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  1. Article ; Online: Unilateral conjunctival ulcer due to Stenotrophomonas maltophilia infection

    Padmamalini Mahendradas / Kavitha Avadhani / Venkatramana Anandula / Rohit Shetty

    Indian Journal of Ophthalmology, Vol 60, Iss 2, Pp 134-

    2012  Volume 136

    Abstract: We report a case of unilateral conjunctival ulcer due to Stenotrophomonas maltophilia infection in an immunocompetent individual. A 44-year-old male presented with complaints of pain and yellowish discharge in the right eye for one week. Patient ... ...

    Abstract We report a case of unilateral conjunctival ulcer due to Stenotrophomonas maltophilia infection in an immunocompetent individual. A 44-year-old male presented with complaints of pain and yellowish discharge in the right eye for one week. Patient underwent complete ophthalmic evaluation and relevant laboratory investigations. Anterior segment examination revealed localized conjunctival and episcleral congestion with conjunctival ulceration on the bulbar conjunctiva in the right eye. Gram′s stain revealed gram-negative bacilli. Culture and sensitivity revealed S. maltophilia and responded well to topical moxifloxacin with systemic co-trimoxazole therapy.
    Keywords Orbit ; proptosis ; thyroid ; Hyperhomocysteinemia ; retinal arterial occlusions ; systemic associations ; young age ; Illumination ; letter charts ; visual acuity ; Dacryocystorhinostomy ; intraocular pressure ; systemic effects ; timolol maleate ; Accommodation ; dynamic retinoscopy ; ophthalmoscopy ; photorefraction ; photoretinoscopy ; Apoptosis ; corneal epithelium ; formulation ; sphingosine-1 phosphate ; Digital camera ; external photograph ; photography ; Android ; eye handbook ; iPhone ; smart phone ; testing tools ; Anterior chamber intraocular lens ; gyrate atrophy ; posterior dislocation of intraocular lens ; psuedophakia ; Conjunctival ulcer ; conjunctivitis ; Stenotrophomonas maltophilia ; Ophthalmology ; RE1-994 ; Medicine ; R
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Management of recurrent postoperative fungal endophthalmitis

    Anand Vinekar / Mangat R Dogra / Kavitha Avadhani / Vishali Gupta / Amod Gupta / Arunaloke Chakrabarti

    Indian Journal of Ophthalmology, Vol 62, Iss 2, Pp 136-

    2014  Volume 140

    Abstract: Aim: To report the management of recurrent postoperative fungal endophthalmitis (POFE) after failed pars plana vitrectomy (PPV) and antifungal therapy. Settings and Design: Tertiary Care Referral Centre in North India. Retrospective, single institution, ... ...

    Abstract Aim: To report the management of recurrent postoperative fungal endophthalmitis (POFE) after failed pars plana vitrectomy (PPV) and antifungal therapy. Settings and Design: Tertiary Care Referral Centre in North India. Retrospective, single institution, interventional case-series. Materials and Methods: Six patients with microbiologically proven recurrent post-operative fungal endophthalmitis refractory to conventional management were included. The final recurrence was managed with intraocular lens (IOL) explantation and re-PPV. Main outcome measures included preserved globe anatomy, visual acuity and retinal status. ′Anatomical success′ was defined as preserved anatomy of the globe, and absence of signs of inflammation. ′Functional success′ was defined as an attached retina and a best corrected visual acuity of better than 20/400. Results: Of the six cases of POFE, five were culture positive [Aspergillus flavus (1), Aspergillus fumigatus (2), Candida albicans (1) and Candida glabrata (1)] and one was smear positive for yeast. All recurred (mean recurrences, 4) despite a mean of 2.17 PPVs and intravitreal amphotericin B. No recurrences were observed after IOL explantation with re - PPV (median follow-up, 37 months). Pre-study defined criteria for successful ′anatomical′ and ′functional′ outcomes were achieved in 83.3% and 50% respectively. Conclusion: This report highlights the effective role of combined IOL explantation with PPV in managing recurrent POFE.
    Keywords Blindness ; cataract ; eye lens ; risk factors ; treatment of cataract ; Low vision care ; multiple disabilities and visual impairment ; reading performance ; Accommodation ; presbyopia ; supraciliary segment implants ; Amblyopia ; citicoline ; patching ; Corneal endothelium ; human corneal endothelial precursor cells ; in vitro expansion ; sphere forming assay ; thermo-reversible gelation polymer ; transportation ; Endophthalmitis ; explantation ; fungal ; intraocular lens ; postoperative ; recurrent ; Ophthalmology ; RE1-994 ; Medicine ; R
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  3. Article ; Online: Macular edema in Asian Indian premature infants with retinopathy of prematurity

    Anand Vinekar / Shwetha Mangalesh / Chaitra Jayadev / Noel Bauer / Sivakumar Munusamy / Vasudha Kemmanu / Mathew Kurian / Padmamalini Mahendradas / Kavitha Avadhani / Bhujang Shetty

    Indian Journal of Ophthalmology, Vol 63, Iss 5, Pp 432-

    Impact on visual acuity and refractive status after 1-year

    2015  Volume 437

    Abstract: Purpose: To report the impact of transient, self-resolving, untreated "macular edema" detected on spectral domain optical coherence tomography in Asian Indian premature infants with retinopathy of prematurity (ROP) on visual acuity (VA) and refraction at ...

    Abstract Purpose: To report the impact of transient, self-resolving, untreated "macular edema" detected on spectral domain optical coherence tomography in Asian Indian premature infants with retinopathy of prematurity (ROP) on visual acuity (VA) and refraction at 1-year of corrected age. Materials and Methods: Visual acuity and refraction of 11 infants with bilateral macular edema (Group A) was compared with gestational age-matched 16 infants with ROP without edema (Group B) and 17 preterms infants without ROP and without edema (Group C) at 3, 6, 9 and 12 months of corrected age using Teller Acuity Cards and cycloplegic retinoscopy. Sub-group analysis of the previously described pattern A and B macular edema was performed. Results: Visual acuity was lower in infants with macular edema compared with the other two control groups throughout the study period, but statistically significant only at 3 months. Visual improvement in these infants was highest between the 3 rd and 6 th month and plateaued by the end of the 1 st year with acuity comparable to the other two groups. The edema cohort was more hyperopic compared to the other two groups between 3 and 12 months of age. Pattern A edema had worse VA compared to pattern B, although not statistically significant. Conclusion: Macular edema, although transient, caused reduced VA as early as 3 months of corrected age in Asian Indian premature infants weighing <2000 g at birth. The higher hyperopia in these infants is possibly due to visual disturbances caused at a critical time of fovealization. We hypothesize a recovery and feedback mechanism based on the principles of active emmetropization to explain our findings.
    Keywords Community ; digital imaging ; Karnataka Internet-assisted Diagnosis of Retinopathy of Prematurity ; retinopathy of prematurity ; telemedicine ; universal screening ; Age-related macular degeneration ; en-face optical coherence tomography ; polypoidal choroidal vasculopathy ; Choroid ; enhanced depth imaging technique ; swept source optical coherence tomography ; Choroidal imaging ; choroidal thickness ; retinal dystrophies ; Choroidal neovascularization ; idiopathic juxtafoveal telangiectasis ; juxtafoveal retinal telangiectasia ; lutein ; macular edema ; macular pigment ; macular telangiectasia ; Müller cells ; parafoveal telangiectasis ; perifoveal telangiectasis ; retinal angiomatous proliferation ; retinal telangiectasis ; subretinal neovascularization ; zeaxanthin ; Microscope-integrated optical coherence tomography ; RESCAN ; spectral domain optical coherence tomography ; vitreoretinal surgery ; Central reading center ; randomized controlled trial ; standard operating procedure ; Fundus autofluorescence ; lipofuscin ; retina ; retinal imaging ; Cystoid macular edema ; dexamethasone implant ; external limiting membrane ; optical coherence tomography ; Ozurdex ; serous retinal detachment ; uveitis ; Adaptive optics ; axial length ; cone density ; myopia ; Artifact ; foveal diameter ; foveal slope ; ocular magnification ; Emmetropization ; hand-held ; spectral-domain optical coherence tomography ; visual acuity ; Ophthalmology ; RE1-994 ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2015-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

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