检索结果-南通市图书馆

infectious keratitis in Vietnam:etiology,organisms,and management at Vietnam National Eye Hospital

International Journal of Ophthalmology(English edition) 2022年第1期15卷 128-134页

作者： Pham Ngoc Dong Do Thi Thuy Hang Nguyen Thi Nga Duong Mai Thi Lien Angela C.Chen Anthony J.Aldave Vietnam National Eye Hospital Hanoi 10000Vietnam Nam Dinh Eye Hospital Nam Dinh 420000Vietnam Stein Eye Institute UCLA David Geffen School of MedicineLos AngelesCA 90095USA

AIM:To report the etiologies,risk factors,treatments,and outcomes of infectious keratitis(IK)at a major Vietnamese eye ***:This is a retrospective review of all cases of IK at Vietnam National Eye Hospital(VNEH)in Hanoi,*** histories,demographics,clinical features,microbiological results,and treatment outcomes were ***:IK was diagnosed in 1974 eyes of 1952 patients,with ocular trauma being the greatest risk factor for IK(34.2%),frequently resulting from an agriculturerelated injur y(53.3%).The mean duration between symptom onset and presentation to VNEH was 19.3±14.4 d,and 98.7%of patients had been treated with topical antibiotic and/or antifungal agents prior to evaluation at *** on smear results of 1706 samples,the most common organisms identified were bacteria(n=1107,64.9%)and fungi(n=1092,64.0%),with identification of both bacteria and fungi in 614(36.0%)***-five of 374 bacterial cultures(14.7%)and 426 of 838 fungal cultures(50.8%)were positive,with the most commonly cultured pathogens being Pseudomonas aeruginosa,Streptococcus pneumonia,Fusarium spp.,and Aspergillus *** perforation and descemetocele developed in 391(19.8%)and 93(4.7%)eyes,*** treatment was successful in resolving IK in 50.4%eyes,while 337(17.1%)eyes underwent penetrating or anterior lamellar *** was performed in 7.1%of eyes,most commonly in the setting of fungal ***:Ocular trauma is a major risk factor for IK in Vietnam,which is diagnosed in almost 400 patients each year at *** this,and as approximately one quarter of the eyes that develop IK require corneal transplantation or evisceration,greater emphasis should be placed on the development of prevention and treatment programs for IK in Vietnam.

关键词： infectious keratitis bacterial keratitis fungal keratitis microsporidial keratitis Acanthamoeba keratitis herpes simplex virus keratitis Vietnam

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Epidemiological,clinical and laboratory findings of infectious keratitis at Mansoura Ophthalmic Center,Egypt

引用

International Journal of Ophthalmology(English edition) 2017年第1期10卷 61-67页

作者： Amani E Badawi Dalia Moemen Nora L El-Tantaw Departrnent of Ophthalmology Faculty of MedicineMansouraUniversityMansoura 35516Egypt Department of Medical Microbiology and Immunology Faculty of MedicineMansoura UniversityMansoura 35516Egypt Department of Parasitology Faculty of MedicineMansouraUniversityMansoura 35516Egypt

AIM： To analyze the epidemiological, clinical and laboratory findings of infectious ***： A retrospective study on cases of infective keratitis, attended our institution from Mar. 2013 to Feb. 2015, was done at Mansoura Ophthalmic Center, Egypt. Corneal scrapings were performed and processed for direct microscopy and culture in appropriate media using standard laboratory ***： Out of 245 patients enrolled for study, 247 corneal scrapings were obtained. Ocular trauma was the most common predisposing factor （51.4%）, followed by diabetes mellitus （15.1%）. Cultures were positive in 110 scraping samples （44.5%）： 45.5% samples had pure fungal infection, 40% had pure bacterial infections and 10% had mixed fungal and bacterial growths. Acanthamoeba was detected in 5 （4.5%） samples. The most common fungal pathogen was Aspergillus spp. （41%）. The most common bacterial isolates were Staphylococcus aureus （38.2%） and Pseudomonas aeruginosa （21.8%）.CONCLUSION： Incidence of fungal keratitis is high in our region. Therapeutic approach can initially be based on clinical features and sensitivity/resistance patterns. Microbiological research should direct the antimicrobial treatment. Antibiotic resistance to fluoroquinolones and aminoglycosides is an important consideration.

关键词： infectious keratitis bacterial fungal parasitic predisposing factors antibiotic resistance

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A surgical alternative of fusiform penetrating keratoplasty for the management of severe infectious keratitis

引用

International Journal of Ophthalmology(English edition) 2024年第8期17卷 1431-1436页

作者： Xiao-Lin Qi Li-Chao Wang Miao-Lin Wang Hua Gao Eye Hospital of Shandong First Medical University State Key Laboratory Cultivation BaseShandong Provincial Key Laboratory of OphthalmologyShandong Eye InstituteShandong First Medical University&Shandong Academy of Medical SciencesJinan 250021Shandong ProvinceChina

AIM:To describe the surgical procedure of fusiform penetrating keratoplasty(FPK)using multiple trephines of different sizes for treating patients with severe infectious ***:Fourteen eyes underwent FPK,and 15 eyes received conventional penetrating keratoplasty(PK)were included in the *** best-corrected visual acuity(BCVA),refractive outcomes,endothelial cell density,and postoperative complications were ***:The FPK group was followed for an average of 15.3±2.1mo,whereas the PK group was followed for 16.1±*** corneal ulcers were elliptical-shaped in all 14 eyes in the FPK *** mean BCVA(logMAR,0.26±0.13)showed no statistically significant differences from that in the PK group(logMAR,0.21±0.12,P>0.05)at 1y after *** the mean curvature,mean astigmatism,and mean spherical equivalent in the FPK group were lower than those in the PK group(P<0.05).Peripheral anterior synechia was observed in one patient in the FPK group,whereas 6 patients in the PK *** loosening and neovascularization were observed in 4 and 5 eyes in the PK group,*** graft immune rejection or elevation of intraocular pressure was observed in the two ***:For patients with elliptical-shaped corneas or corneal ulcers,FPK can avoid disrupting of corneal limbus,reduce the risk of postoperative complications,and can result in satisfactory visual quality.

关键词： fusiform penetrating keratoplasty multiple trephines infectious keratitis cornea

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

PACK-CXL *** therapy for bacterial,fungal,and mixed infectious keratitis:a prospective randomized phase 3 trial

引用

Eye and Vision 2024年第1期10卷 10-20页

作者： Farhad Hafezi Mohammed Hosny Rohit Shetty Boris Knyazer Shihao Chen Qinmei Wang Hassan Hashemi Emilio A.Torres‑Netto 无 Center for Applied Biotechnology and Molecular Medicine(CABMM) University of ZurichZurichSwitzerland ELZA Institute DietikonSwitzerland. Faculty of Medicine University of GenevaGenevaSwitzerland Department of Ophthalmology Medical University of WenzhouWenzhouChina USC Roski Eye Institute University of Southern California Los AngelesLos AngelesUSA Department of Ophthalmology University of CairoCairoEgypt Narayana Nethralaya Eye Hospital and the Postgraduate Institute of Ophthal‑mology BangaloreIndia Department of Ophthalmology Soroka University Medical CenterBen-Gurion University of the NegevBeershebaIsrael Noor Ophthalmology Research Center Noor Eye HospitalTehranIran University Hospital Zurich ZurichSwitzerland. the PACK-CXL Working Group

Background:infectious keratitis is a major cause of global *** tested whether standalone photoactivated chromophore corneal cross-linking(PACK-CXL)may be an efective frst-line treatment in early to moderate infectious keratitis,compared with standard antimicrobial ***:This is a randomized,controlled,multinational phase 3 clinical *** in fve centers in Egypt,India,Iran,Israel,and China,aged≥18 years,with infectious keratitis of presumed bacterial,fungal,or mixed origin,were randomly assigned(1:1)to PACK-CXL,or antimicrobial *** measures included healing,defned as time to re-epithelialization of the corneal epithelial defect in the absence of infammatory activity in the anterior chamber and clearance of stromal *** success was defned as the complete resolution of signs of ***:Between July 21,2016,and March 4,2020,participants were randomly assigned to receive PACK-CXL(n=18)or antimicrobial therapy per American Academy of Ophthalmology(AAO)guidelines(n=21).No participants were lost to *** eyes were excluded from the epithelialization time analysis due to treatment failure:two in the antimicrobial therapy group,and two in the PACK-CXL *** rates were 88.9%(16/18 patients)in the PACK-CXL group and 90.5%(19/21 patients)in the medication *** was no signifcant diference in time to complete corneal re-epithelialization(P=0.828)between both treatment ***:PACK-CXL may be an alternative to antimicrobial drugs for frst-line and standalone treatment of early to moderate infectious keratitis of bacterial or fungal origin.

关键词： Photoactivated chromophore Corneal cross-linking infectious keratitis Corneal melting PACK-CXL

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

PACK-CXL: Corneal cross-linking in infectious keratitis

引用

Eye and Vision 2016年第1期3卷 84-88页

作者： David Tabibian Cosimo Mazzotta Farhad Hafezi Laboratory for Ocular Cell Biology University of GenevaGenevaSwitzerland Siena Crosslinking Center Siena University HospitalSienaItaly Department of Ophthalmology University of Southern CaliforniaLos AngelesCAUSA EyeCare Laboratory Research Zurich Associates(ELZA)Institute Webereistrasse 28953 DietikonSwitzerland Department of Ophthalmology Northampton General HospitalNorthamptonUnited Kingdom

Background:Corneal cross-linking(CXL)using ultraviolet light-A(UV-A)and riboflavin is a technique developed in the 1990’s to treat corneal ectatic disorders such as *** soon became the new gold standard in multiple countries around the world to halt the progression of this disorder,with good long-term outcomes in keratometry reading and visual *** original Dresden treatment protocol was also later on used to stabilize iatrogenic corneal ectasia appearing after laser-assisted in situ keratomileusis(LASIK)and photorefractive keratectomy(PRK).CXL efficiently strengthened the cornea but was also shown to kill most of the keratocytes within the corneal stroma,later on repopulated by those ***:Ultraviolet-light has long been known for its microbicidal effect,and thus CXL postulated to be able to sterilize the cornea from infectious *** cytotoxic effect led to the first clinical trials using CXL to treat advanced infectious melting corneal *** treated with this technique showed,in the majority of cases,a stabilization of the melting process and were able to avoid emergentàchaud *** those primary favorable results,CXL was used to treat beginning bacterial keratitis as a first-line treatment without any adjunctive antibiotics with positive results for most *** order to distinguish the use of CXL for infectious keratitis treatment from its use for corneal ectatic disorders,a new term was proposed at the 9th CXL congress in Dublin to rename its use in infections as photoactivated chromophore for infectious keratitis-corneal collagen cross-linking(PACK-CXL).Conclusion:PACK-CXL is now more frequently used to treat infections from various infectious *** original Dresden protocol is still used for this *** modifications of this protocol could improve the efficiency of this technique in specific clinical situations regarding certain types of pathogens.

关键词： infectious keratitis Corneal cross-linking Keratoconus CXL PACK-CXL Corneal ulcer Ultraviolet light A Riboflavin

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Prevalence and associated factors of corneal blindness in Ningxia in northwest China

引用

International Journal of Ophthalmology(English edition) 2014年第3期7卷 557-562页

作者： Xun-Lun Sheng Hui-Ping Li Qing-Xia Liu Wei-Ning Rong Wen-Zhang Du Li Ma Guang-Hui Yan Run-Qing Ma Jian-Ling Zhang Hui-Fang Xu Wen-Qing Zou Xiao-Jun Bi Ningxia Eye Hospital Ningxia People's Hospital Department of Ophthalmology Tongxin Hospital Ningxia Hui Autonomous Region China Department of Ophthalmology Ningxia Medical University

AIM:To describe the prevalence and demographic characteristics of corneal blindness in an urban and rural region of Ningxia,located in the northwest part of ***:A stratified,randomized sampling procedure was employed in the study,including urban and rural area of all age *** acuity,anterior segment and ocular fundus were *** factor of corneal disease,including age,gender,education status,ethnic group,location and occupation,were identified according to uniform customized *** eye was defined to be corneal blindness if the visual acuity wasinfectious,trauma and immune corneal disease were the three leading causes of corneal *** cornealdisease was more likely leading to blindness in one ***,infectious and immune corneal diseases make more contribution to the bilateral corneal ***:Corneal blindness is a significant burden of in Ningxia population,encompassing a variety of corneal infections and trauma;the majority of those were *** promotion strategies and good hygienic conditions have to be developed.

关键词： corneal disease epidemiology blindness infectious keratitis trauma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Trends in the indications for penetrating keratoplasty in Shandong,2005-2010

引用

International Journal of Ophthalmology(English edition) 2011年第5期4卷 492-497页

作者： Jun-Yi Wang, Jing Zhao Department of Ophthalmology Renmin Hospital of Wuhan University Wuhan 430060 Hubei Province China State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Shandong Academy of Medical Sciences Qingdao 266071 Shandong Province China

AIM: To identify the current indications and the trend shifts for penetrating keraboplasty (PKP) in Shandong. METHODS: The medical charts of all patients who underwent PKP at Shandong Eye Institute from June 1, 2005 to May 31, 2010 were analysed retrospectively. RESULTS: A total of 875 patients (875 eyes) received PKP in this 5-year period, accounting for 61.6% of all corneal transplantation surgeries. The leading indications for PKP were infectious keratitis (37.1%), HSK (19.1%), keratoconus (11.2%), bullous keratopathy (8.5%), regrafting (6.7%) and corneal scarring (4.8%). The percentage of PKP for keratoconus declined year by year, whereas the percentage of bullous keratopathy had a mild annual increase. Fungal infections accounted for 65.2% of the infectious keratitis cases, remaining the leading cause of corneal infection. In addition, 54.1% of bullous keratopathy cases were associated with cataract surgery. The leading initial diagnoses associated with regrafting were infectious keratitis (38.9%), HSK (18.6%) and corneal burn (16.9%). The major causes of regrafting included graft endothelial dysfunction (39.0%), graft ulcer (28.8%) and primary disease recurrence (15.3%). CONCLUSION: infectious keratitis remained the leading indication for PKP in Shandong, and fungal infections were still the major cause of corneal infections. There was an increasing trend in the percentage of PKP cases indicated for bullous keratopathy but a decline in the same for keratoconus. Even with a decline in the overall proportion among all corneal transplantation surgeries, PKP is still the major corneal transplant choice in Shandong.

关键词： penetrating keratoplasty indication infectious keratitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Etiology and failure analysis of anterior lamellar keratoplasty

引用

International Journal of Ophthalmology(English edition) 2018年第5期11卷 786-790页

作者： Zhen Wang Xiao-Jun Tan Hua-Lei Zhai Jun Cheng Yan Gao Li-Xin Xie Qingdao University Medical College Qingdao 266071Shandong Province China Affiliated Yidu Central Hospital of Weifang Medical College Weifang 262500 Shandong Province China Qingdao Eye Hospital Shandong Eye Institute Shandong Academy of Medical Sciences Qingdao 266071 Shandong Province China

AIM：To analyze indications and reasons for failure of anterior lamellar keratoplasty（ALK）.METHODS：The clinical records were retrospectively *** outcome measures included indications for ALK and reasons for failure of ***：A total of 434 patients（462 eyes） were treated with ALK at Qingdao Eye Hospital,Shandong Eye Institute from June 1,2009 to May 31,*** main indications were infectious keratitis（33.3%）,keratoconus（23.6%）,corneal dystrophy and degeneration（9.8%）,Mooren＇s ulcer（8.4%）,corneal neoplasm（7.8%）,viral keratitis（6.5%） and regrafting（3.7%）.Fungal keratitis accounted for 73.4% in the infectious keratitis *** were failed in 36 patients,with the major causes being recurrence of primary diseases（63.9%）.The leading causes of graft failure was Mooren＇s ulcer（36.1%）,followed by infectious keratitis（30.6%）.Recurrence of fungal keratitis accounted for 81.8% in the failed cases after ALK for infectious keratitis ***：infectious keratitis and keratoconus are the main indications for ALK,of which fungal keratitis was the major cause of corneal *** of primary disease is the main reason of graft failure after ALK,in which the main primary diseases associated with graft failure are Mooren＇s ulcer and fungal keratitis.

关键词： anterior lamellar keratoplasty indication failure infectious keratitis Mooren's ulcer

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Changing indications for lamellar keratoplasty in Shandong, 1993-2008

引用

Chinese Medical Journal 2010年第22期123卷 3268-3271页

作者： QU Li-jun XIE Li-xin State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Qingdao Shandong 266071 China Qingdao University Medical Colleague Qingdao Shandong 266071 China Department of Ophthalmology the Second Affiliated Hospital of Harbin Medical University Harbin Heilongjiang 150086 China

Background With the advancement of microsurgical techniques, lamellar keratoplasty （LK） has been more valued and performed to treat corneal blindness. This study aimed to evaluate the indications and changing trends for LK during the past 16 years in Shandong Eye Institute, an eye center in China. Methods A total of 1529 eyes, predominantly from male （70.7%） patients undergoing LK between January 1993 and December 2008, were enrolled in this study. Data were collected by reviewing patient medical records for demographic characteristics, clinical diagnosis, laboratory findings and risk factors. Surgical times, initial diagnoses and causes of regrafting were recorded. All LKs were sequentially divided into period 1 （from 1993 to 2000） and period 2 （from 2001 to 2008）. Results Rural-dwelling patients in this study numbered 1089 （71.2%）; in all cases of infectious keratitis, rural patients accounted for 90.5%. The leading indications for LK were infectious keratitis （31.0%）, corneal trauma （21.1%）, keratoconus （18.7%）, corneal dystrophy and degeneration （7.3%）, regrafting （7.1%）, immunologic disorders （6.7%）, congenital abnormalities and corneal tumor （4.1%） and corneal scarring （3.1%）. The most common subcategory of infectious keratitis was fungal keratitis （67.5%）. Fusarium solani was the most morbigenous fungi. Among the patients, 73.1% of thermal burns were caused by hot molten metal, and 47.8% of alkali burns by lime. Dermoid was the most common indication for congenital abnormalities. The two main initial diagnoses from 109 regrafting cases were corneal trauma （45.9%） and Mooren＇s ulcer （27.5%）. The most common cause for regrafting was immune rejection （35.8%）. infectious keratitis was the most common indication for LK from 16.0% in period 1 to 41.1% in period 2, followed by keratoconus （16.8%） and corneal trauma （14.5%）. Conclusions During the past 16 years, there have been major changes in the constituent ratios of leading indications for LK in Shangdong. Infect

关键词： lamellar keratoplasty indication infectious keratitis fungal kertitis keratoconus

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：