history of treatment of ocular neoplasia. Ocular burning was the most reported symptom. Conclusions. The ocular characteristics identified in this study corroborate the existing literature, mainly related to the surface. Concerning the XP variant and the gravity of ocular signs, XPC has earlier and more severe symptoms than XPV. Due to their relative rarity, publications of XP cases are important to understand the possible damages caused by the disease in the eyes and surrounding area.

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Tucked and treated- a case series on outcome of meshplasty with abdominoplasty for incisional hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20214383 ◽

2021 ◽

Vol 8 (11) ◽

pp. 3421

Author(s):

Nagamallesh C. S. ◽

Nandini S. Tanwar ◽

F. Sadiq Nawaz ◽

Padmanath Bhat

Keyword(s):

Quality Of Life ◽

Incisional Hernia ◽

Previous History ◽

Case Series ◽

Weight Lifting ◽

Aesthetic Outcome ◽

Strict Glycemic Control ◽

History Of

Incisional hernia is the second most common type of hernia. Incisional hernia occurs in 10-20% of patients who were subjected to abdominal surgery in India. Here we are presenting a case series of 20 patients with incisional hernia and obesity. Body mass index (BMI) ranges from 28 to 35 in all cases. Females outnumbered the male in the ratio of 4:1 and 40% of cases had a previous history of caesarean section. All cases were operated by combining open polypropylene meshplasty and abdominoplasty techniques and follow up consultations were done for 1 year. 10% of cases had post-op wound infections, who were known to be diabetic. They were managed with appropriate antibiotics and maintained strict glycemic control. 90% of patients were satisfied from the procedure performed which improved their quality of life, significant cosmetic outcome and no recurrence. 10% of cases had recurrence after heavy weight lifting following surgery (BMI was 36). By incorporating the above mentioned techniques in hernia repair, recurrence rate and complications were reduced, quality of life and aesthetic outcome are enhanced.

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Nontuberculous Mycobacterial Endophthalmitis: Case Series and Review of Literature

10.21203/rs.3.rs-15739/v4 ◽

2020 ◽

Author(s):

Warinyupa Pinitpuwadol ◽

Nattaporn Tesavibul ◽

Sutasinee Boonsophon ◽

Darin Sakiyalak ◽

Sucheera Sarunket ◽

...

Keyword(s):

Previous History ◽

Case Series ◽

Clinical Information ◽

Visual Outcome ◽

Treatment Modalities ◽

Endogenous Endophthalmitis ◽

Treatment Regimens ◽

Department Of Ophthalmology ◽

History Of ◽

Exogenous Endophthalmitis

Abstract Background: To report three cases of nontuberculous mycobacterial (NTM) endophthalmitis following multiple ocular surgeries and to review previous literature in order to study the clinical profile, treatment modalities, and visual outcomes among patients with NTM endophthalmitis.Methods: Clinical manifestation and management of patients with NTM endophthalmitis in the Department of Ophthalmology, Faculty of Medicine, Siriraj hospital, Mahidol University, Bangkok, Thailand were described. In addition, a review of previously reported cases and case series from MEDLINE, EMBASE, and CENTRAL was performed. The clinical information and type of NTM from the previous studies and our cases were summarized.Results: We reported three cases of NTM endophthalmitis caused by M. haemophilum, M. fortuitum and M. abscessus and a summarized review of 112 additional cases previously published. Of 115 patients, there were 101 exogenous endophthalmitis (87.8%) and 14 endogenous endophthalmitis (12.2%). The patients’ age ranged from 13 to 89 years with mean of 60.5±17.7 years with no gender predominance. Exogenous endophthalmitis occurred in both healthy and immunocompromised hosts, mainly caused by cataract surgery (67.3%). In contrast, almost all endogenous endophthalmitis patients were immunocompromised. Among all patients, previous history of tuberculosis infection was identified in 4 cases (3.5%). Rapid growing NTMs were responsible for exogenous endophthalmitis, while endogenous endophthalmitis were commonly caused by slow growers. Treatment regimens consisted of macrolides, fluoroquinolones or aminoglycosides, which were continued for up to 12 months. Initial and final vision were generally worse than 6/60.Conclusions: NTM endophthalmitis is a serious intraocular infection that leads to irreversible loss of vision. The presentation can mimic a chronic recurrent or persistent intraocular inflammation. History of multiple intraocular surgeries or immune-deficiency in patient with chronic panuveitis should raise the practioner’s suspicion of NTM endophthalmitis. Appropriate diagnosis and treatment are important to optimize visual outcome.

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Nontuberculous Mycobacterial Endophthalmitis: Case Series and Review Literature

10.21203/rs.3.rs-15739/v5 ◽

2020 ◽

Author(s):

Warinyupa Pinitpuwadol ◽

Nattaporn Tesavibul ◽

Sutasinee Boonsophon ◽

Darin Sakiyalak ◽

Sucheera Sarunket ◽

...

Keyword(s):

Previous History ◽

Case Series ◽

Clinical Information ◽

Visual Outcome ◽

Review Literature ◽

Treatment Modalities ◽

Endogenous Endophthalmitis ◽

Department Of Ophthalmology ◽

History Of ◽

Exogenous Endophthalmitis

Abstract Background: To report three cases of nontuberculous mycobacterial (NTM) endophthalmitis following multiple ocular surgeries and to review previous literature in order to study the clinical profile, treatment modalities, and visual outcomes among patients with NTM endophthalmitis.Methods: Clinical manifestation and management of patients with NTM endophthalmitis in the Department of Ophthalmology, Faculty of Medicine, Siriraj hospital, Mahidol University, Bangkok, Thailand were described. In addition, a review of previously reported cases and case series from MEDLINE, EMBASE, and CENTRAL was performed. The clinical information and type of NTM from the previous studies and our cases were summarized.Results: We reported three cases of NTM endophthalmitis caused by M. haemophilum, M. fortuitum and M. abscessus and a summarized review of 112 additional cases previously published. Of 115 patients, there were 101 exogenous endophthalmitis (87.8%) and 14 endogenous endophthalmitis (12.2%). The patients’ age ranged from 13 to 89 years with mean of 60.5±17.7 years with no gender predominance. Exogenous endophthalmitis occurred in both healthy and immunocompromised hosts, mainly caused by cataract surgery (67.3%). In contrast, almost all endogenous endophthalmitis patients were immunocompromised. Among all patients, previous history of tuberculosis infection was identified in 4 cases (3.5%). Rapid growing NTMs were responsible for exogenous endophthalmitis, while endogenous endophthalmitis were commonly caused by slow growers. Treatment regimens consisted of macrolides, fluoroquinolones or aminoglycosides, which were continued for up to 12 months. Initial and final vision were generally worse than 6/60.Conclusions: NTM endophthalmitis is a serious intraocular infection that leads to irreversible loss of vision. The presentation can mimic a chronic recurrent or persistent intraocular inflammation. History of multiple intraocular surgeries or immune-deficiency in patient with chronic panuveitis should raise the practioner’s suspicion of NTM endophthalmitis. Appropriate diagnosis and treatment are important to optimize visual outcome.

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Nontuberculous Mycobacterial Endophthalmitis: Case Series and Review Literature

10.21203/rs.3.rs-15739/v3 ◽

2020 ◽

Author(s):

Warinyupa Pinitpuwadol ◽

Nattaporn Tesavibul ◽

Sutasinee Boonsophon ◽

Darin Sakiyalak ◽

Sucheera Sarunket ◽

...

Keyword(s):

Previous History ◽

Case Series ◽

Clinical Information ◽

Visual Outcome ◽

Review Literature ◽

Treatment Modalities ◽

Endogenous Endophthalmitis ◽

Department Of Ophthalmology ◽

History Of ◽

Exogenous Endophthalmitis

Abstract Background: To report three cases of nontuberculous mycobacterial (NTM) endophthalmitis following multiple ocular surgeries and to review previous literature in order to study the clinical profile, treatment modalities, and visual outcomes among patients with NTM endophthalmitis.Methods: Clinical manifestation and management of patients with NTM endophthalmitis in the Department of Ophthalmology, Faculty of Medicine, Siriraj hospital, Mahidol University, Bangkok, Thailand were described. In addition, a review of previously reported cases and case series from MEDLINE was performed. The clinical information and type of NTM from the previous studies and our cases were summarized.Results: We reported three cases of NTM endophthalmitis caused by M. haemophilum, M. fortuitum and M. abscessus and a summarized review of 95 additional cases previously published. Of 98 patients, there were 85 exogenous endophthalmitis (86.7%) and 13 endogenous endophthalmitis (13.3%). The patients’ age ranged from 13 to 89 years with mean of 61.1±18.7 years with no gender predominance. Exogenous endophthalmitis occurred in both healthy and immunocompromised hosts, mainly caused by cataract surgery (62.4%). In contrast, almost all endogenous endophthalmitis patients were immunocompromised. Among all patients, previous history of tuberculosis infection was identified in 4 cases (4.1%). Rapid growing NTMs were responsible for exogenous endophthalmitis, while endogenous endophthalmitis were commonly caused by slow growers. Treatment regimens consisted of macrolides, fluoroquinolones or aminoglycosides, which were continued for up to 12 months. Initial and final vision were generally worse than 6/60.Conclusions: NTM endophthalmitis is a serious intraocular infection that leads to irreversible loss of vision. The presentation can mimic a chronic recurrent or persistent intraocular inflammation. History of multiple intraocular surgeries or immune-deficiency in patient with chronic panuveitis should raise the practioner’s suspicion of NTM endophthalmitis. Appropriate diagnosis and treatment are important to optimize visual outcome.

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Nontuberculous Mycobacterial Endophthalmitis: Case Series and Review Literature

10.21203/rs.3.rs-15739/v2 ◽

2020 ◽

Author(s):

Warinyupa Pinitpuwadol ◽

Nattaporn Tesavibul ◽

Sutasinee Boonsophon ◽

Darin Sakiyalak ◽

Sucheera Sarunket ◽

...

Keyword(s):

Previous History ◽

Case Series ◽

Clinical Information ◽

Visual Outcome ◽

Review Literature ◽

Treatment Modalities ◽

Endogenous Endophthalmitis ◽

Department Of Ophthalmology ◽

History Of ◽

Exogenous Endophthalmitis

Abstract Background: To report three cases of nontuberculous mycobacterial (NTM) endophthalmitis following multiple ocular surgeries and to review previous literature in order to study the clinical profile, treatment modalities, and visual outcomes among patients with NTM endophthalmitis.Methods: Clinical manifestation and management of patients with NTM endophthalmitis in the Department of Ophthalmology, Faculty of Medicine, Siriraj hospital, Mahidol University, Bangkok, Thailand were described. In addition, a review of previously reported cases and case series from MEDLINE was performed. The clinical information and type of NTM from the previous studies and our cases were summarized.Results: We reported three cases of NTM endophthalmitis caused by M. haemophilum, M. fortuitum and M. abscessus and a summarized review of 95 additional cases previously published. Of 98 patients, there were 85 exogenous endophthalmitis (86.7%) and 13 endogenous endophthalmitis (13.3%). The patients’ age ranged from 13 to 89 years with mean of 61.1±18.7 years with no gender predominance. Exogenous endophthalmitis occurred in both healthy and immunocompromised hosts, mainly caused by cataract surgery (62.4%). In contrast, almost all endogenous endophthalmitis patients were either primary or secondary immunocompromised. Among all patients, previous history of tuberculosis infection was identified in 4 cases (4.1%). Rapid growing NTMs were responsible for exogenous endophthalmitis, while endogenous endophthalmitis were commonly caused by slow growers. Treatment regimens consisted of macrolides, fluoroquinolones or aminoglycosides, which were continued for up to 12 months. Initial and final vision were generally worse than 6/60. There were no significant differences of initial and final vision between exogenous and endogenous causes (p=1.000, 0.446, respectively).Conclusions: NTM endophthalmitis is a serious intraocular infection that leads to irreversible loss of vision. The presentation can mimic a chronic recurrent or persistent intraocular inflammation. History of multiple intraocular surgeries or immune-deficiency in patient with chronic panuveitis should raise the practioner’s suspicion of NTM endophthalmitis. Appropriate diagnosis and treatment are important to optimize visual outcome.

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Parasuicidal poisoning treated in a Greek medical ward: epidemiology and clinical experience

Human & Experimental Toxicology ◽

10.1191/096032701718890595 ◽

2001 ◽

Vol 20 (12) ◽

pp. 611-617 ◽

Cited By ~ 28

Author(s):

A I Hatzitolios ◽

M L Sion ◽

N P Eleftheriadis ◽

E Toulis ◽

G Efstratiadis ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Previous History ◽

Case Series ◽

Acute Poisoning ◽

Northern Europe ◽

Female Ratio ◽

History Of ◽

The Mean ◽

Prospective Case Series

Objective: To study the epidemiology of acute poisoning patients presenting to an acute medical service ward in a Greek hospital between January 1998 and December 2000. Design: Prospective case series. Results: A total of 273 patients with self-poisoning were included in the study. This represented 3.8% of the overall admissions to the unit. The mean age of patients was 33, the most frequent age group being that aged 20–30 years (36.2% of total) with a male-to-female ratio of 1:1.97. Sixty per cent of patients was admitted within 4 h. Those from urban areas comprised 76.2% and 23.8% from rural areas. The most frequently ingested agents were psychopharmaceuticals (37.4%) and analgesics/anti-rheumatics (32.6%). Pesticides (7.7% of total) were most frequently used by patients coming from rural areas (32.3% of patients from rural areas). Alcohol was included in the overdose in 8.4%. Of the patients, 16.2% had a previous history of overdose. In this case series, psychiatric assessment suggested that 52% of the patients had a formal psychotic diagnosis, 21% had personality disorder and 27% had taken an overdose in response to stress. The most frequently documented precipitating factors were family problems and disputes (37%). Unusually, the seasonal distribution in these patients suggested a peak in summer (37.5% of presentations) with lower numbers in spring (30.2%), autumn (17.7%) and winter (14.6%). Of the patients, 23.7% presented in July. A total of 73.5% of patients was conscious, 16.4% was somnolent, 4.5% was in precoma and 5.6% was in coma (GCS <8). Patients who received antidotal therapy comprised 17.9%. Evidence of hepatic dysfunction was observed in 8.9% of patients and renal dysfunction in 3.6%. Extracorporeal techniques for drug removal (hemodialysis and hemoperfusion) were used in 2.2% of patients. Intensive care therapy was required in 11.4% of patients. The mean overall hospitalization time was 3.3 days. The mortality rate was 2.9%. Conclusions: This study shows that the epidemiology of self-harm by overdose in Greece is significantly different in terms of the seasonal presentation from other parts of Europe. The agents ingested and other features are similar to northern Europe. Psychiatric diagnoses are more common in our group than in those reported from northern Europe.

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