Presentation
CONCLUSIONS: Protothecosis is an algal infection that is rarely pathologic in humans, but when present can be difficult to manage. [ncbi.nlm.nih.gov]
You can manage this and all other alerts in My Account The alert will be sent to: × Supplements Abstract Abstract: : Purpose: To present two cases of consecutive, acute and chronic endophthalmitis caused by A. Xylosoxidans. [iovs.arvojournals.org]
A variety of topics were presented which engaged the attendees and sparked an in-depth discussion about the cases each of our doctors highlighted. [illinoisretina.com]
Presents a more streamlined format to the printed text to help you focus on the clinically actionable information you need everyday. [books.google.com]
Conclusions: Protothecosis is an algal infection that is rarely pathologic in humans, but when present can be difficult to manage. [ingentaconnect.com]
Workup
7% Injuries including IOFB have higher rates Risk factors Other risk factors: dirty wound, lens capsule rupture, age > 50, delayed presentation of more than 24 hours after injury Bacillus and Staphylococcus are common in penetrating trauma with IOFB Workup [eyewiki.aao.org]
Microbiology
- Mycobacterium Chelonae
@article{d3e986caa7fa44bca9966e5663029daa, title = "Chronic endophthalmitis after extracapsular cataract extraction caused by Mycobacterium chelonae subspecies abscessus [1]", author = "{Abu El-Asrar}, {A. M.} and Tabbara, {K. [jhu.pure.elsevier.com]
Mycobacterium chelonae: a cause of nodular skin lesions with a proclivity for renal transplant recipients. Am J Med 1989; 86 :173–9. [nature.com]
chelonae subspecies abscessus. ( 8849553 ) El-Asrar A.M....Tabbara K.F. 1995 17 Minimum bactericidal concentrations of Propionibacterium acnes isolates from cases of chronic endophthalmitis. ( 7554799 ) Hall G.S....Miller D. 1995 18 Rhodococcus luteus [malacards.org]
[…] of triamcinolone for diffuse diabetic macular edema, Arch Ophthalmol, 2003, vol. 121 (pg. 57 - 61 ) 27 Intravitreal triamcinolone for refractory pseudophakic macular edema, Am J Ophthalmol, 2003, vol. 135 (pg. 246 - 9 ) 28 Endophthalmitis caused by Mycobacterium [academic.oup.com]
Treatment
Reference is easy thanks to a unique 3-part structure covering general aspects of treatment; reviews of every agent; and details of treatments of particular infections. [books.google.com]
A 76-year-old man presented with progressive itching, soreness, and burning sensations, photophobia, and tearing in his left eye 3 days after completing 2 weeks of treatment with 5% vancomycin eye drops. [ncbi.nlm.nih.gov]
These KPs resolved after treatment. In June 2010, she returned with a visual acuity of 20/30 OS, a recurrent hypopyon and 2+ vitreous cells. [retinalphysician.com]
Prognosis
Vision prognosis is often poor, even with early and appropriate treatment. Patients whose vision at presentation is count-fingers or worse should be considered for vitrectomy and use of intraocular corticosteroids. [merckmanuals.com]
Clinical course and prognosis: The prognosis for acute microbial endophthalmitis depends on the virulence of the pathogen and how quickly effective antimicrobial therapy can be initiated. [alpfmedical.info]
The format includes the CPT codes for billing purposes, short description of the condition, etiology/incidence, course/prognosis, laboratory findings, differential diagnosis; prophylaxis, treatment (local and systemic, surgical or other), miscellaneous [books.google.com]
Treatment and prognosis In acute cases, treating endophthalmitis is an emergency and needs to be performed as soon as possible. The procedure performed will depend on your vision. [asrs.org]
Prognosis The visual acuity at the time of the diagnosis and the causative agent are most predictive of outcome. Acute postoperative endophthalmitis has a poor prognosis with 55% of eyes managing 6/60 or less. [patient.info]
Etiology
Accurate etiological diagnosis is the key to prevention of ocular morbidity in endophthalmitis cases. A 66 year old male was suffering from chronic endophthalmitis post-cataract surgery. [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
The format includes the CPT codes for billing purposes, short description of the condition, etiology/incidence, course/prognosis, laboratory findings, differential diagnosis; prophylaxis, treatment (local and systemic, surgical or other), miscellaneous [books.google.com]
Chronic endophthalmitis can have polymicrobial etiology which will require appropriate diagnostic and therapeutic strategies. The role of molecular testing is vital in these cases as growth in culture is often negative. [ijmm.org]
Infectious endophthalmitis can have either an exogenous (following ocular surgery/ penetrating trauma ) or endogenous (hematogenous spread) etiology. [amboss.com]
Epidemiology
Discussion of Epidemiology and Treatment: The incidence of post cataract surgery endophthalmitis has varied over the past century. [eyerounds.org]
Epidemiology Endogenous endophthalmitis can occur at any age and has no sexual predilection. [aafp.org]
- Epidemiology: Microbial vitritis or endophthalmitis occurs most frequently as a result of penetrating trauma to the globe. Rarely (in 0.5 % of all cases) it is a complication of incisive intraocular surgery. [alpfmedical.info]
Bacterial endophthalmitis: Epidemiology, therapeutics, and bacterium-host interactions. Clin Microbiol Rev 2002;15:111-24. [ PUBMED ] 4. Joe SG, Lim J, Lee JY, Yoon YH. Case report of Acremonium intraocular infection after cataract extraction. [ijo.in]
Epidemiology Endophthalmitis is a rare condition. Most cases of exogenous endophthalmitis are postoperative, occurring after about 0.1% of cataract procedures. Patients aged over 85 who have had cataract surgery seem to be particularly prone. [patient.info]
Pathophysiology
Comprehensively updated to reflect everything you need to know regarding retinal diagnosis, treatment, development, structure, function, and pathophysiology, this monumental ophthalmology reference work equips you with expert answers to virtually any [books.google.com]
Pathophysiology Normally, the blood-ocular barrier prevents invasion from infective organisms but if this is breached (directly through trauma or indirectly due to a change in its permeability secondary to inflammation), infection can occur. [patient.info]
It is possible that the patient’s long-term use of topical steroids, as well as his current cancer therapy, may have played a role in the pathophysiology of this case. [reviewofoptometry.com]
Prevention
Accurate etiological diagnosis is the key to prevention of ocular morbidity in endophthalmitis cases. A 66 year old male was suffering from chronic endophthalmitis post-cataract surgery. [ncbi.nlm.nih.gov]
"Antibioprophylaxis in Prevention of Endophthalmitis in Intravitreal Injection: A Systematic Review and Meta-Analysis". PLOS ONE. 11 (6): e0156431. doi : 10.1371/journal.pone.0156431. ISSN 1932-6203. PMC 4892688. [en.wikipedia.org]
It is one of the most devastating ocular complications that can occur following surgery. [1] Accurate and early etiological diagnosis is the key to initiation of appropriate treatment to prevent long-term ocular morbidity. [ijmm.org]
Imaging-When and Which machines we should use,” was of great value for all of… Read More » Posted on: Oct 24 2018 By: Lisa Mitchell-Galloy If you have diabetes or know someone who does, learn as much as you can about diabetic eye disease and how to prevent [illinoisretina.com]