A Rare Case of Endophthalmitis with Rhizobium radiobacter, Soon after a Resolved Keratitis: Case Report.

BACKGROUND: Rhizobium (Agrobacterium) species are plant aerobic bacteria, which in some cases can produce endophthalmitis in humans after corneal trauma. CASE PRESENTATION: A 42-year-old female patient presented in the Emergency Department of the Emergency County Hospital of Craiova, Romania, reporting pain, epiphora, and blurry vision in her right eye for about five days. This initial infectious keratitis episode was successfully resolved, but after 20 days she presented again after trauma with a leaf with corneal abscess. In the conjunctival secretion, R. radiobacter was identified. Despite antibiotherapy, the patient's state did not improve, and ultimately the eye was eviscerated. METHODS: A search was performed in the ProQuest, PubMed, and ScienceDirect databases for the terms Agrobacterium, Rhizobium, radiobacter, and eye. We eliminated non-human studies, editorials and commentaries, and non-relevant content, and excluded the duplicates. RESULTS: In total, 138 studies were initially obtained, and then we selected 26 studies for retrieval. After the selection process, we ended up including 17 studies in our analysis. Most studies reported R. radiobacter endophthalmitis after ocular surgical procedures or outdoor activities that involve exposure to soil. CONCLUSION: R. radiobacter is a rare cause of endophthalmitis after eye trauma that generally responds well to usual antibiotherapy, but occasionally can evolve to severe, leading to the loss of the eye.

[Current therapeutic approach to diabetic macular edema refractory to laser coagulation]. / Abordarea terapeutica moderna a edemului macular diabetic rezistent la laserterapie.

The paper presents the evolution of a diabetic patient with CSME resistant to laser treatment. The intravitreal injection of Triamcinolone Acetonid represented a very efficient therapeutic solution the visual accuity improving for a period of 7-9 months.

[Diabetic maculopathy--therapeutic results and causes of failure]. / Maculopatia diabetica edematosa--rezultate terapeutice si cauze de esec.

PURPOSE: The paper evaluate the efficiency of macular laser treatment and the identification of the negative or insufficient conditioning factors of this treatment. MATERIAL AND METHOD: The study involved 47 patients with type II diabetes mellitus and dyslipidemia, with CSME. For all patients, laser macular treatment was realised. The follow-up period varied between 12-42 months. RESULTS: The statistic findings suggest that the laser treatment is efficient for the most important part of the patients, in 12-24 months, only few patients with poor metabolic control or renal failure had poor results. CONCLUSIONS: The macular oedema and macular plaques start to regress 6 months after the laser procedure initiation and become complete after 12-24 months. The hypo or hyperglycemia , the incomplete laser treatment, other general diseases are causes of the therapeutic failure.

[Anterior uveitis in a juvenile chronic arthritis, oligoarticular form]. / Uveita anterioara la un adolescent cu artrita cronica juvenila, forma oligoarticulara.

We present the case of a 16-year-old male teen-ager admitted in the Ophthalmology Clinic Craiova, diagnosed with Anterior neglected acute uveitis in the left eye. Before and simultaneous with the ocular manifestations, the patient complained of pain on the hips joints. The pediatric examination, based on the clinical features and the laboratory findings, diagnosed him with Juvenile chronic arthritis, oligoarthritis type. The evolution was good under the corticosteroid therapy.

[Retinal lesions in hereditary aplastic anemia]. / Leziuni retiniene în anemia aplastica constitutionala ereditara.

We present a case report of a 6-year-old female child, admitted in the Pediatric Clinic, diagnosed with Aplastic Constitutional Hereditary Anaemia (Fanconi Anaemia). On ophthalmic examination, on the left eye were noted important macular edema and a big preretinal haemorrhage of 4 DP situated on the posterior pole. The treatment of the systemic condition established the involution of the ophthalmic manifestations.

[Ophthalmic manifestation in icterus--hemorrhagic leptospirosis]. / Leptospiroza ictero-hemoragicâ--manifestari oculare.

We present the case of a 19-year-old male, admitted in the Ophthalmology Clinic for Macular Chorioretinitis, hemorrhagic form. Laboratory findings shown high titres of icterus-hemorrhages leptospirosis.

[Doyne retinal dystrophy--case report]. / Distrofia retiniana "în fagure de miere" Doyne--prezentare de caz.

We present the case of a female patient, 16-years old, whose the fundus examination revealed the presence, in the macular region, of drusen type lesions; the clinical aspect completed with AFG, perimetry, dark adaptation, ERG resulted in the diagnosis of Doyne's honeycomb retinal dystrophy. The disorder, included in the Familial drusen, is due to an inborn error of metabolism localized the RPE. It seems that the defect is in an intercellular matrix protein which leads to the development of abnormal basement membranes.

[Retinophotography--screening method in diabetic retinopathy]. / Retinofotografia-metoda de screening în retinopatia diabetica.

The paper presents the modern screening method for diabetic retinopathy-the retino-photography. We present our experience on this issue, regarding the patients with diabetic retinopathy screened in Diabetic Eye Department, Ophthalmology Clinic Craiova, between October 2002-June 2005.

[Neovascular glaucoma--prevention]. / Glaucomul neovascular--profilaxie.

PURPOSE: The aim of this paper is to analyse the incidence of neovascular glaucoma on a group of patients treated by laser photocoagulation for proliferative diabetic retinopathy and retinal vascular occlusions. MATERIAL AND METHOD: We have studied a group of 277 patients: 112 male and 165 female with ages between 26 and 83 years. 256 patients had proliferative diabetic retinopathy and 21 patients retinal vascular occlusions with ischemic involvement. All this patients were treated with retinal laser photocoagulation. Follow-up period was between 6 months and 2 years. RESULTS: Only 3 patients from the entire group treated with laser photocoagulation had developed neovascular glaucoma. CONCLUSIONS: Prophylactic panretinal photocoagulation is the only method that appears to prevent the neovascular glaucoma and eliminate his devastating complications.

[Retino-photography--screening method for diabetic retinopathy]. / Retinofotografia-metoda de screening în retinopatia diabetica.

The paper presents the modern screening method for diabetic retinopathy--the retino-photography. We are presenting our experience on this issue, regarding the patients with diabetes retinopathy examined in Diabetic Eye Department, Ophthalmology Clinic Craiova, between October 2002-June 2005.

[Computer program for medical records of patients with diabetic retinopathy]. / Program de evidenta computerizata a pacientilor cu retinopatie diabetica.

The purpose of this study was to point out the advantages or the computerised evidence in patients with diabetic retinopathy examined in "Diabetic Eye Department" from Ophthalmology Clinic Craiova. This program represents a new national performance regarding the evidence of the diabetic patients clinic examination. The main characteristics of our program are the accessibility and the coherence; the utility of this program has been demonstrated by long term use and the big number of patents recorded.

[Diabetic retinopathy complications--12-year retrospective study]. / Complicatiile retinopatiei diabetice--studiu retrospectiv pe 12 ani.

It is analyzed, on a retrospective study on 12 years, the incidence of diabetus melitus cases, hospitalized in the Ophthalmologic Clinic from Craiova with special mention to the frequency of the diabetic retinopathy, of it's complications and in an accordance to other general diseases, especially cardiovascular's, which contributes to the aggravation of the diabetic ocular in juries evolution. The study underlines the high incidence of the new founded cases with diabetus melitus in complicated diabetes retinopathy stage; the high frequency of ocular complications is explained, according to our statistic facts and through an insufficient treatment, sometimes incorrect and many other cases total neglected by the patients.

[Ocular parasitosis--particular aspects]. / Parazitoze oculare--aspecte particulare.

The goal of this study cases are presented in this study. The first case was emphasized in a patient with an epibulbar tumor and the second case was diagnosed with Toxocara Canis. In both cases the ophthalmoscopic images and the clinical evolution were unusual on the other hand etiological diagnosis in both cases was difficult. In the first case, the surgical procedure was effective, but in the second case the specific antiparasitic treatment could not stop the evolution of corioretinal's lesions; it required laser therapy.