scholarly journals Bacillus endophthalmitis after cataract removal surgery following initial ocular trauma: a case report

2021 ◽  
Vol 3 (2) ◽  
pp. 127-123
Author(s):  
Kamalul Khusus Khairil Ridzwan ◽  
W Mohd Mohd Alif ◽  
Hussein Adil ◽  
Sivagurunathan Premala-Devi ◽  
Zamri Noordin ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Ocular Infection ◽  
Anterior Capsule ◽  
Cataractous Lens ◽  
Fungal Organisms ◽  
Infectious Endophthalmitis ◽  
High Index Of Suspicion ◽  
Corneal Laceration ◽  
Final Visual Outcome

Infectious endophthalmitis is an ocular infection caused by bacterial or fungal organisms involving intraocular tissues, aqueous, and vitreous humour. Bacillus sp. is an uncommon microorganism causing endophthalmitis. We describe a teenager who presented with a self-sealed corneal laceration, cataractous lens, and evidence of a breach in the anterior capsule. The eye was initially quiet and stable. The event started 1 day after uncomplicated cataract surgery. The patient developed fulminant postoperative endophthalmitis with a fatal final visual outcome. A high index of suspicion is mandatory, and more aggressive treatment may be able to improve the final outcome.

scholarly journals Penetrating Fish-Hook Ocular Injury: Management of an Unusual Intraocular Foreign Body

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ludovico Iannetti ◽  
Paolo Tortorella
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Intraocular Foreign Body ◽  
Ocular Injury ◽  
Entrance Wound ◽  
Method Of Extraction ◽  
Fish Hook ◽  
Final Visual Outcome

Importance. Ocular penetrating fish-hook injuries represent an unusual and very dangerous ocular trauma. We report the management of an unusual case of a simple-single barbed fish-hook accident globe injury successfully treated with surgery.Observations. We described a case report of a caucasian 32-year-old man presented with a scleral perforation of the left eye caused by a fish-hook injury while fishing. The fish-hook penetrated the sclera, passed the trabecular meshwork, and exited into the anterior chamber. He underwent surgery under local anesthesia to remove the intraocular foreign body and to repair the wound. The hook was removed backing through the entrance wound, enlarge the primary scleral laceration. Final visual outcome, one month after trauma, was 0.0 LogMar.Conclusions and Relevance. Our unusual case shows a modified extraction technique of fish-hook from the eye. Although the fish-hook injury represents generally a serious occurrence, in some cases, a prompt and appropriate method of extraction can lead to a good final outcome.

scholarly journals Ocular morbidity following road traffic acccidents: a retrospective analysis

2017 ◽  
Vol 4 (4) ◽  
pp. 968
Author(s):  
Shubhra Das ◽  
Dipak Bhuyan ◽  
Sujit Addya
Keyword(s):  
Emergency Department ◽  
Visual Impairment ◽  
Retrospective Analysis ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Road Traffic Accidents ◽  
Traffic Rules ◽  
Final Visual Outcome

Background: Ocular trauma is a well-known cause of blindness and visual impairment and in industrialised nations it has become the reason for extended hospitalization of ophthalmologic patients. Anually, there are in excess of 2 million cases of ocular trauma, with more than 40,000 individuals sustaining significant visual impairment on a permanent basis. The aim of the present study was to study the pattern of ocular involvement in variety of road traffic accidents, attending the emergency department of Gauhati Medical College and Hospitals; analyse and correlate various factors playing roles in etiology and evaluate the final visual outcome. Methods: The study was conducted at a tertiary care centre in which retrospective analysis of 500 cases, who sustained injury involving any part of eye due to road traffic accidents attending emergency department from 1st January 2014 to 31st December 2016, was performed. Results: The predominant age group was between 21-30 years of age with males (75.2%) dominating over female (24.8%). Lid injury in the form of abrasions, lacerations, oedema to full thickness tear, is the commonest presentation in majority of the studies. RTA is more common in rainy and winter months and during the daytime. Two (2) wheelers is the common type of vehicle involved. Final visual outcome in the present study is good and comparable to other studies. Conclusions: Driving under the influence of alcohol is an important etiology in Northeast India. A significant section of the patients were driving two-wheelers and not following the safety precautions as advised, which calls for rigorous implementation of traffic rules. Last but not the least, it is often said that the prevention is the best way to minimise such unwanted events. Public sensitisation, strict adherence to traffic rules and improved roads are some of the few steps that can go a long way to reduce such events. 

scholarly journals Pattern and Final Visual Outcome in Paediatric Ocular Trauma in Central India

2020 ◽  
Vol 9 (21) ◽  
pp. 1646-1648
Author(s):  
Bharti Badlani ◽  
Dharmendra Singh Saryyam ◽  
Anil Kumar Raichoor ◽  
Manisha Bhatt Dwivedi
Keyword(s):  
Ocular Trauma ◽  
Central India ◽  
Visual Outcome ◽  
Final Visual Outcome

TO ANALYZE THE EFFECT OF DAMAGE TO OTHER OCULAR TISSUES ON VISUAL OUTCOME AFTER TRAUMATIC CATARACT SURGERY.

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde
Keyword(s):  
Visual Outcome ◽  
Corneal Opacity ◽  
Research Centre ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
College Hospital ◽  
Ocular Tissues ◽  
Department Of Ophthalmology ◽  
Ocular Injuries ◽  
Final Visual Outcome

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.

scholarly journals Comparison of Simulation-Based versus Cadaveric-Tissue-Based Ocular Trauma Training on Novice Ophthalmologists: Repair of Corneal Laceration Model

2021 ◽  
Vol 13 (01) ◽  
pp. e57-e65
Author(s):  
Boonkit Purt ◽  
Timothy Ducey ◽  
Sean Sykes ◽  
Joseph F. Pasternak ◽  
Denise S. Ryan ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Wound Closure ◽  
Ocular Trauma ◽  
Controlled Trial ◽  
Preliminary Evaluation ◽  
Skills Acquisition ◽  
Visual Axis ◽  
Significant Difference ◽  
Skills Laboratory ◽  
Corneal Laceration

Abstract Purpose The aim of this study was to evaluate whether the simulated tissue models may be used in place of animal-based model for corneal laceration repair for surgical skills acquisition. Design Prospective randomized controlled trial. Participants Seventy-nine military and civilian 2nd- and 3rd-year ophthalmology residents and 16 staff ophthalmologists participating in the Tri-Service Ocular Trauma Skills Laboratory at the Uniformed Services University (Bethesda, MD). Methods Resident ophthalmologists underwent preliminary evaluation of their ability to close a 5-mm linear, full-thickness corneal laceration involving the visual axis. They then were randomized to undergo 90 to 120 minutes of either simulator-based (SIM) or swine cadaveric-tissue-based (CADAVER) corneal laceration repair. The same evaluation was performed post training. On a more limited basis, the study was repeated for attending ophthalmologists to act as a pilot for future analysis and test efficacy for “refresher” training. Main Outcome Measures Successful wound closure with secondary outcomes of suture length, tension, depth, and orientation, as graded by attending ophthalmologists. Results No significant difference in CADAVER versus SIM groups in the primary outcome of watertight wound closure of the corneal laceration. CADAVER group performed better than SIM group for certain metrics (suture depth, p = 0.009; length, p = 0.003; and tension, p = 0.043) that are associated with poor wound closure and increased amount of induced corneal astigmatism. For attending ophthalmologists, six of the eight in each group (SIM and CADAVER) retained or improved their skills. Conclusions For resident ophthalmologists, SIM training is sufficient for achieving the primary outcome of watertight wound closure. However, CADAVER training is superior for wound metrics for the ideal closure. For attending ophthalmologists, SIM training may be useful for retention of skills.

Capsulorrhexis Instrument Design for Use in Cataract Surgery

1999 ◽  
Author(s):  
Benjamin Turner ◽  
Shamsul Sulaiman ◽  
R. M. Pidaparti ◽  
S. Valluri
Keyword(s):  
Cataract Surgery ◽  
Instrument Design ◽  
Anterior Capsule ◽  
Cataractous Lens

Abstract A cataract develops when the lens of the eye becomes opaque, clouding one’s vision. This can be corrected by cataract surgery, where the opaque lens is removed and replaced with an artificial lens. During this surgery, it is necessary after entering the eye to cut the membrane covering the anterior capsule (Fig. 1) to allow access to the cataractous lens. The cutting of this membrane is known as capsulorrhexis.

scholarly journals First Report of a Case of Ocular Infection Caused by Purpureocillium lilacinum in Poland

Pathogens ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1046
Author(s):  
Robert Kuthan ◽  
Anna K. Kurowska ◽  
Justyna Izdebska ◽  
Jacek P. Szaflik ◽  
Anna Lutyńska ◽  
...  
Keyword(s):  
Contact Lens ◽  
Pars Plana Vitrectomy ◽  
Penetrating Keratoplasty ◽  
Visual Outcome ◽  
Ocular Infection ◽  
Corneal Perforation ◽  
Purpureocillium Lilacinum ◽  
First Case ◽  
Pars Plana ◽  
Tof Ms

This report describes the first case of an ocular infection induced by Purpureocillium lilacinum in Poland. The patient was a 51-year-old immunocompetent contact lens user who suffered from subacute keratitis and progressive granulomatous uveitis. He underwent penetrating keratoplasty for corneal perforation, followed by cataract surgery due to rapid uveitic cataract. A few weeks later, intraocular lens removal and pars plana vitrectomy were necessary due to endophthalmitis. The patient was treated with topical, systemic, and intravitreal voriconazole with improvement; however, the visual outcome was poor. The pathogen was identified by MALDI-TOF MS.

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