Limits...
A case of endophthalmitis associated with limbal relaxing incision.

Haripriya A, Syeda TS - Indian J Ophthalmol (2012 May-Jun)

Bottom Line: Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications.Do we need to readdress this last impression?This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

View Article: PubMed Central - PubMed

Affiliation: Department of Cataract and IOL, Aravind Eye Hospital and PG Institute of Ophthalmology, 1, Anna Nagar, Madurai, Tamil Nadu, India.

ABSTRACT
Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications. Do we need to readdress this last impression? We report a case of nocardia endophthalmitis associated with an exudate at the site of an LRI in a patient who underwent routine cataract surgery. This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

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On presentation at 15th post-op day with endothelial nodule at the site of limbal relaxing incision, hypopyon and iris nodule
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Figure 1: On presentation at 15th post-op day with endothelial nodule at the site of limbal relaxing incision, hypopyon and iris nodule

Mentions: On the 15th postoperative day, he presented emergently with pain and redness in the operated eye. On examination, his vision was 20/2000 with no improvement with pinhole. Anterior segment examination revealed circumcorneal congestion, iris nodule, a 1.5-mm hypopyon, and a corneal exudate at the site of the prior LRI [Fig. 1]. Red reflex was not appreciated. B-scan ultrasonography revealed minimal vitreous exudates.


A case of endophthalmitis associated with limbal relaxing incision.

Haripriya A, Syeda TS - Indian J Ophthalmol (2012 May-Jun)

On presentation at 15th post-op day with endothelial nodule at the site of limbal relaxing incision, hypopyon and iris nodule
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3361822&req=5

Figure 1: On presentation at 15th post-op day with endothelial nodule at the site of limbal relaxing incision, hypopyon and iris nodule
Mentions: On the 15th postoperative day, he presented emergently with pain and redness in the operated eye. On examination, his vision was 20/2000 with no improvement with pinhole. Anterior segment examination revealed circumcorneal congestion, iris nodule, a 1.5-mm hypopyon, and a corneal exudate at the site of the prior LRI [Fig. 1]. Red reflex was not appreciated. B-scan ultrasonography revealed minimal vitreous exudates.

Bottom Line: Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications.Do we need to readdress this last impression?This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

View Article: PubMed Central - PubMed

Affiliation: Department of Cataract and IOL, Aravind Eye Hospital and PG Institute of Ophthalmology, 1, Anna Nagar, Madurai, Tamil Nadu, India.

ABSTRACT
Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications. Do we need to readdress this last impression? We report a case of nocardia endophthalmitis associated with an exudate at the site of an LRI in a patient who underwent routine cataract surgery. This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

Show MeSH
Related in: MedlinePlus