·AIM:To report ocular symptoms,funduscopic findings and demographic distribution of ocular toxoplasmosis in Iran·METHODS:In this cross-sectional study,a total of 40 patients with ocular toxoplasmosis (24 fem...·AIM:To report ocular symptoms,funduscopic findings and demographic distribution of ocular toxoplasmosis in Iran·METHODS:In this cross-sectional study,a total of 40 patients with ocular toxoplasmosis (24 female,16 male) were enrolled.The distribution of symptoms and funduscopic findings were studied.·RESULTS:The patients' age was in the range of 13-52 with the most common age of 19 years old.Twenty-four patients were female (60.0%).The most common presenting sign was visual loss.There was anterior chamber (AC) inflammation in 23 patients (57.5%).Vitritis was presented in 36 patients (90.0%).In 35 patients (87.5%),the retinal lesion was central.In patients with peripheral lesion,3 patients (60.0%) had flashing vs 12.5% chance of flashing in all patients.Older patients had larger lesion (P =0.04).·CONCLUSION:Ocular toxoplasmosis substantially varies among patients with different age,gender,status of immunity,site of lesion and other undetermined factors.One of ocular symptoms,flashing,may necessitate a more precise peripheral fundus examination.·展开更多
Spontaneous wound separation may be developed even months after suture removal especially in the context of long-term corticosteroid therapy. A 68-yearold Caucasian woman presented to our cornea clinic with spontaneou...Spontaneous wound separation may be developed even months after suture removal especially in the context of long-term corticosteroid therapy. A 68-yearold Caucasian woman presented to our cornea clinic with spontaneous wound dehiscence after her third penetrating keratoplasty(PKP) which was performed three years ago. An Ahmed glaucoma valve(New World Medical, Ranchos Cucamonga, CA) was inserted ten months after the third PKP, which successfully controlled intraocular pressure(IOP). At the examination, the last sutures were removed eight months ago and she was using flourometholone 0.1%(Sina Darou, Tehran, Iran)with a dose of once a day. There was one quadrant of wound dehiscence from 8 to 11 o`clock associated with anterior wound gape and severe corneal edema.Resuturing was performed for the patient. At the one month examination, the corneal edema was resolved and best corrected visual acuity was 20/200 mainly due to previous glaucomatous optic neuropathy. Caution about the prolonged use of corticosteroids is necessary. Topical immunosuppressives could be a promising choice in this field.展开更多
文摘·AIM:To report ocular symptoms,funduscopic findings and demographic distribution of ocular toxoplasmosis in Iran·METHODS:In this cross-sectional study,a total of 40 patients with ocular toxoplasmosis (24 female,16 male) were enrolled.The distribution of symptoms and funduscopic findings were studied.·RESULTS:The patients' age was in the range of 13-52 with the most common age of 19 years old.Twenty-four patients were female (60.0%).The most common presenting sign was visual loss.There was anterior chamber (AC) inflammation in 23 patients (57.5%).Vitritis was presented in 36 patients (90.0%).In 35 patients (87.5%),the retinal lesion was central.In patients with peripheral lesion,3 patients (60.0%) had flashing vs 12.5% chance of flashing in all patients.Older patients had larger lesion (P =0.04).·CONCLUSION:Ocular toxoplasmosis substantially varies among patients with different age,gender,status of immunity,site of lesion and other undetermined factors.One of ocular symptoms,flashing,may necessitate a more precise peripheral fundus examination.·
文摘Spontaneous wound separation may be developed even months after suture removal especially in the context of long-term corticosteroid therapy. A 68-yearold Caucasian woman presented to our cornea clinic with spontaneous wound dehiscence after her third penetrating keratoplasty(PKP) which was performed three years ago. An Ahmed glaucoma valve(New World Medical, Ranchos Cucamonga, CA) was inserted ten months after the third PKP, which successfully controlled intraocular pressure(IOP). At the examination, the last sutures were removed eight months ago and she was using flourometholone 0.1%(Sina Darou, Tehran, Iran)with a dose of once a day. There was one quadrant of wound dehiscence from 8 to 11 o`clock associated with anterior wound gape and severe corneal edema.Resuturing was performed for the patient. At the one month examination, the corneal edema was resolved and best corrected visual acuity was 20/200 mainly due to previous glaucomatous optic neuropathy. Caution about the prolonged use of corticosteroids is necessary. Topical immunosuppressives could be a promising choice in this field.
