Endogenous endophthalmitis caused by Escherichia coli.

Endophthalmitis is a rare complication of Escherichia coli-induced septicemia. Nine cases of endogenous endophthalmitis caused by E. coli have been reported previously, all except one in patients with diabetes.

Applications of hydrophilic disposable contact lenses as therapeutic bandages.

We employed Acuvue (Johnson & Johnson) and SeeQuence (Bausch & Lomb) disposable hydrophilic contact lenses for therapeutic purposes on 39 patients with varying pathology. Concomitant medial therapy was implemented where appropriate. The disposable bandage lens was associated with improved patient symptomatology and objective findings in the majority of cases; complications were infrequent.

Techniques for application of tissue adhesive for corneal perforations.

We describe a modified technique of using cyanoacrylate adhesive to seal corneal perforations. Easily performed at the slit lamp, its advantages over previously described methods include a smooth, contoured collagen surface overlying the adhesive, which is easily wet by the tear film. Even greater comfort and protection are provided by the addition of a hydrophilic bandage lens or collagen shield.

Early visual rehabilitation following keratoplasty using a single continuous adjustable suture technique.

We measured postkeratoplasty visual acuity, refraction, retinoscopy, keratometry, and corneal topography in 105 patients, in 33 of whom an adjustable continuous technique had been used, and in 72 of whom a standard technique (in which the continuous suture was not adjusted) had been used. In the eyes in which the sutures were adjusted (within 6 weeks following surgery), acuity improved (preadjustment mean, 20/205; postadjustment mean, 20/100), and astigmatism decreased (preadjustment mean, 8.41 diopters; postadjustment mean, 2.

Posterior scleritis as an intraocular tumour.

Posterior scleritis rarely presents as a large 'intraocular tumour' and continues to be a challenge in diagnosis and management. We present the case of a 66-year-old male with no known rheumatic disease, pain, proptosis, or diplopia, but with progressively decreasing visual acuity and a large, discrete 'subretinal tumour', 15 X 17 mm basal diameter and 8.3 mm apical height.