ABSTRACT
To report a case of Candida glabrata endophthalmitis after deep anterior lamellar keratoplasty. Interventional case report. A young male patient presented with asymptomatic while to cream-colored interface deposits two months after deep anterior lamellar keratoplasty. After a while, severe anterior chamber reaction together with decreased visual acuity developed. Because of the progression of the lesions, irrigation of the interface was considered and finally, penetrating keratoplasty was performed due to a rupture in the Descemet's membrane. The microbiological evaluation of the irrigation fluid demonstrated Candida glabrata. After regrafting, scattered endothelial plaques together with hypopyon formation and anterior vitreous inflammation and anterior vitreous inflammation developed, that improved with intensive antifungal therapy. The patient remained asymptomatic with a clear graft in the 6-month follow up. Yeast-induced keratitis may rarely occur after corneal transplantation and it should be considered and treated aggressively in all cases of interface deposits due to fungi after lamellar corneal graft
ABSTRACT
Active learning, combined with computer-assisted instruction, can enhance medical students' performance and learning. This article is an attempt to introduce a new web-based approach to information technology instruction for medical students. Eight topics were selected to be instructed in Web-based workshops. PHPBB Forum was used for web-based collaborative learning. One oral lecture session was held to make the students familiar with the Forum and their duties. For each topic, groups of 6-9 students had to search the Web, based on a search strategy to find answers for the questions. The students could discuss their findings in their group Forum under the supervision of a tutor. Direct [face-to-face] and indirect [Web-based] interactions among students was considerably increased. The students showed greater interest in participating in class activities. Students' attitude toward Web-based learning was improved. Adding collaborative learning to computer-assisted instruction, along with constant supervision by the tutor, can enhance students' learning, since they can have free discussion and express their opinions