Epithelial Keratitis After Cataract Surgery

Purpose: To evaluate the incidence, related perioperative factors, clinical characteristics, and possible etiologies of epithelial keratitis after cataract surgery. Methods: A retrospective chart review of 666 eyes in 666 patients who underwent cataract surgery was performed to evaluate the incidence of epithelial keratitis and related factors in the postoperative period. Results: Postoperative epithelial keratitis developed in 15 eyes. Eleven of the 15 eyes were diagnosed with herpes simplex keratitis (HSK); 10 of the 11 eyes were diagnosed by polymerase chain reaction, and the remaining 1 eye by clinical diagnosis. All patients diagnosed with HSK had no previous clinical history of the infection before undergoing cataract surgery. Initially, the diagnosis of all 15 eyes was toxic keratitis, but the final diagnosis of 11 of the initial 15 was found to be epithelial herpes keratitis. The incision location was shown to be related to the occurrence of HSK in our study (P
Source: Cornea - Category: Opthalmology Tags: Clinical Science Source Type: research

Related Links:

Rationale: Epithelial keratitis is a common complication after cataract surgery. Many factors have been attributed to this clinical phenomenon. Patient concerns: An 82-year-old woman without previous herpes simplex keratitis (HSK) underwent an uncomplicated clear corneal phacoemulsification procedure in the right eye. In the late postoperative period, epithelial keratitis developed in this same eye. Diagnosis: An initial diagnosis of HSK was made clinically. The lesion was refractory to antiviral treatment and had progressed. After topical acyclovir cessation and vigorous lubrication, a diagnosis of toxic keratitis...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
In conclusion, there is solid evidence that obesity deregulates cellular mechanisms related to nutrient sensing. Altered Intercellular Communication It is accepted that aging impacts the organism at the cellular level, but also decreases the capacity of cells of an organism to interact. During aging, there is a decreased communication at the neuronal, neuroendocrine, and endocrine levels. Two of the most compelling examples of impaired communication are inflammaging and immunosenescence. The inflammaging phenotype results in elevated cytokines. These cytokines can accelerate and propagate the aging process. T...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
We report a case of corneal decompensation caused by recurrent herpetic endotheliitis that was treated successfully with Descemet membrane endothelial keratoplasty (DMEK). A 62-year-old woman presented with a history of recurrent herpetic infections in the right cornea. After topical and systemic treatment with antivirals and steroids for 5  months, DMEK combined with cataract surgery was performed. Two weeks after DMEK, the corrected distance visual acuity (CDVA) in the affected eye was 0.3 (20/60).
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Case report Source Type: research
Although repeated endothelial rejection was assumed by the treating physician, this would be decidedly unusual, especially given the low rejection rate seen with endothelial keratoplasty.1 More likely, this was an endotheliitis of viral origin. This can be seen with the herpes group of viruses, in particular herpes simplex virus (HSV), varicella zoster virus (VZV), and cytomegalovirus (CMV). The lack of other corneal findings and the large coin-shaped precipitate shown in Figure 2 suggest CMV endotheliitis as the cause of the inflammation, corneal edema, elevated IOP, and the appearance resembling graft rejection.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cornea Source Type: research
This patient has compound issues, including irregular astigmatism, central corneal scarring, and anisometropia. These issues were induced by PRK performed on the LASIK flap with subsequent healing issues. This is a highly atypical response to PRK after LASIK,1 and it is challenging to determine the underlying etiology for this healing response. The appearance is not suggestive of herpes simplex virus (HSV); however, HSV would complicate management because further excimer laser ablation would not be warranted.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research
We report a case of herpetic endophthalmitis following cataract surgery. A 65-year-old man underwent uneventful phacoemulsification and vision improved within the first few postoperative days. However, visual loss with an anterior chamber reaction of ++++ and a ++ vitreous cell were noted in the 4th postoperative week. Repeated intravitreal injection of vancomycin and ceftriaxone, pars plana vitrectomy and removal of the intraocular lens (IOL), and the capsular bag were performed sequentially but in vain. Bacterial, mycobacterial, and fungal culture of the IOL and capsular bag demonstrated negative findings. Path...
Source: Tzu Chi Medical Journal - Category: Universities & Medical Training Source Type: research
Swapnali Sabhapandit, Somasheila I Murthy, Praveen K Balne, Virender Singh Sangwan, V Sumanth, Ashok K ReddyIndian Journal of Ophthalmology 2016 64(8):555-558Aim : The aim of this study is to describe the clinical features and diagnostic criteria of Fuchs' uveitis (FU) and to determine whether it has an association with virus and toxoplasma in the aqueous humor during cataract surgery. Setting and Design : This is a prospective, case-control study. Materials and Methods : Patients with FU (n = 25), anterior uveitis (n = 15), and no uveitis (normal) (n = 50) were included based on predefined inclusion and exclusion c...
Source: Indian Journal of Ophthalmology - Category: Opthalmology Authors: Source Type: research
This study confirms that having an apple-shaped body - or a high waist circumference - can lead to heart disease, and that reducing your waist size can reduce your risks." The results of the new research expands on the results of a previously published study called FaCTor-64, which showed that the greater a person's body mass index, the greater their risk of heart disease. FaCTor-64 enrolled patients with diabetes who were considered to be at high risk for heart attacks, strokes, or death but had no evidence of heart disease as of yet. Study participants completed randomized screening for coronary artery diseas...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Source: Clinical and Experimental Ophthalmology - Category: Opthalmology Authors: Tags: Letter to the Editor Source Type: research
Conclusions: LCT proved to be the best option for treating corneal thinning. AMT represents an alternative that allows good visual recovery but does not restore corneal thickness as efficiently as LCT.
Source: Cornea - Category: Opthalmology Tags: Clinical Science Source Type: research
More News: Cataract Removal | Cataracts | Cold Sores | Eyes | Herpes | Science | Study | Toxicology