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Online Journal of Health and Allied Sciences 2003;2:2 Clinical presentations of ophthalmia neonatorum are not diagnostic of the cause, and microbiologic work-up with cytology, cultures and microbial sensitivities is mandatory. Since gonococcal ophthalmia neonatorum poses the greatest threat to a child’s vision, it is generally believed that the principal goal of ocular prophylaxis should be the prevention of the disease.(15,36) The susceptibility of the organisms implicated to four antibiotics was carried out. An uncommon cause of ophthalmia neonatorum: Neisseria Meningitides. www.ojhas.org /issue6/2003-2-2.htm   (2099 words)

[No title]   (Site not responding. Last check: 2007-10-15) It is contended that the veteran's defective vision of the right eye is a consequence of sympathetic ophthalmia resulting from a penetrating traumatic injury to and enucleation of his left eye during his period of active service, and that the veteran had provided medical authority substantiating this claim. Because sympathetic ophthalmia does not occur immediately after an injury, irrespective of the severity of the ocular damage, it is never necessary to enucleate an injured eye before skilled evaluation of the potential for repair with restoration of some function. Further, the record is silent for complaint, treatment, findings, or diagnosis of sympathetic ophthalmia at the time of the veteran's traumatic injury to the left eye in 1944, at any time since that injury, or on repeated recent VA ophthalmologic evaluations. www.va.gov /vetapp/files2/9412118.txt   (2144 words)

Immunology and Uveitis Service | Medical Professionals | Articles | Case Reports Although sympathetic ophthalmia is thought to be a T cell mediated disease, there was a study that reported 4 of 29 eyes of sympathetic ophthalmia with a predominant B cell infiltrate (15). However this may be the result of the eyes being enucleated early in the course of sympathetic ophthalmia; in contrast, eyes with VKH tends to be removed late in the course of inflammation. The closest animal model for sympathetic ophthalmia is the uveitis induced by immunization with the ocular antigens IRBP and S-antigen in monkeys and mice. www.uveitis.org /medical/articles/case/so.html   (1903 words)

CTF Full Text Review: Gonococcal & Chlamydial Ophthalmia Neonatorum During the same two periods the incidence rates of gonococcal ophthalmia neonatorum in three midwife obstetric units that did not practise ocular prophylaxis were unchanged (39 cases in the pretrial period vs. 38 in the trial period). Gonococcal ophthalmia neonatorum occurred in one infant in the silver nitrate group, three in the tetracycline group and four in the erythromycin group; these differences were not statistically significant. Since gonococcal ophthalmia poses the greatest threat to a child’s vision it is generally believed that the principal goal of ocular prophylaxis should be the prevention of gonococcal infection. www.ctfphc.org /Full_Text/Ch16full.htm   (1869 words)

USCAP 2002 Annual Meeting The cause of sympathetic ophthalmia is unknown but it appears to be an autoimmune response to previously sequestered uveal antigens, possibly the MART-1 peptide of melanocytes, in genetically predisposed individuals. The interval between injury and the onset of sympathetic ophthalmia is typically between 2 weeks to 2 months with 90% of cases occurring within one year but the interval may range from 5 days to 66 years. Nonetheless, because sympathetic ophthalmia is rare and because the injured eye may become the eye with better vision, it is common practice to try to save the injured eye if there is any potential for useful vision. www.uscap.org /site~/91st/optcase08.htm   (2531 words)

Indian Pediatrics - Editorial Ophthalmia neonatorum is a form of conjunctivitis occurring in infants less than 4 weeks of age. Gonococcal ophthalmia neo-natorum is a medical emergency necessitating prompt hospitalization, isolation and paren-teral therapy with benzyl penicillin or ceftriaxone. A six year survey of 302 cases of all types of ophthalmia neonatorum showed that some of the 46 gonococcal cases were so designated without being confirmed by culture and biochemical methods(3). www.indianpediatrics.net /dec2000/dec-1368-1370.htm   (817 words)

Euphrasia. (Euphrasia Officinalis.) - THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA By CONSTANTINE HERING, M.D. Catarrhal ophthalmia, with lachrymation and considerable mucous discharge, injection of conjunctiva, phlyctenula near cornea, at same time coryza and pain in forehead. Ophthalmia with agglutination in morning ; burning, itching and smarting pain ; cold air and wind cause lachrymation, < by gaslight. Ophthalmia, eyes suffused with tears ; painful, dry ulcer on right side of bridge of nose. www.homeoint.org /hering/e/euphr-kn3.htm   (2527 words)

CPS: Position Statement: Inf.Dis.Imm.Comm.: Recommendations for the prevention of neonatal ophthalmia Rates of ophthalmia by these two sexually transmitted pathogens have declined over the past two decades as a result of the decreased prevalence of these infections in the general population as well as the general institution of routine prenatal screening for them. The primary purpose for the use of prophylaxis for neonatal ophthalmia is to prevent disease due to N gonorrhoeae. In a study that assessed povidone-iodine prophylaxis, the incidence of ophthalmia due to Chlamydia species was significantly lower among the group of infants who received povidone-iodine prophylaxis (5.5% of 1076 infants) compared with those who received either silver nitrate (10.5% of 929 infants, p<0.001) or erythromycin (7.4% of 1112 infants, p=0.008) (15). www.cps.ca /english/statements/ID/ID02-03.htm   (2151 words)

Sympathetic Ophthalmia   (Site not responding. Last check: 2007-10-15) Sympathetic ophthalmia or sympathetic uveitis is an inflammatory condition seen after severe perforating or penetrating ocular injury, usually associated with loss of uveal tissue or uveal prolapse. Clinically, this condition is characterized by a granulomatous inflammation with large "mutton-fat" keratic precipitates and a diffuse uveitis. Histopathologically, sympathetic ophthalmia is characterized by a diffuse, granulomatous inflammation of the uvea(#22252). insight.med.utah.edu /opatharch/uvea/sympathetic_ophthalmia.htm   (220 words)

Mother-baby package: implementing safe motherhood in countries - chapter 7   (Site not responding. Last check: 2007-10-15) Ophthalmia neonatorum is a frequently identified perinatal infection related to maternal infection by Neisseria gonorrhoeae and Chlamydia trachomatis. Ophthalmia neonatorum in most cases is not a deadly disease but causes severe disability. A high prevalence of STD in women results in a high incidence of ophthalmia neonatorum in the absence of eye prophylaxis at birth. www.who.int /reproductive-health/publications/MSM_94_11/MSM_94_11_chapter7.en.html   (746 words)

Case Based Pediatrics Chapter Ophthalmia neonatorum is the most common ocular disease in the newborn, occurring in 2-12% of neonates (includes chemical conjunctivitis). Beginning with a mild inflammation and serosanguinous drainage, gonococcal ophthalmia soon results in thick, profuse purulent discharge and tense eyelid edema with marked chemosis (swelling of the conjunctiva) (2,10). The list of causative agents of ophthalmia neonatorum includes, but is not limited to, chemical irritants, Neisseria gonorrhoeae, Chlamydia trachomatis, Staphylococcus aureus, group A or B streptococcus, S. pneumonia, Haemophilus influenzae, Pseudomonas aeruginosa and Herpes simplex virus (1,2). www.hawaii.edu /medicine/pediatrics/pedtext/s17c01.html   (1578 words)

Neonatal Gonococcal Ophthalmia -- California Editorial Note: This is the first case brought to the attention of CDC of gonococcal ophthalmia caused by nonpenicillinase-producing N. gonorrhoeae that occurred despite the use of erythromycin ophthalmic ointment. Prophylaxis against ophthalmia with either silver nitrate or erythromycin ointment is not adequate for treatment of an already established gonococcal infection. Investigators in this study also found that chlamydia ophthalmia was the most common specific type of ophthalmia neonatorum in their study, occurring in 86 of 302 cases. www.cdc.gov /MMWR/preview/mmwrhtml/00000152.htm   (1070 words)

CDC Gonococcal Infection Treatment Schedules - Continued The infant born to a mother with gonorrhea is at high risk of infection and requires treatment with single intravenous or intramuscular injection of aqueous crystalline penicillin G, 50,000 units to full-term infants or 20,000 units to low-birth-rate infants. Topical prophylaxis for neonatal ophthalmia is not adequate treatment. Ophthalmia in children is treated as in neonates, but the dose of penicillin is increased to 100,000 units/kg/day intravenously. www.epi.hss.state.ak.us /bulletins/docs/b1979_03.htm   (743 words)

Dorlands Medical Dictionary neuroparalytic ophthalmia,   keratitis due to lesion of branches of the fifth nerve or of the gasserian ganglion. periodic ophthalmia,   recurrent uveitis in horses; it may occur in one or both eyes and is the leading cause of blindness in the horse. sympathetic ophthalmia,   transferred ophthalmia,   granulomatous inflammation of the uveal tract of the uninjured eye (the sympathizing eye) following some weeks after a wound involving the uveal tract of the other eye (the exciting eye). www.mercksource.com /pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszSzcommonzSzdorlandszSzdorlandzSzdmd_o_04zPzhtm   (5969 words)

Sympathetic ophthalmia risk following vitrectomy: should we counsel patients? -- KILMARTIN et al. 84 (5): 448 -- ... ophthalmia risk after a single or multiple retinal surgical procedures. Thirty-two cases of sympathetic ophthalmia: a retrospective study at the National Eye Institute, USA from 1982-1992. The role of the penetrating wound in the development of sympathetic ophthalmia: experimental observations. bjo.bmjjournals.com /cgi/content/full/84/5/448   (921 words)

WONDER STD Document   (Site not responding. Last check: 2007-10-15) Ophthalmia Neonatorum Caused by N. gonorrhoeae In most patient populations in the United States, C. trachomatis and nonsexually transmitted agents are more common causes of neonatal conjunctivitis than N. gonorrhoeae. However, N. gonorrhoeae is especially important because gonococcal ophthalmia may result in perforation of the globe and in blindness. Diagnostic Considerations Infants at high risk for gonococcal ophthalmia in the United States are those who do not receive ophthalmia prophylaxis, whose mothers have had no prenatal care, or whose mothers have a history of STDs or substance abuse. wonder.cdc.gov /wonder/STD/STDG3452.PCW.html   (939 words)

Ophthalmology Department, University of the Witwaterand, Edu   (Site not responding. Last check: 2007-10-15) It is also known as sympathetic ophthalmia and is a rare, bilateral, diffuse granulomatous uveitis that occurs following surgical or accidental penetrating ocular trauma. Sympathetic Ophthalmia is still an enigmatic entity with an incidence of less than 0.2%. Sympathetic ophthalmia is a rare, bilateral, diffuse granulomatous uveitis that occurs following surgical or accidental penetrating ocular trauma. www.wits.ac.za /fac/med/ophthalmology/opmar99.htm   (1621 words)

VD infant eye infections (Jonathan R. Fox, M.D.)   (Site not responding. Last check: 2007-10-15) In 1880, 10% of European children developed gonococcal conjunctivitis at birth, and ophthalmia neonatorum was the leading cause of blindness. Currently, due to prenatal screening of mothers and the use of prophylaxis, gonococcal ophthalmia has been passed by chlamydial conjunctivitis in incidence. I don't understand why you claim that gonococcal ophthalmia is no longer a potentially blinding condition. yarchive.net /med/vd_infant_eye_infection.html   (245 words)

Ophthalmology Times - Sympathetic ophthalmia not fully understood 100 years later   (Site not responding. Last check: 2007-10-15) One of his contributions to ophthalmology is the Risley prism, a rotary prism known to all who deal in strabismus. Both eyes involved William Mackenzie (1791-1868) noted in 1840 that inflammation of the second eye was dependent upon the first, and it was he who applied the term sympathetic ophthalmia to this condition. Although we now have steroids and other anti-inflammatory agents to use and we have a better understanding of the etiology of sympathetic ophthalmia, we might perhaps need another 100 years until we really know the exact mechanisms that cause this complicated entity. www.ophthalmologytimes.com /ophthalmologytimes/article/articleDetail.jsp?id=63387   (858 words)

DJO | Digital Journal of Ophthalmology The diagnosis of Gonococcal Ophthalmia was confirmed by positive gonoccocal cultures performed on chocolate agar plates. Gonococcal ophthalmia is a disease that occurs in neonates, adolescents, and young adults. Syphilis can also be associated with gonococcal ophthalmia, in which case the drug of choice is penicillin. www.djo.harvard.edu /site.php?url=/physicians/gr/328&page=GR_DS   (709 words)

SYMPATHIC OPHTHALMIA: A GENETICLY DETERMINT DISEASE?   (Site not responding. Last check: 2007-10-15) Sympathic Ophthalmia (SO) is one of the most severe forms of uveitis. Aim of this pilot study was to investigate the association to these HLA-class II- antigens in european patients with sympathic ophthalmia. All three patients developed sympathetic ophthalmia after perforating trauma of the other eye leading to inflammation of the sympathising eye in between few days up to 18 years. www.dog.org /1998/e-abstract98/386.html   (308 words)

Eye Conditions > Sympathetic Ophthalmia -- EyeMDLink.com Sympathetic ophthalmia is a potentially blinding, immune-mediated, inflammatory condition, which usually follows severe trauma to one eye. Sympathetic ophthalmia rarely presents prior to seven days following the inciting trauma, but may occur as late as 50 years hence. For those unfortunate patients who develop sympathetic ophthalmia, the prognosis may be very poor. www.eyemdlink.com /Condition.asp?ConditionID=435   (404 words)

Transactions of the Nat'l Ecl. Med. Assoc., 1888-89: Medical Excerpts.   (Site not responding. Last check: 2007-10-15) With this solution alone, applied three times a day, in gonorrheal ophthalmia from careless introduction of gonorrheal matter upon the eye, four cases, in adults, have been cured, and one case in which a drop of chancrous matter had come in contact with the eye. Moisten an end of a pencil of sulphate of copper, hereafter described, and apply it thoroughly and carefully over the entire surface of the everted superior granulated lid; hold it thus everted for half a minute or so, then at once wash the lid, by means of a camel's hair pencil, with cool water. He likewise recommends its employment in eczema, scald head, milk-crusts, acne, scrofulous ophthalmia, fevers of all kinds, congestive, remittent, etc., nervous headache, and in trichinosis, one case of which he reports as having recovered under its employment, the only instance of which he has had an opportunity for prescribing it. www.ibiblio.org /herbmed/eclectic/journals/net-1888-excerpts.html   (1823 words)

JCRS Cataract Surgery Consultation Section: March 1997 Although signs of sympathetic ophthalmia have abated, the eye should probably remain on low-dose topical steroids indefinitely or the patient maintained on low-dose systemic steroids if recurrent uveitis is noted during follow-up. There may be a greater risk of recurrence of the panuveitis and sympathetic ophthalmia because of the foreign body. This is always an option in cases of sympathetic ophthalmia; however, I believe there is no good evidence to support enucleation once sympathetic ophthalmia is clinically evident. www.ascrs.org /publications/jcrs/ccsmar7.html   (3701 words)

Sympathetic ophthalmia   (Site not responding. Last check: 2007-10-15) TREATMENT: A severely injured eye with poor prognosis for visual functioning should be enucleated to prevent sympathetic ophthalmia. If this is done within 10 days following the injury, the chances are almost nil of later sympathetic ophthalmia in the good eye. Untreated, sympathetic ophthalmia can progress to complete bilateral blindness over a period of months or years. www.spedex.com /text/resource/documents/veb/sympathetic_ophthalmia.html   (264 words)

CALIFORNIA BUSINESS & PROFESSIONS CODE   (Site not responding. Last check: 2007-10-15) Any case of ophthalmia neonatorum or of blindness resulting from it upon which one accused of a violation of this article has been in attendance constitutes prima facie evidence of knowledge of the case by the one accused. (b) Report all cases of ophthalmia neonatorum coming to his knowledge, and the result of all investigations that he makes to the department, in such form as the department directs. (e) Keep a proper record of any and all cases of ophthalmia neonatorum filed in its office in pursuance of this article, and as may come to its attention in any way, and such records shall constitute a part of the biennial report to the Governor and the Legislature. www.lawzilla.com /cabpcode/550-558.shtml   (498 words)

Thoroughbred Times Today   (Site not responding. Last check: 2007-10-15) The diagnosis was periodic ophthalmia, also called moon blindness or recurrent uveitis. Periodic ophthalmia is incurable, but treatment consists of reducing inflammation by using a topical corticosteroid ointment or drops and systemic nonsteroidal anti-inflammatory drugs. The prognosis is poor because periodic ophthalmia recurs and eventually the eye will lose its sight. www.thoroughbredtimes.com /horsehealth/hhview.asp?recno=29104   (1268 words)

Apis. (Apis Mellifica.) - THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA By CONSTANTINE HERING, M.D. Ophthalmia, rheumatic, arthritic, catarrhal, strumous, erysipelatous, or œdematous, no matter what part of eye may be the seat of the disease. Violent cases of Egyptian ophthalmia and ophthalmia neonatorum, with great swelling of lids and adjacent cellular tissue. Ophthalmia ; photophobia, but can bear no covering on account of soreness. www.homeoint.org /hering/a/apis-1.htm   (2316 words)

Medical Dictionary: Ophthalmia - WrongDiagnosis.com Ophthalmia: Another name for Ophthalmitis (or close medical condition association). Ophthalmia: Ophthalmia is listed as a type of (or associated with) the following medical conditions in our database: Eye conditions Ophthalmia (medical condition): Inflammatory disorder of the eye Ophthalmia (medical condition): Ophthalmitis can mean any type of eye inflammation. www.wrongdiagnosis.com /medical/ophthalmia.htm   (161 words)

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