Sterile endophthalmitis after intravitreal injection of triamcinolone acetonide: case report and literature review.

Objectives: The first purpose is to present the diagnosis and therapeutic approach in a patient with sterile endophthalmitis associated with triamcinolone acetonide injection. The secondary objective is to assess the incidence of this complication and to summarize the risk factors described in the literature. Case presentation: A 76-year-old male patient presented for painless, unilateral, decreased visual acuity, four days after cataract surgery and simultaneously intravitreal triamcinolone acetonide injection for diabetic macular edema in the right eye. The diagnosis of sterile endophthalmitis was made. Eight days after the presentation, the symptoms subsided, the maximum corrected visual acuity reaching that before the procedures. Discussions: The incidence of sterile endophthalmitis varies in the literature between 0% and 23.8%. Visual prognosis is good, although the pathogenesis is not fully understood. Preservatives in injectable solutions have been suggested, however, there are studies in which inflammation was also present with preservative-free products. The particle size of triamcinolone was analyzed, demonstrating an association between smaller particles and an increased frequency of adverse reactions of this type. History of uveitis, posterior capsule rupture following cataract surgery, and Irvine-Gass syndrome are other associations described. Conclusion: The physiopathological mechanism of sterile endophthalmitis is not fully understood. However, the visual prognosis is good, the final vision being dependent on the underlying pathology.

Multiple ocular manifestations in a patient diagnosed with herpes zoster ophthalmicus: case report.

Objective: Our purpose was to present a case of a patient diagnosed with herpes zoster ophthalmicus with multiple ocular manifestations. Case presentation: A 70-year-old Caucasian male presented to the hospital for headache and skin hyperesthesia on the scalp and forehead on the left side. The diagnoses of herpes zoster ophthalmicus and acute conjunctivitis were made for the left eye. The patient was followed up for 6 months and during that period the following diagnoses were made for the same eye: peripheral sterile corneal infiltrates, episcleritis, and hypertensive anterior uveitis. Discussions: Herpes zoster ophthalmicus occurs when the reactivation of the dormant virus involves the ophthalmic division of the trigeminal nerve. The most frequent ocular presentations are conjunctivitis, keratitis, uveitis, episcleritis, and scleritis. The standard therapy consists of antivirals, such as acyclovir, valacyclovir, and famciclovir to limit the replication of the virus. The patient's risk factors, the course of treatment, and the severity of the disease, all affect the prognosis, which is highly variable. Prevention of the disease consists of vaccination with one of the following two vaccines, Zostavax and Shingrix. Conclusions: Final visual acuity for the left eye remained 1 despite numerous manifestations of the disease. Abbreviations: VZV = Varicella-zoster virus, BCVA = best-corrected visual acuity, OU = both eyes, OD = right eye, OS = left eye, IOP = intraocular pressure, NCT = non-contact tonometer, ZVX = Zostavax vaccine.

Experimental and Numerical Study on the Influence of Lubrication Conditions on AA6068 Aluminum Alloy Cold Deformation Behavior.

The aim of this manuscript is the experimental and numerical study regarding the influence of friction conditions on plastic deformation behavior by upsetting the A6082 aluminum alloy. The upsetting operation is characteristic of a significant number of metal forming processes: close die forging, open die forging, extrusion, and rolling. The purpose of the experimental tests was to determine: by the ring compression method, the friction coefficient for 3 surface lubrication conditions (dry, mineral oil, graphite in oil) by using the Coulomb friction model; the influence of strains on the friction coefficient; the influence of friction conditions on the formability of the A6082 aluminum alloy upsetted on hammer; study of non-uniformity of strains in upsetting by measuring hardness; change of the tool-sample contact surface and non-uniformity of strains distribution in a material by numerical simulation. Regarding the tribological studies involving numerical simulations on the deformation of metals, they mainly focused on the development of friction models that characterize the friction at the tool-sample interface. The software used for the numerical analysis was Forge@ from Transvalor.

Studies on Hot-Rolling Bonding of the Al-Cu Bimetallic Composite.

Through the approaches in this article, an attempt was made to analyze the bonding of Al-Cu bimetallic composite layers and the highlight of the diffusion at the boundary between the layers, by hot rolling. An aluminum alloy 6060 plate (EN-AW AlMgSi) and a Cu-ETP ½ hard (CW004A) plate were used. All of these layers of materials were TIG-welded, at both ends, into a heat-treated layered composite and subsequently subjected to the hot-rolling process. The Al-Cu composite material obtained was analyzed by scanning electronic microscopy (SEM) analysis, after being subjected to the tensile test, as well as energy-dispersive X-ray (EDX) analysis. The obtained results highlighted the diffusion at the boundary between the layers of the Al-Cu composite as well as its ductile breakage and the distribution of the amount of Al and Cu at the interface of the layers.

The Behavior of a Zn-Al Anticorrosive Coating in the Wiredrawing Process.

The present paper describes and quantifies the behavior of a Zn-Al anticorrosive coating deposited on the surface of a steel wire before its drawing process. For the complete evaluation of this behavior, the drawing of these samples was performed on four wiredrawing lines, differing by the deformation angle 2 · α of the component dies of each line. For good agreement with industrial practice, the drawing series used a partial reduction of the section of 20%. Two aspects were analyzed: the evolution of the chemical composition and the structure of the removed layer during the drawing of the coated steel wire, and the drawing force necessary to carry out this process. This article helps to elucidate how the Zn-Al anti-corrosion layer responds to the stresses inherent in the process of drawing the steel wire on which it is deposited.

Pectoralis muscle metastases from breast cancer in a young patient detected by automated breast ultrasound.

Metastases to the skeletal muscle from breast cancer represent an unusual and rare condition. We present the case of a 27-year-old female with left breast cancer (IDC NST G3) who underwent neoadjuvant chemotherapy followed by conservativesurgery (sectorectomy and lymphadenectomy) and radiation therapy. Two months after the end of radiotherapy she presented with a 2 mm skin lesion and she was referred for a screening ultrasound. The screening automated breast ultrasound (ABUS) revealed local recurrence and pectoralis metastases, lesions evaluated also by magnetic resonance imaging. The diagnosis was confirmed by the ultrasound-guided biopsy.