Risk Factors Leading to Enucleation or Evisceration in Infectious Endophthalmitis.

Endophthalmitis treatment consists of intravitreal antibiotics injections and, in selected circumstances, pars plana vitrectomy. However, severe or refractory cases may require an enucleation or evisceration (ENEV). Our study seeks to identify risk factors leading to enucleation or evisceration in patients with infectious endophthalmitis. A retrospective chart review of subjects with a clinical diagnosis of infectious endophthalmitis was undertaken. The affected eyes were stratified into groups: those that underwent ENEV and those in which the eyeball was preserved (EP). The groups were compared using statistical analyses. In total, 69 eyes diagnosed with infectious endophthalmitis were included in the study. There was a higher frequency of exogenous infectious endophthalmitis in the ENEV group versus the EP group. Postsurgical infectious endophthalmitis was lower in the ENEV than in the EP group. A visual acuity of no light perception was more common in the ENEV compared to the EP group. Panophthalmitis was more frequent in the ENEV versus the EP group. Our findings suggest that eyes with endophthalmitis presenting with a visual acuity of no light perception, panophthalmitis, or exogenous etiology have a higher risk of requiring ENEV. In addition, eyes with a postsurgical etiology may be at a lower risk of requiring ENEV.

The effects of ingested aqueous aluminum on floral fidelity and foraging strategy in honey bees (Apis mellifera).

Pollinator decline is of international concern because of the economic services these organisms provide. Commonly cited sources of decline are toxicants, habitat fragmentation, and parasites. Toxicant exposure can occur through uptake and distribution from plant tissues and resources such as pollen and nectar. Metals such as aluminum can be distributed to pollinators and other herbivores through this route especially in acidified or mined areas. A free-flying artificial flower patch apparatus was used to understand how two concentrations of aluminum (2mg/L and 20mg/L) may affect the learning, orientation, and foraging behaviors of honey bees (Apis mellifera) in Turkey. The results show that a single dose of aluminum immediately affects the floral decision making of honey bees potentially by altering sucrose perception, increasing activity level, or reducing the likelihood of foraging on safer or uncontaminated resource patches. We conclude that aluminum exposure may be detrimental to foraging behaviors and potentially to other ecologically relevant behaviors.