ABSTRACT
Pregnancy in patients suffering from chronic renal failure is still rare due to numerous factors that impair fertility. Even if pregnancy does occur pregnancy outcome with a live birth has a low success rate. Moreover there is a significant risk of worsening of renal disease in the mother.The purpose of hemodialysis is not only to maintain life but also to make the quality of life as normal as possible for the patient. Propogation of life is basic to all life forms and the ability to do so can be considered as a success in a patient of chronic renal failure. As patients of End stage renal disease rarely complain about sexual or gynecological problems ,considering them trivial as compared to their more life threatening renal condition, it is the physicians role to be attentive to these aspects of the disease.We hereby report 2 cases of successful pregnancy managed on hemodialysis by Northwest Louisiana Nephrology.
ABSTRACT
Conjunctival geographic ulcer is a rare manifestation of ocular herpes simplex. Geographic ulcers are formed when sloughing of the epithelium occurs in the areas between the dendrite and a broad area of epithelial involvement with irregular angulated borders is formed .We hereby report a case of Primary ocular herpes with blepharitis and geographic ulceration of the conjunctiva in a 8 year old boy with no corneal lesion. To the best of our knowledge only 4 cases of conjunctival herpetic dendritic ulcerations and a single case of herpetic geographical ulcer has been reported in literature till date.