Bilateral spontaneous scierai perforation in Marfan's syndrome

Ocular manifestations of Marfan's syndrome include lens subluxation, retinal detachment, and myopia. Scleral perforation after trabeculectomy and scierai buckling procedure have been reported but spontaneous perforation is rare. This report is of a patient with Marfan's syndrome who had bilateral spontaneous scleral perforation. Surgical repair of the defect with frozen scierai graft was required. © 2006 Scientific Communications International Limited.link_to_subscribed_fulltex

Corneal injury by wild taro

We report a case of crystalline keratopathy caused by Alocasia macrorrhiza. The diagnosis was made based on the observation of needle-like crystals in the corneal stroma following injury to that eye. The condition resolved in 3 months with the disappearance of the crystals confirmed by follow-up confocal microscopy. © 2006 Royal Australian and New Zealand College of Ophthalmologists.link_to_subscribed_fulltex

Efficacy of periocular corticosteroid injections in the management of posterior uveitis

link_to_subscribed_fulltex

In vivo confocal microscopy of corneal insect foreign body

Purpose. To report a case of insect corneal foreign body with in vivo confocal microscopy performed. Methods. Clinical presentation, clinical pictures, and treatment are discussed. Confocal microscopy of the injured cornea was performed in areas showing foreign bodies with and without infiltrations seen under the slit-lamp. Conclusion. Confocal microscopy is useful in detection of subtle inflammatory reaction, monitoring the progress of the injury and decision of treatment plans.link_to_subscribed_fulltex

Outbreak of Fusarium keratitis - Hong Kong experience

Aim: To describe a regional outbreak of Fusarium keratitis among contact lens wearers in Hong Kong. Methods: In this retrospective hospital-based study, all cases of fungal keratitis among contact lens wearers receiving treatment in 1 of the 7 hospital clusters in Hong Kong (United Christian Hospital and Tseung Kwan O Hospital)from May 2005 to September 2006 were reviewed. Additional clinical information was obtained through telephone interviews conducted by the same trained interviewer. Results: Fourteen patients (16 affected eyes) were identified as contact lens wearers with culture positive Fusarium keratitis during the study period. The mean age was 31.3 years (SD, 9.4 years; range, 18 to 49 years) with female predominance (male to female ratio, 3:11). Eleven of 12 patients (92%) reported using ReNu MoistureLoc multipurpose contact lens solution prior to the onset of infection. The onset of symptoms ranged from 1 to 7 days (average, 2.5 days). Five patients (36%) were treated with topical antibiotics without the need for specific antifungal therapy. Nine patients (64%) were treated with topical antifungal therapy. No patients required therapeutic penetrating keratoplasty. Fourteen eyes (87.5%) resolved with vision 20/40 or better and no eyes had vision 20/60 or worse. No recurrence of fungal lesions was noted. Conclusions: These findings showed that the majority of the affected patients were using ReNu solution prior to infection. Early commencement of either intensive topical broad-spectrum antibiotics or antifungal treatment was associated with improved visual outcome. © 2007 Scientific Communications International Limited.link_to_subscribed_fulltex

Confocal microscopy in bee sting corneal injury

link_to_subscribed_fulltex

Combined topical-intracameral anesthesia

Multiple letterslink_to_subscribed_fulltex

Modification of an adult-sized ahmed glaucoma valve for a small globe

link_to_subscribed_fulltex

Topical chloramphenicol for eye infections

Topical chloramphenicol has been widely used in the treatment and prevention of superficial eye infections due to its broad spectrum of activity and low cost. The use of this drug has decreased considerably in the United States since the first case of aplastic anaemia associated with topical chloramphenicol was reported in the 1960s. This medication, however, is still widely used in many other countries. This paper evaluates the evidence for and against the use of topical chloramphenicol in ocular diseases.link_to_OA_fulltex