scholarly journals Pseudomonas aeruginosa endophthalmitis caused by accidental iatrogenic ocular injury with a hypodermic needle

2017 ◽  
Vol 45 (2) ◽  
pp. 882-885
Author(s):  
Cheng-wei Lu ◽  
Ji-long Hao ◽  
Xiu-fen Liu ◽  
Ling-ling Liang ◽  
Dan-dan Zhou
Keyword(s):  
Vision Loss ◽  
Hypodermic Needle ◽  
Ocular Infection ◽  
Ocular Injury ◽  
Antibiotic Administration ◽  
Hand Motion ◽  
Severe Vision Loss ◽  
The Right ◽  
Type Of Injury

Iatrogenic traumatic endophthalmitis is a rare but serious ocular infection that can lead to severe vision loss. A 44-year-old man presented with pain and decreased vision in the right eye 4 hours after injury with a hypodermic needle during irrigation of his eye. Slit-lamp examination revealed a penetrating corneal puncture and iris hole in the right eye. Twenty hours later, his visual acuity had decreased to hand motion, and severe fibrinoid uveitis was noted. He immediately underwent irrigation of the anterior chamber and intravitreal antibiotic injection. The right eye became painful again, and emergent vitrectomy combined with lensectomy was performed along with intravitreal antibiotic administration. The patient remained stable during the 2-month follow-up. Standard practice should be adopted when irrigating the eye to prevent this type of injury, and emergent surgical intervention is very important to preserve visual function.

Vision loss in a pregnant woman with nephrotic syndrome

2021 ◽  
pp. 112067212110547
Author(s):  
Zoi Tsani ◽  
Antonios Ntafos ◽  
Victoria Toumanidou ◽  
Anna Dastiridou ◽  
Ioanna Ploumi ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Nephrotic Syndrome ◽  
Pregnant Woman ◽  
Vision Loss ◽  
Pigment Epithelium ◽  
Hand Motion ◽  
Corrected Visual Acuity ◽  
Visual Acuity Loss ◽  
The Right

Purpose To report acute visual acuity loss in a pregnant woman with nephrotic syndrome. Case Report A 34-year-old pregnant woman was referred to our service for acute, bilateral visual impairment, associated with bilateral below knee edema (BKE). Best-corrected visual acuity (BCVA) was hand motion in the right eye and 20/200 in the left eye. Dilated fundus exam disclosed multiple pigment epithelium detachments involving the macula in both eyes. After consultation with a nephrologist a diagnosis of nephrotic syndrome was made. Unfortunately, a week later she lost the fetus. At follow-up evaluation, 20 days after the miscarriage, BCVA improved to 20/25 in both eyes with near normal restoration of the retinal anatomy. Conclusion In nephrotic syndrome, sequestration of interstitial fluids, which leads to classic generalized edema, could be the origin of interstitial accumulation of fluids in the retinal and subretinal layers. Increased awareness by the gynaecologists and prompt treatment may prevent fetus miscarriage.

scholarly journals Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis

2021 ◽  
Vol 18 (9) ◽  
pp. 4545
Author(s):  
Tomasz K. Wilczyński ◽  
Alfred Niewiem ◽  
Rafał Leszczyński ◽  
Katarzyna Michalska-Małecka
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Vision Loss ◽  
Silicone Oil ◽  
Single Case ◽  
Recurrent Dislocation ◽  
Ectopia Lentis ◽  
Pars Plana ◽  
The Right

A 36-year-old patient presented to the hospital with recurrent dislocation of the intraocular lens (IOL). The patient with the diagnosis of familial ectopia lentis was first operated on for crystalline lens subluxation in the left eye in 2007 and in the right eye in 2009. In both eyes, lens extraction with anterior vitrectomy and transscleral fixation of a rigid IOL was performed. In 2011, the IOL in the right eye luxated into the vitreous cavity due to ocular trauma. The patient underwent a pars plana vitrectomy with the IOL resuturation to the sclera. Seven years later, a spontaneous vision loss in the right eye was caused by a retinal detachment. The pars plana vitrectomy with silicone oil tamponade and a consequential oil removal three months later were performed in 2018. The follow-up examination revealed recurrent IOL dislocation in the same eye. Due to a history of previous suture-related complications a decision was made to remove the subluxated rigid polymethyl-methacrylate (PMMA) IOL and fixate to sclera a sutureless SOLEKO FIL SSF Carlevale lens. The purpose of this report is to present a single case of a 36-year-old patient who was presented to the hospital with recurrent dislocation of the intraocular lens. In a three-month follow-up period, a good anatomical and functional outcome was finally obtained with transscleral sutureless intraocular lens. This lens is an option worth considering especially in a young patient with a long life expectancy and physically active.

scholarly journals Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment

2017 ◽  
Vol 8 (1) ◽  
pp. 61-66 ◽  
Author(s):  
María Carmen Guixeres Esteve ◽  
Augusto Octavio Pardo Saiz ◽  
Lucía Martínez-Costa ◽  
Samuel González-Ocampo Dorta ◽  
Pedro Sanz Solana
Keyword(s):  
Retinal Detachment ◽  
Vision Loss ◽  
Lens Subluxation ◽  
Intraocular Lens Dislocation ◽  
Common Causes ◽  
History Of ◽  
Anterior Megalophthalmos ◽  
The Right ◽  
Iris Claw

The early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common postoperative complication. Patients with AM also seem to be affected by a type of vitreoretinopathy that predisposes them to retinal detachment. We here present the case of a 36-year-old man with bilateral AM misdiagnosed as simple megalocornea. He had a history of amaurosis in the right eye due to retinal detachment. He presented with vision loss in the left eye due to lens subluxation. Following the removal of the subluxated lens, it was deemed necessary to perform a vitrectomy in order to prevent retinal detachment. Seven months after surgery, an Artisan® Aphakia iris-claw lens was implanted in the anterior chamber. Fifteen months of follow-up data are provided.

scholarly journals Escherichia coli Panophthalmitis after Pecking by a Great Egret (Ardea alba)

2020 ◽  
Vol 11 (2) ◽  
pp. 466-472
Author(s):  
Takashi Ono ◽  
Kentaro Abe ◽  
Yosai Mori ◽  
Ryohei Nejima ◽  
Takuya Iwasaki ◽  
...  
Keyword(s):  
Elevated Serum ◽  
Ocular Infection ◽  
Ocular Injury ◽  
C Reactive Protein ◽  
Upper Eyelid ◽  
Protein Levels ◽  
Reactive Protein ◽  
Cell Counts ◽  
Open Globe ◽  
The Right

We report a case of open globe injury caused by Ardea albapecking that resulted in Escherichia colipanophthalmitis. A woman in her 70s complaining of ocular pain was referred to our hospital because her right eye had been pecked by an A. alba2 days earlier. Visual acuity in her right eye was reduced to light sensation. The right conjunctiva became hyperemic and edematous with swelling of the right upper eyelid. The upper side of the right cornea was densely cloudy with focal defect. Ultrasonography showed a thick sclera and choroid-like structure. Pathological investigation of a scraped sample from the infected site revealed gram-negative rods; E. coli was isolated. She had fever with elevated serum C-reactive protein levels and leukocytosis confirmed by laboratory examination. Topical levofloxacin and cefmenoxime and intravenous fosfomycin and aspoxicillin were initiated, but the right cornea melted near the perforated site with leakage of the eyeball contents on the next day. We decided to perform eye evisceration because of difficulty in controlling corneal melting and panophthalmitis. Her general state recovered the day after surgery. Orbital cellulitis improved gradually with normal C-reactive protein levels and white blood cell counts. As ocular injury caused by birds could become severe and cause ocular infection and visual dysfunction, it is important to exercise caution in the vicinity of wild birds, especially when they are aggressive.

scholarly journals The Use of Intravitreal Ranibizumab for Choroidal Neovascularization Associated with Vogt-Koyanagi-Harada Syndrome

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
A. M. Kolomeyer ◽  
M. S. Roy ◽  
D. S. Chu
Keyword(s):  
Vision Loss ◽  
Corticosteroid Treatment ◽  
Exudative Retinal Detachment ◽  
Intravitreal Ranibizumab ◽  
Loss To Follow Up ◽  
Finger Counting ◽  
Combinational Treatment ◽  
Vkh Syndrome ◽  
The Right

Purpose. To describe the use of intravitreal ranibizumab for choroidal neovascular membrane (CNVM) secondary to Vogt-Koyanagi-Harada (VKH) syndrome.Methods. Interventional case report.Results. A 50-year-old woman presented with conjunctival injection and bilateral eye pain. Vision was 20/400 and 20/80 in the right and left eyes, respectively. Bilateral iritis, vitritis, and choroidal thickening were evident. Exudative retinal detachment was present in the left eye. Corticosteroid treatment improved vision to 20/40 bilaterally. Methotrexate (MTX) was initiated and vision remained stable for 3 months. After a 5-month loss to follow-up, vision in the left eye decreased to finger counting (CF) and a parafoveal CNVM was identified. After 3 intravitreal ranibizumab injections, vision improved to 20/40. Twelve months later, despite inflammation control, vision decrease to CF due to recurrent CNVM. A fourth ranibizumab injection was given. Twenty months later, best-corrected vision was 20/400, and an inactive CNVM was present in the left eye.Conclusion. After initial CNVM regression and visual acuity improvement due to ranibizumab, the CNVM recurred and became refractory to treatment. Despite control of inflammation and neovascularization, VKH chronicity lead to permanent vision loss in our patient. A combinational treatment approach may be required in such patients.

Anterior and posterior ischemic optic neuropathy following liposuction surgery in a previously healthy young woman

2020 ◽  
pp. 112067212096206
Author(s):  
Kaveh Abri Aghdam ◽  
Ali Sadeghi ◽  
Mostafa Soltan Sanjari ◽  
Ali Aghajani ◽  
Saba Gholamalizadeh
Keyword(s):  
Optic Neuropathy ◽  
Vision Loss ◽  
Ischemic Optic Neuropathy ◽  
Laboratory Studies ◽  
Level Of Evidence ◽  
Healthy Young Woman ◽  
Posterior Ischemic Optic Neuropathy ◽  
The Right ◽  
Liposuction Surgery

A previously healthy 28-year-old female developed bilateral painless vision loss, more prominent in the right eye than in the left, following abdominoplasty and liposuction surgery. Laboratory studies showed severe peri- and post-operative anemia. Over a 5-month follow-up, visual function remained decreased but stable in the right eye and improved in the left eye. This is the second reported case of anterior ischemic optic neuropathy in one eye and posterior ischemic optic neuropathy in the other eye after liposuction. Level of evidence: Level VI, case report study.

Endophthalmitis after dropless (Tri-Moxi injection) cataract surgery

2019 ◽  
Vol 30 (5) ◽  
pp. NP29-NP31 ◽  
Author(s):  
Caleb Ng ◽  
Kakarla V Chalam
Keyword(s):  
Cataract Surgery ◽  
Staphylococcus Epidermidis ◽  
Vision Loss ◽  
Hand Motion ◽  
Corrected Visual Acuity ◽  
Case Summary ◽  
Keratic Precipitates ◽  
Vitreous Sample ◽  
Severe Vision Loss ◽  
Pars Plana

Introduction: A case of endophthalmitis after dropless cataract surgery with intravitreal Tri-Moxi associated with severe vision loss. Case summary: An 82-year-old male developed severe vision loss in the left eye 24 days after dropless cataract surgery with intravitreal Tri-Moxi injection. Best corrected visual acuity was hand motion in the left eye. Intraocular pressure was 13, with inferior keratic precipitates, 4 + cell with 1 mm layered hypopyon, and a plaque on the posterior capsule that blocked direct exam of the posterior segment. Ultrasonography revealed extensive vitritis without retinal or choroidal detachments. Conclusion: Endophthalmitis resolved and vision improved after management with vitreous tap, intravitreal and fortified topical antibiotics, and subsequent prompt pars plana vitrectomy. Vitreous sample grew fluoroquinolone-resistant staphylococcus epidermidis.

Retinal vasoproliferative tumour secondary to retinitis pigmentosa sine pigmento

2021 ◽  
Vol 14 (5) ◽  
pp. e240878
Author(s):  
Albert John Bromeo ◽  
Sweet Jorlene Lerit ◽  
Amadeo Veloso ◽  
Gary John Mercado
Keyword(s):  
Retinal Detachment ◽  
Retinitis Pigmentosa ◽  
Laser Photocoagulation ◽  
Vision Loss ◽  
Peripheral Retina ◽  
Focal Laser Photocoagulation ◽  
Feeder Vessel ◽  
Eye Examination ◽  
The Right

Retinitis pigmentosa can be associated with exudative vasculopathy in rare instances, which can manifest as retinal vasoproliferative tumours. We present the case of a 33-year-old woman previously diagnosed with retinitis pigmentosa sine pigmentosa in both eyes. She was asymptomatic and just came in for a routine follow-up eye examination. Thorough examination of the peripheral retina on the right eye revealed a dome-shaped retinal tumour with a feeder vessel and surrounding exudative changes at the superotemporal periphery, consistent with a secondary retinal vasoproliferative tumour from retinitis pigmentosa. She subsequently underwent focal laser photocoagulation of the tumour which resulted in tumour stabilisation. While exudative vasculopathy is very uncommon in retinitis pigmentosa, ophthalmologists need to be aware of its occurrence in such patients. Vision loss may occur from exudation, haemorrhage, retinal detachment and neovascularisation. A thorough examination of the peripheral retina is warranted in these cases.

scholarly journals Nd:YAG Laser Photodisruption for Multilevel Premacular Hemorrhage due to Isolated Retinal Venous Macroaneurysm

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Kenan Sonmez ◽  
Pehmen Y. Ozcan
Keyword(s):  
Visual Acuity ◽  
Fluorescein Angiography ◽  
Laser Treatment ◽  
Nd:Yag Laser ◽  
Blood Cells ◽  
Internal Limiting Membrane ◽  
Hand Motion ◽  
First Case ◽  
The Right

A 55-year-old man presented with sudden deterioration of vision in the right eye. His visual acuity was reduced to hand motion because of a large multilevel premacular hemorrhage. Nd:YAG laser was performed to drain the entrapped hemorrhage under the internal limiting membrane (ILM) and posterior hyaloid face in the macula into the vitreous. Immediately after laser treatment, streaming of red blood cells into the vitreous gel through the perforation site was observed. At the first-month follow-up, BCVA improved to 20/25 and ILM wrinkling was observed at the macula where the preretinal hemorrhage cleared. Fluorescein angiography revealed an isolated retinal venous macroaneurysm located on the macular branch of the superotemporal vein at the bifurcation site. In contrast to retinal arterial macroaneurysms, retinal venous macroaneurysms are quite rare. To the best of our knowledge, this is the first case reported with multilevel premacular hemorrhage caused by an isolated retinal venous macroaneurysm.

scholarly journals Retinal and optic nerve functions in incontinentia pigmenti: long-term elctrophysiological follow-up

2020 ◽  
Vol 13 (2) ◽  
pp. 15-20
Author(s):  
Márta Janaky ◽  
Ágnes Jánossy ◽  
Attila Kovács ◽  
Daniella Lőrincz ◽  
Dóra Nagy ◽  
...  
Keyword(s):  
Vision Loss ◽  
Clinical Symptoms ◽  
Incontinentia Pigmenti ◽  
Inherited Disease ◽  
Multisystem Disorder ◽  
Inflammatory Reactions ◽  
Asymmetric Pattern ◽  
Functional Involvement ◽  
The Right

Incontinentia pigmenti (IP) is a rare, X-linked, dominantly inherited disease affecting mostly females, which is best characterized as an autoimmune disease. It is a multisystem disorder affecting ectodermal tissues. Ocular abnormalities usually occur early in childhood, with subsequent retinal detachment and vision loss. Vision rarely remains intact until adulthood. We present the 17-year visual electrophysiological follow-up of such a rare patient and her mother. The mother was only a carrier, but the daughter developed various manifestations of IP. The aim of our investigations was to obtain information on the progression of functional deterioration in IP. Electroretinography (ERG), multifocal electroretinography (mfERG), visual evoked potentials (VEP), ultrasound (US) and optical coherence tomography (OCT) were performed at regular intervals between the patient’s ages of 9 and 26 years (2003 to 2020). From 9 to 22 years of age, a characteristic picture of spared vision with minimal ophthalmoscopic alterations and fluctuating ERG anomalies were observed in the left eye. It was only between the ages of 22 and 23 that subjective symptoms developed, and then complete loss of vision in the affected eye ensued rapidly. The right eye remained clinically asymptomatic throughout the observation period. The mother remained completely asymptomatic, but she showed similar ERG alterations. Electroretinography is a sensitive indicator of the activity of the ocular immune or inflammatory reactions in IP, and it readily detects their functional effect even in the absence of clinical symptoms. Thus, it is recommendable not only for the longterm functional follow-up of these patients, but probably also for early disease-specific screening. ERG recordings from the presented case suggest that the characteristic, asymmetric pattern of retinal functional involvement may be traced back to the different degrees to which the two eyes were exposed to the intermittent reactivations of the disease.

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