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Postoperative endophthalmitis

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https://www.readbyqxmd.com/read/27905335/incidence-of-short-term-complications-and-associated-factors-after-primary-trabeculectomy-in-chiang-mai-university-hospital
#1
Thidarat Leeungurasatien, Preeyanuch Khunsongkiet, Kassara Pathanapitoon, Damrong Wiwatwongwana
BACKGROUND: To determine the incidence of early postoperative complications and associated factors after primary trabeculectomy in Thai glaucoma patients. DESIGN: This was a retrospective observational study performed in Chiang Mai University Hospital. PARTICIPANTS: One hundred and eighteen glaucoma patients participated in the study. METHODS: All glaucoma patients underwent primary trabeculectomy with mitomycin C (MMC) using fornix-based conjunctival flap technique between December 2011 and May 2013...
October 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27895365/indications-of-enucleations-and-eviscerations-performed-at-a-tertiary-eye-care-unit-a-case-series
#2
Rashid Baig, Maheen Akhtar Syed, Khabir Ahmad, Tanveer Anjum Chaudhry
The retrospective study was planned to look at the indications of eye enucleations and eviscerations, and comprised all such procedures done at the Aga Khan University Hospital, Karachi, from January 2006 to December 2015. Data was collected regarding age at the time of procedure, gender, procedure type, indication for enucleation or evisceration, type of implant if used and complications. Of the 66 eyes of 65 individuals, 47 (71.2%) underwent evisceration and 19 (28.8%) enucleation. The mean age at the time of the procedures was 37...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27887598/comparison-of-the-most-common-isolates-of-postoperative-endophthalmitis-in-south-korea-enterococcus-species-vs-coagulase-negative-staphylococci
#3
Ki Yup Nam, Hyun Wong Kim, Woo Jin Jeung, Jung Min Park, Jong Moon Park, In Young Chung, Yong Seop Han, Bu Sup Oum, Ji Eun Lee, Ik Soo Byon, Il Han Yun, Joo Eun Lee, Hee Sung Yoon, Dong Park, Byeng Chul Yu, Sang Joon Lee
BACKGROUND: To compare the related factors or manifestations of the two most common isolates of post-operative endophthalmitis, which were Enterococcus spp. and coagulase-negative staphylococci (CNS) in South Korea. METHODS: Medical records were reviewed for cases of post-operative endophthalmitis caused by Enterococcus spp. and CNS at eight institutions between January 2004 and July 2010. Various factors including age, sex, residence, systemic diseases, smoking and drinking history, and best corrected visual acuity, and length of time between causative intraocular surgery and symptom development were compared between the two groups...
November 25, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27847635/intralesional-antibiotic-injection-using-41g-needle-for-the-management-of-subretinal-abscess-in-endogenous-endophthalmitis
#4
Pradeep Venkatesh, Shreys Temkar, Koushik Tripathy, Rohan Chawla
BACKGROUND: Presence of subretinal abscess in endogenous endophthalmitis indicates a more severe form of infection. Available reports indicate variable response to standard treatment with systemic, intravitreal pharmacotherapy and vitreous surgery. There are no reports citing the possible role of intralesional antibiotic therapy in managing subretinal abscess. CASE PRESENTATION: A 30 year old lady presented with features of endogenous endophthalmitis and subretinal abscess...
2016: International Journal of Retina and Vitreous
https://www.readbyqxmd.com/read/27834965/clinical-outcomes-of-gamma-irradiated-sterile-cornea-in-aqueous-drainage-device-surgery-a-multicenter-retrospective-study
#5
Q Pan, H D Jampel, P Ramulu, G F Schwartz, F Cotter, D Cute, Y J Daoud, P Murakami, W J Stark
PurposeThe purpose of the study was to evaluate the safety and efficacy of gamma-irradiated sterile cornea (GISC) for covering the tube in aqueous drainage device (ADD) surgery in a retrospective, multicenter case series.Patients and methodsParticipants included 297 patients (321 procedures) who had undergone ADD surgery for the first time using GISC patch at three clinic centers in the United States between April 2009 and July 2012. The medical records of those consecutive patients were reviewed. Preoperative, intraoperative, and postoperative parameters about GISC were collected and analyzed...
November 11, 2016: Eye
https://www.readbyqxmd.com/read/27817919/incidence-and-outcomes-of-positive-donor-corneoscleral-rim-fungal-cultures-after-keratoplasty
#6
Jesse M Vislisel, Kenneth M Goins, Michael D Wagoner, Gregory A Schmidt, Benjamin T Aldrich, Jessica M Skeie, Cynthia R Reed, M Bridget Zimmerman, Mark A Greiner
PURPOSE: To determine the incidence of positive corneoscleral donor rim fungal cultures after keratoplasty and to report clinical outcomes of grafts with culture-positive donor rims. DESIGN: Retrospective cohort study. PARTICIPANTS: Consecutive donor corneas and keratoplasty recipients at a single tertiary referral center over 20 years. METHODS: Patient charts were reviewed to determine the incidence of positive donor rim fungal cultures and clinical outcomes of all grafts using contaminated tissue...
November 3, 2016: Ophthalmology
https://www.readbyqxmd.com/read/27800251/active-silicone-oil-removal-with-a-transconjunctival-sutureless-system-is-the-23-gauge-system-safe-and-effective
#7
Mahmut Kaya, Ayhan Özyurt, Arif Taylan Öztürk, Duygu Er, Süleyman Kaynak, Nilüfer Koçak
OBJECTIVES: To evaluate the safety and efficacy of active silicone oil removal with a 23-gauge (G) transconjunctival sutureless system. MATERIALS AND METHODS: One hundred sixteen eyes of 113 patients who had previous retinal detachment surgery with pars plana vitrectomy and silicone oil injection surgery, and underwent silicone oil removal surgery with 23-G transconjonctival sutureless technique in our clinic between January 2009 and April 2014 were reviewed retrospectively...
January 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27779558/microbiologic-spectrum-and-visual-outcomes-of-acute-onset-endophthalmitis-undergoing-therapeutic-pars-plana-vitrectomy
#8
Jayanth Sridhar, Yoshihiro Yonekawa, Ajay E Kuriyan, Anthony Joseph, Benjamin J Thomas, Michelle C Liang, Nadim Rayess, Nidhi Relhan, Jeremy D Wolfe, Chirag P Shah, Andre J Witkin, Harry W Flynn, Sunir J Garg
PURPOSE: To report the clinical presentation, microbiologic spectrum, and visual outcomes associated with acute-onset infectious endophthalmitis undergoing therapeutic pars plana vitrectomy. METHODS: Multicenter interventional retrospective noncomparative consecutive case series. Billing records were reviewed to identify all charts for patients undergoing pars plana vitrectomy within 14 days of diagnosis of acute-onset infectious endophthalmitis over a 4-year period at 5 large tertiary referral retina practices...
October 21, 2016: Retina
https://www.readbyqxmd.com/read/27766175/possible-relation-between-lack-of-posterior-vitreous-detachment-and-severe-endogenous-endophthalmitis
#9
Kazuhiko Umazume, Jun Suzuki, Yoshihiko Usui, Yoshihiro Wakabayashi, Hiroshi Goto
Purpose. Endogenous endophthalmitis (EE) is a rare ocular disease caused by bacterial or fungal infection of intraocular spaces by hematogenous spread of pathogens from distant infectious loci in the body. We investigated the clinical characteristics and management of eyes with EE in ten consecutive patients. Methods. Ten patients (10 eyes) with EE treated at Tokyo Medical University Hospital in 2014 were reviewed. We retrospectively studied the causative organisms, systemic complications, pre/postoperative mean best-corrected visual acuity (BCVA), and status of posterior vitreous detachment (PVD)...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27747118/combined-scleral-flap-with-donor-scleral-patch-graft-for-anterior-tube-placement-in-glaucoma-drainage-device-surgery
#10
Jea H Yu, Chuck Nguyen, Esmeralda Gallemore, Ron P Gallemore
Purpose. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions. Methods. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement. Results. In this retrospective case series, 3 patients are presented illustrating the technique...
2016: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/27697258/chronic-postoperative-fungal-endophthalmitis-caused-by-penicillium-citrinum-after-cataract-surgery
#11
Anurag Garg, Alastair Stuart, Mark Fajgenbaum, David Alistair Laidlaw, Miles Stanford
: An 85-year-old man developed chronic postoperative endophthalmitis after complicated cataract surgery. Visual acuity in the affected eye was hand movements. Slitlamp biomicroscopy showed a hypopyon, superonasal iris nodule, and marked vitritis. An anterior chamber washout, iris biopsy, and intravitreal amphotericin injection were performed. Panfungal polymerase chain reaction of anterior chamber and vitreous samples were positive for Penicillium citrinum. The iris biopsy showed hyphae on Grocott staining...
September 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27684294/immediately-sequential-bilateral-cataract-surgery-advantages-and-disadvantages
#12
Ranjodh Singh, Thomas H Dohlman, Grace Sun
PURPOSE OF REVIEW: The number of cataract surgeries performed globally will continue to rise to meet the needs of an aging population. This increased demand will require healthcare systems and providers to find new surgical efficiencies while maintaining excellent surgical outcomes. Immediately sequential bilateral cataract surgery (ISBCS) has been proposed as a solution and is increasingly being performed worldwide. The purpose of this review is to discuss the advantages and disadvantages of ISBCS...
January 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/27668871/management-of-pediatric-aphakic-glaucoma-with-vitrectomy-and-tube-shunts
#13
Yasser M Elshatory, Elizabeth H Gauger, Young H Kwon, Wallace L M Alward, H Culver Boldt, Stephen R Russell, Vinit B Mahajan
PURPOSE: To review the impact of vitrectomy and tube shunts on mean intraocular pressure (IOP) and number of glaucoma medications in pediatric aphakic glaucoma. METHODS: A retrospective review of pediatric patients who underwent combined vitrectomy and glaucoma tube shunt surgery for aphakic glaucoma was conducted. Inclusion criteria were: age 18 years or younger, diagnosis of aphakic glaucoma, preoperative IOP data, and postoperative IOP data for at least 6 months...
September 26, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27660410/visual-outcome-after-emergency-surgery-for-open-globe-eye-injury-in-japan
#14
Ai Toride, Hiroshi Toshida, Asaki Matsui, Yusuke Matsuzaki, Rio Honda, Toshihiko Ohta, Akira Murakami
BACKGROUND: Most patients with open globe eye injury are brought to hospital as emergency patients and usually require admission for emergency surgery. We analyzed the visual outcome in patients with open globe eye injury at our hospital over a 4-year period. PATIENTS AND METHODS: This study reviewed 40 eyes of 40 patients with open globe eye injury who were presented to Juntendo University Shizuoka Hospital and required emergency surgery during the 4 years from January 2010 to December 2014...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27647122/vancomycin-in-infusion-during-vitrectomy-in-surgical-treatment-of-acute-postoperative-and-posttraumatic-endophthalmitis
#15
Robert Rejdak, Tomasz Choragiewicz, Agnieszka Kalinowska, Michael J Koss, Piotr Ksiazek, Joanna Moneta-Wielgos, Ryszard Maciejewski, Anselm G Jünemann, Katarzyna Nowomiejska
BACKGROUND: Endophthalmitis is potentially devastating intraocular inflammation following eye trauma or surgery. We describe the visual outcomes and causative pathogens in acute bacterial postoperative and posttraumatic endophthalmitis treated with immediate pars plana vitrectomy (PPV) with Vancomycin dissolved in the infusion fluid. METHODS: Clinical records of consecutive 30 patients with postoperative endophthalmitis and 15 patients with posttraumatic endophthalmitis were evaluated...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27614591/safety-of-concurrent-boston-type-i-keratoprosthesis-and-glaucoma-drainage-device-implantation
#16
Tamara L Lenis, Stephan Y Chiu, Simon K Law, Fei Yu, Anthony J Aldave
PURPOSE: To evaluate the safety of concurrent Boston type I keratoprosthesis (KPro) and glaucoma drainage device (GDD) implantation. DESIGN: Retrospective comparative study of a consecutive cohort of patients. SUBJECTS: Patients who underwent KPro implantation by a single surgeon (A.J.A.) with or without 1 concurrent Ahmed GDD (New World Medical, Inc., Rancho Cucamonga, CA) implantation between January 1, 2005, and January 31, 2015, were included...
September 7, 2016: Ophthalmology
https://www.readbyqxmd.com/read/27614460/methicillin-resistance-and-biofilm-production-of-staphylococcus-epidermidis-isolates-from-infectious-and-normal-flora-conjunctiva
#17
Norma Fariña, Margarita Samudio, Letizia Carpinelli, Martin M Nentwich, Herminia Mino de Kaspar
PURPOSE: Coagulase-negative staphylococci have been reported to be the most frequent cause of bacterial postoperative endophthalmitis. Biofilm formation is the major virulence factor of Staphylococcus epidermidis and is often associated with methicillin resistance. This study aims at evaluating the presence of biofilm-producing and methicillin resistance genes (mecA) in S. epidermidis. METHODS: S. epidermidis isolated from clinically infected sites (group 1) and from normal human conjunctiva (group 2) were studied...
September 10, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27612922/comparison-of-dexamethasone-intravitreal-implant-with-conventional-triamcinolone-in-patients-with-postoperative-cystoid-macular-edema
#18
Georgios Mylonas, Michael Georgopoulos, Panagiotis Malamos, Ilias Georgalas, Chryssanthi Koutsandrea, Dimitrios Brouzas, Stefan Sacu, Christos Perisanidis, Ursula Schmidt-Erfurth
AIMS: To evaluate the efficacy of the treatment with intravitreal triamcinolone acetonide or dexamethasone intravitreal implant in patients with postoperative cystoid macular edema (PCME). MATERIALS AND METHODS: Thirty eyes of 29 patients with PCME were randomized into two groups: one group initially received an injection of 4 mg triamcinolone; retreatment after 3 months was dependent on functional and anatomic outcome in a PRN regimen. The second group received a single injection of the dexamethasone intravitreal implant (Ozurdex)...
September 9, 2016: Current Eye Research
https://www.readbyqxmd.com/read/27601148/-iodine-allergy-a%C3%A2-medical-myth-with-risks-for-the-ophthalmological-patient
#19
T U Krohne, J-P Allam, N Novak, F G Holz
BACKGROUND: Preoperative disinfection with povidone-iodine results in a significant reduction of the risk for postoperative endophthalmitis and secondary irreversible vision loss in intraocular surgeries and intravitreal injections. Nevertheless, this important measure is often omitted if so-called "iodine allergy" is suspected. We analyze the physiological and allergological basis for the construct of "iodine allergy". METHODS: This article is based on a selective literature review using the search term "allergy" in combination with "iodine", "povidone", "indocyanine green", or "seafood"...
September 6, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27586671/postoperative-endophthalmitis-incidence-after-intravitreal-therapy-a-comparison-of-two-different-preoperative-antibiotic-prophylaxis
#20
Sergio Piscitello, Maria Vadalà
Prevention of postoperative endophthalmitis (POE) is a goal of every ophthalmic procedure and also in intravitreal therapy (IVT). This comparative retrospective study targets whether systemic and topical preoperative antibiotic prophylaxis (PAP) regimen does prevent POE after IVT in a higher rate compared with topical PAP alone. Out of 6111 IVT performed over a period of 103.5 months, in the study group A patients were treated with systemic and topical PAP (2881 IVT), and in the study group B patients were treated only with topical PAP (3230 IVT)...
September 1, 2016: International Ophthalmology
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