ABSTRACT
Leishmania donovani is a human blood parasite that belongs to the genus Leishmania. We would like to present a case of late Leishmania donovani endophthalmitis in one eye of a patient that underwent simultaneous bilateral grade 3 cataract surgery.
ABSTRACT
PURPOSE: To compare refractive stability, endothelial cell count (ECC), incidence of complications, and patients' satisfaction between a rigid Verisyse (group I, n = 198) and foldable Veriflex (group II, n = 212) phakic intraocular lenses (pIOL) over 36 months postop. MATERIALS AND METHODS: This was a retrospective study. Patients' satisfaction and incidence of photic phenomena were evaluated at one month and one year postop. Data were analyzed to determine difference between groups for astigmatism, mean spherical equivalent (MRSE), uncorrected (UDVA) and corrected (CDVA) monocular distance visual acuity, complication rate (acute and chronic), and ECC. Differences were considered statistically significant when p < 0.05. RESULTS: Group II cases had significantly higher UDVA, CDVA, and lower astigmatism during the entire follow-up. There was no significant difference in mean MRSE or mean ECC postoperatively. In both groups, mean ECC reduced significantly at one month postop, followed by a gradual linear decline between 1 and 36 months of 22.4 cells/mm2/annum (group I) and 13.32 cells/mm2/annum (group II). Overall complication rates were ≤ 10% with no significant inter-group differences. Group I patients reported lower incidence of halos at one month but more problems with night vision at one year compared with group II. Overall satisfaction was high and total incidence of reported photic phenomena was low. CONCLUSION: Both Verisyse and Veriflex pIOLs are effective in correcting myopia. The Veriflex lens demonstrated better refractive outcome; however, subclinical inflammation observed in the Veriflex group and potential influence of inflammation on ECC loss require further investigation.
Subject(s)
Lens Implantation, Intraocular/methods , Myopia/surgery , Phakic Intraocular Lenses/standards , Adult , Astigmatism/physiopathology , Cell Count , Corneal Endothelial Cell Loss/pathology , Female , Humans , Male , Middle Aged , Myopia/physiopathology , Myopia, Degenerative/surgery , Patient Satisfaction , Postoperative Complications , Refraction, Ocular/physiology , Retrospective Studies , Visual Acuity/physiologyABSTRACT
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Subject(s)
Adult , Female , Humans , Male , Bowman Membrane/radiation effects , Keratomileusis, Laser In Situ/methods , Mitomycin/therapeutic use , Lasers/adverse effects , Risk FactorsABSTRACT
INTRODUCTION: To determine the prevalence and identify potentially curable causes of blindness. MATERIAL AND METHODS: We analyzed causes of blindness in 808 blind persons, aged from O to 75 years. We classified our findings in 13 categories. RESULTS: The least number of blind persons was discovered in children aged from 0 to 15 years (2.4%), as well as in teenagers (3.4%). The number of blind persons in working population, aged from 30 to 60 was (33.1%) and in older population it was (60.7%). Glaucoma was the highest cause of blindness (15.90%). Complications of myopia (14.6%) took the second place. CONCLUSION: We think that our community needs more screening projects for glaucoma, refraction anomalies in children and diabetic retinopathy, through which the causes of blindness would be discovered and treated on time and people would be much more educated about risks and consequences of untreated eye diseases and conditions.
