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At least 685 records · Page 38Linked to original sources
PubMed1987

Adult follicular conjunctivitis and neonatal ophthalmia in a Liverpool eye hospital, 1980-1984.

In the five year period between 1980 and 1984, 2146 adults and 172 neonates suffering from acute conjunctivitis underwent laboratory investigation for Chlamydia trachomatis (CT), Adenoviruses (AV), Herpes Simplex Virus (HSV) and pathogenic bacteria. Epidemiology and clinical features are presented and discussed. CT was detected in 29 per cent of neonates with conjunctivitis. 5.6 per cent of adults and older children investigated for follicular conjunctivitis were CT positive. There was a significant female preponderance among CT positive neonates of 1.9:1 (p less than 0.02). 91 per cent of neonates and 62 per cent of adults in whom CT was detected were receiving some sort of treatment. Serotypes 7, 3, 10, 4 and 8 were responsible in decreasing order of frequency for 96 per cent of AV infections. Serotype 7 was seen for the first time in an adult age distribution. HSV was isolated in 1.3 per cent of cases in the absence of typical lid or corneal lesions. Viral infection was not detected in any neonate. Bacterial infection was a more likely cause than CT in neonates if infection had persisted longer than 5 weeks (p much less than 0.001). Neonates with Staph aureus infection tended to present earlier in the course of disease than those with Haemophilus sp or Pneumococcus (p less than 0.05).

Adenoviridae Infections↗
PubMed1998

[Surgical worm extraction in loa loa ophthalmia].

BACKGROUND: Loa Loa is a chronic parasitemic disease which is endemic in the tropical rain forests of Western Africa. Vector of this disease is a mangrove fly with the name Chrysops. Besides the eye worm and skin affections a systemic infection with microfilariae is common. PATIENT: A West African tourist from Bangibe showed up at the university eye clinic. His complaints were a red eye and a mobile subconjunctival tumor (Fig. 1) that showed vermiform movements. The worm was transparent and 4-5 cm in length. After topical anaesthesia and the attempt to paralyze the worm (1) with Pilocarpine 2% it vanished. Two days later the patient showed up in the morning for the planned blood test. No worm was visible at that time but at noontime the blood test was carried out and at that time the worm was visible in the nasal conjunctiva. This time the worm was removed without delay under topical anaesthesia. The worm was fixed with a forceps through the conjunctiva which was opened for 0.5 cm. The worm was grasped with a second forceps and drawn out under massive vermiform movement. Systemic therapy was recommended with Hetrazan (Diethylcarbamazine) using Corticosteroides and Antihistamine to minimize allergic side effects by the therapy due to the systemic microfilariae blood load. Eosinophilia was 8%. CONCLUSIONS: A subconjuctival Loa Loa worm can be removed under topical anaesthesia by fixing it with a forceps through the conjunctiva and opening it and grasping the worm with a second forceps. According to our experience the paralyzation with Pilocarpine cannot be realized. Careful systemic therapy avoiding reported allergic side effects with Hetrazan which is not available in Germany is necessary.

Adult↗
PubMed1984

[Spitting cobra ophthalmia (Naja nigricollis)].

The spitting cobra (Naja nigricollis) can eject its venom into its adversary's eyes from a distance of several meters. This causes an immediate and painful conjunctival infection, followed by blepharospasm, corneal and conjunctival edema, and erosion. Corneal ulcer, in some cases with perforation, hypopyon and endophthalmitis are the results. The present paper reports on a 35-year-old patient from Hemkoa (South Upper Volta) whose eyes had been affected by the venom of a spitting cobra 5 years previously. The patient had meanwhile lost his sight as a result of bilateral sclerosing keratitis. The possible influence of the patient's basic disease (onchocerciasis) on the course of the sclerosing keratitis is discussed.

Adult↗
PubMed1984

Adult gonococcal ophthalmia.

It is important to consider Neisseria gonorrhoeae as a possible pathogen in any case of purulent conjunctivitis. Gram stains and cultures should be obtained and appropriate therapy initiated immediately to reduce the potential for severe and irreversible complications.

Adolescent↗
PubMed1998

The red eye revisited: ophthalmia nodosa due to tarantula hairs.

We present the case of a 17-year-old girl who came to our center with a red irritated eye from exposure to tarantula hairs. An ophthalmology literature search revealed six reported cases. There have been no reports of these cases in the general medical and pediatric literature. Due to the increasing popularity of tarantulas as pets, we present the following case report and discussion to bring attention to this potential complication of tarantula handling.

Adolescent↗