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Postoperative endophthalmitis

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https://www.readbyqxmd.com/read/29773945/predictive-factors-in-the-treatment-of-streptococcal-endophthalmitis
#1
Yosanan Yospaiboon, Kidakarn Meethongkam, Suthasinee Sinawat, Wipada Laovirojjanakul, Tanapat Ratanapakorn, Thuss Sanguansak, Chavakij Bhoomibunchoo
Objective: To evaluate visual outcomes and possible predictive factors in the treatment of infectious endophthalmitis caused by Streptococcus species during 2012-2016 at a large referral eye center in northeastern Thailand. Methods: A retrospective medical record chart review of patients with culture-positive endophthalmitis caused by Streptococcus species was conducted. Demographic data including age, gender, occupation, duration of symptoms, time to surgery, surgical procedures, initial visual acuity at presentation, and final visual acuity after treatment were collected and analyzed...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29752592/the-rate-of-endophthalmitis-after-pars-plana-vitrectomy-and-its-risk-factors
#2
Seyed Ali Tabatabaei, Mohammad Soleimani, Hadi Vakili, Morteza Naderan, Alireza Lashay, Houshang Faghihi, Mehdi Yaseri
PURPOSE: To study the incidence of endophthalmitis after pars plana vitrectomy, its causative organisms, and visual acuity outcomes. PATIENTS AND METHODS: In this retrospective, comparative study, the medical records of patients with acute-onset postoperative endophthalmitis after pars plana vitrectomy at Farabi Eye Hospital, Tehran, Iran, during a 12-year period between January 2004 and November 2015 were reviewed. To compare the endophthalmitis patients with other cases who underwent pars plana vitrectomy at the same day and also the same operating room, a control group was developed by gathering the data from surgical records...
May 11, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29747356/-research-on-the-surgery-treatment-and-etiology-of-fungal-endophthalmitis
#3
H Y Zhou, J J Ye, Y Y Chen, F T Dong
Objective: To evaluate the efficacy of vitrectomy and etiological diagnosis in the treatment of fungal endophthalmitis. Methods: A retrospective survey was done on the clinical manifestation, etiological diagnosis and treatment efficacy of 15 patients (15 eyes) who had been diagnosed with fungal endophthalmitis at the inpatient department of Peking Union Medical College Hospital during 2002-2015. A total of 15 eyes of 15 patients, 3 male and 12 female patients, were included in this study. The mean age of the patients was (45...
April 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29652690/endophthalmitis-after-pars-plana-vitrectomy-efficacy-of-intraoperative-subconjunctival-antibiotics
#4
Stephanie J Weiss, Murtaza K Adam, Xinxiao Gao, Anthony Obeid, Arunan Sivalingam, Mitchell S Fineman, Joseph I Maguire, Sunir J Garg, Julia Haller, David H Fischer, Jason Hsu
PURPOSE: To examine rates of acute infectious endophthalmitis after pars plana vitrectomy (PPV) in eyes that received intraoperative subconjunctival antibiotics versus eyes that did not. METHODS: A retrospective, nonrandomized, comparative case series of 18,886 consecutive cases of transconjunctival 23-, 25-, and 27-gauge PPV over a 5-year period was performed. The impact of prophylactic intraoperative subconjunctival antibiotics on the development of acute infectious postoperative endophthalmitis was examined...
April 12, 2018: Retina
https://www.readbyqxmd.com/read/29622706/-klebsiella-endophthalmitis-as-the-herald-of-occult-colorectal-cancer
#5
Chun Yue Mak, Helena Pui-Yee Sin, Vesta Cheuk-Ki Chan, Alvin Young
A 67-year-old Chinese man presented with acute loss of vision and pain in the left eye with hypopyon in the anterior chamber. The patient was afebrile with no systemic symptoms at presentation. Diagnosis of endogenous endophthalmitis was made with vitreous tap yielding Klebsiella pneumoniae Pars plana vitrectomy was performed twice to clear the infection. Thorough investigations showed no septic foci. Whole body positron emission tomography CT revealed a rectal tumour and biopsy showed adenocarcinoma. He was treated with neoadjuvant chemoirradiation followed by surgery to resect the tumour...
April 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29619650/endothelial-keratoplasty-in-eyes-with-a-retained-angle-supported-intraocular-lens
#6
Konstantinos Droutsas, Apostolos Lazaridis, George Kymionis, Klio Chatzistefanou, Dimitris Papaconstantinou, Walter Sekundo, Chryssanthi Koutsandrea
PURPOSE: To describe the outcomes of endothelial keratoplasty (EK) for bullous keratopathy in eyes with a retained angle-supported anterior chamber intraocular lens (acIOL). METHODS: Among 263 consecutive EK procedures, 7 DMEK and 11 DSAEK procedures were identified in eyes with an acIOL and included in the present retrospective case series. Pre- and postoperative status including ocular history, anatomical outcome and complications as well as best-corrected visual acuity was evaluated...
April 4, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29600174/outcomes-of-transconjunctival-sutureless-27-gauge-vitrectomy-for-vitreoretinal-diseases
#7
Jie Li, San-Mei Liu, Wen-Tao Dong, Fang Li, Cai-Hong Zhou, Xiao-Dan Xu, Jie Zhong
AIM: To evaluate the safety and efficacy profile of 27-gauge (27G) pars plana vitrectomy (PPV) for the treatment of various vitreoretinal diseases. METHODS: The clinical outcomes of 61 eyes (58 patients) with various vitreoretinal diseases following 27G PPV were retrospectively reviewed. RESULTS: Surgical indications included rhegmatogenous retinal detachment ( n =24), full-thickness macular hole ( n =12), diabetic retinopathy ( n =11), vitreous hemorrhage ( n =6), Eales disease ( n =4), pathological myopia-related vitreous floater ( n =2), and macular epiretinal membrane ( n =2)...
2018: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29563700/fungal-keratitis-and-endophthalmitis-after-implantation-of-type-1-keratoprosthesis
#8
Chintan Malhotra, Arun Kumar Jain, Nikhil Aggarwal
A 70-year-old patient who underwent uneventful primary implantation of Auro K Pro (a Type I Boston Keratoprosthesis-based device), developed infiltrates in the deep stroma of the carrier corneal graft and exudates on the optic stem of the keratoprosthesis assembly, 6 weeks postoperatively, which subsequently progressed to endophthalmitis. Vitreous tap was positive for a panfungal polymerase chain reaction, although corneal scrapings for both Gram stain and KOH wet mount yielded negative results. Aggressive management with systemic, topical, intravitreal, and intrastromal antifungal agents resulted in an initial resolution, but residual inflammatory vitreous membranes persisted...
January 2018: Oman Journal of Ophthalmology
https://www.readbyqxmd.com/read/29563695/pseudophakic-pupillary-block-glaucoma-in-early-postoperative-period-masquerading-as-endophthalmitis-clinical-features-are-important-for-differential-diagnosis
#9
Parthasarathi Roy
Pseudo-phakic pupillary block glaucoma in postoperative period may mimic acute endophthalmitis. This article illustrates how clinical differentiation of pseudo-phakic pupillary block glaucoma from postoperative acute endophthalmitis was done as ultrasonography produced confusing results.
January 2018: Oman Journal of Ophthalmology
https://www.readbyqxmd.com/read/29553466/effect-of-intracameral-ophthalmic-cefuroxime-solution-aprokam-%C3%A2-in-the-prophylaxis-of-cataract-surgery-in-patients-with-keratoplasty
#10
Mustafa Erdoğan Cicik, Cezmi Doğan, Osman Şevki Arslan
BACKGROUND: Development of endophthalmitis during cataract surgery is one of the most severe complications and it may also result in blindness and globe loss. AIMS: To evaluate the effect of an ophthalmic cefuroxime solution (Aprokam® ) that is prophylactically used in phacoemulsification surgery performed due to cataract that eventually occurs in patients with or without penetrating keratoplasty. STUDY DESIGN: Case-control study. METHODS: In this retrospective study, patients who had undergone penetrating keratoplasty and for whom phacoemulsification surgery was performed due to cataract and an intracameral ophthalmic cefuroxime solution (Aprokam® ) was administered for prophylaxis were evaluated in comparison with patients with cataract without keratoplasty...
March 15, 2018: Balkan Medical Journal
https://www.readbyqxmd.com/read/29533124/the-modified-polymethyl-methacrylate-silicone-keratoprosthesis-in-rabbit-model
#11
Heng Sun, Zhu-Lin Hu
PURPOSE: To evaluate the safety and effectiveness of a modified polymethyl methacrylate-silicone keratoprosthesis and its operation method in alkali-burned rabbit model. METHODS AND MATERIALS: The polymethyl methacrylate-silicone keratoprostheses were implanted into seven alkali-burned rabbit corneas by a special operation method using autologous graft as the keratoprosthesis (Kpro) carrier. The long-term postoperative outcomes were evaluated. RESULTS: During a postoperative study period of 16 months, except for one Kpro extruded at 3 months, all Kpros were in good position and were kept transparent without Kpro extrusion, keratolysis, infection, endophthalmitis, or retinal detachment...
May 2018: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/29503960/a-case-of-fungal-keratitis-and-endophthalmitis-post-penetrating-keratoplasty-resulting-from-fungal-contamination-of-the-donor-cornea
#12
Koji Kitazawa, Koichi Wakimasu, Kazuhito Yoneda, Bernie Iliakis, Chie Sotozono, Shigeru Kinoshita
Purpose: Fungal infections post keratoplasty due to contamination of the donor corneal graft have become important issues that need to be addressed. Here we report a case of fungal keratitis and endophthalmitis post penetrating keratoplasty (PKP) due to fungal contamination of the donor corneal graft. Observations: We present a 52-year-old male who underwent PKP with a donor corneal graft that was later found to be contaminated with fungus. At 4-weeks postoperative, infectious infiltrates suddenly appeared at the border between the host and donor corneal graft, and endophthalmitis concomitantly occurred...
April 2017: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29502618/safety-and-efficacy-of-intravitreal-injection-of-steroid-and-antibiotics-in-the-setting-of-cataract-surgery-and-trabecular-microbypass-stent
#13
Trevor Kindle, Tanner Ferguson, Mitch Ibach, Michael Greenwood, Justin Schweitzer, Russell Swan, Ramu G Sudhagoni, John P Berdahl
PURPOSE: To evaluate the safety and efficacy of intravitreal administration of a steroid and antibiotics during cataract surgery compared with the typical postoperative topical regimen in preventing postoperative inflammation, pain, cystoid macular edema (CME), and endophthalmitis. SETTING: Private practice, Sioux Falls, South Dakota, USA. DESIGN: Retrospective case series. METHODS: The study group included eyes that had an intravitreal injection of triamcinolone-moxifloxacin-vancomycin at the time of cataract surgery with concomitant trabecular microbypass stent insertion...
January 2018: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29497273/long-term-outcomes-of-the-aphakic-snap-on-boston-type-i-keratoprosthesis-at-the-bascom-palmer-eye-institute
#14
Allister Gibbons, Ella H Leung, Luis J Haddock, Carlos A Medina, Viviana Fernandez, Jean-Marie A Parel, Heather A Durkee, Guillermo Amescua, Eduardo C Alfonso, Victor L Perez
Purpose: To determine the indications, long-term clinical and visual outcomes, and complications of the aphakic snap-on type I Boston keratoprosthesis (KPro). Design: Retrospective, non-comparative case series. Methods: Forty-five eyes of 43 patients with type I aphakic snap-on KPros with at least 1 year of follow-up were included. The past medical histories, preoperative indications, best-corrected visual acuities (BCVAs), postoperative complications, and retention rates were analyzed...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29468205/late-onset-bleb-associated-endophthalmitis-and-continuous-positive-airway-pressure
#15
Erich J Berg, John B Davies, Mark R Buboltz, Thomas W Samuelson
Purpose: To raise awareness of a possible association between continuous positive airway pressure (CPAP) devices and postoperative bleb-related infection. Observations: A 57-year old patient on CPAP presented with unilateral bleb-associated endophthalmitis 32 months after routine ExPress Trabeculectomy with mitomycin C. The offending organism, Streptococcus mitis , is a nonmotile and generally non-virulent pathogen which predominates in the normal human respiratory flora...
June 2018: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29456673/full-thickness-conjunctival-flap-covering-surgery-combined-with-amniotic-membrane-transplantation-for-severe-fungal-keratitis
#16
Jing Zhong, Bowen Wang, Saiqun Li, Yuqing Deng, Haixiang Huang, Ling Chen, Jin Yuan
Fungal keratitis is a severe and common ocular infectious disease. The present study evaluated the efficiency of full-thickness conjunctival flap covering surgery with amniotic membrane transplantation (FCCS + AMT) as a transitional surgery for severe fungal keratitis. A total of 17 patients with severe fungal keratitis without corneal perforation underwent FCCS + AMT between January 2010 and December 2015. The pathogenic factors, preoperative diagnosis and postoperative prognosis of FCCS + AMT at 3 months were evaluated...
March 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29454335/earliella-scabrosa-associated-postoperative-endophthalmitis-after-phacoemulsification-with-intraocular-lens-implantation-a-case-report
#17
Hong He, Xiaolian Chen, Hongshan Liu, Jiaochan Wu, Xingwu Zhong
BACKGROUND: Postoperative endophthalmitis after cataract surgery is a severe eye infection that can lead to irreversible blindness in the affected eye. The characteristics, treatment and prognosis of this disease vary because of its association with different pathogens. Here, we report what is possibly the first case of endophthalmitis after cataract surgery to be associated with the rare pathogen Earliella scabrosa. CASE PRESENTATION: A 56-year-old man from Hainan Island (China) with a history of phacoemulsification and type II diabetes mellitus underwent intraocular lens (IOL) implantation...
February 17, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29453989/management-of-bacterial-postoperative-endophthalmitis-and-the-role-of-vitrectomy
#18
REVIEW
Ben Clarke, Tom Williamson, Giampaolo Gini, Bhaskar Gupta
Management of postoperative bacterial endophthalmitis was explored in the Endophthalmitis Vitrectomy Study37 (EVS) in 1995, which has underpinned the core protocols in treatment ever since. While surgical techniques have continued to evolve, little has changed in the overall clinical management as no further large randomized controlled trials have taken place. We review the literature addressing the incidence of endophthalmitis, pathogens, antibiotic therapies, and the role of vitrectomy. We suggest an update to management protocols based on available evidence...
February 14, 2018: Survey of Ophthalmology
https://www.readbyqxmd.com/read/29446810/postoperative-endophtalmities-therapeuthic-results-and-early-vitrectomy
#19
Imen Zghal, Amine Souguir, Olfa Fekih, Amel Chebbi, Omar Romdhane, Hedi Bouguila, Leila Nacef
BACKGROUND: Postoperative endophthalmitis is a public health issue due to its bad prognosis; its treatment is both surgical and medical. Classically, surgical treatment was done if visual acuity is limited to light perception only. AIM: To evaluate therapeutic results Of postoperative endophtalmitieS and to Compare therapeutics almost used intravitreal injection of antibiotics versus early vitrectomy. METHODS: It's a retrospective comparative study  includIng 120 cases of acute postoperative endophthalmitis hospitalized in a referral ophthalmology department between July 2007 and June 2013...
March 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29433842/audit-of-cataract-surgery-in-cadiz-visual-outcomes-and-complications
#20
L Royo-Dujardin, E Alcalde-Vílchez, E Rodríguez-de la Rúa, J P Novalbos-Ruiz
OBJECTIVE: To publish the outcomes and complications of age-related cataract surgery in Cadiz (Spain). Due to the lack of national audits, a comparison was made between the results obtained here and those of the most recent European audit, EUREQUO (2013), and the British audit RCOphth NOD (2015). METHODS: A prospective, longitudinal, before-after study of 312 patients undergoing cataract surgery in the University Hospitals of Puerta del Mar and Puerto Real (Cadiz), in 2013-14...
February 9, 2018: Archivos de la Sociedad Española de Oftalmología
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