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1.
Ophthalmologe ; 113(7): 599-601, 2016 Jul.
Article in German | MEDLINE | ID: mdl-26458892

ABSTRACT

Idiopathic epiretinal membrane (iERM) is very rare in adolescent patients. The pathogenesis remains unclear although the role of hyalocytes is of major importance. The clinical features in young patients are different from those in older patients. We describe a case of iERM in a 15-year-old girl who presented with metamorphopsia of the right eye. This case report presents the basis for the decision for surgical treatment as well as the clinical features at follow-up examination 9 months after surgery.


Subject(s)
Epiretinal Membrane/diagnosis , Epiretinal Membrane/surgery , Vision Disorders/diagnosis , Vision Disorders/surgery , Adolescent , Female , Fluorescein Angiography , Follow-Up Studies , Humans , Postoperative Complications/diagnosis , Recurrence , Tomography, Optical Coherence , Visual Acuity , Vitrectomy
2.
Ophthalmologe ; 113(7): 606-8, 2016 Jul.
Article in German | MEDLINE | ID: mdl-26531293

ABSTRACT

Low grade endophthalmitis is usually a chronic indolent inflammation that may be misdiagnosed as noninfectious uveitis. Therefore, this form of endophthalmitis is often unsuccessfully treated with corticosteroids. We describe the case of a patient with low grade endophthalmitis caused by Propionibacterium acnes after cataract surgery. This case report presents the difficulties in establishing the diagnosis of this form of endophthalmitis as well as the benefits of a combined operative therapy with pars plana vitrectomy, intravitreal antibiotics and posterior capsulectomy for successful treatment in such cases.


Subject(s)
Endophthalmitis/diagnosis , Endophthalmitis/microbiology , Gram-Positive Bacterial Infections/diagnosis , Gram-Positive Bacterial Infections/microbiology , Lenses, Intraocular , Postoperative Complications/diagnosis , Postoperative Complications/microbiology , Propionibacterium acnes , Aged, 80 and over , Amikacin/therapeutic use , Combined Modality Therapy , Diagnosis, Differential , Endophthalmitis/therapy , Female , Gram-Positive Bacterial Infections/therapy , Humans , Postoperative Complications/therapy , Vancomycin/therapeutic use , Vitrectomy
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