Subject(s)
Acanthamoeba Keratitis/etiology , Corneal Ulcer/etiology , Eye Infections, Bacterial/etiology , Orthokeratologic Procedures/adverse effects , Pseudomonas Infections/etiology , Acanthamoeba Keratitis/diagnosis , Acanthamoeba Keratitis/drug therapy , Adolescent , Adult , Anti-Bacterial Agents/therapeutic use , Antiprotozoal Agents/therapeutic use , Child , Corneal Ulcer/diagnosis , Corneal Ulcer/drug therapy , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/drug therapy , Female , Humans , Male , Microbial Sensitivity Tests , Pseudomonas Infections/diagnosis , Pseudomonas Infections/drug therapy , Pseudomonas aeruginosa/isolation & purification , Young AdultABSTRACT
Birdshot retinochoroidopathy is a bilateral, chronic posterior uveitis of likely autoimmune aetiology characterized by multiple depigmented choroidal lesions scattered throughout the post-equatorial retina. It has been managed with variable results using systemic immunosuppression. Herein, a case is described in which the patient, aware of the side-effects of systemic immunosuppression, refused this form of treatment and was successfully managed over a 3-year period with intravitreal triamcinolone. She developed the ocular complications of cataract and increased intraocular pressures, but maintained good vision while avoiding any systemic side-effects.
Subject(s)
Choroid Diseases/drug therapy , Glucocorticoids/therapeutic use , Macular Edema/drug therapy , Retinal Diseases/drug therapy , Triamcinolone Acetonide/therapeutic use , Uveitis, Posterior/drug therapy , Adult , Choroid Diseases/complications , Chronic Disease , Female , Follow-Up Studies , Humans , Injections , Macular Edema/etiology , Retinal Diseases/complications , Retreatment , Treatment Outcome , Uveitis, Posterior/complications , Visual Acuity , Vitreous BodyABSTRACT
A 45-year-old HIV-positive man receiving highly active antiretroviral therapy (HAART) presented with 6 weeks of right-sided headache and right eye pain. He had been diagnosed seropositive 2 years previously and screened negative for syphilis at that time. Examination demonstrated focal anterior scleritis with underlying retinitis and a mild vitritis. He was found to have positive syphilis serology and further investigations were consistent with neurosyphilis. Parenteral penicillin was commenced with prompt clinical response. This initial presentation of syphilis as acute scleritis emphasizes the need for thorough work-up of immunocompromised patients with inflammatory ocular disease.
Subject(s)
HIV Seropositivity/diagnosis , HIV Seropositivity/immunology , Scleritis/diagnosis , Syphilis/diagnosis , Antiretroviral Therapy, Highly Active , CD4 Lymphocyte Count , CD4-Positive T-Lymphocytes/immunology , HIV Seropositivity/drug therapy , Humans , Male , Middle Aged , Penicillins/therapeutic use , Retinitis/diagnosis , Retinitis/drug therapy , Scleritis/drug therapy , Syphilis/drug therapy , Syphilis SerodiagnosisABSTRACT
Orbital apex syndrome secondary to mucormycosis in immuno-compromised patients is well described; however, few reports exist of a paranasal sinus mycetoma resulting in this presentation in the immuno-competent patient. The case is reported of a 92-year-old man who developed orbital apex syndrome secondary to a sphenoidal sinus mycetoma of Pseudallescheria boydii.
