scholarly journals Delayed-onset Candida parapsilosis cornea tunnel infection and endophthalmitis after cataract surgery: Histopathology and clinical course

2018 ◽  
Vol 11 ◽  
pp. 109-114
Author(s):  
Sotiria Palioura ◽  
Nidhi Relhan ◽  
Ella Leung ◽  
Victoria Chang ◽  
Sonia H. Yoo ◽  
...  
2020 ◽  
Vol 20 (4) ◽  
pp. 187-190
Author(s):  
N.V. Kutukova ◽  
◽  
A. Yu. Kutukov ◽  
V.V. Brzheskiy ◽  
◽  
...  

im: to assess the clinical course and surgical procedures for contusion cataracts.Patients and Methods: 50 patients with a contusion cataract who underwent surgical treatment in 2008–2018 were included in the study group. 50 patients with a complicated cataract, either along with glaucoma (n=25) or diabetic cataract (n=25), were included in the control group. All patients were examined and treated in the same manner (i.e., eye exam was performed at admission, before the surgery, on postoperative days 1–3, and 1, 3, and 6 months after the surgery).Results: unilateral cataracts were revealed in the study group and bilateral cataracts were revealed in the control group. More than two-third of study group patients and only 14% of controls have the clinical signs of subluxated lens. In the study group, lens opacities were polymorphic. In the control group, nuclear opacities occurred in 30%, cortical opacities in 32%, and mixed opacities in 38%. In the course of surgical procedures, previously undiagnosed mild lens subluxation was identified in 12% of study group patients and less than 6% of controls. The total rate of zonular insufficiency in the study group was twice as much as in the control group. Additional devices (i.e., iris and capsular retractors, capsular tension rings etc.) were used in 46% of study group patients and 20% of control group patients. Visual acuity more than 12/20 was reported in 86% of study group patients and only 32% of control group patients.Conclusions: the clinical course and surgical performance of contusion cataracts should be considered when examining and operating these patients. Occult minimal lens subluxation is also important. Keywords: complicated cataract, traumatic cataract, contusion cataract, lens subluxation, iris capsular retractor, capsular tension ring, surgical specificities.For citation: Kutukova N.V., Kutukov A.Yu., Brzheskiy V.V. Addressing the specificities of contusion cataract surgery in adults. Russian Journal of Clinical Ophthalmology. 2020;20(4):187–190. DOI: 10.32364/2311-7729-2020-20-4-187-190.


2014 ◽  
Vol 40 (2) ◽  
pp. 327-330 ◽  
Author(s):  
Varada Vinay Gokhale ◽  
Lily K. Therese ◽  
R. Bagyalakshmi ◽  
Jyotirmay Biswas

2020 ◽  
Vol 9 (9) ◽  
pp. 3034
Author(s):  
Alexander Aaronson ◽  
Asaf Achiron ◽  
Raimo Tuuminen

Background: To evaluate the clinical course of pseudophakic cystoid macular edema (PCME) treated with topical non-steroidal anti-inflammatory drugs (NSAIDs). Methods: An analysis of the clinical course of PCME consisting of 536 eyes of 536 patients from five consecutive randomized clinical trials aimed at the optimization of anti-inflammatory medication in patients undergoing routine cataract surgery. PCME was classified as (i) grade 0a; no macular thickening, (ii) grade 0b; macular thickening (central subfield macular thickness (CSMT) increase of at least 10%) without signs of macular edema, (iii) grade I; subclinical PCME, (iv) grade II; acute PCME, (v) grade III; long-standing PCME. Eyes with PCME classification from grade I onwards were treated with nepafenac 1 mg/mL t.i.d. for two months. Results: CSMT increase of at least 10% at any postoperative timepoint with cystoid changes—a criterion for PCME—was found in 19 of 536 eyes (total incidence 3.5%). Of these 19 eyes, 13 eyes (total incidence 2.4%) had clinically significant PCME. PCME was considered clinically significant when both of the following visual acuity criteria were fulfilled. At any timepoint after the cataract surgery both the corrected distance visual acuity (CDVA) gain was less than 0.4 decimals from that of preoperative CDVA, and the absolute CDVA level remained below 0.8 decimals. Only one of the 19 eyes with criteria for PCME (total incidence 0.2%, incidence of PCME eyes 5.3%) showed no macular edema resolution within 2 months after topical nepafenac administration. Conclusions: PCME in most cases is self-limiting using topical nepafenac without any further need for intravitreal treatment.


Author(s):  
Laurie W. van der Merwe ◽  
Dawood da Costa ◽  
Kessendri Reddy ◽  
David Meyer

AbstractA case of delayed-onset post-cataract-surgery keratitis and endophthalmitis, caused by the melanin-producing fungus Exophiala oligosperma, is presented. The patient presented with an infection at the corneal side-port wound 5 months after an uneventful phacoemulsification surgery. Despite pars plana vitrectomy and combination antifungal treatment, the patient required an evisceration of the globe. Limited clinical information is available about the treatment of eye infections caused by this organism.


2012 ◽  
Vol 3 (3) ◽  
pp. 291-297 ◽  
Author(s):  
Yuki Hayashi ◽  
Hiroshi Eguchi ◽  
Tatsuro Miyamoto ◽  
Masayuki Inoue ◽  
Yoshinori Mitamura

1978 ◽  
Vol 86 (5) ◽  
pp. ORL-755-ORL-757
Author(s):  
Marshall Strome

The otolaryngologist has a reference frame for congenital stridor that rarely includes diagnosis of a bronchogenic cyst. The life-threatening potential of this lesion makes consideration and recognition imperative. Representing less than 5% of the mediastinal childhood masses in the infant, respiratory distress most often initiates diagnostic studies leading to identification and extirpation. The case presentation highlights the clinical course. The diagnostic hallmark of this case was the delayed onset of stridor with subsequent progression. Thereafter, a chest film and barium swallow suggested the diagnosis. In newborns, however, such cysts may not be evident on routine chest films and, nonetheless, cause significant respiratory distress from airway compression. Surgical extirpation should be affected as soon as possible after the diagnosis is entertained in order to insure against a sudden respiratory death.


2017 ◽  
Vol 40 (10) ◽  
pp. e371-e374
Author(s):  
P. Hammeni ◽  
M. Zahi ◽  
A. Danan-Husson ◽  
M. Ogielska ◽  
P.-J. Pisella ◽  
...  

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