AI Article Synopsis
- Giant fornix syndrome is a chronic conjunctivitis mainly affecting elderly patients, linked to a specific muscle dehiscence, and can be challenging to treat.
- After an ineffective standard treatment for a methicillin-resistant Staphylococcus aureus infection, the patient received innovative local interventions, including injections and swabbing with povidone-iodine.
- The case report highlights that these novel treatments significantly improved the patient's symptoms and effectively resolved the infection when traditional methods failed.
Article Abstract
Purpose: Giant fornix syndrome is a chronic copiously purulent conjunctivitis seen in elderly patients with dehiscence of the levator palpebrae superioris aponeurosis. We report a case of giant fornix syndrome secondary to methicillin-resistant Staphylococcus aureus conjunctivitis that was recalcitrant to standard treatment modalities, and we describe 2 novel interventions for this condition, which succeeded in eradicating the infection.
Methods: Case report.
Results: After failing an aggressive treatment course of topical antibiotics and corticosteroids and after demonstrating an inability to tolerate oral antibiotics, the patient was treated with supratarsal subconjunctival injections of vancomycin and triamcinolone, followed by repeated sweepings of the conjunctival fornices with 10% povidone-iodine on a cotton swab. The patient's symptoms improved dramatically after the antibiotic and corticosteroid injections and ultimately resolved completely after multiple povidone-iodine sweepings.
Conclusions: In patients with giant fornix syndrome who are recalcitrant to or intolerant of aggressive topical and systemic therapy, supratarsal subconjunctival injections of antibiotics and corticosteroids and sweeping of the conjunctival fornices with povidone-iodine are 2 local treatments which may be useful in eradicating the infection.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/ICO.0b013e3181eeb703 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful treatment by a chlorin e6 derivative mediated photodynamic therapy combined holmium laser for cervical and vaginal giant condyloma acuminata and low-grade intraepithelial neoplasia:A case report.
Photodiagnosis Photodyn Ther
April 2024
Shanghai Skin Disease Hospital, School of Medicine, Institute of Photomedicine, Tongji University, 1278 Baode Road, Shanghai 200443, China. Electronic address:
Photodynamic therapy (PDT) is proved effective for treating low-grade squamous intraepithelial lesions (LSIL) and condylomata acuminata (CA). 5-Aminolevulinicacid (5-ALA) is the most common applied photosensitizer, but high rate of unbearable pain and relative long incubation time were reported. Here, we report a 27-year-old woman suffering from cervical and vaginal giant CA with LSIL involving the whole right vaginal fornix, cervical surface, and vaginal wall.
View Article and Find Full Text PDFRecurrence of gigantic overhanging bleb post excision: a case report.
GMS Ophthalmol Cases
September 2023
Pathology Department, Gobind Ballabh Pant Institute of Post Graduate Medical Education & Research, New Delhi, India.
Purpose: To report the case of an extremely large overhanging bleb, extending from superior fornix to limbus, in a 57-year-old poorly controlled diabetic, six years after trabeculectomy for an uncontrolled primary open angle glaucoma (POAG) with recurrence, months after complete excision.
Methods: An overhanging bleb is defined as a filtering cicatrix which has been massaged downward over the cornea by eyelid action. It has been linked to anti-metabolite use during glaucoma filtering surgery.
Surgical treatment of a patient with a giant choroidal fissure cyst: a case report.
Childs Nerv Syst
April 2023
Neurosurgery Department, Garrahan Hospital, Buenos Aires, Argentina.
Introduction: Choroidal fissure cysts (CFC) are usually an incidental finding on imaging and lead to morbidity only in rare cases. The aim of this study was to present the case of a patient with a giant CFC and its treatment.
Case Report: The patient was a male infant of 9 days of life that presented with symptoms of intracranial hypertension.
Biopsy negative giant cell arteritis-Revised diagnostic criteria: Giant cell arteritis diagnostic criteria.
J Stroke Cerebrovasc Dis
October 2022
Department of Neurology, Hartford Hospital and University of Connecticut School of Medicine, Hartford, CT, United State. Electronic address:
Background: Diagnosis of giant cell arteritis has traditionally relied on demonstration of pathologic changes on temporal artery biopsy.
Method: To highlight recent advances in large vessel imaging resulting in revised diagnostic criteria for giant cell arteritis.
Conclusion: We call attention to the revised diagnostic criteria imaging evidence of extracranial large vessel thickening as an alternative to temporal artery biopsy in diagnosis of giant cell arteritis in a patient with heralding anterior fornix infarct.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!