Fulminant Acanthamoeba Endophthalmitis After Cataract Surgery-A Case Report.

Abstract:

PURPOSE:To report a case of Acanthamoeba endophthalmitis after an uneventful cataract surgery. METHODS:Description, management, and outcomes of a biopsy-proven case of Acanthamoeba endophthalmitis. RESULTS:Two days after a routine cataract surgery elsewhere, the patient presented with acute endophthalmitis diagnosed as a bacterial infection based on timing and severity. When conventional methods of management failed, the patient was referred to us. Only the presence of an atypical ring infiltrate suggested Acanthamoeba as a probable cause. Subsequent diagnostic evaluations confirmed the initial suspicion. Management with topical antiamoebics and intracameral and intravitreal voriconazole was attempted. Systemic voriconazole and metronidazole were also administered. However, because of relentless disease progression, the eye had to be eviscerated. The cornea, aqueous, vitreous, and sclera were positive by culture and/or polymerase chain reaction and histopathology. CONCLUSIONS:Acanthamoeba usually causes a chronic smoldering keratitis and, very rarely, scleritis. This report, which is the first of its kind, emphasizes the fact that fulminant endophthalmitis with associated scleritis can occur after ocular surgery in an immunocompetent individual, with no significant ophthalmic history.

journal_name

Cornea

journal_title

Cornea

authors

Raghavan A,Veerappan S,Rangarajan V,Rajaraman R,Salian R,Mk J,L D,Ganesh Vr R,Venkatapathy N,Rammohan R

doi

10.1097/ICO.0000000000002289

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1055-1058

issue

8

eissn

0277-3740

issn

1536-4798

journal_volume

39

pub_type

杂志文章

相关文献

CORNEA文献大全
  • Optimizing Reading Tests for Dry Eye Disease.

    abstract:PURPOSE:The aim of this study was to evaluate the visual function information obtained from multiple reading tests in a dry eye population. METHODS:In this case-control, single-center clinical research center-based study, 15 subjects with dry eye (mean age 65 years) and 10 normal subjects (mean age 40 years) were incl...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000000490

    authors: Ousler GW 3rd,Rodriguez JD,Smith LM,Lane KJ,Heckley C,Angjeli E,Abelson MB

    更新日期:2015-08-01 00:00:00

  • In vivo and in vitro demonstration of epithelial cell-induced myofibroblast differentiation of keratocytes and an inhibitory effect by amniotic membrane.

    abstract:PURPOSE:To examine the role of epithelial cells in inducing the differentiation of keratocytes into myofibroblasts and to determine whether this effect may be inhibited by amniotic membrane matrix. METHODS:In vivo, a 9-mm diameter, partial-thickness corneal flap was created in 12 rabbit eyes (6 rabbits), which were eq...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-200103000-00019

    authors: Choi TH,Tseng SC

    更新日期:2001-03-01 00:00:00

  • Corneal chromoblastomycosis.

    abstract:PURPOSE:We sought to illustrate the difficulty in managing uncommon, pigmented mold-related corneal ulceration and to highlight the role of itraconazole in treating these patients. METHOD:We describe the management and clinical course of a patient with a recurring corneal infection caused by Fonsecaea pedrosoi and dis...

    journal_title:Cornea

    pub_type: 杂志文章,评审

    doi:

    authors: Barton K,Miller D,Pflugfelder SC

    更新日期:1997-03-01 00:00:00

  • The association of keratoconus with immune disorders.

    abstract:PURPOSE:To evaluate the association between keratoconus (KC) and immune disorders (IDs). METHODS:A retrospective observational case-control study of all the members in the Central District of Clalit Health Services in Israel who were diagnosed to have KC (years 2000-2007; n = 426) and 1704 age- and gender-matched cont...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e3181cb410b

    authors: Nemet AY,Vinker S,Bahar I,Kaiserman I

    更新日期:2010-11-01 00:00:00

  • A Multicenter Study Evaluating the Risk Factors and Outcomes of Repeat Descemet Stripping Endothelial Keratoplasty.

    abstract:PURPOSE:Descemet stripping endothelial keratoplasty (DSEK), currently the most common procedure for managing corneal endothelial dysfunction, may be repeated following DSEK failure from a variety of causes. This multicenter study reports the risk factors and outcomes of repeat DSEK. METHODS:This was an institutional r...

    journal_title:Cornea

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ICO.0000000000001817

    authors: Thompson JM,Truong AH,Stern HD,Djalilian A,Cortina MS,Tu EY,Johnson P,Verdier DD,Rafol L,Lubeck D,Spektor T,Jorgensen C,Rubenstein JB,Majmudar PA,Talati R,Basti S,Feder R,Sugar A,Mian SI,Balasubramanian N,Sandhu J

    更新日期:2019-02-01 00:00:00

  • Pentacam-based big bubble deep anterior lamellar keratoplasty in patients with keratoconus.

    abstract:PURPOSE:To describe the clinical results of Pentacam-based big bubble deep anterior lamellar keratoplasty (DALK) to achieve an intended 90% depth of initial lamellar trephination. METHODS:Fifty consecutive eyes of 50 patients with keratoconus, keratoglobus, and anterior stromal scars were included. DALK was performed ...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e31823f8c85

    authors: Riss S,Heindl LM,Bachmann BO,Kruse FE,Cursiefen C

    更新日期:2012-06-01 00:00:00

  • Comparison of the Center and Flex-Center Methods of Corneal Endothelial Cell Analysis in the Presence of Guttae.

    abstract:PURPOSE:To compare endothelial cell analysis by the center and flex-center methods in corneas with guttae of differing severity and to determine the minimum countable cell number for using only the flex-center method. METHODS:Forty-seven eyes with corneal guttae and 50 age-matched normal controls were enrolled in the ...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000001334

    authors: Huang J,Liu X,Tepelus TC,Nazikyan T,Chopra V,Sadda SR,Lee OL

    更新日期:2017-12-01 00:00:00

  • Corneal steepening after epikeratoplasty.

    abstract::Four patients had removal of their epikeratoplasty lenticules for unsatisfactory visual results. This was out of a consecutive series of 36 eyes. Three eyes were myopic and one was aphakic. In all four eyes, there was significant corneal steepening with an average increase in myopia of 2.4 diopters and an average incr...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:

    authors: Nirankari VS

    更新日期:1989-12-01 00:00:00

  • Unusual presentation of paraproteinemic corneal infiltrates.

    abstract::A 76-year-old man with bilateral corneal infiltrates secondary to a monoclonal gammopathy of undetermined significance (MGUS) is described. The corneal changes simulated a remote lattice dystrophy. Although the clinical presentation of corneal opacities secondary to paraproteinemic conditions is somewhat variable, thi...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:

    authors: Spiegel P,Grossniklaus HE,Reinhart WJ,Thomas RH

    更新日期:1990-01-01 00:00:00

  • Positive End-Expiratory Pressure as a Risk Factor for Severe Positive Vitreous Pressure During Combined Penetrating Keratoplasty and Cataract Extraction.

    abstract:PURPOSE:To report the potential risk of severe positive vitreous pressure during combined penetrating keratoplasty, cataract extraction, and intraocular lens implantation (triple procedure), using positive end-expiratory pressure (PEEP) during general endotracheal anesthesia. METHODS:This is a case report of a 32-year...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000000945

    authors: Pillar A,Jeng BH,Munir WM

    更新日期:2016-11-01 00:00:00

  • Axenfeld's anomaly associated with Down's syndrome.

    abstract::We report a case of a patient with Down's syndrome and keratoconus with acute hydrops who was incidentally noted to have Axenfeld's anomaly. We also review the systemic abnormalities associated with Axenfeld's anomaly and the implications of the diagnosis. To our knowledge, Axenfeld's anomaly has not previously been r...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-199203000-00012

    authors: Stokes DW,Parrish CM

    更新日期:1992-03-01 00:00:00

  • Human anterior lens capsule as carrier matrix for cultivated human corneal endothelial cells.

    abstract:PURPOSE:To evaluate the potential of human anterior lens capsule (HALC) as a carrier matrix for cultivating and transplanting human corneal endothelial cells (HCECs). METHODS:HALCs obtained from 12 patients during cataract surgery were exposed to enzyme digestion to dissolve the lens epithelium and were plated with th...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e31818c2c36

    authors: Yoeruek E,Saygili O,Spitzer MS,Tatar O,Bartz-Schmidt KU,Szurman P

    更新日期:2009-05-01 00:00:00

  • Confocal Microscopic Analysis of a Rabbit Eye Model of High-Incidence Recurrent Herpes Stromal Keratitis.

    abstract:PURPOSE:Using CJLAT, a chimeric herpes simplex virus (HSV-1) that produces a high incidence of herpes stromal keratitis (HSK) in latently infected rabbits, and in vivo confocal microscopy (CM), we characterized the cellular events that precede the development of HSK. METHODS:Thirty days after infection, in vivo CM was...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000000666

    authors: Jester JV,Morishige N,BenMohamed L,Brown DJ,Osorio N,Hsiang C,Perng GC,Jones C,Wechsler SL

    更新日期:2016-01-01 00:00:00

  • The economic burden of dry eye disease in the United States: a decision tree analysis.

    abstract:PURPOSE:The aim of this study was to estimate both the direct and indirect annual cost of managing dry eye disease (DED) in the United States from a societal and a payer's perspective. METHODS:A decision analytic model was developed to estimate the annual cost for managing a cohort of patients with dry eye with differ...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e3181f7f363

    authors: Yu J,Asche CV,Fairchild CJ

    更新日期:2011-04-01 00:00:00

  • Tolerance of Micronized Mineral Pigments for Intrastromal Keratopigmentation: A Histopathology and Immunopathology Experimental Study.

    abstract:PURPOSE:To study the tolerance and biocompatibility of mineral pigments for corneal pigmentation histopathologically and immunologically in an experimental animal model. METHODS:Manual intralamellar keratopigmentation was performed in 28 New Zealand white rabbits using micronized mineral pigments. Histopathological ex...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000000900

    authors: Amesty MA,Rodriguez AE,Hernández E,De Miguel MP,Alio JL

    更新日期:2016-09-01 00:00:00

  • Corneal Neurotization With a Great Auricular Nerve Graft: Effective Reinnervation Demonstrated by In Vivo Confocal Microscopy.

    abstract:PURPOSE:We describe the first case of minimally invasive corneal neurotization with the great auricular nerve (GAN) to treat unilateral neurotrophic keratopathy. We assessed corneal sensation and reinnervation by esthesiometry and confocal microscopy over 12 months of follow-up, and we provide a detailed description of...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000001549

    authors: Benkhatar H,Levy O,Goemaere I,Borderie V,Laroche L,Bouheraoua N

    更新日期:2018-05-01 00:00:00

  • Keratitis resulting from Thielavia subthermophila Mouchacca.

    abstract:PURPOSE:The purpose of this study was to report the first case of fungal keratitis resulting from Thielavia sp. METHODS:We conducted a retrospective chart review. RESULTS:A 10-year old girl presented 2 weeks after ocular plant injury with pain and corneal stromal infiltration with central ulceration and ill-defined m...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e31819717f4

    authors: Theoulakis P,Goldblum D,Zimmerli S,Muehlethaler K,Frueh BE

    更新日期:2009-10-01 00:00:00

  • Inhibition of human corneal epithelium with immunotoxin 454A12-rRA.

    abstract::We examined the effects of the immunotoxin 454A12-rRa on proliferating and confluent human corneal epithelium (HCE) in vitro. Proliferating HCE was sensitive to 454A12-rRA in a dose-dependent fashion. At immunotoxin concentrations of 1,000 ng/ml for 7 days we observed an 86% reduction in cell counts. Confluent HCE was...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-199209000-00010

    authors: Fulcher SF,Foulks GN,Wilkerson M,Cobo LM,Jaffe GJ,Hatchell DL

    更新日期:1992-09-01 00:00:00

  • Abnormal extracellular matrix in corneas with pseudophakic bullous keratopathy.

    abstract::The present study describes biochemical and morphological differences of pseudophakic bullous keratopathy (PBK) corneas as compared with normal corneas. At the ultrastructural level, all PBK corneas studied had abnormal fibrillar material posterior to the Descemet's membrane. In addition, two of the six PBK buttons ha...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:

    authors: Kenney MC,Chwa M

    更新日期:1990-04-01 00:00:00

  • In Situ Corneal Cross-Linking for Recurrent Corneal Melting After Boston Type 1 Keratoprosthesis.

    abstract:PURPOSE:To present a new treatment modality for recurrent corneal melting in a patient with a Boston type I keratoprosthesis (B-KPro) including in situ corneal cross-linking (CXL) and lamellar keratoplasty (LKP) as combined treatment. METHODS:Case report. RESULTS:Our report concerns a 27-year-old man whose case histo...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000000830

    authors: Tóth G,Bucher F,Siebelmann S,Bachmann B,Hermann M,Szentmáry N,Nagy ZZ,Cursiefen C

    更新日期:2016-06-01 00:00:00

  • Anterior segment optical coherence tomography for transepithelial phototherapeutic keratectomy in central corneal stromal scarring.

    abstract:PURPOSE:To demonstrate the use of anterior segment optical coherence tomography (ASOCT) in planning phototherapeutic keratectomy (PTK) removal of central corneal stromal scarring. METHODS:A 62-year-old male presented with central corneal scars associated with significant ocular surface disease. Videokeratographies obt...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e3181930b9f

    authors: Ma JJ,Tseng SS,Yarascavitch BA

    更新日期:2009-09-01 00:00:00

  • Randomized Control Trial on the Effectiveness of Collagen Cross-linking on Bullous Keratopathy.

    abstract:PURPOSE:To investigate the long-term effect and safety of collagen cross-linking (CXL) on patients with bullous keratopathy (BK) in a randomized control manner. It is, to our knowledge, the first randomized control study on the effect of CXL on BK. METHODS:Subjects were randomized to receive CXL as in the standard pro...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000002395

    authors: Choy BNK,Ng ALK,Zhu MM,Liu CC,Xu S,Lai JSM

    更新日期:2020-11-01 00:00:00

  • Medical management of Beauveria bassiana keratitis.

    abstract:PURPOSE:To describe a case of Beauveria bassiana keratitis and to discuss the management of this rare condition. METHODS:An 82-year-old woman underwent surgical repair of a graft wound dehiscence. Seven months later, shortly after the removal of sutures, the patient developed a fungal keratitis. B. bassiana was identi...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-200005000-00031

    authors: Kisla TA,Cu-Unjieng A,Sigler L,Sugar J

    更新日期:2000-05-01 00:00:00

  • Aqueous tear production in patients with neurotrophic keratitis.

    abstract::The purpose of this study was to determine whether corneal epithelial defects and epitheliopathy in patients with unilateral dysfunction of the ophthalmic division of the trigeminal nerve (neurotrophic keratitis) is associated with reduced aqueous tear production. Sensation of the skin, cornea, and nasal mucosa, aqueo...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-199603000-00005

    authors: Heigle TJ,Pflugfelder SC

    更新日期:1996-03-01 00:00:00

  • Endothelial cell density and contact lens-induced corneal swelling.

    abstract:PURPOSE:To determine the relationships among endothelial morphometric variables and contact lens-induced corneal swelling in a homogeneous sample of adapted contact-lens wearers. METHODS:Fifteen male subjects ranging in age from 20 to 40 years, all adapted to daily wear of hydrogel lenses, wore uniform-thickness lense...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-199803000-00006

    authors: Erickson P,Doughty MJ,Comstock TL,Cullen AP

    更新日期:1998-03-01 00:00:00

  • A Prospective, In Vitro, Randomized Study to Compare Two Media for Donor Corneal Storage.

    abstract:PURPOSE:To determine if Cornisol is as effective as Optisol-GS as an intermediate-term corneal storage medium. METHODS:A prospective, in vitro, randomized, partially masked study using paired donor corneas. Optical grade tissues not suitable for surgery were used. After performing baseline slit lamp evaluation, one ti...

    journal_title:Cornea

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ICO.0000000000000912

    authors: Basak S,Prajna NV

    更新日期:2016-09-01 00:00:00

  • Partitioning an Artificial Anterior Chamber With a Latex Diaphragm to Simulate Anterior and Posterior Segment Pressure Dynamics: The "DMEK Practice Stage," Where Surgeons Can Rehearse the "DMEK Dance".

    abstract:PURPOSE:To present a novel apparatus for simulating the anterior and posterior segment pressure dynamics involved in executing Descemet membrane endothelial keratoplasty (DMEK) surgery when using a chamber-shallowing technique. METHODS:An artificial anterior chamber (AAC), 18-mm trephine, latex glove, two 3-mL syringe...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0000000000001435

    authors: Sáles CS,Straiko MD,Fernandez AA,Odell K,Dye PK,Tran KD

    更新日期:2018-02-01 00:00:00

  • Postmarketing surveillance of corneal edema, Fuchs dystrophy, and amantadine use in the Veterans Health Administration.

    abstract:PURPOSE:To determine the proportion of patients who were dispensed amantadine and diagnosed with corneal edema or Fuchs dystrophy within specified time frames. METHODS:Postmarketing surveillance study. The national Veterans Health Administration pharmacy and clinical databases were used to identify a cohort of veteran...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e3181450d4c

    authors: French DD,Margo CE

    更新日期:2007-10-01 00:00:00

  • Epithelial ingrowth in a phakic corneal transplant patient after traumatic wound dehiscence.

    abstract:PURPOSE:To report a case of epithelial ingrowth (downgrowth) occurring in a phakic corneal transplant patient after traumatic wound dehiscence with iris prolapse that was successfully eradicated with early surgical intervention. METHODS:Interventional case report of a 70-year-old monocular, phakic patient who develope...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/00003226-200303000-00023

    authors: Nagra PK,Raber IM

    更新日期:2003-03-01 00:00:00

  • Immunofluorescence of rabbit corneas after collagen cross-linking treatment with riboflavin and ultraviolet A.

    abstract:PURPOSE:To assess ultrastructural modifications in keratocytes and inflammatory cell response in rabbit corneas after riboflavin and ultraviolet A exposure using immunofluorescence microscopy. METHODS:Twenty adult New Zealand albino rabbits weighing 2.0–3.0 kg were used in this study. Two rabbits served as controls.Th...

    journal_title:Cornea

    pub_type: 杂志文章

    doi:10.1097/ICO.0b013e3181bdf1cc

    authors: Esquenazi S,He J,Li N,Bazan HE

    更新日期:2010-04-01 00:00:00