Indocyanine green augmented transpupillary thermotherapy is a viable alternative for management of solitary choroidal metastasis from breast carcinoma.
A 59-year-old hypertensive man presented to eye casualty complaining of blurring of vision in his right eye. There was no history of any trauma or coagulation defects. Examination revealed a 4 mm hyphaema in his right eye with no evidence of rubeosis or traumatic squeal. The intraocular pressure was 32 mm Hg. The patient was managed conservatively using topical steroids and antiglaucoma medication. A number of vascular tufts were identified on slit lamp biomicroscopy and confirmed on iris angiography
Fifty-four consecutive children with performed appendicitis were treated with intravenous and rectal metronidazole combined with another antimicrobial agent. Positive cultures were obtained from peritoneal swabs from all children except from four patients who produced no growth on culture. Mixed growth of aerobic and anaerobic organisms were isolated from 44 patients. Four patients had pure growth of aerobes and two had pure growth of anaerobes. Results were compared with 49 cases of performed appendicitis treated with a combination of Gentamicin and Cephradine and who did not receive metronidazole. The overall incidence of complications was reduced from 44.9% to 14.8%. A significant reduction in the incidence of wound infection (p less 0.01) and pelvic abscess (p less than 0.025) was observed in the metronidazole treated group. The period of hospitalization averaged 13.8 days in patients treated with metronidazole as compare to 18.2 days in those treated without metronidazole.
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