• Herskind Mygind posted an update 1 month, 2 weeks ago

    038) as well as hepaticojejunostomy (HR=3.358, CI=1.090-10.350, P=0.035) and bile duct type other than type I. (HR=2.214, CI=1.143-4.289, P=0.018) Better outcome in terms of obtaining a single opening was also obtained in the ‘cut and clip’ group (68.2% vs. 84.6%, P=0.040), and this difference was significant especially with a common channel shorter than 10 millimeters (45.5% vs. 81.2%, P=0.043).

    The ‘cut and clip’ technique showed superior outcomes to the ‘clip and cut’ technique in terms of fewer bile duct openings and biliary stricture-free survival of the recipients.

    The ‘cut and clip’ technique showed superior outcomes to the ‘clip and cut’ technique in terms of fewer bile duct openings and biliary stricture-free survival of the recipients.

    Solid organ transplant (SOT) recipients may be more vulnerable to coronavirus disease 2019 (COVID-19). Data on the clinical course of COVID-19 in immunosuppressed patients are limited, and the optimal management strategy for these patients is yet unclear.

    We present 53 SOT recipients (31 kidney transplant recipients, 8 liver transplant recipients, 5 heart transplant recipients, 5 lung transplant recipients, 3 liver-kidney transplant recipients, and 1 kidney-after-heart transplant recipient), transplanted at a Swedish high-volume transplant center and each diagnosed with COVID-19 between February 21, 2020 and June 22, 2020. Demographic, clinical, and treatment data were extracted from the electronic patient files.

    Patients reported fever (61%), cough (43%), diarrhea (31%), and upper respiratory symptoms (29%). The median age was 56 years, and 57% were male. According to severity, 55% had mild, 13% had moderate, 19% had severe, and 13% had critical disease. Thirty-seven patients (70%) were hospitalized, w of patients could be managed on an outpatient basis, while keeping a low threshold for admission. Mild and moderate disease forms seem to have a good outcome.

    This study aimed to investigate the incidence and risk factors of endophthalmitis after transconjunctival pars plana vitrectomy (PPV) without intraoperative subconjunctival antibiotics.

    Retrospective, consecutive case series at a single institution.

    Consecutive cases of transconjunctival 25-gauge PPV without intraoperative subconjunctival antibiotics performed by three retina surgeons at a single surgical site at the Dean McGee Eye Institute from 2012 to 2018 were reviewed.

    Of 4,263 cases of PPV without intraoperative subconjunctival antibiotics, five cases (0.117%, 5/4,263) of post-PPV endophthalmitis were identified. Of these five cases, four cases (80%, 4/5) received combined cataract extraction or secondary intraocular lens implantation at the time of PPV. The incidence of endophthalmitis in isolated PPV was 0.027% (1/3,606 cases), whereas the incidence in combined PPV with anterior segment procedures was 0.608% (4/657 cases). Ipatasertib Risk factors for endophthalmitis included diabetes mellitus, which was present in 80% of patients with endophthalmitis (4/5 cases). Causative organisms were identified in four of the five cases (80%), including Staphylococcus epidermidis (N = 3) and Propionibacterium acnes (N = 1).

    Performing transconjunctival PPV alone with standard preparation using povidone-iodine and postoperative topical antibiotics for 1 week without intraoperative subconjunctival antibiotics did not lead to an increase in incidence of postoperative endophthalmitis (1 per 3,606 cases).

    Performing transconjunctival PPV alone with standard preparation using povidone-iodine and postoperative topical antibiotics for 1 week without intraoperative subconjunctival antibiotics did not lead to an increase in incidence of postoperative endophthalmitis (1 per 3,606 cases).

    To evaluate choroidal features in young patients affected by Choroideremia.

    Young CHM patients and controls were recruited at the Eye Clinic in Florence. High resolution choroidal imaging was obtained using swept source – OCT with long OCT scans (12×9 mm OCT scans). We considered the subfoveal choroidal area within 9 mm of the optic disc in the horizontal plane and the subfoveal choroidal area within a 3 mm diameter centered over the fovea. The subfoveal choroidal thickness (SCT), total choroidal area (TCA), luminal area (LA), stromal area (SA) and choroidal vascularity index (CVI) were assessed using the “ImageJ” software in both groups.

    Eight patients (16 eyes; mean age 19.3 ± 5.2) and 7 controls (14 eyes; mean age 19.0± 5.0 years) were included in this study. BCVA was 20/20 in both eyes of 7 CHM patients and in all controls and 20/25 in both eyes in 1 CHM patient. Mean SFCT did not differ between CHM patients and controls. LA9mm, SA9mm and TCA9mm were reduced in patients compared to the control group. LA3mm, SA3mm, TCA3mm did not differ between patients and controls. CVI9mm and CVI3mm were not different between patients and controls.

    There are no differences in the CVI between young CHM patients and controls; this result suggests a simultaneous, proportional impairment of both the stromal and vascular components of the choroid in the early stages of the disease.

    There are no differences in the CVI between young CHM patients and controls; this result suggests a simultaneous, proportional impairment of both the stromal and vascular components of the choroid in the early stages of the disease.

    to reappraise the presentation and the course of the ITM2B-related retinal dystrophy (RD) and give further insights on ITM2B expression in the retina.

    the clinical data of nine subjects with ITM2B-related RD were retrospectively reviewed. The genetic mutation was assessed for its influence on splicing in cultured fibroblasts. The cellular expression of ITM2B within the inner retina was investigated in wild-type mice through mRNA in-situ hybridization.

    all patients complained of decreased vision and mild photophobia around their twenties-thirties. Peculiar feature was the hyperreflective material on optical coherence tomography within the inner retina and the central outer nuclear layer with thinning of the retinal nerve fiber layer. While retinal imaging revealed very mild or no changes over the years, the VA slowly decreased with about one ETDRS letter per year. Finally, full-field electroretinography (ff-ERG) showed a mildly progressive inner retinal and cone dysfunction. ITM2B mRNA is expressed in all cellular types of the inner retina.