Keratomycosis after incidental spillage of vegetative material into the eye: report of two cases

Fungal corneal ulcers mostly occur after incidental corneal trauma by plant leaves in farm lands or the use of topical corticosteroids or antibiotics. The infection is more prevalent among farmers and harvesters and in some parts of the world is considered as an occupational disease; however, there have been a few reports on the occurrence of such ulcers in healthy individuals after incidental spillage of vegetative material into the eye. The importance of these ulcers is their long-term and refractory course, which makes the visual prognosis unfavorable in most patients, even after appropriate antifungal therapy or ocular interventions. Herein, we present two rare cases of fungal ulcers caused by incidental spillage of vegetative material into the eye while eating nuts and corn. We also discuss the diagnostic and therapeutic approaches, as well as visual outcome reviewing the relevant literature.

Comparing the effects of normal saline and 0.05 betadine on bacterial culture results obtained from conjunctiva before and after irrigation during cataract surgery

To compare the effects of normal saline and 0.05 betadine on bacterial cultures obtained from eye conjunctiva before and after irrigation during cataract surgery. It was a Randomized Control Trial [RCT] in patients with cataract. Culture samples were obtained from the inferior fornix prior to periocular prep and after preparation. Subsequently, inside the eyes and fornices were irrigated with 10 cc normal saline or 4 cc 5% betadine for 3 minutes. Once the data were fed into SPSS software, they were analyzed using ?2, Fisher's and McNemar's tests. We obtained 89 positive culture samples [52.4%] before prep [including 38 samples in the normal saline group and 51 samples in the betadine group], 12 positive culture samples [7.1%] after prep, and 8 positive culture samples [4.7%] at the end of surgery. There was no significant relationship between the two groups; however, irrigation was found to be effective in reducing positive cultures in both groups [p<0.001]. Using 5% betadine for periocular prep and normal saline for conjunctival irrigation is as effective as using betadine for prep and irrigation in terms of reducing positive cultures after cataract surgery