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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Conjunctival Commensal Isolation and Identification in Mice
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[Gonococcal conjunctivitis in a young woman].

E Biance-Valero1, P-Y Quiniou, B Valero

  • 1Fédération des laboratoires, hôpital d'instruction des armées Robert-Picqué, 351, route de Toulouse, CS 80002, 33882 Villenave d'Ornon cedex, France.

Journal Francais D'Ophtalmologie
|November 12, 2013
PubMed
Summary

This case highlights the successful management of gonococcal conjunctivitis, a serious eye infection caused by Neisseria gonorrhoeae. Early diagnosis and treatment are crucial due to rising antibiotic resistance in this sexually transmitted disease.

Keywords:
Adult conjunctivitisAntibiothérapieAntibiotic resistanceAntibiotic susceptibilityAntibiotic treatmentConjonctivite de l’adulteMicrobiological samplesNeisseria gonorrhoeaePrélèvements microbiologiquesRésistance aux antibiotiques

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Gonococcal conjunctivitis is a rare but potentially blinding sexually transmitted disease.
  • Its incidence is increasing globally, paralleling the resurgence of gonococcal infections.
  • General practitioners and ophthalmologists require greater awareness of this condition.

Observation:

  • A female patient presented with unilateral purulent conjunctivitis.
  • Clinical presentation and Gram stain suggested Neisseria gonorrhoeae.
  • The isolated strain was resistant to penicillin and tetracycline.

Findings:

  • Successful management involved eye lavage, systemic erythromycin, and topical azithromycin.
  • Topical steroids were used for persistent hyperemia, later replaced by azithromycin due to recurrent discharge.
  • Complete cure was achieved in 11 days without sequelae.

Implications:

  • This case underscores the importance of prompt diagnosis and treatment of gonococcal conjunctivitis.
  • Rising antimicrobial resistance necessitates careful therapeutic choices.
  • Early intervention is key to preventing vision loss and interrupting disease transmission.