Antimicrobial stewardship is a coordinated multidisciplinary effort directed at judicious use of antimicrobials. While antimicrobial stewardship is a routine activity in the developed world, the concept has evolved only of late in the developing countries including India. Started initially as a research project, a formal antimicrobial stewardship committee was constituted in the institute. The present article highlights the work done so far, problems faced, and the future of antimicrobial stewardship related activities in the institute.

We are reporting the first documented case of intravascular large B-cell lymphoma (IVLBCL) manifesting in the endomysial and perimysial capillaries with its associated diagnostic dilemma. Our patient presented with progressive paraplegia. Initial laboratories were remarkable for hyponatremia, hypochloremia, lactic acidosis, elevated C-reactive protein, and lactate dehydrogenase. The bone marrow biopsy was unrevealing. However, a subsequent muscle biopsy confirmed the diagnosis of IVLBCL. As hyponatremia, endocrinopathies, connective tissue disease, rheumatological disorders, and occult cancer could all present similarly, our patient is a unique diagnostic dilemma. Randomized skin biopsy remains the best way to diagnose this disease, and rituximab-based chemotherapy with high-dose intrathecal methotrexate has proven to be a safe and effective regimen. With this initial evidence of IVLBCL involving the endomysial and perimysial capillary, we believe that muscle biopsy could be of value in diagnosing IVLBCL patients with neuromuscular symptoms.

IntroductionA continuous method of measuring intraocular pressures (IOP) could be advantageous in the management of glaucoma. This report aims to analyze the potential savings from visit reduction of continuous IOP measurements obtained with an intraocular device.Materials and methodsWe constructed a model adapted from a prior study based on the number of glaucoma patients among 5% of the Medicare population.ResultsWe found that the implementation of a device that continuously measures IOP can result in a reduction of 23.21% in yearly costs from glaucoma outpatient visits.ConclusionContinuous IOP monitoring has the potential to alleviate the economic burden of the current management structure of patients with glaucoma.Clinical SignificanceIn an era of elevated healthcare costs, continuous IOP monitoring offers an option to improve the care of glaucoma patients through visit reduction, also resulting in a 23.21% reduction in yearly expenses related to glaucoma clinical visits.How to cite this article: Dong J, Syed ZA, Fan K, Yahya AF, Melki SA. Potential Savings from Visit Reduction of Continuous Intraocular Pressure Monitoring. J Curr Glaucoma Pract 2018;12(2):59-63.