Treatment of two postoperative endophthalmitis cases due to Aspergillus flavus and Scopulariopsis spp. with local and systemic antifungal therapy

<p>Abstract</p> <p>Background</p> <p>Endophthalmitis is the inflammatory response to invasion of the eye with bacteria or fungi. The incidence of endophthalmitis after cataract surgery varies between 0.072–0.13 percent. Treatment of endophthalmitis with fungal etiology is difficult.</p> <p>Case Presentation</p> <p><b>Case 1: </b>A 71-year old male diabetic patient developed postoperative endophthalmitis due to <it>Aspergillus flavus</it>. The patient was treated with topical amphotericin B ophthalmic solution, intravenous (IV) liposomal amphotericin-B and caspofungin following vitrectomy.</p> <p><b>Case 2: </b>A 72-year old male cachectic patient developed postoperative endophthalmitis due to <it>Scopulariopsis </it>spp. The patient was treated with topical and IV voriconazole and caspofungin.</p> <p>Conclusion</p> <p><it>Aspergillus </it>spp. are responsible of postoperative fungal endophthalmitis. Endophthalmitis caused by <it>Scopulariopsis </it>spp. is a very rare condition. The two cases were successfully treated with local and systemic antifungal therapy.</p

Recovery of orbital fat pad prolapsus and deepening of the lid sulcus from topical bimatoprost therapy: 2 case reports and review of the literature

Objectives: To report 2 cases of resolution of orbital fat pad prolapsus and deepening of the lid sulcus caused by topical bimatoprost therapy, and to review the literature

The evaluation of chronic progressive external ophthalmoplegia with computerized tomography

Introduction: Chronic progressive external ophthalmoplegia is characterised by limitation of ocular motility in all directions of gaze and ptosis. Innervational or myogenic factors were claimed to be responsible for this motility disorder. The aim of this study was to investigate the extraocular muscles in CPEO with computerized tomography in an attempt to distinguish extraocular muscle morphology caused by this disorder from that occurring in normal individuals. Methods: Eighteen orbits from 9 patients diagnosed with CPEO were included in the study. Axial and coronal scans were obtained for CT evaluation of extraocular muscles and the dimensions of extraocular muscles were measured. The control group consisted of 40 orbits belonging to 20 individuals and, the results were compared with a student's t test. Results: The thickness (the vertical dimension of vertical recti and the horizontal dimension of horizontal recti) of all rectus muscles was significantly decreased in comparison with the control group, whereas the width (the horizontal dimension of vertical recti and the vertical dimension of horizontal recti) was similar in both the diseased and normal orbits. In all the rectus muscles of the diseased orbits, the normal fusiform shape was lost and the muscles appeared as thin bands. Discussion: The differentiation of CPEO from other myogenic and neurogenic disorders may present difficulty, and a cluster of criteria are required for a final diagnosis. CT has proven to be a valuable tool in assessing extraocular muscles [1, 2]. In this study, an extreme atrophy of all rectus muscles was demonstrated by means of CT. This diagnostic method may consequently contribute to a proper diagnosis of CPEO

Medical control of intraocular pressure after phacoemulsification

Purpose: To compare the effectiveness of oral acetazolamide, topical brinzolamide 1%, and no ocular hypotensive medication after phacoemulsification. Setting: Adnan Menderes University Department of Ophthalmology, Aydin, Turkey

Comparison of Endolaser Dacryocystorhinostomy and External Dacryocyctorhinostomy Results

Aim of this study is to compare endoscopic endolaser dacryocystorhinostomy (DCR) with bicanalicular silicone tube intubation (BSTI) and external DCR results. The records of patients who underwent DCR operation were retrospectively evaluated. Patients were invited to the controls in the postoperative period. In their follow-ups, changes in symptoms and findings, the duration of the tubes remain in place were recorded. 132 eyes of 124 patients were included in the study. 63 eyes of 61 patients were applied endolaser DCR (Group 1) and 69 eyes of 63 patients were applied external DCR (Group 2) (p&gt;0.05). Patients were followed 6.6 months (2-11 months) and 5.9 months (2-7 months) in groups 1 and 2, respectively (p&gt;0.05). Mean age of patients was 51.2 years old (range between 27-81 years) and 48.5 years old (range between 25-82 years), respectively (p&gt;0.05). Irritative symptoms and findings were regressed and no recurrence was observed during follow-up in 54 patients (85.7%) and 64 patients (92.8%) in groups 1 and 2, respectively (p&gt;0.05). Endolaser DCR + BSTE application seems to be an effective method in lacrimal stenosis. [Med-Science 2013; 2(4.000): 842-51

Effect of corneal drying on central corneal thickness

Purpose: To determine the amount of corneal thinning induced by corneal drying, and to discuss its possible consequences on applanation pressure