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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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Comparison of the horizontal diameter to a modeled area of traction in eyes with vitreomacular traction: is the diameter close enough to the truth?

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie·2018
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[Orbital emphysema with exophthalmos following transconjunctival pars plana vitrectomy].

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Reply to Wakefield and Kumar.

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[Good outcome in Acanthamoeba keratitis].

S Reichart-Peter1, K Manousaridis2, H Dirschmid3

  • 1Abteilung für Augenheilkunde, Akademisches Lehrkrankenhaus Feldkirch, Carinagasse 47, 6800, Feldkirch, Österreich. Silvia.Peter@Lkhf.at.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|August 26, 2016
PubMed
Summary

Acanthamoeba keratitis, an eye infection linked to contact lens use and tap water, was diagnosed using PCR. Prompt treatment led to healing with minimal scarring.

Keywords:
AcanthamoebaKeratitisPolyhexamethylene biguanidePropamidine isethionateRadial keratoneuritis

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Contact lens wear, particularly daily disposables rinsed with tap water, poses a risk for microbial keratitis.
  • Perineural corneal infiltrates are a significant clinical sign suggestive of specific infectious agents.

Observation:

  • A 31-year-old female presented with symptoms of mild keratitis in her left eye.
  • Clinical suspicion of Acanthamoeba infection arose due to contact lens hygiene practices and observed corneal infiltrates.

Findings:

  • Polymerase chain reaction (PCR) analysis of corneal scrapings confirmed Acanthamoeba infection.
  • The patient received low-dose propamidine monotherapy due to tolerability issues.

Implications:

  • This case highlights the importance of proper contact lens care to prevent microbial keratitis.
  • Early diagnosis via PCR and appropriate treatment are crucial for successful outcomes in Acanthamoeba keratitis.
  • Even with limited treatment options, favorable visual outcomes with minimal scarring are achievable.