Presentation
This case report presents the diagnosis and management of a rare case of traumatic GCG after vitreous hemorrhage in a phakic child. Pars plana vitrectomy was done after unsuccessful medical therapy and the diagnosis was confirmed by cytopathology. [ncbi.nlm.nih.gov]
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However, there was still CBS present, and a mature cataract was noted (Figure 1). Surgery was delayed, and the patient was monitored monthly. [millennialeye.com]
Skin
- Night Sweats
sweats and cough up blood :/ Term Definition masquerades as a posterior uveitis that doesn't respond to treatment Term Definition masquerades as a bilateral uveitis that doesn't respond to treatment. confirm with CBC. [flashcardmachine.com]
Workup
Systemic workup first. Calcium can usually be removed from Bowman's by chelation with EDTA, need to remove epithelium. Gentle surface. itation may help. EDTA nor scraping will remove accompanying fibrous tissue. Tx can be repeated if needed. [quizlet.com]
Microbiology
- Chlamydia
[…] epithelium CIN what is the most common ocular manifestation of reactive arthritis papillary conjunctivitis what is reactive arthritis or Reiter's syndrome "gram negative dysentery (salmonella, shigella, yersinia) or non-gonococcal urethritis caused by chlamydia [freezingblue.com]
Trachoma is caused by an organism called Chlamydia Trachomatis. Complications are due to recurrent re-infection of the eye. [cehjournal.org]
- Chlamydia Trachomatis
Trachoma is caused by an organism called Chlamydia Trachomatis. Complications are due to recurrent re-infection of the eye. [cehjournal.org]
Treatment
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Be fully prepared for current exam topics with information on the latest techniques in corneal surgery, macular degeneration treatment and trials, and expanded treatment options for many sections. [books.google.com]
Autologous blood injection is an accepted form of treatment for hypotony that occurs secondary to overfiltration; however, injection into the filtering bleb has been associated with a rise in intraocular pressure for some patients with chronic postoperative [ncbi.nlm.nih.gov]
Dry eyes 2 months. ] Follow ups are 3 days, 2 weeks, 4 weeks and 2 months after commencing treatment. Then again 1 month after stopping treatment. Criteria to stop treatment based on patient safety such as finger infection in protocol. [clinicaltrials.gov]
Prognosis
Prognosis: Cases of corneal blood staining secondary to hyphema have cleared spontaneously. One case cleared after 2 years without known intraocular pressure elevation. Many cases will have opacified corneas that require penetrating keratoplasty. [missionforvisionusa.org]
[…] risk of rebleeding by inhibiting the conversion of plasminogen to plasmin, and thereby keeping clots stable. [2] However, the evidence for their effectiveness is limited and amioncaproic acid may actually cause hyphemas to take longer to clear. [4] Prognosis [en.wikipedia.org]
"Generally speaking, though, the prognosis is pretty good." Dr. Ahmed prefers a "very conservative" management strategy in general, with an emphasis on treating hyphema medically rather than surgically. [eyeworld.org]
[…] while hsv is epi defect) and thygeson superficial punctate keratophaty "after chemical injury with limbal stem cell destruction, when should you wait to perform stem cell transplant" logner the better because inflammation can lead to cell death and poor prognosis [freezingblue.com]
PKP prognosis is poor due to chronic ocular surface disease. Do alkali or acids cause worse chemical burns? What are signs of an unfavorable visual prognosis with alkali burns? Extensive limbal epithelial damage and intraocular chemical penetration. [quizlet.com]
Etiology
DISCUSSION Etiology of endothelial damage, seen consistently in CBS, remains unclear. Messmer et al found extracellular hemoglobin concentrated in the posterior stroma, whereas intracellular hemosiderin predominated anteriorly. [millennialeye.com]
Etiology: A combination of hyphema and resultant elevated intraocular pressure are believed to be important in the pathogenesis of blood stained corneas. [missionforvisionusa.org]
While formulating treatment plans, physicians should remember that the elevated IOP may be due to multiple concomitant etiologies and adjust their strategy accordingly. [glaucomatoday.com]
[…] keratitis, asymptomatic infiltrates, CLARE, contact lens-induced peripheral ulcer, infiltrative keratitis or microbial keratitis. 16 There are many variant presentations of corneal infiltrates that can be solely inflammatory or may have an infectious etiology [reviewofcontactlenses.com]
Epidemiology
On average, the increased pressure in the eye remains for six days before dropping. [3] Most uncomplicated hyphemas resolve within 5–6 days. [3] Epidemiology [ edit ] As of 2012, the rate of hyphemas in the United States are about 20 cases per 100,000 [en.wikipedia.org]
The epidemiology of ocular injury in a major US automobile corporation. Eye (Lond). 1998;12(pt 5):870–874. 3. Wilson SA, Last A. Management of corneal abrasions. Am Fam Physician. 2004;70(1):123–128. 4. Fraser S. Corneal abrasion. [aafp.org]
Pathophysiology
[…] from HSV "topical trifluridine and topical steroids; although most people treat with acyclovir and topical steroids, this wasn't tested in HEDS; also give acyclvori ppx for more than 1 episode" what inferior fornicial depth suggests OCP 8mm what is the pathophysiology [freezingblue.com]
Prevention
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Goals of Hyphema treatment Decreasing the risk of re-bleeding within the eye To prevent damage to the optic nerve To prevent corneal blood staining Depending on the severity of the hyphema, treatment may consist of methods to control any increase of intraocular [flei.com]
He was prescribed prednisolone 1% hourly to prevent rebleeding and atropine 1% twice a day for pain. 4 One week later, the patient’s IOP had increased to 41 mm Hg, and CBS was first noted. [millennialeye.com]
By immobilizing the iris and ciliary body with atropine, additional trauma to the damaged blood vessels in the angle is prevented. [reviewofoptometry.com]
Preservation of anterior vitreous can prevent this complication. Use of perfluorocarbon liquids also prevents IOL fogging. [retinalphysician.com]