scholarly journals Endophthalmitis: 5 Years Experience in a Tertiary Eye Care Center Mohammed V Military Medical Training Hospital

2019 ◽  
pp. 1-7
Author(s):  
Rachid Zerrouk ◽  
Yassine Malek ◽  
Adil Elkhoyaali ◽  
Yassine Mouzari ◽  
Karim Reda ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Medical Training ◽  
Care Center ◽  
Postoperative Endophthalmitis ◽  
Eye Care ◽  
Ocular Pain ◽  
Hand Motion ◽  
Gram Positive Bacteria ◽  
Exogenous Endophthalmitis ◽  
Mean Time

Aims: To describe endophthalmitis profile in a tertiary eye care center. Study Design: Retrospective study. Place and Duration of Study: The ophthalmology department of The Mohammed V Military Medical Training Hospital in Rabat, and covering all patients hospitalized for endogenous and exogenous endophthalmitis between January the 1st 2014, and 31 of December 2018. Methodology: We included 41 eyes from 41 patients with endophthalmitis. Results: On a total of 41 eyes, mean age was 53,8 years, with a sex ratio of 1,7. Mean time from onset of symptoms to presentation was 8 +/- 4 days (3 to 32) for postoperative endophthalmitis, and 13 +/- 9 days (2 – 30) for other causes. 98% of patients presented decreased vision, and 88% showed ocular pain. 94% of patients had a visual acuity less than hand motion. Gram positive bacteria were isolated in 76% of the patients. Conclusion: Our epidemiological, clinical and microbial findings are similar to some occidental and other oriental series.

scholarly journals Prevalence of amblyopia and patterns of refractive error in the amblyopic children of a tertiary eye care center of Nepal

2013 ◽  
Vol 5 (1) ◽  
pp. 38-44 ◽  
Author(s):  
K Sapkota ◽  
A Pirouzian ◽  
NS Matta
Keyword(s):  
Visual Acuity ◽  
Refractive Error ◽  
Chart Review ◽  
Care Center ◽  
Retrospective Chart Review ◽  
Ophthalmological Examination ◽  
Eye Care ◽  
Common Cause ◽  
Ocular Pathology ◽  
The Mean

Introduction: Refractive error is a common cause of amblyopia. Objective: To determine prevalence of amblyopia and the pattern and the types of refractive error in children with amblyopia in a tertiary eye hospital of Nepal. Materials and methods: A retrospective chart review of children diagnosed with amblyopia in the Nepal Eye Hospital (NEH) from July 2006 to June 2011 was conducted. Children of age 13+ or who had any ocular pathology were excluded. Cycloplegic refraction and an ophthalmological examination was performed for all children. The pattern of refractive error and the association between types of refractive error and types of amblyopia were determined. Results: Amblyopia was found in 0.7 % (440) of 62,633 children examined in NEH during this period. All the amblyopic eyes of the subjects had refractive error. Fifty-six percent (248) of the patients were male and the mean age was 7.74 ± 2.97 years. Anisometropia was the most common cause of amblyopia (p < 0.001). One third (29 %) of the subjects had bilateral amblyopia due to high ametropia. Forty percent of eyes had severe amblyopia with visual acuity of 20/120 or worse. About twothirds (59.2 %) of the eyes had astigmatism. Conclusion: The prevalence of amblyopia in the Nepal Eye Hospital is 0.7%. Anisometropia is the most common cause of amblyopia. Astigmatism is the most common types of refractive error in amblyopic eyes. Nepal J Ophthalmol 2013; 5(9):38-44 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7820

scholarly journals Long-Term Effect of Silicone Oil Tamponade for Postoperative and Posttraumatic Bacterial Endophthalmitis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Yong Koo Kang ◽  
Jae Pil Shin ◽  
Han Sang Park
Keyword(s):  
Visual Acuity ◽  
Silicone Oil ◽  
Streptococcus Group ◽  
Hand Motion ◽  
Time To Surgery ◽  
Bacterial Endophthalmitis ◽  
Additional Surgery ◽  
Positive Rate ◽  
The Mean ◽  
Mean Time

Purpose. To compare clinical features and microbial profiles, treatment outcomes, and prognostic factors of the eyes between postoperative and posttraumatic bacterial endophthalmitis after pars plana vitrectomy (PPV) with silicone oil (SO) tamponade. Methods. Overall, 57 eyes of 57 patients who diagnosed exogenous bacterial endophthalmitis and underwent PPV with SO tamponade between 2000 and 2019 were reviewed. Causative microorganisms, culture positivity, change of mean best-corrected visual acuity (BCVA), and course of treatment were investigated between postoperative and posttraumatic groups, and relevant factors were analyzed according to the final BCVA. Results. The mean BCVA change was not significantly different between groups. The positive rate of microorganisms was significantly higher in the postoperative group. The mean time to surgery over 48 hours, initial BCVA worse than hand motion, and additional surgery after initial vitrectomy were correlated with poor final BCVA worse than 20/200. There was significantly achieved final BCVA 20/200 or better in the Staphylococcus and Streptococcus group than the Enterococcus and Pseudomonas group. Conclusion. PPV with SO tamponade may be an effective surgical treatment strategy for exogenous bacterial endophthalmitis. Final visual outcomes were not significantly different between postoperative and posttraumatic groups, and the mean time to surgery, initial visual acuity, additional surgery, and type of microorganism are significantly related to visual prognosis.

A Retrospective study of Low vision intervention in individuals with central field loss and peripheral field loss

2020 ◽  
Author(s):  
Rajiv Raman ◽  
Sarika Gopalakrishnan ◽  
Mathangi Sathyaprasath
Keyword(s):  
Visual Acuity ◽  
Retrospective Study ◽  
Retrospective Review ◽  
Low Vision ◽  
Care Center ◽  
Central Field ◽  
Eye Care ◽  
Care Clinic ◽  
Near Vision ◽  
Vision Care

Abstract Background The objective of this study was to estimate the visual impairment in patients with central field loss (CFL) and peripheral field loss (PFL), to analyze the type of low vision devices prescribed and to compare the visual benefits who presented to Low Vision Care clinic at a tertiary eye care center in India. Methods A retrospective review was done for 450 patients with low vision who visited LVC clinic from January 2017 to December 2017. The subjects were categorized into two groups: CFL and PFL. Demographic profile such as age, gender, occupation, ocular history, visual acuity status and low vision device preferred was collected and documented. Results Out of 450 patients, 242 (53.8%) were diagnosed to have CFL and 208 (46.2%) had PFL. 323 (71.8%) were men and 127 (28.2%) were women. The sum of median age of both the groups were 34.5 years, while the median age of CFL and PFL group was 36 and 34 years respectively. Atrophy related macular disorder (54.1%) was the major reason causing central field loss and Retinitis Pigmentosa (81.7%) for peripheral field loss. CFL group (76%) preferred low vision devices more than PFL group (65.9%). The ratio of task difficulties for both distance and near were 1:2 for central and peripheral field loss respectively. Electronic video magnifier was preferred more in CFL group. There was a statistically significant improvement ( P < 0.05) in distance and near vision with the help of low vision devices in both the groups. ConclusionsThe use of low vision devices in both CFL and PFL can help the patients in restoring useful vision.

Acute Postoperative Endophthalmitis after re-surgery following primary cataract surgery, 9 years of experience from a tertiary eye care center

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Madhu Shekhar ◽  
Priyanka Lamba ◽  
Aravind Haripriya ◽  
Sankarananthan Ravindran ◽  
Sapan Palod ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Care Center ◽  
Postoperative Endophthalmitis ◽  
Years Of Experience ◽  
Eye Care

scholarly journals Acute Noninfectious Endophthalmitis after Removal of Silicone Oil and Posterior Capsulectomy in Proliferative Diabetic Retinopathy

2021 ◽  
Vol 62 (10) ◽  
pp. 1445-1448
Author(s):  
Jaehyun Kim ◽  
So Hee Kim ◽  
Youna Choi ◽  
Seung Kwon Choi ◽  
Jae Jung Lee ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Silicone Oil ◽  
Topical Steroid ◽  
Vitreous Hemorrhage ◽  
Conjunctival Injection ◽  
Ocular Pain ◽  
Tractional Retinal Detachment ◽  
Hand Motion ◽  
Anterior Chamber Cell ◽  
Corrected Visual Acuity

Purpose: Here, we report a case of acute noninfectious endophthalmitis after removal of silicone oil (SO) and posterior capsulectomy in a patient with proliferative diabetic retinopathy.Case summary: SO removal and posterior capsulectomy were performed in a 61-year-old man who had undergone vitrectomy with combined cataract surgery, membrane peeling, laser photocoagulation, and SO injection to treat vitreous hemorrhage and tractional retinal detachment three months previously. The patient’s best-corrected visual acuity on the day after surgery was 20/50; it decreased to hand motion at five days after SO removal. Exudative membrane with hypopyon, anterior chamber cell (trace), and mild conjunctival injection were observed. The patient did not complain of ocular pain. Topical steroid was applied following a diagnosis of postoperative noninfectious endophthalmitis. The exudative membrane and hypopyon decreased after three days of treatment and had resolved completely after one month of treatment. The patient’s visual acuity improved to 20/50.Conclusions: Noninfectious endophthalmitis can develop after removal of SO and posterior capsulectomy. Topical steroid treatment is effective in such cases.

Retinal Vasculitis Associated With Dermatomyositis Treated With Intravenous Steroids

2021 ◽  
pp. 247412642110189
Author(s):  
Austen N. Knapp ◽  
Jawad I. Arshad ◽  
Daniel F. Martin ◽  
Rula Hajj-Ali ◽  
Kimberly Baynes ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Edema ◽  
Retinal Vasculitis ◽  
Subretinal Fluid ◽  
Retrospective Case ◽  
Hand Motion ◽  
Frosted Branch Angiitis ◽  
Intravenous Steroids

Purpose: This work aims to present treatment and long-term follow-up of a 31-year-old woman with dermatomyositis who presented with hemorrhagic retinal vasculitis and macular edema. Methods: A retrospective case report is presented. Results: A 31-year-old woman with dermatomyositis treated with systemic immunosuppression was evaluated for acute, reduced vision. Best-corrected visual acuity was hand motion in the right eye and 20/200 in the left eye. Fundus examination revealed diffuse intraretinal hemorrhages, cotton-wool spots, and vascular sheathing with a frosted branch angiitis–like appearance. Optical coherence tomography revealed significant macular edema and subretinal fluid that quickly resolved after admission and treatment with intravenous steroids. Multimodal imaging at 7-year follow-up disclosed long-term sequelae including peripheral nonperfusion and retinal neovascularization. Conclusions: When vasculitis associated with dermatomyositis is treated aggressively with intravenous steroids at initial presentation, good visual acuity outcomes can be achieved, but long-term consequences of retinal nonperfusion and neovascularization persist.

Postoperative endophthalmitis

2021 ◽  
pp. 185-187
Author(s):  
I.A. Frolychev ◽  
◽  
N.A. Pozdeyeva ◽  
◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Silicone Oil ◽  
Angiogenesis Inhibitor ◽  
Cataract Extraction ◽  
State Institution ◽  
Federal State ◽  
Postoperative Endophthalmitis ◽  
Ophthalmic Surgery ◽  
Corrected Visual Acuity

Surgical treatment of postoperative endophthalmitis is an urgent problem of ophthalmic surgery. Purpose.The aim of the study was to analyze the results of treatment of patients with postoperative endophthalmitis using perfluorodecalin and antibiotic solutions for vitreal cavity tamponade. Materials and methods. For the period 2016-2020, 35 patients (35 eyes) were operated in the Cheboksary branch of the S. Fyodorov Eye Microsurgery Federal State Institution. In 26 patients, this complication occurred after cataract extraction, in 7 after vitreoretinal operations, in 2 after intravitreal administration of an angiogenesis inhibitor. Visual acuity before treatment of endophthalmitis in 3 patients was to 0.02– 0.08, in 16 – counting of fingers in the face, in 13 – pr.l.certa, in 3-pr. l. incerta. All patients underwent vitrectomy with perfluorodecalin tamponade of the vitreal cavity for up to 14 days and intravitreal administration of vancomycin 1 mg and ceftazidime 2.25 mg at the end of the operation. On day 2-3, all patients underwent additional intravitreal administration of antibiotics, depending on the detected pathogen. Further, in 22 patients, the removal of perfluorodecalin and the remaining preretinal and peripherally located exudate was performed, in 13 patients - tamponade of the vitreal cavity with silicone oil. Results. As a result of the treatment according to the developed method, it was possible to preserve visual functions in 32 patients (91%) out of 35. At discharge, the corrected visual acuity was from 0.1 to 0.7 (0.28±0.2). After 6 months, the corrected visual acuity in 32 patients was from 0.1 to 0.9 (0.36±0.2). Visual acuity (above 0.3) was achieved in 26 cases (74.3%). Conclusion. Clinical results demonstrate the effectiveness of the developed method of surgical treatment of endophthalmitis. Key words: postoperative endophthalmitis, perfluorodecalin, intravitreal administration of vancomycin and ceftazidime.

OCULAR INJURY TREND IN COVID-19 ERA- A TERTIARY EYE CARE STUDY IN INDIA

2021 ◽  
pp. 158-160
Author(s):  
R. B. Goyal ◽  
Karishma Goyal
Keyword(s):  
Ocular Trauma ◽  
Care Center ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Delayed Presentation ◽  
Eye Care ◽  
Education And Awareness ◽  
Future Strategy ◽  
Mass Health ◽  
Care Study

Aim- To study the change in demography and injury pattern of ocular trauma during the lockdown period tothat of a similar period of the previous year. Materials & Methods- This is a retrospective analysis of the data of 362 patients with ocular trauma during the lockdown period from 25 March 2020 to 3 May 2020 and during a similar period of the previous year at a tertiary eye care center in India. Results- There was a decrease of 62.87% of patients of ocular trauma during the lockdown period because of the restricted lifestyle. Although home related and violence-related trauma increased, there was a decrease in trafc and sports-related trauma. Patients with chemical injury by sodium hypochlorite also had a sharp rise. Majority of the patients presented after two days during this period. Conclusion- Guidelines for mass health education and awareness about the risk of ocular trauma, morbidity caused by delayed presentation, and need to adopt safety or preventive strategies should be formulated so that future strategy can be planned to ght with the next pandemic or epidemic.

Sign in / Sign up

Export Citation Format

Share Document