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Postoperative endophthalmitis

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https://www.readbyqxmd.com/read/28094301/the-occurrence-rate-of-acute-onset-postoperative-endophthalmitis-after-cataract-surgery-in-chinese-small-and-medium-scale-departments-of-ophthalmology
#1
Yanan Zhu, Xinyi Chen, Peiqing Chen, Jianjun Wu, Huixia Hua, Ke Yao
Endophthalmitis can be a devastating complication after cataract surgery. Therefore, this study sought to better understand the occurrence rate of acute-onset postoperative endophthalmitis after cataract surgery in Chinese small and medium-scale departments of ophthalmology, as well as identify its risk factors and assess the treatment options. This investigation revealed 52 postoperative endophthalmitis cases in 46,185 operations at 30 hospitals from 2011 to 2013, at an occurrence rate of 0.11%. A small cataract surgery volume of less than 500 cases per year (OR 2...
January 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28053528/bottom-up-fabrication-of-zwitterionic-polymer-brushes-on-intraocular-lens-for-improved-biocompatibility
#2
Yuemei Han, Xu Xu, Junmei Tang, Chenghui Shen, Quankui Lin, Hao Chen
Intraocular lens (IOL) is an efficient implantable device commonly used for treating cataracts. However, bioadhesion of bacteria or residual lens epithelial cells on the IOL surface after surgery causes postoperative complications, such as endophthalmitis or posterior capsular opacification, and leads to loss of sight again. In the present study, zwitterionic polymer brushes were fabricated on the IOL surface via bottom-up grafting procedure. The attenuated total reflection-Fourier transform infrared and contact angle measurements indicated successful surface modification, as well as excellent hydrophilicity...
2017: International Journal of Nanomedicine
https://www.readbyqxmd.com/read/28033444/comparison-of-recent-studies-of-postoperative-endophthalmitis-from-the-same-national-database
#3
Mitchell B Lee, Samantha Bobba, Ian C Francis
No abstract text is available yet for this article.
December 29, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28033440/comparison-of-recent-studies-of-postoperative-endophthalmitis-from-the-same-national-database
#4
Andrzej Grzybowski
No abstract text is available yet for this article.
December 29, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28033434/comparison-of-recent-studies-of-postoperative-endophthalmitis-from-the-same-national-database-reply
#5
Vincent Daien, Max Villain, Catherine Creuzot-Garcher
No abstract text is available yet for this article.
December 29, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28033233/outcomes-of-pars-plana-vitrectomy-in-the-management-of-refractory-aqueous-misdirection-syndrome
#6
Ghada Y Al Bin Ali, Ammar M Al-Mahmood, Rajiv Khandekar, Emad B Abboud, Deepak P Edward, Igor Kozak
PURPOSE: To determine the efficacy and complications of pars plana vitrectomy (PPV) and adjunct surgeries for aqueous misdirection refractory to medical therapy. METHODS: A retrospective review of consecutive eyes with refractory aqueous misdirection at the King Khaled Eye Specialist Hospital between 2002 and 2010. Patients underwent two-port and three-port pars plana vitrectomy (PPV) with adjunct procedures including pars plana lensectomy combined with posterior capsulectomy, hyaloido-zonulo-iridectomy, and synechiolysis...
December 28, 2016: Retina
https://www.readbyqxmd.com/read/28007104/dose-and-administration-of-intracameral-moxifloxacin-for-prophylaxis-of-postoperative-endophthalmitis
#7
Steve A Arshinoff, Milad Modabber
PURPOSE: To review current and past practices of intracameral antibiotic administration for infection prophylaxis in cataract surgery; to review the benefits and liabilities of available prophylactic drugs, dosage determination, and administration protocols; and to devise an optimum dose and administration protocol for intracameral moxifloxacin. SETTING: Humber River Hospital and the University of Toronto, Toronto, Ontario, Canada. DESIGN: Retrospective evaluation of treatment modality...
December 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27999681/timing-and-outcomes-of-vitreoretinal-surgery-after-traumatic-retinal-detachment
#8
REVIEW
Molly Orban, Yasmin Florence Khodeja Islam, Luis J Haddock
Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994397/phacoantigenic-reaction-masquerading-as-postoperative-endophthalmitis-in-a-silicone-oil-filled-eye
#9
Bindu Rajesh, Rameez Hussain, Mahesh Gopalakrishnan, Anantharaman Giridhar
A 72-year-old phakic male with immature cataract underwent vitrectomy with silicone oil injection in his left eye for rhegmatogenous retinal detachment. The surgery was uneventful except for lens touch during vitrectomy. Two weeks postoperatively, he presented with circumcorneal congestion, hypopyon, and absent fundal glow suggestive of postoperative endophthalmitis. The patient was managed conservatively as he refused further intervention. Five weeks later, ocular inflammation subsided following posterior dislocation of the cataractous lens, thus revealing the error in our initial diagnosis...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27989942/maldi-tof-mass-spectrometry-for-rapid-diagnosis-of-postoperative-endophthalmitis
#10
Adriane Mailhac, Harmonie Durand, Sandrine Boisset, Danièle Maubon, Francois Berger, Max Maurin, Christophe Chiquet, Marie Bidart
This study describes an innovative strategy for rapid detection and identification of bacteria causing endophthalmitis, combining the use of an automated blood culture system with MALDI-TOF mass spectrometry methodology. Using this protocol, we could identify 96% of 45 bacterial strains isolated from vitreous samples collected in acute post-operative endophthalmitis patients.
January 30, 2017: Journal of Proteomics
https://www.readbyqxmd.com/read/27981903/endophthalmitis-prophylaxis-in-cataract-surgery-overview-of-current-practice-patterns-around-the-world
#11
Andrzej Grzybowski, Stephen G Schwartz, Kazuki Matsuura, Stephan Ong Tone, Steve Arshinoff, Ng Q Jonathon, Jay J Meyer, Wu Liu, Soosan Jacob, Mark Packer, Rifna Lutfiamida, Sjakon Tahija, Paul Roux, Boris Malyugin, Julio A Urrets-Zavalia, Nicolas Crim, Evangelina Esposito, Pablo Daponte, Fernando Pellegrino, Enrique O Graue-Hernandez, Aida Jimenez-Corona, Jorge Valdez Garcia, Julio C Hernandez-Camarena, Nidhi Relhan, Harry W Flynn, Ravilla D Ravindran
BACKGROUND: Acute-onset postoperative endophthalmitis after cataract surgery remains a rare but important cause of visual loss. There is no global consensus regarding the optimal strategies for prophylaxis of endophthalmitis and practices vary substantially around the world, especially with respect to the use of intracameral antibiotics. The European Society of Cataract & Refractive Surgeons in a randomized clinical trial (2007) reported an approximately 5-fold reduction in endophthalmitis rates associated with the use of intracameral cefuroxime...
16, 2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/27966834/outcomes-of-scleral-buckling-using-chandelier-endoillumination
#12
Yuntao Hu, Shancheng Si, Ke Xu, Huijin Chen, Liang Han, Xin Wang, Zhizhong Ma
PURPOSE: To report the results and complications of scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD) using 25-gauge chandelier endoillumination. METHODS: A total of 61 patients (61 eyes) with RRD were treated with scleral buckling. For the sclera buckling procedure, a 25-gauge chandelier was inserted through the pars plana for intra-ocular illumination, and retinal tears were identified and treated with episcleral cryotherapy under surgical microscope...
December 14, 2016: Acta Ophthalmologica
https://www.readbyqxmd.com/read/27966271/do-evidence-based-guidelines-change-clinical-practice-patterns
#13
REVIEW
Line Kessel, Ditte Erngaard, Per Flesner, Jens Andresen, Jesper Hjortdal
In 2013, the Danish Health and Medicines Authorities published a National Clinical Guideline on the treatment of age-related cataracts. The guideline provided evidence-based recommendations on the indication for cataract surgery, cataract surgery in patients with age-related macular degeneration, on the use of toric intraocular lenses (IOLs) to correct preoperative corneal astigmatism, the use of intracameral and topical antibiotics to prevent endophthalmitis, choice of anti-inflammatory medication to control postoperative inflammation and prevent cystoid macular oedema, the use of immediate sequential bilateral cataract surgery and on the postoperative check-up of patients...
December 14, 2016: Acta Ophthalmologica
https://www.readbyqxmd.com/read/27960578/sutureless-scleral-tunnel-trabeculectomy-evaluation-of-feasibility-and-effectiveness-versus-conventional-trabeculectomy-for-management-of-primary-open-angle-glaucoma
#14
Hany A Khairy, Moataz F Elsawy, Khaled Said-Ahmed
PURPOSE: To evaluate the intraocular pressure-lowering effect of sutureless scleral tunnel trabeculectomy with Mitomycin-C (MMC) compared to the standard trabeculectomy with MMC in patients with primary open angle glaucoma (POAG). METHODS: This was a masked, randomized, controlled comparison trial involving 34 eyes of 34 patients with bilateral POAG. Patients were randomized to receive sutureless sclera flap trabeculectomy with MMC or conventional trabeculectomy with MMC...
December 14, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27956296/postoperative-hemorrhagic-occlusive-retinal-vasculitis-associated-with-intracameral-vancomycin-prophylaxis-during%C3%A2-cataract-surgery
#15
Matthew A Miller, Lucas T Lenci, Chittaranjan V Reddy, Stephen R Russell
: We present the case of a 75-year-old man who had uneventful cataract surgery and administration of intracameral vancomycin for endophthalmitis prophylaxis, followed by the same procedure in the fellow eye 1 week later. The patient subsequently developed bilateral hemorrhagic occlusive retinal vasculitis, resulting in profound vision loss in both eyes. A second case of hemorrhagic occlusive retinal vasculitis previously reported from our institution is summarized. That case was characterized by a far milder course, with rapid resolution of vision loss...
November 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27956288/primary-posterior-capsulotomy-in-adults-with-posterior-capsule-opacification
#16
Haitham Younis Al-Nashar, Ahmad Saeed Khalil
PURPOSE: To evaluate the efficacy and safety of primary posterior continuous curvilinear capsulorhexis (PCCC) in adult patients with cataract. SETTING: Zagazig University Hospital, Ash-Sharkya, Egypt. DESIGN: Prospective nonrandomized case series. METHODS: This study comprised patients with senile cataract who had phacoemulsification. All patients had a dense posterior capsule opacification (PCO) discovered intraoperatively...
November 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27941382/russian-keratoprosthesis-in-stevens-johnson-syndrome
#17
Xiao Ma, Ran Xiang, Xiaoli Meng, Limin Qin, Ying Wu, Lei Tain, Yanming Jiang, Yifei Huang, Liqing Wang
PURPOSE: To evaluate the efficacy and safety of Moscow Eye Microsurgery Complex in Russia (MICOF) keratoprosthesis (KPro) implantation in patients with Stevens-Johnson syndrome (SJS). METHODS: This was a retrospective case series. Fourteen eyes of 13 patients with SJS underwent KPro implantation at the Chinese People's Liberation Army General Hospital between April 1, 2000, and December 24, 2014. The visual outcome, KPro retention rate, and incidence of postoperative complications and their management were recorded and investigated...
December 8, 2016: Cornea
https://www.readbyqxmd.com/read/27932658/correction-for-pradeep-et-al-draft-genome-sequence-of-elizabethkingia-anopheles-isolated-from-a-postoperative-endophthalmitis-patient
#18
Bulagonda Eswarappa Pradeep, Niranjana Mahalingam, Bhavani Manivannan, Krishnanand Padmanabhan, Pravin Nilawe, Girija Gurung, Amit Chhabra, Valakunja Nagaraja
No abstract text is available yet for this article.
December 8, 2016: Genome Announcements
https://www.readbyqxmd.com/read/27929716/posttraumatic-endophthalmitis-in-children-epidemiology-diagnosis-management-and-prognosis
#19
Pooja Bansal, Pradeep Venkatesh, Yograj Sharma
Pediatric posttraumatic endophthalmitis presents with great complexities and challenges arising due to delayed presentation, difficulty in eliciting an accurate history, or trauma with unusual and highly contaminated objects. The possibility of initial misdiagnosis as panuveitis, metastatic endophthalmitis, and masquerade syndrome is also very high, which results not only in several unwarranted investigations being performed, but also a delay in the initiation of treatment. The standard treatment remains primary repair of the wound, intravitreal therapy with broad spectrum antibiotics, and parsplana vitrectomy...
December 8, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27928966/hot-topics-in-perioperative-antibiotics-for-cataract-surgery
#20
Patrycja Kuklo, Andrzej Grzybowski, Stephen G Schwartz, Harry W Flynn, Avinash Pathengay
BACKGROUND: Acute-onset postoperative endophthalmitis is an uncommon but potentially serious complication of cataract surgery. Since there are relatively few randomized clinical trials comparing the timing and administration of prophylactic antibiotics, there are wide variations in prevention practices around the world. METHODS: Literature review. RESULTS: Antibiotics may be used before surgery, during surgery, or after surgery in an attempt to decrease the rates of endophthalmitis...
December 7, 2016: Current Pharmaceutical Design
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