1/11. Uveitic angle closure glaucoma in a patient with inactive cytomegalovirus retinitis and immune recovery uveitis.We report a case of uveitic acute angle closure glaucoma in a patient with acquired immunodeficiency syndrome (AIDS) associated with inactive cytomegalovirus retinitis and immune recovery vitritis. We conducted a long-term, follow-up examination of a 47-year-old male with AIDS and inactive cytomegalovirus retinitis caused by immune recovery on highly active antiretroviral therapy (HAART). We found vitritis and ultimate development of uveitic glaucoma in the postoperative periods following repair of retinal detachment and extracapsular cataract extraction with intraocular lens implant. An episode of acute angle closure secondary to posterior synechiae and iris bombe subsequently developed, requiring peripheral laser iridotomy. Immune recovery in the setting of inactive cytomegalovirus retinitis can result in intraocular inflammation severe enough to cause angle closure glaucoma and profound ocular morbidity.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/11. Multistage approach to uveitic cataract management in children.Phototherapeutic keratectomy, cataract extraction and hydrophobic acrylic lens implantation, Nd:YAG laser capsulotomy, glaucoma valve implantation, and intravitreal steroid injections resulted in substantial visual improvement in three eyes of two children with complicated cataract due to severe uveitis. At follow-up of 6 months to 4 years, the children had clear corneas and normal intraocular pressures.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/11. endophthalmitis due to propionibacterium acnes sequestered between IOL optic and posterior capsule.A 68-year-old woman had delayed onset, persistent uveitis following routine extracapsular cataract extraction with posterior chamber intraocular lens implantation. The patient initially responded to topical steroids, but developed a whitish capsular plaque through to represent possible propionibacterium acnes endophthalmitis. A vitrectomy and capsular biopsy yielded cultures positive for P. acnes only after nine days. The intraocular lens was left in place. light and electron microscopy revealed bacteria sequestered within the capsular bag.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/11. Vogt-Koyanagi-Harada's disease in brazil.A retrospective analysis of 33 patients with Vogt-Koyanagi-Harada disease (VKH disease) seen in Sao Paulo, brazil, from 1976 to 1985 at a uveitis referral clinic revealed that VKH disease represents 2.5% of the total uveitis cases seen. All cases were bilateral, 30% being men and 70% women. The ethnic distribution was the following: 60% white (with variable Indian or black extraction), 24% darkly pigmented, 9% Orientals (Sansei, third-generation Japanese) and 6% black. The frequency among Orientals was 7 times higher than what would be expected according to the relative frequency of Japanese in the Brazilian population. The age distribution at the onset of the disease was as follows: 12% less than 20 years of age, 60% between 20 and 40 years of age and 27% over 40 years of age. The disease was classified into 3 types with variable extraocular signs. Type I disease was present in 24% of the patients, type II in 51% and type III disease in 24% of the patients. Cataract was present in 40% of the cases and glaucoma was present in 9%. No correlation was found between sex, age at onset, race, type of extraocular involvement and number of extraocular manifestations in considering either visual status or visual prognosis. All patients were treated with systemic steroids. Most of them also received cytotoxic immunosuppressive agents. In this uncontrolled clinical study cytotoxic drug-treated patients seemed to have a better clinical course.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
5/11. Failed PC-IOL implantation in one eye and successful AC-IOL implantation in the other eye in a patient with pre-existing bilateral uveitis.An irregular proteinaceous film populated by sessile macrophages and large giant cells was found on the surface of a posterior chamber lens implant. This had to be removed from a position with its haptics in the capsular bag 8 months after surgery because of increased uveitis. The implant had been placed at the time of extracapsular cataract extraction in a patient with pre-existing active bilateral chronic iridocyclitis of a non-granulomatous type. An anterior chamber lens implant placed after intracapsular cataract extraction in the other eye of the same patient was tolerated, and the same type of implant was used to replace the removed posterior chamber lens implant.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
6/11. Fuchs's heterochromic cyclitis and posterior capsulotomy.We report a case of intractable glaucoma following an uncomplicated secondary posterior capsulotomy in a 48-year-old male with Fuchs's heterochromic cyclitis. The patient had been free of inflammation and glaucoma since cataract extraction 27 years previously. We also report the results of phenotypic analysis of lymphocytes removed from the anterior chamber.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
7/11. Capsular delamination (true exfoliation) of the lens. Report of a case.This report describes a patient with true exfoliation of the lens capsule. Recurrent anterior uveitis eventually necessitated lens extraction from the left eye. Scanning and transmission electron microscopy demonstrated areas of capsular dehiscence and evidence of in vivo cellular degeneration. A comparison of true and pseudoexfoliation of the lens capsule is made and the term "capsular delamination" is proposed for the case reported.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
8/11. vitrectomy in uveitis associated with ankylosing spondylitis.Chronic recurrent iridocyclitis in three eyes of two patients with ankylosing spondylitis was associated with posterior spillover of inflammatory cells into the vitreous cavity. Continued inflammation resulted in significant vitreous opacification in all three eyes. After pars plana vitrectomy (two eyes) and cataract extraction with subtotal vitrectomy (one eye), visual acuity improved and stabilized in all three instances. Ocular inflammation was not appreciably exacerbated by surgical intervention. Vitreous opacification did not recur after vitrectomy, but visual improvement was limited because of chronic cystoid macular edema.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
9/11. endophthalmitis after cataract extraction: a retrospective case study.A 43-year-old man was diagnosed as a case of near-mature senile cataract, chronic simple glaucoma, and pterygium both eyes. pterygium shaving and extracapsular cataract extraction were done together. Thick aftercataract was diagnosed with moderate iridocyclitis on fourth postoperative day. Treatment was started with atropine and steroids, but without any relief. A second operation of curette evacuation of aftercataract was done to rule out and treat the presumed lens induced uveitis, but the condition further deteriorated. In next four days the eye had to be evacuated. On culture material, staphylococcus epidermidis (albus) growth was detected. Keeping in mind the possibility of postoperative endophthalmitis from the very beginning, doing vitreous aspiration, using lens matter for culture-sensitivity in early stages, and starting of intraocular antibiotics might have helped to save the eye.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
10/11. Intralenticular metallic foreign body.BACKGROUND: Intralenticular metallic foreign bodies may be well tolerated for many years. CASE REPORT: A 24-year-old caucasian man was referred with an intralenticular metallic foreign body present in the left eye for five days. Following initial treatment with topical steroid and antibiotic, the lens remained clear and visual acuity normal. Two years later the left eye developed an anterior uveitis, with reduced vision. A left phacoemulsification lens extraction with removal of the intralenticular foreign body and insertion of a posterior chamber intraocular lens was performed. CONCLUSION: Management of intralenticular metallic foreign bodies may be conservative till intraocular inflammation or cataract develops.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
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