Our patient presented with multiple signs of infection, which can’t initially be pinpointed to one disease alone. The three important signs to initially address and understand the science behind are perivasculitis, retinal vascular sheathing and retinal hemorrhages. All three medical definitions appear straightforward and all very similar, but the combination of the three leads to a serious diagnosis and urgency for this patient.
Perivasculitis is an “inflammation of a sheath surrounding the tissue”1. In class we discussed the differences between perivasculitis and periflabitis. Perivasculitis should be white because of the inflammation and the white blood cells then spilling out. The Prefix ‘peri’ means around, or on the outside of the tissue. Retinal vascular sheathing is “sheathing or cuffing of blood vessels and vitreous cells”. The swelling or ‘cuffing’ of blood vessels in the retinal layer is a serious condition and is often associated with vasculitis. Finally, a retinal hemorrhage is “abnormal bleeding of the vessels in the retina”2. Retinal hemorrhages can be caused for a variety of reasons such as injuries like forceful blows or accidents and falls, as well as adverse health conditions. We know that the loss of vision can be largely attributed to the excess debris that is currently located in the eye, the debris being blood that is leaking out. Our case states that he has no previous trauma however, proving that there is an ulterior cause to the acute onset of the
As discussed in Dr. Fink’s lecture, high blood pressure can result in retinal damage. This retinal damage can present as hemorrhages, exudates, or with a component of papilledema (CP, 145). According to Lilly, this retinal damage produced by hypertension is termed hypertensive retinopathy. More often than not, the retinopathy can be seen on physical exam but is asymptomatic to the patient. However, the clinical presentation can help to further classify the nature of the patient’s hypertension.
HPI: This patient claims that a piece of plastic off of a milk crate broke and flew directly into her left eye when she was attempting to set it down yesterday evening. She claims that the pain started immediately and was a “10/10”. The pain has only improved slightly overnight to a “8/10” this morning. She describes this pain as a sharp, burning and stabbing type of pain. She has obtained some relief from rinsing her left eye out repeatedly and then applying cool compresses and ice packs. She claims that opening her eye makes the pain worse and causes her “eye to water”. She denies any radiation of
“Patient is currently having blurred vision, facial pain, numbness in both upper and lower extremities,
The most common, presenting symptom is optic neuritis, which generally involves unilateral visual loss (Béthoux, Fox & Rae-Grant, 2013). Optic neuritis is due to the optic nerve being affected, which is an extension of the brain and contains central CNS myelinated nerves (Murray, 2005). Optic neuritis (inflammation of the optic
Eye infection is herpes simplex eye infection that cause a type of herpes simplex virus. The infection causes scarring in front part of the eyes and it can lead to loss vision. In addition, symptoms of herpes simplex eye infection consist of ache, redness of eyes, and uncomfortable when opening the eyes in bright light. In conclusion, if you are herpes simplex eye infection, you should promt treatment with antiviral ointment.
The palpebral conjunctiva becomes hyperemic, and distinct vesicles or bullae may occur. In many instances, a concomitant conjunctivitis appears that is characterized by watery discharge with mucoid strands (Fig 16-13). Secondary infection, most commonly withStaphylococcus species, may develop. In severe cases, a membranous or pseudomembranous conjunctivitis may result from coalescence of fibrin and necrotic cellular debris. Symblepharon formation may occur with severe pseudomembranous conjunctivitis. Primary corneal involvement and iritis are rare ocular manifestations of Stevens-Johnson
As a result of retinal haemorrhages, children can suffer with permanent damage to their vision due to the inflicted injury to the eye or the brain. Scarring of the retina or atrophy of the optic nerve may show up months after the injury, and is frequently irreversible. This can result in the infant suffering with severe vision impairments and even blindness (Blumenthal, 2002).
1. Red – retinal arterioles, hemorrhaging, neovascularization, vascular anomalies, vascular tumors, retinal breaks, holes in retinoschisis, cilioretinal artery, and inner portion of thin areas of retina
Pink eye is an infection in the cow’s eye if it is not treated it can cause blindness. This infection can spread fast. If they have pink eye in both eyes it kills the cattle either by not drinking water or not eating any food as the cattle can’t see if they have pink eye. Pink eye is mainly between the season of autumn and summer the reason why is because most of the fly’s are out then. Pink eye is caused by a toxin in the eye cold Moraxella bovis which effects the surface of the eye and the membranes behind the eye. The symptom of pink eye is that it causes inflammation of the eye from a bacterial infection and if not treated quick it can cause the cattle not to see. To treat pink eye you need to inject a needle in the head approximately in
The pathophysiology of traumatic uveitis is incompletely understood. Rosenbaum et al theorized that a possible mechanism for the development of intraocular inflammation secondary to nonpenetrating trauma could be akin to similar processes in other organ systems.9 They posit that traumatic uveitis may be similar to the Koebner phenomenon, whereby minor skin trauma precipitates psoriasis flares in approximately 25% of patients.9 This study – which is to our knowledge, the only other study focused solely on traumatic uveitis except for the current series – reported that 4.8% of uveitis patients suspected that the cause of their uveitis was related to previous nonpenetrating trauma.9 At our center, traumatic uveitis following nonpenetrating trauma
Blood-stream infections affect more than 700,000 in the U.S. resulting in a healthcare cost of $20 billion annually. The current standard is to administer multiple general antibiotics first, followed by a blood culture to identify the infecting bacteria. This method takes days and puts the patient at risk because these general antibiotics are not often effective due to the rise of antibiotic-resistant bacteria. Doctors overmedicate hospital patients due to the wait time for infection analysis. This excessive medication has led to the deaths of patients. Instead of doing lab analysis, the rapid diagnostic device receive the blood sample, analyze whether the type of infection, and report the effective medications. This would prevent the prescription
Endophthalmitis is a vision-threatening complication that commonly occurs after cataract surgery. Visual outcomes are often debilitating, with 50% recovering 20/40 vision and about 30% being able to count their fingers.1 Because cataract surgery is the most commonly performed ocular procedure worldwide, postoperative endophthalmitis is an important public health issue associated with significant morbidity and high medical costs. Current prevention strategies in the United States include routine operating room aseptic protocols and perioperative topical antibiotic prophylaxis.2 However, recent studies of the past decade favor intracameral antibiotic administration, which involves a bolus injection into the anterior chamber at the end of surgery,
A few doctors at the Cincinnati Eye Institute diagnosed the man with a bacterial infection that was quickly destroying his cornea, the outer layer of protection for the eye. If he hadn’t of had contacts, then the bacteria may not have had the opportunity to incubate. The extended wear contact lens that the man was wearing only got taken out every week to clean. Although these
• Hemorrhages (stroke), aneurysms, or other disorders of the blood vessels near the optic chiasm.
The visual organ of the human body is a specialized structure designed to receive and process light into images that can be perceived by the brain and is commonly known as the eye. Structurally, the eye is a globular unit that can be generally divided into an anterior segment composed of an anterior and posterior chamber or internal cavities filled with of thin, transparent fluid called the aqueous humor and a posterior segment filled with a clear, jelly-like substance referred to as the vitreous body (Abrahams, 2002). Surrounding these two polarized segments are three concentric layers that form the external wall of the eye called the fibrous layer, vascular layer, and sensory or inner layer. Each layer of the eye is composed of specialized components such as the sclera and cornea in the fibrous layer, the choroid, ciliary body, and retina in the vascular layer, and the retina and optic nerve which comprise the sensory or innermost layer. As each of these structures within the eye performs an integral function that contributes to one’s sense of vision, while others have a supplementary specialized role to protect the eye, impairing any one of these components via trauma or damage to the eye leads to a severe reduction in visual faculty. Damage to the retina, specifically, can cause a condition called retinal detachment whereas the name denotes, the retina becomes detached from an underlying layer of pigmented epithelium cells known as the retinal pigment layer and thereby