scholarly journals Improving the Prognosis for Phthisis Bulbi Patients

2021 ◽  
Vol 31 (10) ◽  
pp. 1257-1258
Keyword(s):  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Preeyachan Lourthai ◽  
Pitipol Choopong ◽  
Dhanach Dhirachaikulpanich ◽  
Kunravitch Soraprajum ◽  
Warinyupa Pinitpuwadol ◽  
...  

AbstractTo evaluate a 10-year visual outcome of endogenous endophthalmitis (EE) patients. A 10-year retrospective chart review of EE patients. Thirty-eight patients (40 eyes) were diagnosed with EE at the mean age of 42. Among the identifiable pathogens (71.1% culture positive), the causative agents were predominantly gram-negative bacteria (48.1%). The most common specie was Klebsiella pneumoniae (25.9%). About a quarter of the patients required surgical eye removal, and the remaining 45.7% had visual acuity (VA) worse than hand motion at one month after the infectious episode. The most common complication was ocular hypertension (52.5%). Poor initial VA was significantly associated with a worse visual outcome in the early post-treatment period (p 0.12, adjusted OR 10.20, 95% CI 1.65–62.96). Five patients continued to visit the clinic for at least ten years. One patient had gained his vision from hand motion to 6/7.5. Two patients had visual deterioration, one from corneal decompensation, and the other from chronic retinal re-detachment. Two patients developed phthisis bulbi, with either some VA perception of light or no light perception. Poor initial VA is the only prognostic factor of a poor early post-treatment visual outcome of EE.


Pathogens ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 854
Author(s):  
Yu-Kuei Lee ◽  
Chun-Chieh Lai

(1) Background: Necrotizing fasciitis (NF) is an infection involving the superficial fascia and subcutaneous tissue. Endophthalmitis is an infection within the ocular ball. Herein we report a rare case of concurrent periorbital NF and endophthalmitis, caused by Pseudomonas aeruginosa (PA). We also conducted a literature review related to periorbital PA skin and soft-tissue infections. (2) Case presentation: A 62-year-old male had left upper eyelid swelling and redness; orbital cellulitis was diagnosed. During eyelid debridement, NF with the involvement of the upper Müller’s muscle and levator muscle was noted. The infection soon progressed to scleral ulcers and endophthalmitis. The eye developed phthisis bulbi, despite treatment with intravitreal antibiotics. (3) Conclusions: Immunocompromised individuals are more likely than immunocompetent hosts to be infected by PA. Although periorbital NF is uncommon due to the rich blood supply in the area, the possibility of PA infection should be considered in concurrent periorbital soft-tissue infection and endophthalmitis.


1985 ◽  
Vol 22 (5) ◽  
pp. 184-187 ◽  
Author(s):  
David J Apple ◽  
Gary R Jones ◽  
James J Reidy ◽  
Katherine Loftfield

2006 ◽  
Vol 16 (3) ◽  
pp. 465-469 ◽  
Author(s):  
T. Hadjistilianou ◽  
S. De Francesco ◽  
S. Marconcini ◽  
D. Mastrangelo ◽  
P. Galluzzi ◽  
...  

2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Usama Iqbal ◽  
Irfan Qayyum Malik ◽  
Zeeshan Hameed ◽  
Sadia Hameed

Purpose:  To describe the epidemiological characteristics, management strategies and outcomes of intraocular foreign bodies (IOFB) presented in a tertiary care setup of Punjab. Study Design:  Descriptive retrospective study. Place and Duration:  Department of ophthalmology, Gujranwala medical college/teaching hospital, from January 2017 to December 2019. Methods:  A retrospective review, of all the patients who had IOFB removal, was performed. Information regarding the nature and circumstances of injury, types of IOFB, operative procedure performed and patient’s pre-operative and post-operative Best Corrected Visual Acuity (BCVA) were analyzed. Descriptive statistics were used for analysis of data. Results:  Record of 22 patients was retrieved. Out of which 18 (81.81%) were male and 4 (18.18%) were female. Mean age was 27.95 ± 9.325 years. Occupational trauma was the leading cause of injury (66.6%). Metallic objects were among the most common type of IOFB (66.6%) followed by glass, concrete stone (each 13.3%) and lead pencil (6.6%). Serious complications seen due to retained IOFB were phthisis bulbi (9.09%), retinal detachment (13.63%) and endophthalmitis (9.09%). On follow-up, 10 patients had BCVA less than hand movement (HM). 5 patients had BCVA of CF to 6/60, 3 patients had BCVA of 6/60-6/24 and 4 patients had better than 6/18. Conclusion:  Most common cause of IOFB was occupational trauma and young age group of working class was the most common population affected. Treatment delay and complications contributed to poor prognosis. Ocular safety measures during high-risk work can reduce the risk of trauma. Key Words:  Intra-ocular foreign Bodies, Retinal Detachment, Phthisis Bulbi.


2018 ◽  
Vol 27 (15) ◽  
pp. 2703-2711 ◽  
Author(s):  
Muhammad Ansar ◽  
Hyunglok Chung ◽  
Yar M Waryah ◽  
Periklis Makrythanasis ◽  
Emilie Falconnet ◽  
...  

2007 ◽  
Vol 17 (4) ◽  
pp. 550-556 ◽  
Author(s):  
P.M. Puska ◽  
A.H.A. Tarkkanen

Purpose To evaluate in a retrospective study the long-term usefulness of red 647 nm krypton and 670 nm diode laser for transscleral contact cyclophotocoagulation (CPC) in the treatment of therapy-resistant inflammatory glaucoma. Methods The authors treated 48 eyes of 38 consecutive patients (mean age 36.8 years, range 6–81 years) with therapy-resistant inflammatory glaucoma secondary to chronic uveitis (45/48), chronic scleritis (1/48), or combined scleritis with keratouveitis (2/48) using transscleral red 647 nm Krypton or 670 nm Diode laser. All eyes had failed maximum tolerated medical therapy and 19/48 (40%) eyes also previous antiglaucoma surgery. Laser power at the scleral surface was 0.35 to 0.45 W and the application time 10 seconds each. The follow-up was 42.8± 40.0 (range 2–145) months. Results The mean preoperative intraocular pressure (IOP) of 35.6±8.1 mmHg fell to 6–21 mmHg level in 75% after one or repeated CPC. Among adult patients this was achieved in 85%, among children in 54%. More than one treatment was needed in 52%. No cases of hypotony, phthisis bulbi, or other devastating complications occurred. Conclusions Transscleral CPC using red 647 nm krypton or 670 nm diode laser is an effective and well-tolerated procedure for the treatment of therapy-resistant inflammatory glaucoma in adults. CPC can be considered before incisional antiglaucoma surgery with a shunt or antimetabolites is undertaken


2020 ◽  
Vol 119 (10) ◽  
pp. 1558-1559
Author(s):  
Hong-Han Lin ◽  
Chun-Chou Tsai ◽  
Ning-Chi Wang ◽  
Yung-Chih Wang
Keyword(s):  

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