ABSTRACT
Dengue is a vector-borne viral illness of major public health importance. It is endemic in many parts of India and also causes frequent epidemics. Platelet transfusions are given in severe cases of dengue fever to treat and prevent hemorrhagic complications. Here, we report three patients in North India with development of panophthalmitis and endophthalmitis shortly after receiving platelet transfusion.
Subject(s)
Endophthalmitis/etiology , Panophthalmitis/etiology , Platelet Transfusion/adverse effects , Severe Dengue/therapy , Thrombocytopenia/therapy , Adult , Child , Dengue Virus/growth & development , Endophthalmitis/diagnosis , Endophthalmitis/pathology , Endophthalmitis/virology , Humans , Male , Panophthalmitis/diagnosis , Panophthalmitis/pathology , Panophthalmitis/virology , Platelet Count , Severe Dengue/pathology , Severe Dengue/virology , Thrombocytopenia/pathology , Thrombocytopenia/virologyABSTRACT
We describe a novel technique to bleb needling by injecting subconjunctival ologen through an intraocular lens (IOL) delivery system to modulate wound healing in a failing filter. Bleb needling with 26G needle was performed, followed by subconjunctival injection of a biodegradable collagen implant using an IOL delivery system with cartridge in two eyes with a failing filter and high intraocular pressure (IOP). Postoperatively, the bleb was diffusely elevated, and the IOP was maintained between 10 and 14 mmHg at 6 weeks, 3 and 6 months follow-up. Therefore, bleb needling augmented with a biodegradable collagen implant inserted through an IOL injector system is a useful option in the management of failing filter posttrabeculectomy.
ABSTRACT
Lenticular changes are often seen following electrical injury. We report an unusual case of electrical injury with late spontaneous posterior dislocation of lens nucleus with intact anterior capsule with ruptured posterior capsule in the right eye and anterior subcapsular cataract in the left eye. The right eye was managed with pars plana vitrectomy with cortical matter removal with multipiece intraocular lens insertion in ciliary sulcus. This report adds posterior capsular rupture and posterior dislocation of lens to the usual ocular complications of electrical injury.
