scholarly journals A Severe Case ofArthrographis kalraeKeratomycosis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Siti Roszilawati Ramli ◽  
Alex Lourdes Francis ◽  
Yushaniza Yusof ◽  
Tzar Mohd Nizam Khaithir
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Amphotericin B ◽  
Corneal Ulcer ◽  
Surgical Intervention ◽  
Severe Case ◽  
Corneal Scraping ◽  
Loss Of Visual Acuity

A 52-year-old man with diabetes developed a unilateral central corneal ulcer after accidental foreign body inoculation. He complained of pain and loss of visual acuity in the injured eye, which displayed redness and edema and eventually discharged pus. A corneal scraping from the left eye orbit revealed fungal elements, and cultures of the material grew a fungus. The isolate was identified asArthrographis kalraebased on gross and microscopic morphologies. The patient received amphotericin B intravenously and itraconazole orally. The wound healed following surgical intervention, but the patient lost the use of his left eye.

scholarly journals Microbial keratitis: A five years retrospective clinical study in tertiary eye hospital of eastern region of Nepal

2017 ◽  
Vol 4 (4) ◽  
pp. 118-125
Author(s):  
Lila Raj Puri ◽  
Gauri Shankar Shrestha
Keyword(s):  
Visual Acuity ◽  
Clinical Study ◽  
Clinical Features ◽  
Corneal Ulcer ◽  
Health Concern ◽  
Eye Drops ◽  
Microbial Keratitis ◽  
Corneal Ulcers ◽  
Retrospective Clinical Study ◽  
Corneal Scraping

Background: Corneal ulcer is a sight threatening disease of significant public health concern. Early diagnosis with microbiological identification of the causative organism and institution of the proper medical therapy are important for successful visual recovery.Objectives: To find out the demographic and predisposing factors associated with corneal ulcers, evaluate management of ulcers on the basis of clinical features and corneal scraping results.Methods: It was a retrospective clinical study conducted among 1897 subjects with microbial keratitis in Sagarmatha Choudhary Eye Hospital, Lahan, Nepal from January 2010 to December 2014. Assessment included detailed eye examination with slit lamp for size, depth and location of ulcer, presenting visual acuity on internally illuminated Snellen’s chart, and corneal scrapings for Gram’s stain and 10% Potassium hydroxide wet mount. A standard treatment was delivered on the basis of clinical features and corneal scraping results. Subjects were evaluated subsequently after 48 hours, one week, two weeks, three weeks and four weeks of initiation of therapy. Non-responding cases were admitted to perform re-scraping and to modify therapy.Results: Majority of subjects (71.2%) belonged to the age group of 26 to 55 years  (71.2%), presented after two weeks (82.3%) and used non-prescription eye drops (71.9%) before visiting to the eye hospital. Ocular trauma (54.5%) was the most commonly reported predisposing factor. The central and paracentral ulcers comprised of 72.8% of ulcers withsize greater than 2mm in 2.7% and moderate ulcer in 71.1%. Microbiological test revealed fungal ulcers in 78.1% subjects. Presenting visual acuity better than 6/18 was reported in 7% only.Conclusion: Corneal ulcer was one of the commonly reported eye disease in Terai region of Nepal. Trauma is the commonest cause of corneal infection. Fungal corneal ulcers werecommonly noted.

Intraorbital Wooden Foreign Body with Intracranial Extension : A Case Report

2018 ◽  
Vol 44 (1) ◽  
pp. 4
Author(s):  
Amanda N Shinta ◽  
Purjanto Tepo Utomo ◽  
Agus Supartoto
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Frontal Lobe ◽  
Vital Sign ◽  
Intracranial Extension ◽  
Ocular Motility ◽  
Light Perception ◽  
Bone Segment ◽  
Wooden Foreign Body ◽  
Wooden Stick

Purpose : The aim of this study is to report a case of intraorbital wooden foreign body with intracranial extension to the frontal lobe and its management. Method : This is a descriptive study: A 53 year-old male referred due to wooden stick stucked in the orbital cavity causing protruding eyeball and vital sign instability. Result : Right eye examination revealed light perception visual acuity, with bad light projection and bad color perception, inwardly folded upper eyelid, proptosis, conjunctival chemosis, corneal erosion and edema, dilated pupil with sluggish pupillary light reflex and limited ocular movement in all direction. Vital sign was unstable with decreasing blood pressure, increasing temperature and heart rate. CT Scan showed complete fracture of the orbital roof due to penetration of the wooden stick, pneumoencephalus, cerebral edema and hematoma. Emergency craniotomy was performed to remove the penetrating wooden stick and bone segment in the frontal lobe and fracture repair. Ophthalmologist pulled the remaining stick, released the superior rectus muscle and repaired the lacerated eyelid. Outcome visual acuity was no light perception with lagophthalmos and limited ocular motility. Patient was admitted to Intensive Care Unit one day post-operatively and treated with systemic and topical antibiotic. Conclusion : Any case presenting with intraorbital foreign body must undergo immediate neuroimaging to exclude any intracranial extension, especially in patients with worsening general condition.

Cerulean Cataract in a Person with Down s Syndrome

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Madbouhi K ◽  
◽  
Cherkaoui O ◽  
Keyword(s):  
Visual Acuity ◽  
Clinical Examination ◽  
Down's Syndrome ◽  
Anterior Segment ◽  
Down’S Syndrome ◽  
Congenital Form ◽  
The Right ◽  
Radial Arrangement ◽  
Loss Of Visual Acuity

We report the case of an 18-year-old patient who consults for a loss of visual acuity in the right eye for 1 year. On clinical examination, visual acuity is 20/100. Eye tone is 12 mmhg. Examination of the anterior segment shows the existence of a cataract made up of whitish opacities corresponding to a congenital cerulean cataract (Figure 1). The treatment consisted of a cataract cure by phacoemulsification with good progress. Cerulean cataract is a rare congenital form of bluish tint, made up of whitish opacities in concentric layers with a radial arrangement at their center. Visual acuity is fairly good in childhood but may deteriorate later. In the literature, the incidence of cataracts in Down’s children ranges from 5% to 50%. In previous studies of congenital or infantile cataract, 3-5 % of cases were associated with Down’s syndrome [1].

scholarly journals Operation of traumatic cataract with metal foreign body in the lens

2011 ◽  
Vol 139 (3-4) ◽  
pp. 216-220
Author(s):  
Dragan Veselinovic ◽  
Ivan Stefanovic ◽  
Milos Jovanovic ◽  
Aleksandar Veselinovic ◽  
Marija Trenkic-Bozinovic ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Anterior Part ◽  
Central Area ◽  
Traumatic Cataract ◽  
Metal Object ◽  
Anterior Capsule ◽  
Anterior Lens Capsule ◽  
Uncorrected Visual Acuity ◽  
Metal Foreign Body

Introduction. We present a patient with perforative eye injury, a metal foreign body in the lens and traumatic cataract. The paper emphasises the importance of phacoemulsification in case of patients with a traumatic cataract and the presence of a metal foreign body. Case Outline. A 41-year-old patient had a perforative wound of the cornea caused by a metal foreign body that also perforated the anterior lens capsule and remained in the paracentral anterior part of the lens. The injury, which happened upon hitting of a hammer against a metal object, showed the presence of a tangential wound of the cornea adapted edges, and a formed anterior eye chamber. The presence of a metal spear-shaped foreign body was partly inside the anterior eye chamber and partly in the central area of the lens. The visual acuity of the injured eye was 0.2. The technique of removing the foreign body out of the lens and the phacoemulsification of the lens with the implantation of intraocular lens is presented. The paracentral wound on the cornea was not sutured because of well-adapted edges. On the first postoperative day there were no inflammatory signs, and best uncorrected visual acuity of 0.8. Conclusion. Posttraumatic cataracts with a metal foreign body in the lens require operative treatment in order to remove the foreign body, phacoemulsification and implantation of artificial lens. Because of anterior capsule lesion, special care should be taken in regard to anterior capsulorhexis and appropriate hydrodisection. Ocular hypotonia and possible damage of the posterior capsule in some cases can make phacoemulsification more difficult to perform.

scholarly journals The Therapeutic Effect of Corneal Transplantation for Refractory Pseudomonas Aeruginosa Corneal Ulcer

2019 ◽  
Author(s):  
Yan Li ◽  
Ting Wang ◽  
Qiang Wang ◽  
Shanhao Jiang ◽  
Xin Wang
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Visual Acuity ◽  
Corneal Ulcer ◽  
Corneal Transplantation ◽  
Corneal Graft ◽  
Successful Outcome ◽  
Lamellar Keratoplasty ◽  
Corneal Transplant ◽  
Surgical Method

Abstract Purpose To observe the treatment outcome of corneal transplantation for advanced medically uncontrolled culture-proven pseudomonas aeruginosa corneal ulcer.Design Retrospective analysisSubjects and methods 26 patients (eyes) with refractory culture-positive pseudomonas aeruginosa corneal ulcer who failed to respond to drug therapy and underwent consecutive corneal transplant procedures in a hospital (2008.1-2018.8). Etiology, medical history, clinical features, surgical type, vision, recurrence, complications and treatment were recorded, and the relationship between postoperative recovery and selection of surgical method was analyzed.Results Of the 26 patients with pseudomonas aeruginosa corneal ulcer, 9 (34.6%) received penetrating keratoplasty (PKP) and 17 (65.4%) received lamellar keratoplasty (LKP). 22 patients (84.6%) obtained a successful outcome through one corneal transplantation. Of the 9 patients who received PKP, 1 patient having graft rejection 6 months after surgery (endothelial type) obtained successful outcome through adequate drug treatment., while 1 case received success by graft repair combined with amniotic membrane transplantation on the 5 months postoperatively for fungal corneal graft ulcer. In the 17 patients underwent LKP, 2 received a second successful lamellar corneal transplantation for corneal graft melting 2 months after the first surgery. In all the 26 patients, the corneal infection was effectively brought under control by corneal transplantation, and none of them had recurrent ulcers during at least 6months' follow-up. The visual acuity was significantly improved at the last follow-up compared with that before surgery. The postoperative visual acuity of patients underwent LKP was better than that of those who underwent PKP ( p =0.018).Conclusions Corneal transplantation can effectively treat refractory pseudomonas aeruginosa corneal ulcer worsening despite adequate medical treatment and improve eyesight. Compared with PKP, LKP can be the main surgical method to treat refractory pseudomonas aeruginosa corneal ulcer.

Diffuse Retinopathy Following Measles, Mumps, and Rubella Vaccination

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 989-991
Author(s):  
GARY S. MARSHALL ◽  
PETER F. WRIGHT ◽  
GERALD M. FENICHEL ◽  
DAVID T. KARZON
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Optic Neuritis ◽  
Adverse Reactions ◽  
Baby Girl ◽  
Loss Of Vision ◽  
Acute Complication ◽  
Rubella Vaccination ◽  
Loss Of Visual Acuity

Blindness due to optic neuritis or panretinopathy has been reported as an acute complication of natural measles infection.5 Recently, loss of visual acuity following measles, mumps, and rubella (MMR) vaccination with the fundoscopic changes of optic neuritis has been described.6 We have observed a child with blindness due to diffuse neuroretinitis temporally associated with measles, mumps, and rubella vaccination and the development of a postvaccination measles syndrome. CASE REPORT A 16-month-old baby girl presented with acute loss of vision 16 days after routine measles, mumps, and rubella vaccination. The infant had been previously healthy and developmentally normal. She had received three previous oral polio and diphtheria, tetanus, and pertussis vaccinations without adverse reactions.

Argon Laser Photocoagulation for Extrafoveal Neovascular Maculopathy

2020 ◽  
pp. 225-230
Author(s):  
Alan D. Penman ◽  
Kimberly W. Crowder ◽  
William M. Watkins
Keyword(s):  
Visual Acuity ◽  
Macular Degeneration ◽  
Laser Photocoagulation ◽  
Randomized Clinical Trials ◽  
Green Laser ◽  
Significant Loss ◽  
Age Related Macular Degeneration ◽  
Age Related ◽  
Degeneration Study ◽  
Loss Of Visual Acuity

The Macular Photocoagulation Study (MPS) comprised three randomized clinical trials: the Senile Macular Degeneration Study (SMDS), the Ocular Histoplasmosis Study (OHS), and the Idiopathic Neovascularization Study (INVS). The goal was to determine whether, in patients with visual symptoms due to choroidal neovascularization outside the fovea (at least 200 microns from the center of the foveal avascular zone and a best corrected visual acuity of 20/100 or better caused by senile macular degeneration (now known as age-related macular degeneration), histoplasmosis, or idiopathic causes, argon blue-green laser photocoagulation prevents significant loss of visual acuity. Based on the study findings, the authors recommended that eyes with well-defined extrafoveal choroidal neovascular membranes should be treated with argon blue-green laser photocoagulation to prevent or delay significant loss of visual acuity.

scholarly journals Rupture of an infected iliac artery pseudoaneurysm caused by asymptomatic gastrointestinal foreign body perforation

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052094208 ◽  
Author(s):  
Yu Lun ◽  
Han Jiang ◽  
Shijie Xin ◽  
Jian Zhang
Keyword(s):  
Foreign Body ◽  
Iliac Artery ◽  
Surgical Intervention ◽  
Abscess Formation ◽  
Retroperitoneal Abscess ◽  
Surgical Drainage ◽  
Unique Case ◽  
Artery Pseudoaneurysm ◽  
Infected Pseudoaneurysm ◽  
Iliac Artery Pseudoaneurysm

We report a unique case of a ruptured iliac artery pseudoaneurysm caused by asymptomatic gastrointestinal perforation and retroperitoneal abscess formation. A 46-year-old man presented to the Emergency Department of our institution. Angiography showed a ruptured iliac artery pseudoaneurysm caused by retroperitoneal abscess formation. After endovascular repair and surgical drainage, the cause of the abscess was finally identified as a toothpick. Findings from this case show that asymptomatic gastrointestinal foreign body perforation can be a rare, but insidious, cause of an infected pseudoaneurysm. Prompt surgical intervention is sometimes necessary when treating patients with arterial pseudoaneurysm caused by a perivascular abscess.

Sign in / Sign up

Export Citation Format

Share Document