Incidence, Clinical Features, Causative Organisms, and Visual Outcomes of Delayed-Onset Pseudophakic Endophthalmitis

2009 ◽  
Vol 19 (5) ◽  
pp. 804-811 ◽  
Author(s):  
Hani S. Al-Mezaine ◽  
Abdullah Al-Assiri ◽  
Ali A. Al-Rajhi
2020 ◽  
Vol 64 (1) ◽  
pp. 28-34
Author(s):  
Virgilio Galvis ◽  
Angelica Pedraza-Concha ◽  
Alejandro Tello ◽  
M. Lina Plata ◽  
C. Luis Escaf ◽  
...  

1968 ◽  
Vol 114 (514) ◽  
pp. 1127-1132 ◽  
Author(s):  
Ijaz Haider

In depressive illness disturbance of the sleep pattern is regarded as one of the most important and characteristic of the clinical features. It is commonly believed that the pattern of insomnia is typical or even diagnostic of certain affective disorders. Reactive depressions are said to cause a delayed onset of sleep and endogenous depressions to cause early waking.


2018 ◽  
Vol 103 (2) ◽  
pp. 274-278 ◽  
Author(s):  
Makiko Nakayama ◽  
Hiroshi Keino ◽  
Takayo Watanabe ◽  
Annabelle A Okada

PurposeTo describe the clinical features, treatment and visual outcomes of Japanese patients with new-onset acute Vogt-Koyanagi-Harada (VKH) disease.MethodsClinical records of 111 patients who presented between 1999 and 2015 to the Ocular Inflammation Service of the Kyorin Eye Center, Tokyo, were reviewed.ResultsOf the 111 patients (68 women, 43 men), 16 had complete, 90 had incomplete and 5 had probable VKH disease. The median follow-up period was 36 months (4–175 months). The mean age at presentation was 41 years (19–74 years). Serous retinal detachment (202 eyes) and optic disc hyperaemia (89 eyes) were observed at presentation. Of the patients tested, 45/48 (93.8%) were human leucocyte antigen-DR4 positive and 63/77 (81.8%) had cerebrospinal fluid pleocytosis. Initial corticosteroid treatment consisted of pulse intravenous therapy in all patients. Sunset glow fundus was observed in 49.5% of eyes, and anterior and/or posterior segment recurrence of inflammation was observed in 25 patients (22.5%). Treatment was transitioned to cyclosporine in 17 patients (15.3%) for steroid sparing (6 patients) or recurrent inflammation (11 patients), with good subsequent control. Ocular complications were observed in 47 of 222 eyes (21.2%) (mostly cataract), and systemic complications were observed in 8.1% of patients (mostly hypertension and diabetes mellitus). Ninety-three percent of eyes (167 of 178 eyes) had a visual acuity of ≥1.0 at 1 year after presentation.ConclusionsAn aggressive corticosteroid treatment strategy in a large number of patients with new-onset acute VKH disease, with transitioning to cyclosporine in selected cases, resulted in excellent visual outcomes and low rates of recurrence.


2010 ◽  
Vol 94 (11) ◽  
pp. 1459-1463 ◽  
Author(s):  
H. Keino ◽  
T. Watanabe ◽  
W. Taki ◽  
C. Nakashima ◽  
A. A. Okada

Author(s):  
Rui Figueiredo ◽  
Eduard Valmaseda-Castellón ◽  
Leonardo Berini-Aytés ◽  
Cosme Gay-Escoda

2001 ◽  
Author(s):  
MD Lopez-Montilla ◽  
A Escudero ◽  
M Romero ◽  
V Perez ◽  
C Castro ◽  
...  

Eye ◽  
2021 ◽  
Author(s):  
Yao Yang ◽  
Wenjun Sui ◽  
Fang Duan ◽  
Yujie Li ◽  
Jieting Zeng ◽  
...  

Abstract Background/Objectives Streptococcus is a common cause of post-traumatic endophthalmitis in children. This study aimed to analyse the clinical features, antibiotic susceptibilities and outcomes of traumatic endophthalmitis caused by streptococcus in preschool children. Subjects/Methods Patients aged ≤6 years with traumatic streptococcal endophthalmitis seen at Zhongshan Ophthalmic Center between January 2013 and December 2018 were included in this retrospective study. Results In total, 21 patients (21 eyes) were included. The mean age of the patients was 3.3 ± 1.7 years, where 57.1% were males. Scissors (28.6%, n = 6) were the most common cause of injury; 86.7% of patients were injured at home. Zone I (80.9%) was the most common wound site; 90.5% of patients presented with a traumatic cataract. In general, Streptococcus pneumoniae (47.6%) was the most common isolate. Viridans group streptococci accounted for 58.3% of cases in children aged 0–3 years, while S. pneumoniae accounted for 66.7% of cases in children aged 4–6 years. The susceptibility rates of streptococcus to cefuroxime, levofloxacin and ofloxacin were 100%, 95.0% and 90.5%, respectively. Although all the patients underwent vitrectomy combined with silicone oil tamponade, the final visual outcomes were no better than counting fingers. Conclusions Although S. pneumoniae was the most prevalent organism in general, the dominant species varied between different age groups. The commonly used antibiotics, cefuroxime and fluoroquinolone, showed higher antibiotic susceptibility. Despite prompt treatment, the visual outcomes of paediatric post-traumatic endophthalmitis in preschool children were poor.


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