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1.
Int Ophthalmol ; 31(2): 145-8, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21264489

RESUMEN

To report two unusual cases of endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae. Retrospective, interventional case series. Two patients, known to have type II diabetes mellitus, presented with sudden visual loss following several days of abdominal pain. Examinations and investigations revealed endogenous endophthalmitis caused by K. pneumoniae. Despite treatment in the form of intravitreal injection of antibiotics in the first patient and pars plana vitrectomy coupled with intravitreal injection of antibiotics in the second patient the final visual outcome was poor in both cases. The possibility of K. pneumoniae endogenous endophthalmitis should be suspected in diabetic patients presenting with intraocular inflammation.


Asunto(s)
Endoftalmitis/microbiología , Infecciones por Klebsiella , Klebsiella pneumoniae , Absceso Hepático/microbiología , Dolor Abdominal/etiología , Adulto , Anciano , Antibacterianos/administración & dosificación , Complicaciones de la Diabetes , Diabetes Mellitus Tipo 2 , Oftalmopatías/diagnóstico por imagen , Oftalmopatías/microbiología , Femenino , Humanos , Inyecciones Intravítreas , Infecciones por Klebsiella/tratamiento farmacológico , Infecciones por Klebsiella/patología , Masculino , Ultrasonografía , Trastornos de la Visión/etiología , Trastornos de la Visión/cirugía , Vitrectomía , Cuerpo Vítreo
2.
Middle East Afr J Ophthalmol ; 17(4): 379-81, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21180444

RESUMEN

We report a rare case of Alport syndrome with progressive posterior lenticonus. A 24-year-old male presented to our tertiary eye care center with history of poor vision. At initial presentation, the patient had bilateral anterior lenticonus, posterior subcapsular cataract, and renal failure. The patient was diagnosed with Alport syndrome based on a positive family history of the disease and clinical findings. Further examination revealed progressive posterior lenticonus that was not present initially. The presence of such finding is important because it influences the surgical approach to avoid complications during cataract surgery.

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