12,385 results match your criteria: "Endophthalmitis"

A 61-year-old man presented hyperacute endophthalmitis due to Proteus mirabilis after a pars plana vitrectomy. In the first examination (24 h after surgery), visual acuity (VA) was of hand movement, biomicroscopy showed edematous cornea, Tyndall ++++ and fibrin membrane, with vitritis and impossibility of visualizing retina details. Treatment with intravitreal injections was performed.

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Article Synopsis
  • Endogenous endophthalmitis is an eye infection linked to bloodstream infection, and its treatment with intravitreal fluconazole in older adults with liver and kidney disease is not well understood.* -
  • This case report features a 78-year-old man with liver cirrhosis and end-stage kidney disease who developed blurred vision due to a severe eye infection that was preceded by an obstructive urinary tract infection.* -
  • The patient received intravitreal fluconazole injections along with oral fluconazole; after treatment, his eye symptoms improved significantly, indicating that this method can effectively treat fungal endophthalmitis in patients who cannot undergo more invasive procedures.*
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AMP-activated protein kinase (AMPK) plays a crucial role in governing essential cellular functions such as growth, proliferation, and survival. Previously, we observed increased vulnerability to bacterial (Staphylococcus aureus) endophthalmitis in global AMPKα1 knockout mice. In this study, we investigated the specific involvement of AMPKα1 in myeloid cells using LysMCre;AMPKα1fl mice.

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Ocular and Periocular Tattoo Adverse Effects: A Review.

Diagnostics (Basel)

September 2024

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.

Background: Ocular and periocular tattoos, involving ink application to the eyeball or surrounding skin, have gained popularity as forms of self-expression. However, this trend raises significant concerns about potential complications that can adversely affect ocular health and esthetics. Awareness of these risks is crucial for both patients and practitioners.

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Purpose: To report five cases of post-operative sterile endophthalmitis in patients who underwent pars plana vitrectomy with silicone oil injection for retinal detachment.

Methods: Review of the medical records of five patients who underwent pars plana vitrectomy with silicone oil injection at Southend University Hospital and the Royal Eye Infirmary, Derriford Hospital for rhegmatogenous or tractional retinal detachment.

Results: All five patients presented with signs of anterior chamber inflammation exhibiting flare, fibrin and hypopyon in the early or late post-operative period following vitrectomy with silicone oil injection.

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Background: Animal-induced ocular injuries represent an under-documented health problem that may pose significant visual complications. This study aimed to investigate the clinical characteristics and outcomes of ocular injuries caused by animals.

Methods: This multicenter prospective study enrolled patients with a history of animal-induced ocular injuries presenting to the ophthalmology departments of two tertiary hospitals over a one-year period.

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Article Synopsis
  • The study aimed to identify demographic factors and health conditions that increase the risk of developing endogenous endophthalmitis (EE) in patients with infective endocarditis (IE).
  • Analysis of data from 769,472 inpatient cases revealed that older patients (21-64 years) and those identifying as Hispanic or Asian/Pacific Islander had a higher risk of EE, while women made up a slightly higher percentage of EE patients.
  • Diabetes (both with and without complications), alcohol use disorder, and cirrhosis were linked to a significantly increased risk of EE, while congestive heart failure and arrhythmia were associated with a lower risk.
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Intraocular fungal infection poses a significant clinical challenge characterized by chronic inflammation along with vision impairment. Understanding the host defense pathways involved in fungal endophthalmitis will play a pivotal role in identifying adjuvant immunotherapy. Clinical isolates of (15,000 CFU/μL) were intravitreally injected in C57BL/6 mice followed by enucleation at 24 and 72 h postinfection.

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[Invasive candidiasis].

Rev Med Suisse

October 2024

Service d'infectiologie, HFR Fribourg, 1752 Villars-sur-Glâne.

Candida spp is responsible for 70-90% of invasive fungal infections. Invasive candidiasis is usually diagnosed by blood culture; other microbiological methods such as PCR, beta-D-glucans and mannans/anti-mannans are available in addition to clinical scores such as the Candida score. Management includes antifungal therapy, removal of catheters and source control, follow-up blood cultures and fundus examination, one possible complication being endophthalmitis.

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  • Two cases of fungal endophthalmitis caused by different Candida species were reported, identified through internal transcribed spacer 1 (ITS1) sequencing.
  • The first patient was a 64-year-old woman with a history of melanoma and recent cataract surgery, while the second was a 54-year-old man with liver cancer and kidney failure; both underwent vitrectomy and were treated successfully.
  • The study highlights the effectiveness of ITS1 sequencing for faster and more accurate identification of fungal pathogens compared to traditional culture methods.
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  • The study evaluated postoperative endophthalmitis (POE) rates and risk factors in patients undergoing secondary intraocular lens (IOL) implantation for aphakia and IOL exchange, focusing on Medicare beneficiaries in the U.S. from 2011 to 2022.
  • The results showed that the 42-day POE rates were 0.35% for secondary IOL implantation and 0.28% for IOL exchange, with higher risks associated with anterior vitrectomy and increased comorbidity.
  • The overall POE rate was found to be 0.31%, suggesting that the lack of a posterior capsule during secondary IOL surgeries may contribute to the increased risk compared to standard cataract procedures.
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The Use of Point-of-Care Ultrasound for a Rapid Diagnosis of Endophthalmitis: A Case Report.

Cureus

September 2024

Emergency Medicine, Dr. D. Y. Patil Medical College, Hospital, and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

Article Synopsis
  • - Acute and subacute vision loss often needs urgent evaluation in emergency rooms, particularly for conditions like endophthalmitis, a serious eye infection that can be tough to diagnose early.
  • - A case report detailed the use of ocular point-of-care ultrasound (POCUS) to diagnose endophthalmitis in a 72-year-old man who initially appeared to have orbital cellulitis, despite not being able to undergo a standard eye examination.
  • - The POCUS examination uncovered intraocular debris, confirming an infection and leading to prompt treatment, demonstrating the effectiveness of ocular POCUS for quick and accurate diagnosis in emergency settings.
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Aim: We report a unique finding of iris nodules in a woman with endogenous endophthalmitis due to with no history of ocular surgery or trauma and good visual outcome.

Materials & Methods: Retrospective case report.

Results: A 39-year-old woman with a history of type 2 diabetes mellitus presented with a decrease in vision in the right eye of 1-month duration.

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Article Synopsis
  • * A review of data from 2005 to 2020 identified 84 eyes from 77 patients, with 12 eyes being corneal transplant-naïve and receiving primary Kpro.
  • * Results show that visual acuity outcomes were similar for both primary and secondary Kpro, though primary Kpro patients tended to have slightly better visual acuity at the final follow-up, with no significant differences in complications like glaucoma or retinal detachment between the two groups.
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Purpose: To present a treatment regimen for Brucellosis endophthalmitis that resulted in a good visual outcome. Additionally, we conducted a literature review on the treatment and visual prognosis of related cases.

Case Presentation: A 49-year-old woman with the chief complaint of decreased vision and redness in the right eye was initially diagnosed with noninfectious uveitis and prescribed high-dose steroids which led to transient improvement followed by a decline in vision.

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Article Synopsis
  • The study aimed to evaluate the short-term outcomes of a modified Boston keratoprosthesis device (ORC-KPro) in patients suffering from end-stage corneal blindness.
  • It included 12 patients (mostly middle-aged and male) where corneal blindness was primarily due to chemical burns or previous graft failures, achieving anatomical success for all cases.
  • While most patients experienced improved vision post-surgery, functional success was restricted because of underlying severe eye conditions, impacting overall visual potential.
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Ocular and adnexal manifestations post dengue hemorrhagic fever.

Indian J Ophthalmol

October 2024

Department of Clinical and Public Health Research, CL Gupta Eye Institute, Ram Ganga Vihar, Phase II (Ext), Moradabad, Uttar Pradesh, India.

Article Synopsis
  • This study investigates serious eye problems that can occur after dengue fever, highlighting the importance of recognizing these complications for timely treatment.
  • Conducted in Uttar Pradesh between October and November 2023, the research analyzed 13 patients, primarily middle-aged men, some with existing health issues like diabetes and hypertension.
  • The study found various severe ocular conditions resulted from dengue, with diminished vision being the most common symptom, indicating a crucial need for early detection and public awareness to prevent permanent vision loss.
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Challenging Case of Postoperative Endophthalmitis.

J Vitreoretin Dis

July 2024

Shri Bhagwan Mahavir Vitreoretinal Services, Chennai, Tamil Nadu, India.

To describe a case of postoperative endophthalmitis that proved to be challenging. A 64-year-old woman presented with a clinical picture of postoperative endophthalmitis, which was managed by vitrectomy with intraocular lens explantation. , sensitive to amikacin, cotrimoxazole (trimethoprim-sulfamethoxazole), and ciprofloxacin, was isolated in culture.

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Purpose: This study aims to evaluate the nonpharmacological safety profile of intravitreal dexamethasone implants in cases with different etiologies.

Methods: This retrospective university-based study analyzed clinical reports of patients receiving 0.7 mg dexamethasone implant injections between 2013 and 2023.

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Purpose: To report the incidence, etiology, and risk factors for tube explantation in patients undergoing patch-free glaucoma drainage device (GDD).

Methods: Of the total 1303 patients who underwent patch-free GDD (703 non-valved GDD and 600 valved GDD) for refractory glaucoma during January 2020-October 2023, we identified five cases of postoperative complications following GDD that required tube or shunt removal.

Results: Median (IQR) age of our study cohorts was 54.

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Aims: To determine the impact of microorganism virulence on visual outcomes in endophthalmitis.

Methods: Retrospective, multicentre cohort study of patients presenting with endophthalmitis between 2006 and 2021. A literature review was conducted to divide cultured microorganisms into low and high virulence subcategories.

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Introduction: Retinoblastoma is a serious childhood intraocular neoplasm that can be diagnosed clinically with the aid of B-scan ultrasound, and radiological examination. On the other hand, the differential diagnosis includes benign and other masquerading conditions such as uveitis and endophthalmitis thus adding challenge to the proper diagnosis.

Presentation Of Case: A six-year-old girl presented with leukocoria and decreased vision of the right eye.

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Article Synopsis
  • The study aimed to analyze the types of pathogens and their antibiotic resistance found in ocular infections over a five-year period at two hospitals in east China.
  • Out of 2727 ocular specimens collected, 827 yielded positive cultures, with bacterial strains (60.85%) being more prevalent than fungal strains (39.15%), and Gram-positive cocci emerging as the most common pathogens.
  • Notably, over 50% of Gram-positive cocci were resistant to fluoroquinolones, while multidrug resistance among bacteria showed a significant decrease over time.
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Multimodal imaging and histopathological evaluation in silicone oil keratopathy.

Eur J Ophthalmol

January 2025

Eye Clinic, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Purpose: To describe features in silicone oil keratopathy using multimodal imaging and histopathological examination.

Methods: Case report.

Result: A 21-year-old male developed right corneal decompensation in the heavy SO (HSO)-filled eye.

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