Ankle fractures reduction under direct visualization. Superiority of anatomical landmarks versus radiological evaluation- A randomised control trial.

Distal tibiofibular joint injury is quite common in rotational ankle fractures, with high malreduction rates reported. Although several intraoperative techniques evaluate the optimal tibiofibular reduction, they are critically debated due to high error rates and subjective interpretation of the results. We attempted to describe specific anatomical landmarks and anatomical relationships of the ankle joint through capsulotomy and inspection of the anterior incisura fibularis corner and evaluate their reliability regarding optimal tibiofibular reduction.

Procalcitonin and sepsis in the Emergency Department: an update.

Objective: Due to significant mortality and morbidity which may be reduced by prompts treatment, there is great interest in determining an ideal biomarker for the diagnosis of sepsis upon presentation to the Emergency Department. The most specific test is a positive blood culture, but its sensitivity is very low, and the results are usually available 2 days after sampling. For this reason, research is conducted into serum biomarkers with greater sensitivity for which results can be available within hours of presentation.

[Reproducibility of Scheimpflug Tomography Measurements Regarding Corneal Front and Back Surface Power].

Background And Purpose: The Oculus Pentacam® is one of the most commonly used devices in ophthalmology for assessment of the anterior eye segment. The purpose of this study was to determine the reproducibility of the corneal power as measured by the Pentacam® in a normal population.

Methods: We enrolled 25 eyes of 25 subjects aged between 13 and 68 (46.

[Adjuvant anti-VEGF therapy in Coats' disease].

Background: Coats' disease is a non-hereditary acquired, usually unilateral eye disorder that predominantly occurs in young males (1/100,000) with the onset of symptoms generally appearing in the first two decades of life. Coats' disease is characterized by telangiectatic changes, blood leaks from the defective vessels with retinal exudation followed in advanced stages by retinal detachment.

Case Report: A 14-year-old male patient presented in our department with gradual visual loss in the right eye.

Repeat corneal graft failure due to graft-to-host herpetic infection.

Background: Herein, we present the case of a young female patient with keratoconus, who was subjected twice to repeat keratoplasty, and each time, she experienced a corneal graft failure.

Findings: Under the suspicion of herpetic eye disease, we administered topical and systemic anti-herpetic treatment after the second repeat keratoplasty. The postoperative course was uneventful, and the corneal graft is clear, until recently.

Bilateral Fusarium oxysporum keratitis after laser in situ keratomileusis.

Unlabelled: We report the successful management of a rare case of bilateral post-laser in situ keratomileusis (LASIK) Fusarium oxysporum keratitis and propose a therapeutic strategy. A 19-year-old white man with no systemic diseases was referred to our emergency service 3 days after microkeratome-assisted myopic bilateral LASIK correction. He complained of blurred-vision, photophobia, and ocular pain.

[Ping-pong transmission of herpes simplex virus 1 following corneal transplantation].

Background: Primary corneal graft failure (PCGF) after penetrating keratoplasty (PKP) despite good endothelial cell count of the transplant in organ culture rarely occurs in young patients. A herpes simplex virus type I (HSV-1) infection (transmission through the donor or reactivation by the patient) can lead to PCGF.

Methods: We report on a 43-year-old man with pellucid marginal corneal degeneration and neurodermitis, who was underwent penetrating keratoplasty (PKP) on the left eye after acute corneal hydrops in both eyes.