ABSTRACT
PURPOSE: To study the clinical presentation and treatment outcome of patients with ocular cysticercosis in southern India. METHODS: This study included 10 patients who were diagnosed to have ocular or adnexal cysticercosis over a period of one year in Pondicherry, India. The clinical presentation, results of investigation and treatment outcome of the cases were analysed retrospectively. RESULTS: Age of these patients ranged from 12 to 55 years. Four presented with loss of vision, two with a swelling in the eyelid, one with proptosis, one with diplopia and two with conjunctival involvement. ELISA for cysticercus antibodies in serum was positive in all cases. Albendazole and prednisolone were given for the treatment of these cases. Two patients responded well to treatment and were completely cured of the disease. There was partial improvement in 6 cases. Surgery in the form of excision was performed in two cases following a course of medical therapy. There was no significant change in visual acuity in eyes with intraocular cysticercosis following treatment. CONCLUSION: Ultrasonography B scan and ELISA for anticysticercal antibodies help to establish the diagnosis of ocular cysticercosis. A combination of oral albendazole and corticosteroids is found to be effective in confirmed cases. Intraocular cysticercosis is associated with a poor prognosis for vision.
Subject(s)
Adolescent , Adult , Animals , Child , Cysticercosis/epidemiology , Cysts/parasitology , Eye Infections, Parasitic/epidemiology , Female , Humans , India/epidemiology , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
Acanthamoeba keratitis is a potentially devastating infection of the cornea caused by the free-living amoebae, Acanthamoeba species. During the period from 1997 to 2000, a total of 136 corneal scrapings from clinically suspected cases were screened and examined for the presence of the Acanthamoeba. On examination of the direct smear by microscopy, 11 out of 136 cases were positive for Acanthamoeba. Eight patients were males and 3 were females. The age of these patients ranged from 15 to 57 years. All of these cases were agricultural workers who did not use contact lens. Four cases gave a history of injury to the eye and 1 patient gave a history of applying cow dung on the eye after the injury. Rest of the patients did not give any history of trauma or wearing contact lenses. The patients were treated with topical application of neosporin ointment. Many of our cases had complications such as poor vision (all 11 cases had 6/60 or less), scar formation (3 cases), opacity (5 cases) and corneal perforation (2 cases). This report documents for the first time the cases of Acanthamoeba keratitis in Pondicherry.
Subject(s)
Acanthamoeba Keratitis/drug therapy , Adolescent , Adult , Agricultural Workers' Diseases/drug therapy , Anti-Infective Agents, Local/therapeutic use , Bacitracin/therapeutic use , Drug Combinations , Female , Humans , India , Male , Middle Aged , Neomycin/therapeutic use , Polymyxin B/therapeutic useABSTRACT
In this communication, a first case of intracameral gnathostomiasis in a 34 years old woman in Pondicherry and its successful surgical removal is reported. The clinical presentation and epidemiology of the disease are discussed.
Subject(s)
Adult , Animals , Eye Infections, Parasitic/surgery , Female , Gnathostoma , Humans , Spirurida Infections/surgeryABSTRACT
Preseptal cellulitis has a typically benign course when treated with antibiotics, the clinical course depending on age of the patient, aetiology and the causative organism. In this study, 14 cases of preseptal cellulitis are documented with the age ranging from 2 to 55 years. The organisms isolated were Staphylococcus aureus (7 cases), Streptococcus pyogenes (2 cases) and Pseudomonas aeruginosa (1 case). In the remaining four patients no organism could be identified. All except four patients were cured within 6 weeks. Complications seen included lagophthalmos, lid abscess, cicatricial ectropion and lid necrosis in one patient each. The prognosis for preseptal cellulitis is good with appropriate antibiotics and surgical therapy.
Subject(s)
Adolescent , Adult , Cellulitis/diagnosis , Child , Child, Preschool , Conjunctiva/microbiology , Drug Therapy, Combination/therapeutic use , Eye Infections, Bacterial/diagnosis , Eyelid Diseases/diagnosis , Eyelids/microbiology , Female , Gentamicins/therapeutic use , Humans , Male , Middle Aged , Penicillin G/therapeutic use , Pseudomonas/isolation & purification , Pseudomonas Infections/diagnosis , Staphylococcal Infections/diagnosis , Staphylococcus aureus/isolation & purification , Streptococcal Infections/diagnosis , Streptococcus pyogenes/isolation & purificationSubject(s)
Adenoma, Sweat Gland/pathology , Biopsy , Eyelid Neoplasms/pathology , Female , Humans , Middle Aged , Sweat Gland Neoplasms/pathologySubject(s)
Adolescent , Animals , Endophthalmitis/parasitology , Eye Infections, Parasitic , Female , Filariasis , HumansABSTRACT
A rare case of cyst of an ectopic lacrimal gland in the bulbar conjunctiva is reported in a 40 year-old-man. The clinical presentation histopathology, differential diagnosis and treatment of this choristomatous lacrimal ductal cyst (Group IV according to Bullock's classification) is described.