1/24. Acute angle closure glaucoma precipitated by intranasal application of cocaine.We describe a patient who developed acute angle-closure glaucoma following the application of topical intranasal cocaine. A 46-year-old woman underwent an elective antral washout under general anaesthesia and with local application of 25 per cent cocaine paste to the nasal mucosa. Twenty-four hours post-operatively the patient developed sudden painful blindness which was found to be due to acute glaucoma. cocaine with its indirect sympathomimetic activity causes mydriasis, that can precipitate acute angle-closure glaucoma in predisposed individuals with a shallow anterior chamber. Although the incidence is rare, otolaryngologists need to be aware of this potential complication.- - - - - - - - - - ranking = 1keywords = coma (Clic here for more details about this article) |
2/24. Iatrogenic cataract after laser-assisted in situ keratomileusis.PURPOSE: To report a case of corneal opacity and iatrogenic cataract after laser-assisted in situ keratomileusis. METHOD: Case report. A 44-year-old man was initially seen with a traumatic cataract, corneal stromal opacity, and defect of the endothelium in the right eye after laser-assisted in situ keratomileusis performed by a plastic surgeon who had no ophthalmologic training. RESULTS: It was speculated that repeated ablations resulted in corneal perforation. We immediately performed phacoemulisification to remove the cataract and to prevent phacolytic glaucoma. However, visual acuity remained 20/200 because of the corneal stromal opacity, and penetrating keratoplasty was performed 2 months later, which improved best-corrected visual acuity to 20/30. CONCLUSIONS: This case demonstrated that laser-assisted in situ keratomileusis can cause devastating damage to the eye.- - - - - - - - - - ranking = 0.14285714285714keywords = coma (Clic here for more details about this article) |
3/24. Kaposi's sarcoma after renal transplantation. case reports.Immunodeficiency in transplant recipients with chronic immunosuppressive treatment may have influence to developing of virus infection diseases. This publication shows a case report kidney transplant recipient which develops Kaposi's Sarcoma correlated with HLA typing.- - - - - - - - - - ranking = 0.71428571428571keywords = coma (Clic here for more details about this article) |
4/24. Hospital-acquired salicylate intoxication. report of a case with psychosis, acidosis, and coma.A case of salicylate intoxication from repeated therapeutic doses of aspirin is reported in an adult with impairment of salicylate elimination. Evolution of acid-base disturbance from respiratory alkalosis to metablic acidosis is documented. serum salicylate levels during several years of therapy demonstrate the acquisition of impaired elimination of the drug. This case illustrates the practical importance of special features of salicylate accumulation kinetics emphasized in a recent review.- - - - - - - - - - ranking = 0.57142857142857keywords = coma (Clic here for more details about this article) |
5/24. Seeding of osteosarcoma in the biopsy tract of a patient with multifocal osteosarcoma.We report a case of multifocal osteosarcoma in a 7-year-old boy who developed iatrogenic seeding of tumor along the biopsy tract. The results of the plain radiograph, CT, and histopathological correlation are presented.- - - - - - - - - - ranking = 1.2857142857143keywords = coma (Clic here for more details about this article) |
6/24. Iatrogenic amyloid neuropathy in a Japanese patient after sequential liver transplantation.A 57-year-old woman in japan, the first recipient of part of a liver from a 58-year-old man with familial amyloidotic polyneuropathy (FAP) amyloidogenic transthyretin Val30Met who had had sensorimotor polyneuropathy in the lower limbs for 3 years, started to develop sensory neuropathy 7 years after transplantation. Before the July 1998 sequential transplantation, she had been in a hepatic coma at the terminal stage of primary biliary cirrhosis and waiting for deceased donor liver transplantation. In September 2004, biopsy samples of her duodenum first showed amyloid deposition. Although biopsy materials in 2005 and 2006 showed no changes in amyloid deposition, decreased temperature sensation and pain in fingertips and toes were detected at a neurologic examination in March 2006. Thus, clinical symptoms of FAP appeared about 2 years after amyloid deposition started. Nerve conduction velocity studies revealed mild to moderate axonal sensory polyneuropathy without demyelination. Our findings confirmed iatrogenic sensory neuropathy induced by amyloid deposition 7 years after sequential liver transplantation.- - - - - - - - - - ranking = 0.14285714285714keywords = coma (Clic here for more details about this article) |
7/24. Iatrogenic lens rupture after a neodymium: yttrium aluminum garnet laser iridotomy attempt.During the past decade, laser iridotomy has replaced surgery as first-line treatment in angle-closure glaucoma. Its simplicity, fewer and less severe complications, and speedy recovery was responsible for this. Usually, the more common side effects of laser iridotomy are either preventable or easily treatable. Reported lens changes are limited to localized nonprogressive opacities and an isolated case of lens dislocation. We report the rare instance of lens rupture after a neodymium: yttrium aluminum garnet laser iridotomy attempt. Proper patient selection, good techniques with cautious use of laser energy, and meticulous attention to detail should prevent this complication.- - - - - - - - - - ranking = 0.14285714285714keywords = coma (Clic here for more details about this article) |
8/24. Malignant glaucoma induced by an intraocular lens.A case of malignant (ciliary block) glaucoma apparently induced by a large posterior chamber intraocular lens (PC-IOL) is presented. The involved eye was small, with an axial length of 21.7 mm and a preoperative refractive error of 8.25 D. An uncomplicated extracapsular cataract extraction with implantation of a PC-IOL with a 7 mm optic was performed. Within 1 week postoperatively, malignant glaucoma developed, for which surgical intervention was required. We recommend avoiding implantation of PC-IOLs with large optics in certain small eyes, since these implants may be more likely than lenses with smaller optics to induce malignant glaucoma in such eyes.- - - - - - - - - - ranking = 1keywords = coma (Clic here for more details about this article) |
9/24. The gray iris syndrome. An iatrogenic form of pigmentary glaucoma.An excessive trauma of the iris at the time of lens implantation in the posterior chamber can lead to a change in color of a blue iris because of a diffuse pigmentary dispersion syndrome and possibly a pigmentary glaucoma. The clinical signs of the syndrome are illustrated and the possible causes and preventions of this surgical complication are discussed.- - - - - - - - - - ranking = 0.71428571428571keywords = coma (Clic here for more details about this article) |
10/24. Successful reversal of brain damage from iatrogenic air embolism.During an aortocoronary bypass procedure, the patient suffered an air embolism arising from technical difficulties with the extracorporeal circulatory device. Initial emergency treatment included a loading dose of thiopental concomitant to a one hour period profound hypothermia. A modified protocol for treating patients with acute head injuries was the initiated. It combined moderate hypothermia with continuous barbiturate coma for 96 hours. brain activity in this patient returned on the third postoperative day. She recovered completely, with no detectable neurologic damage.- - - - - - - - - - ranking = 0.14285714285714keywords = coma (Clic here for more details about this article) |
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