Exact(8)
All five patients had no previous ophthalmic history, and all had best-corrected visual acuities of better than 20/32 in both eyes before presentation for endophthalmitis.
Only eyes without any signs of previous ophthalmic disease such as cataract or liquefaction of the vitreous body were examined.
Subjects with current or previous ophthalmic history other than AU, significant lens opacities, intraocular lens implants after cataract or refractive surgery, glaucoma or diagnosed diabetes were excluded.
In addition, the IOP level of this patient remained at a low level even after clinical recovery compared to the value documented in his previous ophthalmic evaluations before the infection.
Email messages were sent to ClinMicroNet (www.asm.org/index.php/online-community-groups/listservs), a network of clinical microbiology laboratories; to academic microbiology laboratories known from previous ophthalmic disease outbreaks (12 – 14 ); and to members of 2 major ophthalmology professional societies.
Interestingly, in one of these patients (patient 4) with the pituitary injury, the IOP has remained at a significantly lower level compared to that documented during his previous ophthalmic evaluations even after the clinical recovery.
Similar(52)
The species in our case, A. conicus, is rarely mentioned in the medical literature, and the only previous report of ophthalmic involvement was from a patient with postsurgical endophthalmitis [9]. A. conicus has also been isolated from the respiratory tracts of healthy people in Japan, Taiwan, and South Korea [10].
There has not been a previous description of ophthalmic pathology from a single large series of children dying of CM.
The recruitment of healthy persons was based on a random population sample with the majority of individuals having no previous experience in ophthalmic examinations.
The patient had no previous medical or ophthalmic history and had been well over the preceding weeks, other than a treated urinary tract infection.
In this study, all surgeons who provided information reused the surgical instruments with incomplete sterilization, and the potential for infection was the same as in our previous study of ophthalmic surgery (19 ).
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