[Endophthalmitis after intra-oral block of the infraorbital nerve].

Abstract:

BACKGROUND:Most penetrating needle puncture injuries occur in retro- or peribulbar anesthesia. Hereby only a small percentage of patients develop endophthalmitis. Ocular penetration after enoral infraorbital nerve block has not yet been reported in literature. HISTORY AND FINDINGS:In June 1995 a 74-year-old man presented with a fulminant fibrinous and purulent endophthalmitis. Because he suffers from trigeminal neuralgia his anesthesiologist performed an infraorbital nerve block from enoral two days ago. During this procedure the patient felt a sharp ocular pain. THERAPY AND OUTCOME:We suspected an ocular penetration and performed a vitrectomy with intravitreal antibiotic instillation on the admission-day. A needle penetration site near the inferior rectus muscle was detected and after exocryocoagulation a 5 mm wide radial buckle was sutured over penetration site. Three months postoperatively vision recovered from hand moving to 20/50 and all infiltrations had been disappeared. Only preexisting cataract prevented a better vision. 10 months later after successful cataract extraction with intraocular lens implantation patient left hospital with a vision of 20/30. CONCLUSION:Careful anamnesis would have prevented this accidental globe penetration. Right upper palate is absent presumably due to congenital cleft malformation or surgery. This allowed needle penetration through smooth tissue into the right globe. Fortunately, endophthalmitis develops only in a small percentage after needle puncture. We recommend immediate pars-plana-vitrectomy and intravitreal antibiotics in case of endophthalmitis after ocular penetration.

journal_name

Klin Monbl Augenheilkd

authors

Weinand FS,Pavlovic S,Dick B

doi

10.1055/s-2008-1035084

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

402-4

issue

6

eissn

0023-2165

issn

1439-3999

journal_volume

210

pub_type

杂志文章
  • [Leiomyoma of the ciliary body - misdiagnosis leading to an unconventional but successful surgical approach].

    abstract::Report on a leiomyoma of the ciliary body in a 12-year-old girl. The clinical findings were misinterpreted as a traumatic ciliary body cyst because of the associated iridodialysis, the fact that the tumor could be transilluminated, because it appeared cystic on ultrasonography, and because there was a history of sever...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Gloor BP,Daicker B,Gafner F

    更新日期:1979-12-01 00:00:00

  • [Case report on a Toxocara-canis infection of the human eye (solitary granuloma) (author's transl)].

    abstract::Description of one case of an intraocular Toxocara-canis infection. It deals with a so-called solitary granuloma at the posterior pole of the eye. An infection with this parasit of world-wide distribution is probably more frequently than commonly supposed. The prognosis of the disease is unfavourable in most cases. Th...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Huismans H

    更新日期:1975-07-01 00:00:00

  • [Neurological disorders and glaucoma - an overview].

    abstract::Due to the anatomic location of the N. opticus to the brain and its embryological development as a "bulging part of the brain", a close connection between the opticoneuropathy and certain neurological diseases exists. Glaucoma is a chronic neurodegenerative disorder and many cellular and molecular mechanisms of the ch...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1360316

    authors: Göbel K,Erb C

    更新日期:2014-02-01 00:00:00

  • [Removal of centrally located subretinal perfluorocarbon liquid].

    abstract:BACKGROUND:Subretinal perfluorocarbon liquid (PFCL) droplets are occassionally seen after vitreoretinal surgery for retinal detachment. Usually they are located peripherally without causing complications and therapeutic consequences. In contrast, centrally located PFCL droplets affect final visual outcomes. In animal e...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0031-1299159

    authors: Pfriem M,Hoerauf H

    更新日期:2012-07-01 00:00:00

  • [Differential diagnosis of leukokoria in opaque media].

    abstract::In the presence of leukokoria the diagnosis of retinoblastoma is usually easy when the mediae are transparent. If they are not, however, one is frequently obliged to enucleate a painful or useless eye in order to rule out this diagnosis. In a series of eight cases having undergone enucleation for this reason at the La...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1057514

    authors: Balmer A,Uffer S,Gailloud C

    更新日期:1980-04-01 00:00:00

  • [Corneal cross-linking in microbial keratitis to prevent à chaud keratoplasty: a retrospective case series].

    abstract:BACKGROUND:Corneal cross-linking (CXL) with riboflavin is being used more frequently for the treatment of therapy-resistant microbial keratitis, since increasing drug resistance and specific pathogens, e.g. contact lens-associated Acanthamoeba, make this therapy appear as an attractive option to avoid a keratoplasty à ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0034-1368535

    authors: Ammermann C,Cursiefen C,Hermann M

    更新日期:2014-06-01 00:00:00

  • [Evaluation of the degree of disability for the privately insured patient (author's transl)].

    abstract::There are marked differences between the public health system and the private insurance system. This paper shows how to evaluate the degree of permanent disability according to "The General Rules for Private Insurances (AUVB 1965)". At the beginning the evaluation of the degree of permanent disability after the visus ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Lisch K

    更新日期:1979-03-01 00:00:00

  • [Change of retinal oxygen saturation in healthy subjects and in early stages of diabetic retinopathy during breathing of 100% oxygen].

    abstract:BACKGROUND:Disturbances in the microcirculation are a source of retinal diabetic alterations. Comprehensive studies of blood flow parameters have been performed, but it is not known how ageing, duration of diabetes, blood sugar, glycolysed haemoglobin and elevated systemic blood pressure act in the early stages of diab...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2007-963156

    authors: Schweitzer D,Lasch A,van der Vorst S,Wildner K,Hammer M,Voigt U,Jütte M,Müller UA

    更新日期:2007-05-01 00:00:00

  • Advanced Cases of Birdshot HLA-A29 Retinochoroiditis: Prevalence and Characteristics.

    abstract:PURPOSE:To establish the prevalence, morphological, and functional characteristics and evolution of advanced cases of birdshot retinochoroiditis (BRC). METHODS:A retrospective review of all BRC cases seen at the Centre for Ophthalmic Specialized Care, Lausanne, Switzerland, with at least 3 years of follow-up since the...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/a-1081-1683

    authors: Elahi S,Lages V,Jeannin B,Herbort CP

    更新日期:2020-04-01 00:00:00

  • [The metabolic regulation of the retinal blood flow and the role of prostaglandins (author's transl)].

    abstract::The microioptophoretic injection of PGE1 close to the retinal arterioles procedures a segmental vasodilatation of 40%. The inhibition of prostaglandin synthesis with indomethacin or aspirin blocks the vasodilatatory effect of hypercapnia and, to a lesser extent, of hypoxia. These results suggest that prostaglandins pl...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Pournaras C,Tsacopoulos M

    更新日期:1978-04-01 00:00:00

  • [Diploptics - brand-new system of concomitant squint treatment (author's transl)].

    abstract::The present paper exposes the shortcomings of orthoptics and proposes an original system of concomitant squint treatment named diploptics. This system is based on the new conception of the role of bifixation in the physiology and pathology of binocular vision. The major principle of diploptics is to induce diplopia un...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Awetissow ES

    更新日期:1978-05-01 00:00:00

  • [Long-term follow-up of 700 trabeculectomies].

    abstract:BACKGROUND:A major focus of our study was to determine the value of postoperative intraocular pressure (IOP) in predicting the outcome of trabeculectomy (TE). PATIENTS AND METHODS:The medical charts of 547 patients undergoing glaucoma filtering surgery at the Department of Ophthalmology of the University of Cologne fr...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2000-10376

    authors: Khalili MA,Diestelhorst M,Krieglstein GK

    更新日期:2000-07-01 00:00:00

  • [A New Way to Look Up. Solar Retinopathy Risks and Methods of Prevention Prior to the 2015 Solar Eclipse].

    abstract::A solar eclipse is an impressive natural phenomenon that was last experienced in Europe in 2006. Last year, on March 20th 2015, a solar eclipse was visible in much of Europe. Solar retinopathy is a recognised potentially sight threatening condition that has been associated with direct or unprotected sun gazing. Public...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0042-111727

    authors: Tsatsos M,MacGregor C,Gousia D,Moschos M,Detorakis E

    更新日期:2017-06-01 00:00:00

  • [A contribution to the management of paracentral retinal branch vein obstruction (author's transl)].

    abstract::11 eyes (11 patients) with cystoid macular edema secondary to central retinal branch vein occlusion were treated with Laser-coagulations. In 11 eyes macular edema disappeared completely. In 10 eyes visual acuity improved during the next months. One eye developed a macular hole with decrease of visual acuity. The resul...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Paulmann H

    更新日期:1976-04-01 00:00:00

  • [The Motor Development of Children with Infantile Esotropia].

    abstract::Background Until now, many studies have investigated the link between motor development and visual-spatial abilities in infancy and childhood. Most of these studies found evidence that there is such a link in typically developing children or children with locomotor delay. Only a few studies have tested the consequence...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0043-118831

    authors: Dillmann J,Freitag C,Holve K,Schweinfurth S,Lorenz B,Schwarzer G

    更新日期:2017-10-01 00:00:00

  • [Acute retinal necrosis].

    abstract::Acute retinal necrosis (ARN) is a rare entity caused by Herpes viruses. An immunocompromised background and the complications of ARN mostly lead to a poor visual outcome. Confirmation of the early diagnosis through polymerase chain reaction and antibody detection from aqueous or vitreous taps is recommended to improve...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-963182

    authors: Winterhalter S,Adams O,Althaus Ch,Stammen J,Schöler EM,Joussen AM

    更新日期:2007-07-01 00:00:00

  • Die randunscharfe Papille: eine diagnostische Herausforderung.

    abstract::Correct differential diagnosis in cases of blurred optic disc margins is a challenging task for ophthalmologists. The reliable differentiation of pseudopapilloedema and true papilloedema has significant implications for proper patient management. Conditions that give rise to pseudopapilloedema include small crowded di...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-108489

    authors: Biermann J,Lagrèze WA

    更新日期:2017-06-01 00:00:00

  • [The closed Landolt ring--a handy test for evaluating suspected simulation].

    abstract:PURPOSE:We present a visual acuity test for proof of malingering and psychogenic impairment of visual acuity. METHOD:The book contains 36 plates. On 32 plates, a Landolt-C is shown with a gap of 10 minutes of arc, thus corresponding to a visual acuity of 0.1, when applied at a distance of 1 metre. Each of the 4 altern...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2001-16258

    authors: Gräf M,Roesen J

    更新日期:2001-06-01 00:00:00

  • [Botulinum Toxin - New Developments in Ophthalmology].

    abstract::Botulinum toxin is recognised as the gold standard for the treatment of essential blepharospasm and hemifacial spasm, which is similar in effect in synkinesis after facial nerve palsy. The injection intervals can be adjusted according to the patients' needs and be shortened for up to six weeks in cases of eyelid cramp...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-122339

    authors: Wabbels B

    更新日期:2018-06-01 00:00:00

  • [Pseudoexfoliation syndrome].

    abstract::The Frequency of the Pseudoexfoliation-Syndrom (= PES) was investigated about two months in a prospective study of 1069 patients in the university eye hospital of Zurich. 7.35% of these patients had a PES with or without glaucoma. Among the clinic patients there were 9.9% and among the policlinic patients 6.26%. All o...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1045974

    authors: Esmail F

    更新日期:1991-05-01 00:00:00

  • [Long-term follow-up and patient satisfaction of squint surgery with adjustable sutures].

    abstract:OBJECTIVE:Up to now, no long-term results about squint surgery with adjustable sutures have been published although it has been practiced using the current techniques since the 1970s. The aim of the study was to analyse patient satisfaction and objective findings and to compare the results to studies about squint surge...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0033-1350912

    authors: Wabbels B,Förster J,Roggenkämper P

    更新日期:2013-10-01 00:00:00

  • [Experiences with Doppler-ultrasonography of the orbital vessels for ophthalmological vascular diagnosis (author's transl)].

    abstract::With Doppler ultrasonography of the orbit the blood flow in the supratrochlear and supraorbital arteries can be determined transcutaneously. The technique yields reliable informations about the state of the carotid system. It is especially suitable for assessing carotid obstruction. Besides it has proved to be of part...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Bettelheim H,Grabner G

    更新日期:1978-12-01 00:00:00

  • [Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy].

    abstract::To determine the influence of preoperative rubeosis iridis and active neovascularization at the fundus on surgical results, the authors analyzed a consecutive series of 85 eyes that underwent vitrectomy for diabetic tractional detachment of the macula. Minimum follow-up was 12 months. Rubeosis was present in 51%, acti...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1050199

    authors: Oldendoerp J,Spitznas M

    更新日期:1988-06-01 00:00:00

  • [Disciform keratatis caused by Bartonella henselae infection: detection of a rare ocular complication of cat-scratch disease with PCR].

    abstract:BACKGROUND:Cat scratch disease (CSD) is a common infectious disease, however its association with a disciforme keratitis is to our knowledge a previously unreported ocular complication. PATIENT:A 65-year old female was treated unsuccessfully with topical antibiotics, acyclovir and corticosteroids for several weeks bec...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2000-10372

    authors: Gabler B,Linde HJ,Reischl U,Lohmann CP

    更新日期:2000-11-01 00:00:00

  • [New technique of ultrasonic biometry (author's transl)].

    abstract::A new measuring system for echo return times is described, which renders it possible to measure simultaneously the three axial lengths of the living eye (length of cornea plus anterior chamber, length of the lens and of the vitreous) with ultrasound in real time and to process the data numerically. The repetition rate...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1057620

    authors: Lepper RD,Trier HG,Reuter R

    更新日期:1980-07-01 00:00:00

  • [Anatomic and subjective success of structured surgical treatment strategy in the management of chronic epiphora - a postoperative analysis of contentment].

    abstract:BACKGROUND:Epiphora is the result of hypersecretion or reduced tear outflow because of relative or absolute obstruction of the lacrimal system. For the treatment a specific surgical procedure is usually required. Herein we present the subjective and objective findings of 243 consecutive patients with non-irritative ind...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0029-1245455

    authors: Eisenbeis C,Neppert B,Menke T,Pape S,Schrader S,Geerling G,Müller M

    更新日期:2010-11-01 00:00:00

  • [Solitary retinal astrocytoma with "acoustic shadowing"].

    abstract:PATIENT:A polycyclic lesion slightly prominent and yellowish in colour with a mulberry-like surface was incidentally detected in the left eye of a 69-year-old white female. It was located in the nasal horizontal sector of the fundus in a distance of about 5.5 mm from the optic disk. It was surrounded by a bright halo. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035428

    authors: Seitz B,Jonas JB

    更新日期:1995-03-01 00:00:00

  • [Firework-related eye trauma from 2005 to 2013].

    abstract:PURPOSE:Fireworks combusted during New Year's Eve festivities can cause different eye traumas which often need complex reconstructive surgery. It was our aim to systematically analyse these eye trauma cases which were treated at our clinic during the last eight years. MATERIALS AND METHODS:Age, gender, side, trauma me...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0034-1368376

    authors: Unterlauft JD,Wiedemann P,Meier P

    更新日期:2014-09-01 00:00:00

  • [Intraocular therapy of macular hole-induced retinal changes].

    abstract::The treatment of retinal detachments due to macular holes without further central peripheral holes with intraocular tamponades (SF6, silicone oil) is preferred to episcleral techniques. After treatment of 24 cases of retinal detachments due to macular holes a therapeutic program is proposed. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1054385

    authors: Kroll P,Busse H,Berg P,Clemens S

    更新日期:1985-12-01 00:00:00

  • [The significance of fluorescein angiogarphy in ocular toxocara granuloma (author's transl)].

    abstract::Four serologically-proved cases of intraocular toxocara infections are demonstrated. Three different manifestations in the following way were found: 1. Solitary granuloma on the posterior pole (2 patients). 2. Anterior and posterior uveitis of both eyes with granuloma near the ora (1 patient). 3. Iridocyclitis of both...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Müller-Bardorff G,von Denffer H,Fehenberger H

    更新日期:1978-12-01 00:00:00