12,380 results match your criteria: "Endophthalmitis"

Intravitreal chlorhexidine for sterilizing the vitreous cavity in an animal model of bacterial endophthalmitis.

Cutan Ocul Toxicol

December 2024

Edward Harkness Institute of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, USA.

Article Synopsis
  • The study assesses how effective and safe intravitreal chlorhexidine (CHX) is in sterilizing the vitreous cavity for bacterial endophthalmitis.
  • In vitro, CHX concentrations above 6.25 µg/mL effectively killed bacteria, and doses below 200 µg/mL did not harm retinal cells.
  • Animal testing showed that CHX concentrations of 20-100 µg/mL could sterilize the vitreous without causing harmful effects, suggesting potential for clinical application.*
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To examine the trends and outcomes in the management of Coats disease and evaluate the effects of a staged therapeutic approach using transpupillary laser vascular ablation, intravitreal (IVT) bevacizumab, and adjunct as-needed posterior sub-Tenon triamcinolone acetonide (used only in cases with a persistent active exudation) on globe retention, anatomic status, and visual acuity (VA). An evaluation was performed from 2005 to 2023. Previous case series published in the literature were reviewed.

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Purpose: To analyze endophthalmitis characteristics and risks following a 25-gauge vitrectomy or microincision vitrectomy surgery (MIVS).

Design: Retrospective.

Subjects: Post-MIVS endophthalmitis patients.

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The diagnosis and treatment progress of infectious endophthalmitis.

Eye (Lond)

November 2024

Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai, China.

Endophthalmitis is a blinding disease that may lead to permanent vision loss. The diagnosis of endophthalmitis relies on clinical findings. It is crucial to identify causative microorganisms in time for subsequent treatment and saving vision.

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Microbiol Spectr

November 2024

Department of Clinical Laboratory, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.

is an emerging pathogen that causes life-threatening infections in neonates and immunocompromised patients. In this study, we performed next-generation sequencing (NGS) to characterize 10 strains isolated from clinical patients in Nantong, China. Core, accessory, and unique genomes were composed of 2,891, 1,633, and 498 genes, respectively.

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This study aimed to investigate the accuracy, reliability, and readability of A-Eye Consult, ChatGPT-4.0, Google Gemini and Copilot AI large language models (LLMs) in responding to patient questions about endophthalmitis. The LLMs' responses to 25 questions about endophthalmitis, frequently asked by patients, were evaluated by two ophthalmologists using a five-point Likert scale, with scores ranging from 1-5.

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Background: Endophthalmitis is an acute infection of anterior and posterior segment of the eye involving aqueous humour and vitreous cavity along with the other structures. It is classified into many types including bacterial, Fungal, protozoal, viral and atypical forms. Most common route of infection is exogenous either after the surgery or traumatic perforation Objectives were of evaluate the efficacy of intracameral moxifloxacin versus topical moxifloxacin in preventing postoperative acute endophthalmitis after cataract surgery by phacoemulsification.

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Efficacy of prophylactic intracameral antibiotic in preventing endophthalmitis after cataract surgery.

Arq Bras Oftalmol

November 2024

Ophthalmology Department, Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil.

Article Synopsis
  • * Data from nearly 4,500 cataract surgeries were analyzed, comparing periods before and after cefuroxime was used; results showed no endophthalmitis cases in the cefuroxime group versus 0.13% in the control group.
  • * The findings concluded that intracameral cefuroxime significantly lowers the risk of endophthalmitis after cataract surgery and is safe for patients.
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Management of late postoperative capsular bag distension syndrome - two year case series.

Eur J Ophthalmol

November 2024

Department of Ophthalmology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.

Introduction: Late capsular bag distension syndrome (CBS) is a rare complication of the ^lcataract surgery.

Aim: The aim is to present 9 cases with delayed presentation and describe their successful management with surgical approach.

Method: A two-year retrospective review of 9 cases was undertaken.

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Purpose: To describe the successful use of plasma rich in growth factors (PRGF-Endoret®) and internal limiting membrane peeling for full thickness macular hole in Macular Telangiectasia type 2.

Case Presentation: A case report of a full thickness macular hole (FTMH) associated with Macular Telangiectasia (MacTel) type 2 is described. 25-G vitrectomy with internal limiting membrane (ILM) peeling and use of (PRGF-Endoret®) was performed.

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A lacrimal drainage pathway disease-associated keratopathy (LDAK) case with non-infectious endophthalmitis.

Am J Ophthalmol Case Rep

December 2024

Department of Ophthalmology, Saitama Medical University, 38 Morohongo, Moroyama, Saitama, 350-0495, Japan.

Purpose: To report a case of lacrimal drainage pathway disease-associated keratopathy (LDAK) with endophthalmitis.

Observations: An 80-year-old man with diabetic retinopathy and nephropathy was referred to our hospital with endophthalmitis of the left eye. Slit-lamp examination revealed slight eye discharge, peripheral corneal ulcers, diffuse hyperemia of the conjunctiva, iris synechia, and a large amount of fibrin in the anterior chamber of the left eye.

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Purpose: To employ a validated survey for evaluation of quality of life (QoL) outcomes and associated factors in a US cohort of adult patients with acquired anophthalmia wearing a prosthesis.

Methods: A retrospective cohort study was performed at a single, US academic institution of patients cared for between 2012 and 2021. The electronic medical record database was queried for adult patients with a history of evisceration or enucleation surgery and placement of an orbital implant.

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Collaborations between ophthalmologists and infectious disease specialists are critical for optimizing care of many patients with eye infections. We review challenges in common and uncommon eye infections to promote better understanding of these infections and prioritize areas for further research.

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Endophthalmitis patients in Makassar City: molecular identification of pathogenic fungal profile.

BMC Infect Dis

November 2024

Department of Microbiology, Faculty of Medicine, Hasanuddin University, Perintis Kemerdekaan No.Km. 10, Tamalanrea Indah, Kec. Tamalanrea, Kota Makassar, Sulawesi Selatan, Makassar, 90245, Indonesia.

Background: Endophthalmitis is a severe inflammation of the internal ocular structures, usually caused by bacterial or fungal infections, and can lead to rapid, irreversible blindness. Fungal endophthalmitis (FE), primarily due to Candida albicans and Aspergillus, is less common than bacterial endophthalmitis but has shown an increase in prevalence over the past two decades. Diagnosing FE is challenging and often delayed due to the time-consuming nature of traditional culture methods.

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Introduction: This study aims to evaluate the ocular and systemic safety profiles of intravitreal biosimilar ranibizumab Ranieyes (Lupin Pharmaceuticals, Mumbai, India) in real-world clinical settings across multiple chorioretinal vascular diseases, including neovascular age-related macular degeneration (nAMD), diabetic macular edema (DME), and retinal vein occlusion (RVO) in adults.

Methods: We conducted a retrospective, consecutive, interventional, uncontrolled multicenter study using data from three hospital networks in India. A total of 1401 eyes received 2194 injections of Ranieyes between June 2022 and November 2023.

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To describe a case of endophthalmitis caused by , an encapsulated bacterium, after intravitreal (IVT) injection of pegcetacoplan. A single retrospective case was evaluated. An 88-year-old woman with a history of diabetes mellitus, on dialysis for chronic kidney disease, hypertension, hypothyroidism, diffuse large B-cell lymphoma, and geographic atrophy in both eyes received an IVT injection of pegcetacoplan in both eyes.

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Povidone iodine-infused pars plana vitrectomy for severe fungal endophthalmitis.

Am J Ophthalmol Case Rep

December 2024

Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, CA, USA.

Purpose: Arthrographis kalrae is an opportunistic fungus that can cause a severe and atypical endophthalmitis. In limited studies, low-dose povidone iodine has been shown to be effective in treating fulminant bacterial endophthalmitis. In this case report, we describe the successful treatment of recalcitrant keratitis-associated endophthalmitis with intraocular povidone iodine during pars plana vitrectomy.

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Purpose: To describe an alternative technique used in massive post-traumatic cyclodialysis. Classic techniques such as direct cyclopexy are performed ab externo and entail a higher risk of endophthalmitis or ciliary body hemorrhage. Therefore we present a case report using combined sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation for complete post-traumatic cyclodialysis.

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Acute infectious endophthalmitis after chandelier-assisted scleral buckling surgery.

Eur J Ophthalmol

November 2024

Department of Retina and Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India.

Article Synopsis
  • A case study reports a rare instance of acute bacterial endophthalmitis following scleral buckling surgery using a non-contact wide-angle viewing system (WAVS) and chandelier endoillumination in a 63-year-old man.
  • The patient experienced a significant decrease in vision and ocular pain a week after surgery, with examinations revealing severe vitreous haze and infection, confirmed through a vitreous biopsy.
  • Successful treatment involved a vitreous biopsy and intravitreal antibiotics, leading to recovery of vision over six weeks, highlighting the need for clinicians to be aware of infection risks associated with this surgical method.
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Unified Approach to Treating Exogenous Endophthalmitis With Immediate Vitrectomy.

J Vitreoretin Dis

September 2024

Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada.

Article Synopsis
  • A study analyzed the effects and complications of immediate small-gauge pars plana vitrectomy on 107 patients with exogenous endophthalmitis from 2016 to 2022.
  • Results showed significant improvement in best-corrected visual acuity (BCVA) from initial diagnosis to follow-up, with a mean logMAR BCVA change from 2.26 to 1.21.
  • Common complications included retinal detachment (17.8%) and secondary glaucoma (9.3%), highlighting the need for patient counseling on the risks of the surgery.
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To present a case of bilateral endogenous endophthalmitis as the first presentation of endocarditis. A single case was evaluated. A 64-year-old Black woman presented with rapidly progressive bilateral vision loss.

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Comparison of the aetiology, microbiological isolates and antibiotic susceptibilities of endophthalmitis between children and adults in southern China: a retrospective, cohort study.

BMJ Open

November 2024

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of ophthalmology Ⅴisual Science, Guangzhou, Guangdong, China

Article Synopsis
  • - The study compares the causes, bacterial isolates, and antibiotic susceptibility of endophthalmitis in children versus adults, revealing trauma as the primary cause in both groups, with children experiencing it more frequently.
  • - In terms of microbial isolates, specific bacteria were prevalent in each age group: pediatric cases mostly involved certain species, while coagulase-negative staphylococci were more common in adults; fungi also played a notable role in adults' postoperative infections.
  • - Children showed higher antibiotic susceptibility rates compared to adults for the majority of tested antibiotics, with levofloxacin being the most effective for children and ofloxacin for adults.
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Purpose: To report an incidence of procedure-related complications in preterm infants with retinopathy of prematurity (ROP) treated with intravitreal anti-VEGFs injection in both eyes on the same day.

Design: Retrospective, multicenter case series.

Subjects: Preterm infants with ROP treated with anti-VEGF bilaterally on the same day.

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Purpose: This study aimed to describe the functional and anatomical outcomes of post-cataract surgery fungal endophthalmitis at King Khaled Eye Specialist Hospital (KKESH).

Patients And Methods: A retrospective analysis of clinical data from a single institution was performed. This study included 29 patients with post-cataract surgery endophthalmitis with suspected or confirmed fungal etiology who presented between January 1, 2017, and December 31, 2022.

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