Index
Abacavir, 214
Absidia corymbifera, 285 Acanthamebiasis, 333 Acanthamoeba conjunctivitis, 144
Acanthamoeba keratitis, 148, 159, 162, 168–171, 177, 187
adenovirus punctate keratopathy, 168 anterior stromal infiltration, limbitis, and
episcleritis in, 170 classic ring abscess of, 170
contact lens–related keratopathies, 168 epithelial lesion and perineuritis in, 169
Hartmannella vermiformis, 168
Acanthamoeba scleritis, 174
adherence to contact lens materials of, 175 immunopathogenesis of, 174
prevention, 174
Acanthamoeba species/Acanthamoebiasis, 85–93, 334
18S rDNA gene tree, 87
morphological taxonomy, challenges of, 85–86 nuclear rDNA molecular analysis, 86 large-scale nuclear 18S rDNA analysis, 88 whole mitochondrial Genome RFLPs, 89–90 epidemiological associations, 90–91
animal experiments, 91 environmental isolates, 91 Acanthamoeba keratitis, 80
Acanthamoeba castellanii, 86–93 Acanthamoeba triangularis, 87
Acetylglucosamine, 1 Acetylmuramic acid, 1 Acid-fast bacteria, 155
Acinetobacter baumannii, 34 Actinomyces species, 34
recognition, 47
Acquired Immunodeficiency Syndrome (AIDS), 213–217
Acridine orange, 23, 39–40 Actinomycetes, 137 Active tuberculosis, 195
Actophorin, 93
Acute endophthalmitis
diagnostic guidelines for, 241, 245 symptoms of, 242
treatment guidelines for, 250 Acute follicular conjunctivitis, 141
due to Staphylococcus aureus, 133–134 Acute Hemorrhagic Conjunctivitis (AHC),
142–143, 186 Acute necrotizing fasciitis
Streptococcus pyogenes, 129
Acute posterior multifocal placoid pigment epitheliopathy (APMPPE), 232
Acute postoperative bacterial endophthalmitis surgical management, 264–265
Acute Retinal Necrosis (ARN) syndrome, 179, 200, 211–212
Acute suppurative endophthalmitis, due to
Staphylococcus aureus, 245 Acyclovir, 181, 182, 183, 214 Adenine arabinoside (ARA-A), 179 Adenoviral keratoconjunctivitis, 149 Adenovirus 11, 142
Adenovirus keratoconjunctivitis, 184–185 Aerosolized pentamidine, 336
Agar dilution method, 54–57 African trypanosomiasis, 334, 336 Alariasis, 339
Albendazole (Eskazole ), 128, 339, 340, 341 Albuminuria, 336
Aldox , 361
Allergic fungal rhinosinusitis with orbital involvement, 279–280
Alternaria alternata, keratitis due to, 294 Amikacin, 117, 242, 252, 253, 268, 324, 327 Amniotic membrane transplantation (AMT), 297 Amoxicillin, 128, 207
Amphotericin B, 51, 252, 255, 328
Amphotericin, 166, 225, 324, 327 Ampicillin, 327
Amprenavir, 215
367
368 Index
Anaerobes, 34
Ancylostoma caninum, 203 Angiostrongyliasis, 342 Anterior blepharitis, 130–132
Anterior chamber, 107, 139–187, 326–327 Anterior chamber-associated immune deviation (ACAID), 8–12
Anterior uveitis, 191–196 bacterial infection, 194–196 cause of, 192, 193 etiology, 192
mycobacterial infection, 195 non-infectious anterior uveitis, 192–196.
See also Viral infections parasitic infection, 196 spirochetal infection, 195 treatment, 196
Anthrax bacillus, 129 Antibacterial, 324 Antibiotics
intracellular and extracellular levels, 118–121 intravitreal doses of, 113
MBCs, 122
MICs, 122 sensitivities, 120
Antibiotics and antifungal drugs
delivery modes and formulations, 323–332 antibacterial, combinations, 326 antibacterial, commercial preparations, 326 antifungal, 324
antifungal, 326 antiprotozoal, 326 combinations, 324 eye drops, 324 ointment, 326
periocular injection, 323–326 topical preparations, 323
Antibiotics for endophthalmitis administration, 253
adjunctive routes, 253–254 systemic administration, 253
Antifungal drugs
delivery modes and formulations, 323–332. See also Antibiotics and antifungal drugs
Antifungal susceptibility testing, 49–57, 291 agar dilution method, 54–57
agar media, 50 broth media, 50
ocular filamentous fungal isolates, 53–54 Anti-inflammatory therapy, 254 Antimicrobial drops, 325
Antiprotozoal, 325, 326
Antiviral prophylaxis, against herpetic disease of anterior segment, 182–183
Aphakia, 113
Aqueous humor (AH), 108 quinolones effect, 109, 121–122
Arachnia propionica, 137 Arachnida/Arachnids, 333–343
Myiasis, 342
[Arachnida/Arachnids] Phthiariasis, 342–343
Arachidonic acid metabolic pathways, 14 Ascariasis, 339
Aspergillosis, 223, 228–230 Aspergillus endophthalmitis, 228–229 Aspergillus keratitis, 289
Aspergillus or Curvularia keratitis, 294 Atazanavir, 215
Atope, management, 351 Atopic blepharitis, 134
Atopic dermatitis, in blepharitis, 131 Atopic keratoconjunctivitis (AKC), 134 Atopy, 134
Augmentin, 128
Aureobasidium pullulans, 289 Azidothymidine (AZT), 213, 214 Azithromycin, 118, 147, 151, 208, 256 Azoles, 50, 331
Babesiosis, 338
Bacillus spp, 268 Brucella abortus, 32
Bacillus anthracir, 128 Bacillus anthracis, 27
methylene blue stain, 28
Bacillus cereus, 27 Bacitracin, 324, 326
Bactec automated detection system, 38 Bacterial conjunctivitis, 139–141, 145 bacteria causing conjunctivitis, 140
common isolates, 140 less-frequent isolates, 140
laboratory investigations, 139 Bacterial endophthalmitis, 69–70
endogenous, 239–340 exogenous, 242–249
Bacterial infection, 194–196, 205–211 Borreliosis (Lyme disease), 206–208. See also
Borreliosis Brucellosis, 208–209
Syphilis, 205–206. See also Syphilis Tuberculosis, 209–210
uncommon bacterial infections, 210–211 Rickettsia, 211
Whipple’s disease, 208 Bacterial keratitis, 79–80 Bacterial rRNA complex, 63 Bacterial/viral conjunctivitis, 143 Bacteriology, 23–40
anaerobes, 34–35
cell wall, 23 organisms, 24–27
Staphylococcus organisms, 24 Streptococcus species, 24–27
culturing media, 35. See also Culturing media Gram-negative organisms. See Gram-negative
organisms Gram-positive bacilli, 29
Index 369
[Bacteriology] gram-positive rods, 27–29
Gram-staining procedure, 39–40. See also Gram staining procedure
incubation, 38–39
Bartonella Lenselae, 195 Basidiobolus, 278
Bayesian methodology, 319 Benznidazole, 337 benzylpenicillin, 129 Betadine, 350
Biased error, 308 Bile-esculin agar, 37 Bio-Cell Tracer method, 52 Bithionol, 339
Blastomyces dermatitidis, 280, 281 Blepharitis, 8, 130–133, 130–134 anterior blepharitis, 130–132
atopic dermatitis in, 131 chronic anterior blepharitis, 132 clinical examination, 132 marginal blepharitis, 130
marginal infiltrate and conjunctival reaction associated with, 136
posterior blepharitis, 130–132 seborrhoeic dermatitis in, 131 ‘staphylococcal’ blepharitis, 130
Blood agar plate, 35–36 Blood–ocular barriers, 107 Borreliosis (Lyme disease), 206–208
erythema migrans, 207, 208
Lyme disease interstitial keratitis, 155, 157 Brain heart infusion, 49
Broad-range PCR, 64 commonly used primers, 65–67
Brolene, 173
Bromovinyldeoxyuridine (BVDU), 181 Broth dilution method, 57
drug solutions preparation, 57 test medium, 57
test procedure, 57
Brucella abortus, 208 Brucella melitensis, 209 Brucellosis, 208–209
Brucella abortus, 208 Brucella melitensis, 209
Bulbar conjunctiva, 142
Campylobacter jejuni, 33 Campylobacter species, 33 Canaliculitis, 136–137
Actinomyces sp, 136 Arachnia propionica, 136 H. influenzae, 136
pus, 136 Canaliculitis, 282
Candida albicans, 177, 217, 223, 240 budding yeast cells of, 50
[Candida albicans]
Candida endophthalmitis, 224, 226–228, 229 clinical diagnosis of, 228
corneal perforation due to, 167 keratitis due to, 166 pseudomycelium of, 49
white colonies, 49
Candida glabrata, 299
Candida infections, intraocular, 298 Candida keratitis, 329
Candida parapsilosis endophthalmitis, 299 Carbenicillin, 327
Carbol fuchsin, 40 Carshalton strain, 54 Caspofungin, 298, 301 Cataract
as severe microbial keratitis complication, 187 surgery, 262–263
endophthalmitis following, 265 Cefalexin, 137
Cefazolin, 113, 116, 324, 327 Cefotaxime, 128, 137
Ceftazidime, 166, 242, 252, 253, 324, 327 Ceftriaxone, 146
Cefuroxime axetil, 207
Cefuroxime, 128, 162, 260, 323, 324, 327 Cell-mediated immunity (CMI), 8–10 Cellulitis, 127–137
atopy, 134
blepharitis, 130–134. See also Blepharitis canaliculitis, 136–137
dacryocystitis, 137. See also Dacryocystitis necrotizing fasciitis, 128–130
orbital (postseptal) cellulitis, 127–128. See also Orbital (postseptal) cellulitis
preseptal cellulitis, 128 rosacea, 134–136
Central sterile supply service department (CSSD), 347
Cephalosporins, 116, 166, 323, 327 Cephalothin, 324
Cephazolin (or ceftazidime), 163, 242, 252
Chlamydia trachomatis, 84–85, 145, 147, 150 Chloramphenicol, 46, 112, 128, 324, 326 Chlorhexidine, 174
Chlorhexidine acetate, 349 Chlorhexidine digluconate, 325 Chlorhexidine, 132, 151, 171, 173, 260 Chlorine, 362
Chloroquine, 337 Chlortetracycline, 326 Chocolate agar, 37 Chorioretinitis, 225, 228, 339 Choroid, 196–198
Chronic anterior blepharitis, 132 Chronic blepharitis, 135 Chronic endophthalmitis, 244
treatment guidelines for, 251 Chronic localized noninvasive fungal infections, 279
370 Index
Chronic orbital cellulitis, 278–279 chronic orbital aspergillosis, 278–279 chronic orbital infections, 279
chronic rhino-orbital-cerebral zygomycosis, 279
invasive sino-orbital aspergillosis, 279 Chronic progressive keratitis, 163
Chronic Staphylococcus aureus infection, 136 Chronic tuberculosis, 210
Cicatricial ectropion, 27 Cidofovir, 214, 221
Ciprofloxacin, 128, 162, 324, 325, 333, 325
Citrobacter species, 30 Clarithromycin, 12, 118–119, 256 Classic triple therapy, 200 CL-associated keratitis, 157 Clavulanic acid, 128
Clear corneal incision (CCI), 255 Clindamycin, 118, 129, 200, 222, 252, 327, 338
Clostridium perfringens, 268 Clotrimazole, 166, 324, 329
Coagulase-negative staphylococci (CNS), 132, 158, 244, 247
Coccidioides immitis, 284, 285 Coccidioidomycosis, 223 Coenurus, 342
Cogan-1 syndrome, 155
Combinations, 324
Complete MoisturePlus± , 353, 362, 365
Acanthameba keratitis associated with Complete MoisturePlus± , 362
Concentration gradient, 115 Congenital mycotic dacryocystitis, 283
Congenital syphilitic chorioretinopathy, 206, 207 Congenital syphilitic infection, 156
Conidiobolus, 278 Conjunctiva, 133, 139–152
Acanthamoeba conjunctivitis, 144 acute follicular conjunctivitis, 141
Acute Hemorrhagic Conjunctivitis (AHC), 142–143
acute hemorrhagic conjunctivitis, 142 bacterial conjunctivitis, 139–141. See also
Bacterial conjunctivitis bacterial/viral conjunctivitis
differential diagnosis, 143 bulbar conjunctiva, 142 causing agents
fly larvae, 144–145 fungi, 144 helminths, 144 protozoa, 144
clinical presentation, 139 gonococcal keratoconjunctivitis, 146 herpes conjunctivitis, 145
marginal ulceration associated with, 151 meningococcal conjunctivitis, 141
Neonatal Inclusion Conjunctivitis (NIC), 150 presumed chlamydial conjunctivitis, 143–144 presumed viral conjunctivitis, 143
[Conjunctiva]
purulent conjunctivitis, 140 special forms of, 145–150
Ophthalmia neonatorum, 145–146. See also Ophthalmia neonatorum
Staphylococcus aureus, 139 systemic virus infection in, 143 tarsal conjunctiva, 142 temporal conjunctiva, 142 therapy of, 145
treatment, 150–152 NIC, 152 trachoma, 150–151 TRIC, 151–152
viral conjunctivitis, 141–142 Conjunctival ischemia, 325 Conjunctival rhinosporidiosis, 284 Conjunctival scarring, 147 Conjunctivitis, 186, 284–285 Contact lens (CL)
contact lens care solutions, contamination, 59 contact lens wear (CLW) associated microbial
keratitis, 310 overnight wear, 159 related keratopathies, 168 soft contact lens, 159 storage, 174
Contact lens-associated keratitis, 310, 353–365. See also Disinfection solutions
classification, 364
compliance versus non-compliance, 364 health warning, 364
hygiene required for infection prevention, 362–364
Pseudomonas aeruginosa keratitis, 354–355 ReNu MoistureLoc-associated Fusarium
keratitis, 355–360 Cornea incision, 309 Cornea, 152–187
Acanthamoeba keratitis, 168–171. See also Acanthamoeba keratitis
Adenovirus Keratoconjunctivitis, 184–185 cornea transplants, HSV infection and, 183 corneal infiltration, 152
culture and drug sensitivity testing, 171–173 diagnosis, 160
edema, 152
Herpes zoster Ophthalmicus (VZV), 183–184 immune deposition, 16
immunity against infection, 4 infection causing agents
acid-fast bacteria, 155 Gram-negative cocci/diplobacilli, 154 Gram-positive cocci, 154
interstitial keratitis, 155 intraocular lenses (IOLs), 159
laser in situ keratomileusis (LASIK), 160 microbial keratitis, 152–158 microsporidial keratoconjunctivitis, 175 moraxella infection of, 153
Index 371
[Cornea]
orthokeratology, 159–160
phlyctenular keratoconjunctivitis, 175–177 prevention, 185
silicone hydrogel (SH) contact lenses, 157
Staphylococcus aureus keratitis, 153 suppurative keratitis descmetocele, 154 suppurative keratitis, treatment of, 162–166.
See also Suppurative keratitis treatment, 173–174
virus infection, 177–178. See also Virus infection
Corneal graft, 152 Corneal incision, 260–261 Corneal infiltration, 152 Corneal opacity (CO), 148 Corticosteroids, 14
Corynebacteria diphtheriae, 29 Corynebacterium macginleyi, 246 Co-trimoxazole, 128
Creutzfeld Jacob disease (vCJD), 186, 346 Cryptococcosis, 229
Cryptococcus neoformans, 223, 229, 280 Crystalline keratopathy, 154, 159, 169 Culture and drug sensitivity testing, of cornea,
171–173 Culturing media, 35
bile-esculin agar, 37–38 blood agar plate, 35–36 brain-heart infusion broth, 38 chocolate agar, 37
EMB agar, 37 Lowenstein-Jensen medium, 38 MacConkey agar, 37 mannitol salts agar, 37 Sabouraud’s agar, 36 thioglycolate medium, 36
Curettage, 282
Cyclosporine, 13
Cysticercosis, 340
Cystoid macular edema, 222 Cytomegalovirus (CMV), 85, 193, 218, 219
Dacrocystitis, 127–137 acute dacryocystitis, 137 chronic dacryocystitis, 137
Dacryoadenitis, 186
Dacryoadenitis, 283 Dacryocanaliculitis, 282 Dacryocystitis, 282–283 Dacryocystorhinostomy (DCR), 137 Darunavir, 215
Decay accelerating factor (DAF), 7 Deep infections of eyelid, 281 Delavirdine, 215
Delayed hypersensitivity (DH), 3 Dendritic ulcer, 179 Dendritiform ulceration, 168
Desmodine, 325 Dexamethasone injection, 254 Dexamethasone, 15, 246 Dextrose, 46
Dibromopropamidine (Brolene), 326 Didanosine, 214
Dideoxycytidine, 214
Diethylcarbamazine (DEC), 203, 204, 339, 340 Diffuse unilateral subacute neuroretinitis
(DUSN), 203–204 Diffusion, 106 Dihydroxypropoxymethylguanine
(DHPG), 220 Diloxanide furoate, 338 Disciform keratitis, 181 Disinfection solutions, 360–362
chlorine, 362
hydrogen peroxide, 360–361 multipurpose solutions, 361–362
Doxycycline, 337
Dracunculiasis (Guinea Worm), 341
Echinococcus granulosus, 128 Econazole, 166, 324, 330 Edema, 152
Efavirenz, 215
ELISA, 141 Emtricitabine, 214 Encephalopathy, 341
Endogenous aspergillus endophthalmitis, 228 Endogenous endophthalmitis, 223
management, 240–242 treatment, 249–251
Endophthalmitis Vitrectomy Study (EVS) study, 253, 312
limitations of, 265–266 Endophthalmitis, 2, 78–79, 223, 226–231.
See also Postoperative endophthalmitis; Post-traumatic endophthalmitis
Aspergillosis, 228–230
Candidiasis, 226–228. See also Candida endophthalmitis
cryptococcosis, 229–230
endophthalmitis associated with Microbial Keratitis, 266
following cataract surgery epidemiology of outbreaks of, 265
Fusariosis, 230 Histoplasmosis, 230–231
prevention and trauma, 239–268. See also Prevention and trauma,
endophthalmitis Pseudallescheriosis, 230
saccular plaque-type endophthalmitis, 257 treatment, 249–267
acute endophthalmitis, 250 Amikacin, 252, 253 Amphotericin, 252
372 Index
[endophthalmitis
treatment]
antibiotics administration, 253. See also Antibiotics
anti-inflammatory therapy, 254 Ceftazidime, 253
Cephazolin (or ceftazidime), 252 chronic endophthalmitis, 251 Clindamycin, 252 dexamethasone injection, 254
endogenous endophthalmitis, 249–251 endophthalmitis following
phacoemulsification cataract surgery, 255–257
exogenous endophthalmitis, 251–254 exogenous fungal endophthalmitis,
254–255 Gentamicin, 252 Miconazole, 252–253 Prednisolone, 254 Vancomycin, 252–253
Entamebiasis, 338
Enterobacteriaceae, 30 Enterovirus 70, 142
Enzyme-linked immunosorbent assay (ELISA), 207
Eosin, 37, 256
Eosin-methylene blue (EMB) agar, 37 aerogenes-type, 37
coli-type, 37
Epidemic keratoconjunctivitis (EKC), 141, 184 Epidemiology, 307
Epiphora, 283 Epithelial barrier, 106 Epithelial keratitis, 184
Epstein-Barr Virus, 85, 186 Error, 307
Erysipelothrix rhusiopathiae, 29 Erythema migrans, 207
Erythromycin, 12, 132, 151, 164, 326, 327 Eschar, 131
Escherichia coli, 30 Ethyldeoxy-uridine (EDU), 181 Ethanol, 39
Ethidium bromide, 64 Exogenous endophthalmitis
treatment, 251–254 Amphotericin B, 255
for exogenous fungal endophthalmitis, 254–255
Extra capsular cataract extraction (ECCE), 255, 309
Extraocular fungal infections, 280–285 mycotic conjunctivitis, 284–285 mycotic dacryoadenitis, 283 mycotic dacryocanaliculitis, 282 mycotic dacryocystitis, 282–283
mycotic infections of eyelids, 280–281 Eye banking, 351–352
Eye drops, 324, 325, 346
Eye
Eye-associated lymphoid tissue (EALT), 17–19 fungal infections of, 271. See also Tropical
ophthalmomycoses pathogenic microbes invasion, 2 surface protection, 1
Eyelids, mycotic infections of. See Mycotic eyelid infections
Famciclovic, 214
Filamentary fungal keratitis, 166, 286, 293 Filariasis, 341
Flucloxacillin, 129, 132, 327
Fluconazole, 51, 225, 231, 293, 298, 324, 331 Flucytosine, 50, 329
Flucytosine, 324
Fluorescein, 152
Fluoresceinconjugated lectins (FCL), 291 5-Fluorocytosine (5-FC), 166 Fluoromethalone, 182
Fluoroquinolone, 164
Flurbiprofen, 15, 174 Fly larvae
causing conjunctivitis, 144–145
Oestris ovis, 144 Folinic acid, 200 Folliculitis, 136–137 Fortified drops, 323 Foscarnet, 214, 220, 221
Francisella tularensis, 32 Framycetin, 324, 326
Fuchs’ heterochromic iridocyclitis, 192 Fucidin, 14
Fucithalmic , 132, 349
Full Ziehl-Neelsen, 23 Fumagillin, 333
Fungal endophthalmitis, 71–72, 226 molecular method diagnosis of, 300 fungal endophthalmitis, endogenous, 240
Fungal infections, 223–232
clinical manifestations and organisms, 226 detection techniques, 44–46
diagnosis of, 41–43 endophthalmitis, 223
endogenous endophthalmitis, 223 endophthalmitis, 226–231. See also
Endophthalmitis identification flow chart, 48 Ocular Candida albicans, 223 pathophysiology, 226
risk factors, 224 ultrasonography in, 226
Fungal keratitis, 80, 166–168, 294 filamentary fungal keratitis, 166 Fungi, causing conjunctivitis, 144
Furazolidone, 338
Fusarium, 353–365 Fusarium keratitis, 294–295
Index 373
[Fusarium keratitis]
associated with ReNu with MoistureLoc and other multipurpose solutions, 355–360
Fusarium solani plate culture, 55
Fusarium moniliforme endophthalmitis, 301 Fusarium solani keratitis, 289
Fusidic acid (gel basis; Fucithalmic), 324, 348
Ganciclovir, 214, 221 Gas gangrene, 128 Gatifloxacin, 164, 166
Gentamicin, 46, 114, 146, 162–163, 166, 252, 268, 323, 324, 326, 327, 349
Giardiasis, 338
Globe, 123–124
Globe, fungal infections of, 285–297
mycotic keratitis (keratomycosis), 286–297. See also Mycotic keratitis
mycotic scleritis, 285–286 Glycerol teichoic acid (GTA), 12 Gnathostomiasis, 341
Gomori methenamine silver (GMS), 55, 277 Gonococcal keratoconjunctivitis, 146 Gramicidin, 324, 326
Gram-negative bacteria, 25 Gram-negative cocci/diplobacilli, 29, 154 Gram-negative organisms
Gram-negative diplococci, 29 Neisseria organisms, 29–30. See also
Neisseria organisms Gram-negative rods, 30
Acinetobacter species, 34 Campylobacter species, 33
Haemophilus species, 31–32 Helicobacter species, 33–34
L. pneumophila, 32
Vibrio species, 32–33 Gram negative rods, 31–34
Acinetobacter species, 34 Campylobacter species, 33
Haemophilus species, 31–32 Helicobacter species, 33–34
L. pneumophila, 32
Vibrio species, 32–33 Gram-positive bacteria, 25
Gram-positive staphylococci, 26 Gram-positive cell wall, composition, 23 Gram-positive cocci, 154
Gram-positive rods, 27 bacillus species, 27–28
B. anthracis, 27 B. cereus, 27–28
Clostridium organisms, 28 Gram stain, 23
N. meningitidis, 30
Gram staining procedure, 39 acridine orange, 39 corneal smears, 40
[Gram staining procedure] modified Ziehl-Neelsen, 40 required reagents, 39
Graneodin, 326 Granular retinitis, 219 Griseofulvin, 281 Group orientation, 307
Haemophilus aegyptius, 31 Haemophilus influenzae, 31, 136, 265
orbital (postseptal) cellulitis, 127
Haemophilus paraphrophilus, 31
Haemophilus species, 31–32 Halofantrine, 337
Hartmannella vermiformis, 168
Heidelberg Retina Tomograph II (HRT-II), 290
Helicobacter species, 33 Helicobacter pylori, 33 Helminthes, 339–342
Alariasis, 339 Angiostrongyliasis, 342 Ascariasis, 339 Coenurus, 342 Cysticercosis, 340
Dracunculiasis (Guinea Worm), 341 Filariasis, 341
Gnathostomiasis, 341 Hydatid disease, 340 Onchocerciasis, 340–341 Paragonimiasis, 339 Philophthalmiasis, 342 Schistosomiasis, 339 Sparagonosis, 342 Thelaziasis, 341 Toxocariasis, 339 Trichinosis, 340
Helminths, 144 Hematoxylin, 256
Hematoxylin-eosin (H&E), 277 Herpes conjunctivitis, 145
Herpes simplex virus (HSV), 83–84, 178–179 large geographic ulcer of, 180
primary, 178
Herpes simplex Virus (HSV), 193 Herpes viruses, 192
Herpes zoster Ophthalmicus (VZV), 183–184 Herpes zoster virus (HZV), 222
Herpetic eye disease
antiviral prophylaxis against, 182–183 epithelial dendritic ulcer due to, 179 therapy of, 179–182
Herpetic keratouveitis, 193 Hexamidine (Desmodine), 173 Hexamidine isethionate, 325 Hexamidine, 333
Hibiscrub, 350
Highly active anti-retroviral therapy (HAART), 213, 216
374 Index
Histoplasmosis, 230–231
Histoplasma capsulatum, 52, 230 laboratory examination, 231 treatment, 231–232
Hospital ward, 347–348
Hospital-acquired ocular infection, prevention, 345–352
dressings, 346 eye drops, 346
outpatient clinic, 345–347 sampling equipment, 346 slit-lamp microscope, 346 sterilizers, 347
HSV infection and cornea transplants, 183 Human immunodeficiency virus (HIV), 216 Human T-cell lymphotrophic virus-1 (HTLV-1),
194 Hydatid disease, 340
Hydrogen peroxide, 360–361 Hydrophilicity /lipophilicity, 105 Hygiene, 353–365
for microbial keratitis infection prevention, 362–364
Hypermetropia, 123 Hyphal infection, 166 Hyphema, 193 Hypopyon, 157, 193, 244
Idoxuridine (IDU), 179, 214 Imidazole, 329, 330
in keratomycosis treatment, 166 Immune modulation, 13
Immune ring, 16 Immune suppression, 13
Immunoglobulin A (IgA), 1, 144 Immunoglobulin G (IgG), 1 Immunopathogenesis, 12–13 Imprecision, 308
Incidence, 307
Inclusion conjunctivitis. See Trachoma/inclusion conjunctivitis (TRIC)
Indinavir, 215
Indolent (metaherpetic) ulcers, 182 Infectious keratitis, 162, 286, 287 Inflammation, effects of, 112–115 Inocula, 50
Internal transcribed spacers (ITSs), 291 International Trachoma Initiative (ITI), 147 Interstitial keratitis, 155–156
Intradermal (Casoni) skin test, 128 Intraocular foreign body (IOFB)
prevention of endophthalmitis associated with, 268
Intraocular inflammation, 191 Intraocular lenses (IOLs), 159 Intraocular mycoses, 297–302
Candida glabrata, 299
of exogenous origin, 298–302
[Intraocular mycoses]
exogenous postoperative fungal endophthalmitis, 299
intraocular Candida infections, 298 Intraoperative prophylaxis, 262–263 Intravitreal cidofovir, 221 Intravitreal ganciclovir, 221
Intravitreal injection of antibiotics, 116–118, 231, 326–327
globe size and, 123–124
Invasive sino-orbital aspergillosis, 279 Iridocyclitis, 193
Iritis in secondary syphilis, 197 Itraconazole, 51, 225, 231, 324, 331, 333 Ivermectin (IVM), 204, 340, 341
Kaposi’s sarcoma, 216 Keratitis
keratitis due to Acanthameba, 80 bacterial keratitis, 79–80
due to Alternaria alternata, 294 CL associated keratitis, 159 CL-associated keratitis, 157
coagulase-negative staphylococcus (CNS) keratitis, 158
disciform keratitis, 181 fungal keratitis, 80, 166–168 due to Fusarium sp., 295 interstitial keratitis, 156–157 microbial keratitis, 156, 159
mycobacterial and nocardial keratitis, treatment, 166
pathogenesis, 179
Peptococcus (anaerobic streptococcus) keratitis, 165
Staphylococcus aureus keratitis, 157 stromal keratitis, 181
suppurative keratitis, 156
topical anesthetic abuse keratitis, 177 treatment, imidazoles in, 166
Keratoconjunctivitis, 5 adenoviral, 149 adenovirus, 184–185 microsporidial, 175
Keratomycosis, 286–297 Keratouveitis, 179
Ketoconazole, 51, 55, 167, 324, 330 Kimmig agar, 50
Kimura spatula, 82
Klebsiella pneumoniae, 30
Lacrimal drainage-associated lymphoid tissue (LDALT), 18
Lactodectus geometricus, 130 Lactophenol blue, 23 Lamivudine, 214
Index 375
Lancefield Group A streptococcus, 25 Lancefield Group B streptococcus, 26 Lancefield Group C streptococcus, 26 Lancefield Group D streptococcus, 26 Langerhans cells (LCs), 3
Laser in situ keratomileusis (LASIK), 160, 287 infections following, 160
Laser-assisted in situ keratomileusis (LASIK), 287
Lasiodiplodia theobromae, 155, 285, 289, 299 Late endophthalmitis
diagnostic guidelines for, 244
Leber’s idiopathic stellate neuroretinitis, 232–233
Lecytophora mutabilis, 301 Legionella pneumophila, 32 Leishmaniasis, 334, 337 Lepromatous leprosy, 195 Levofloxacin, 349 Levamisole, 339
Levofloxacin, 128, 145, 146, 162, 166, 260, 324, 354
Lipophilic antibiotics, 105 Lipophilicity /hydrophilicity, 105 Liposomal amphotericin B, 298
Listeria monocytogenes, 29 Listerosis, 29
Local corneal surface immunity, 3 Local delayed-type hypersensitivity, 3 Local immune complex disease, 15–16 Lopinavir, 215
Loxosclerma (necrotic eyelid), 131 Lowenstein-Jensen medium, 38 Loxosclerma, 131 Loxoscleromatis, 130
Lyme disease. See Borreliosis Lymphocytopenia, 15 Lysozyme, 1
MacConkey agar, 37 Macrolides, oral, 207
Macrophage inflammatory protein-2 (MIP-2), 10
Malachite green, 40 Malaria, 337–338 Malarial infection, 338
Malassezia furfur, 280 Management of atope, 351 Mannitol salts agar, 37
Mannose-binding protein (MBP), 92 Marginal blepharitis, 130
Mazzotti reaction, 204 Measles, 185–186 Mebendazole, 339, 340 Mefloquine, 337
Meibomian gland disease (MGD), 132 Membrane cofactor protein (MCP), 7 Meningococcal conjunctivitis, 141 Methicillin, 327
Methicillin-resistant Staphylococcus aureus (MRSA), 162, 253
Methylene blue, 23
B. anthracis, 28 Metrifonate, 339, 340 Metronidazole, 338, 341
Miconazole, 51, 166, 252–253, 324, 327, 330 Microbial keratitis, 152–159
cataract as a complication of, 187 endophthalmitis associated with, 266 hygiene required to prevent, 362–364 investigation flow chart, 161
Microbiology
bacteriology. See Bacteriology mycology. See Mycology
Microsporidial keratoconjunctivitis, 175, 333 Microsporidiosis, 333, 334
Minocycline, 200
Minimum bactericidal concentrations (MBCs), 122
Minimum inhibitory concentrations (MICs), 122 Mitochondrial 16S
rDNA sequences, 87 Modified Ziehl-Neelsen, 23, 40 Molecular biology, 61–94
ocular infections. See Ocular infections acanthamoeba, molecular analyses of, 85–93.
See also Acanthamoeba Molluscum contagiosum, 217 Moraxella infection of cornea, 153
Morganella morganii, 30
Morpholine propane sulfonic acid (MOPS), 57 Moxifloxacin, 162, 164, 166 Mucosa-associated lymphoid tissue (MALT),
17–18
Mucosal immune system, 18 Multilocus sequence typing (MLST), 76
Multiple evanescent white dot syndrome, 233–234
Multiplex PCR, 64 Multipurpose solutions, 361–362 Mumps, 186
Mycobacteria, 163 Mycobacterial infection, 195 Mycobacterial keratitis, 166
Mycobacterium chelonae infection, 40, 161, 164 treatment, 166
Mycobacteium lysodeikticus, 1 Mycobacterium tuberculosis, 177, 195, 218 Mycological peptone, 46
Mycological pharmacopoeia, 328–332 Mycotic conjunctivitis, 284–285 Mycotic dacryoadenitis, 283
Mycotic dacryocanaliculitis, 282 Mycotic dacryocystitis, 282–283 Mycotic endophthalmitis, 300 Mycotic eyelid infections, 280–281
deep infections, 281 diagnosis, 281
etiological agents of, 280–281
376 Index
[Mycotic eyelid infections] superficial infections, 281 therapy, 281
Mycotic keratitis (keratomycosis), 166, 286–297 antifungal agents in treatment of, 292 antifungal susceptibility testing, 291
clinical features, 287–289 demographic features, 286 diagnosis, 287
etiological agents and risk factors, 286–287 etiological agents in, 276–277 histopathological studies, 291
investigation and management flow chart, 288 management, 292–297
microbiological investigations, 290–291 molecular methods of diagnosis, 291 noninvasive diagnostic techniques, 290 prevention, 297
therapeutic surgery for, 295 types, 286
Mycotic scleritis, 285–286 Myiasis, 342
N-acetylglucosamine (NAG), 23 N-acetylmuraminic acid (NAMA), 23 Natamycin (Pimaricin), 166, 168, 293, 324, 358 Necrosis, 325
Necrotic eyelid, 131 Necrotizing infection, 129, 130 Necrotizing fasciitis, 128–130 Necrotizing retinitis, 205 Neisseria organisms, 29
N. gonorrhoeae, 30 N. meningitidis, 30
Neisseria gonorrhoeae, 30, 139 Neisseria meningitides, 30 Nelfinavir, 215
Neomycin, 324, 326
Neonatal chlamydial ophthalmia (NCO), 147 Neonatal Conjunctivitis (NIC), 152 Neonatal Inclusion Conjunctivitis (NIC), 150 Neonatal prophylaxis, 146
Neosporin, 324
Nested PCR, 64
Nevirapine, 215
Nifurtimox, 337
Niridazole, 341 Nocardia infection, 163
treatment, 166
Nocardia, 39
Nocardial keratitis, 166
Non-infectious anterior uveitis, 192–196. See also below Anterior uveitis
Non-infectious causes
of posterior uveitis, 232–234. See also below Posterior uveitis
Nonsteroidal anti-inflammatory drug (NSAID), 15, 182
Nosocomial systemic fungal infections, 225 Nuclear rDNA molecular analysis, 86 Nucleic acid sequence analysis, 75 Nystatin, 326, 329
Ocular Candida albicans, 223 Ocular chlamydia infection, 146
diagnostic tests, 143
Ocular infection, primary, 178 Ocular Onchocerciasis, 204–205
Ocular filamentous fungal isolates, 53–54 Ocular immune privilege, 6–8
primary features, 6 Ocular immune response
ACAID, 10–12
classic and alternate complement pathways, 8 EALT, 18–19
immediate hypersensitivity (IgE) reaction, 5–6 immune suppression, 13–15
anti-inflammatory, 14–15 immunosuppressive, 15 immunity against infection, 3 immunopathogenesis, 12–13
local corneal surface immunity, 3–5 local immune complex disease, 15–16 MALT, 17–18
POCAID, 10–12 Ocular infections
molecular diagnosis of, 61 endophthalmitis, 78–79
keratitis, 79–82. See also Keratitis pathogen identification, 74–75. See also
Pathogen identification
PCR, 61–74. See also Polymerase chain reaction (PCR)
strain characterization, 76 routine use of PCR, 82–85
Ocular mycoses
antifungal susceptibility testing, 49–57 agar dilution method, 54–57
agar media, 50 broth media, 50
ocular filamentous fungal isolates, 53–54 broth dilution method, 57
drug solutions preparation, 57 test medium, 57
test procedure, 57 media contents, 46–49
brain heart infusion, 49 Sabouraud’s agar, 46
Ocular rhinosporidiosis, 284
Ocular therapy, antiviral drugs for, 181 Ocular tissues, 334–335
Ocular toxocara, 201–203 clinical presentation, 201–202
peripheral granuloma, 201 posterior pole granuloma, 201
diagnosis, 202–203
Index 377
[Ocular toxocara]
Toxocara canis, 201 treatment, 203
Oestris ovis, 144
Ofloxacin, 128, 145, 146, 162, 166, 324, 325, 354 Ointment, 326
Onchocerca volvulus, 3
Onchocerca volvulus punctate keratitis, 174 Onchocerciasis, 196, 340–341
Operating theater, 348–349 Ophthalmia neonatorum, 145–146
causes of, 146 bacterial, 146 chemical, 146 chlamydial, 146 irritative, 146 nosocomial, 146 viral, 146
Ophthalmomycoses. See also Tropical ophthalmomycoses
antifungal drugs used in, 328–332 Opportunistic infections, 217–223
intraocular delivery, 220 parenteral therapy, 220
DHPG, 220 Foscarnet, 220
therapy, 220 Opsonophagocytosis, 12
Oral corticosteroid therapy, 201 Orbit, fungal infections of, 271–280
allergic fungal rhinosinusitis with orbital involvement, 279–280
chronic localized noninvasive fungal infections, 279
chronic orbital cellulitis, 278–279 chronic orbital aspergillosis, 278–279 chronic orbital infections, 279
Rhino-orbital-cerebral zygomycosis, 271–278 sites of, 272–275
Orbital (postseptal) cellulitis, 127–128
Haemophilus influenzae, 127 posttraumatic orbital cellulitis, 128
Orthokeratology, 159–160. See also Overnight orthokeratology (OK)
Outpatient clinic, 345–347
Overnight orthokeratology (OK), 159 Oxacillin, 324, 327
Oxamniquine, 339
Oxytetracycline, 135
Paecilomyces lilacinus endophthalmitis, 299 Paecilomyces lilacinus scleritis, 285 Paecilomyces lilacinus, 56, 301
Panuveitis, 202, 205 Papillary conjunctivitis, 184 Paracoccidioidomycosis, 281
Paracoccidioides brasiliensis, 280–281 Paragonimiasis, 203, 339
Parasitic infection, 196, 198–205 diagnosis, 200
diffuse unilateral subacute neuroretinitis (DUSN), 203–204
ocular onchocerciasis, 204–205
ocular toxocara, 201–203. See also Ocular toxocara
toxoplasma retinochoroiditis, 198–200
Pasteurella multocida, 32 Pathogen identification, 74
genus or species-specific PCR, 74 hybridization analysis of PCR products, 74 nucleic acid sequence analysis, 75
RFLP analysis, 74 SSCP analysis, 74–75
Penciclovir, 183
Penetrating keratoplasty (PK), 309 Penicillin G, 324, 327 Pentamidine, 336, 338
Peptococcus (anaerobic streptococcus) keratitis, 165
Peptidoglycan, 23 Periocular injection, 323–326
Periodic acid-Schiff (PAS) stains, 277 Phacoemulsification cataract surgery, 242
endophthalmitis following, treatment, 255–257 presentation after, 256
Phacoemulsification cataract surgery, 309 Pharmacokinetics, pharmacology and. See
Pharmacology and pharmacokinetics Pharmacology and pharmacokinetics
anterior chamber, penetration into, 107 blood–ocular barriers, 107–112
influencing barriers, 107 diffusion, 106
epithelial barrier, 106–107 inflammation, effects of, 112–115 intravitreal injection, 116–118 lipophilicity /hydrophilicity, 105 liposomal preparation, 118 repeated systemic dosing, 115
Pharyngoconjunctival fever (PCF), 141 Phenoxymethylpenicillin, 207
Phialophora verrucosa, 289 Philophthalmiasis, 342
Phlyctenular keratoconjunctivitis, 175–177 Phthiariasis, 342–343
Phycomycetes, 127 Pimaricin (Natamycin), 328 Piperacillin, 166, 324 Piperazine, 339
Pneumocystis carinii, 222 Pneumocystosis, 334, 336 Poisson approximation, 319 Polyene, 329
Polyfax, 326
Polyhexamethylene biguanide (PHMB), 171, 173, 325, 361
Polymerase chain reaction (PCR), 142, 240 amplified product, visualization of, 64
378 Index
[Polymerase chain reaction (PCR)] broad-range, 64
multiplex, 64 nested, 64
ocular viral and chlamydial infections, diagnosing, 82–85
Adenovirus, testing for, 83
Chlamydia trachomatis, testing for, 84–85 CMV, testing for, 85
EBV, testing for, 85 HSV, testing for, 83–84
patient samples collection, 82–83 VZV, testing for, 84
real-time PCR, 68 Polymorphonuclear (PMN) cells, 119 Polymyxin B, 145, 324, 326 Polyquad, 361
Polytrim ointment, 132 Polytrim , 132, 324, 326, 333 Population, 307 Posaconazole, 167, 332 Posterior blepharitis, 130–132
Posterior chamber-associated immune deviation (POCAID), 8–12
Posterior uveitis, 196–234
anatomy and vascular supply, 198
bacterial infections, 205–211. See also Bacterial infections
differential patterns of, 196
fungal infections, 223–232. See also Fungal infections
non-infectious causes of, 232–234 APMPPE, 232
Leber’s idiopathic stellate neuroretinitis, 232–233
multiple evanescent white dot syndrome, 233–234
opportunistic infections, 217–223. See also Opportunistic infections
parasitic infections, 198–205. See also Parasitic infections
retina and choroid, 196–198 symptoms, 197
viral infections, 211–223. See also Viral infections
Postoperative endophthalmitis, 309 prophylaxis and risk factor analysis, 257–262
case definitions, 258–262 endophthalmitis cases, 258 intraoperative prophylaxis, 262–263 postoperative prophylaxis, 263–264 statistical analysis of data, 258–260 streptococcal cases, 261–262
study design, 257–258 subconjunctival antibiotic injection
prophylaxis, 263 risk factors of, 311
Postoperative prophylaxis, 263–264 Posttraumatic endophthalmitis, 267–268 Posttraumatic orbital cellulitis, 128
Povidone iodine, 349 Praziquantel, 339, 340
Preauricular lymphadenopathy, 142 Prednisolone, 15
oral administration, 254 Preseptal cellulitis, 128, 281
Presumed chlamydial conjunctivitis, 143–144 Presumed viral conjunctivitis, 143 Prevalence, 307
Prevention and trauma, endophthalmitis, 239–268. See also Acute endophthalmitis; Endogenous endophthalmitis; Late endophthalmitis
bacterial endophthalmitis, 239–340. See also Bacterial endophthalmitis
fungal endophthalmitis, 240 Prions, 186–187
Profilin, 92–93
Progressive Outer Retinal Necrosis (PORN), 212 Propamidine isethionate, 324, 325, 333
Propionibacterium acnes, 34, 62–63, 118, 162, 246, 263, 265
Proptosis, 128 Protozoa, 333–338
Acanthamebiasis, 333 African Trypanosomiasis, 336 Babesiosis, 338
causing conjunctivitis, 144 Entamebiasis, 338 Giardiasis, 338 Leishmaniasis, 337 Malaria, 337–338 Microsporidiosis, 333 Pneumocystosis, 336
South American Trypanosomiasis, 337 Toxoplasmosis, 333–336
Providencia, 30 Pseudallescheriosis, 230 Pseudoglioma, 210
Pseudomonas species, 33
Pseudomonas aeruginosa infection, 2, 33, 155, 166
Pseudomonas aeruginosa keratitis, 354–355 Pseudomonas cepacia, 33
Purulent conjunctivitis, 140 Pus, 136
Pyrantel, 339
Pyrexia, 226
Pyrimethamine, 200, 222, 333 Pyrimidine, 329
Questionnaire reporting surveys, 313–314 Quinine, 337, 338
Quinolone antibiotic, 354 Quinolones, 109, 128
Radial keratotomy incisions, 153
Random error, 308
Index 379
Rare virus infections, 213 Recurrent herpetic eye disease, 179
ReNu MoistureLoc-associated Fusarium keratitis, 355–360
Retina, 196–198 Retinal necrosis, 212 Retinal vasculitis, 205
Retinitis in secondary syphilis, 197 Retinoblastoma, 210
Retinochoroiditis, 198–200. See also Toxoplasma retinochoroiditis
Restriction fragment length polymorphism (RFLP) analysis, 74
Retroseptal infection, 127
Retrospective and prospective studies, 308–312 case-control study, 310–311
cross-sectional study, 312 descriptive study, 308–310 longitudinal study, 311–312
Reverse transcription-polymerase chain reaction (RT-PCR), 7
Rhino-orbital-cerebral zygomycosis, 271–278 Rhinosporidiosis, 281, 284
Rhinosporidium seeberi, 284 Rhodesian and Gambian disease, 336 Ribitol teichoic acid, 5
Rickettsia, 211
Rifampicin, 128, 151, 164, 208, 326 Ritonavir, 215
Rosacea, 132, 134–135 blepharitis and, 134–136
Roth’s spots, 226
S. American trypanosomiasis, 334 Sabouraud’s agar, 36, 46
Saccular plaque-type endophthalmitis, 257 Safranin, 39
Saquinavir, 215
Scedosporium apiospermum, 52, 301 Scedosporium boydii, 289 Schistosomiasis, 339
Scleral tunnel incisions, 309 Scleritis, 285–286 Seborrhoeic dermatitis, 131
Secondary syphilis, iritis in, 197 Serine protease, 93
Serratia marcescensm, 30 Serum reagin tests, 207
Shigella, 30
Silicone hydrogel (SH) contact lenses, 157, 364 Silver sulphadiazine, 332
Single-strand conformation polymorphism (SSCP) analysis, 74–75
Slit-lamp microscope, 346 Sodium stibogluconate, 337
South American Trypanosomiasis, 337 Southern blot, 61
Sparagonosis, 342
Species-specific PCR, 74 Spiramycin, 336 Spirochetal infection, 195 Spondyloarthropathy, 192
Staphylococcal blepharitis, 130, 134
Staphylococcus aureus, 24, 37, 63, 128, 127, 268 acute folliculitis due to, 133
acute toxic limbitis due to, 133 conjunctivitis due to, 133
Staphylococcus epidermidis, 24
Staphylococcus aureus keratitis, 153, 157, 177
Staphylococcus organisms, 24 gram-positive staphylococci, 26
Staphylococcus saprophyticus, 24 Statistical methods of analysis, 315–319 Stavudine, 214
Stenotrophomonas maltophila, 33 Stibogluconate, 337
Streptococcus pyogenes, 2, 127, 194 acute necrotizing fasciitis due to, 129
Streptococcus species, 24–25 Stromal keratitis, 181
Subconjunctival antibiotic injection prophylaxis, 263
Subconjunctival delivery, 323 Subconjunctival injections, 162 Sulphacetamide, 324, 326 Sulphadiazine, 200 Sulphadoxine, 337
Superficial infections of eyelid, 281 Suppurative keratitis
suppurative keratitis descmetocele, 154 treatment, 162–166
Pseudomonas aeruginosa infection, 166 specific antibiotic regimens for, 165
Suramin, 341
SYBR Green I dye, 73 Syphilis, 205–206
congenital syphilitic chorioretinopathy, 206, 207
serum reagin tests for, 207 syphilitic neuroretinitis, 205 Systemic amphotericin B, 225 Systemic antibiotic therapy, 128
Systemic chemotherapy, 328 Systemic medication, 327–328
Tarsal conjunctiva, 142 Telangiectiasia, 136 Temporal conjunctiva, 142 Tenofovir, 214
Tetracycline, 132, 151, 200, 207, 324, 326 Thayer-Martin medium, 37
Theater air flow engineering to prevent HAI, 350–351
Theater hygiene discipline to prevent HAI, 350 Thelaziasis, 341
Thellazia capillaris, 144
380 Index
Thiabendazole, 339, 340 Thioglycolate medium, 36
Thymidine kinase negative (TK-) HSV, 183 Ticarcillin, 166, 324
Tinidazole, 338
Tipranavir, 215
Tobramycin, 324
Topical anesthetic abuse keratitis, 177
Toxic anterior segment syndrome (TASS), 266–267 Toxic shock syndrome due to Staphylococcus
aureus (TSST-1), 139 Toxic shock syndrome, 129
Toxocara canis infection, 198, 201, 203 Toxocariasis, 339
Toxoplasma gondii infection, 198, 222 Toxoplasma retinochoroiditis, 198–200
peripheral lesions of toxoplasma, 199 recurrent retinochoroiditis due to toxoplasma,
199 treatment of, 200
classic triple therapy, 200 indications for, 200
Toxoplasma, peripheral lesions of, 199 Toxoplasmosis, 333–336
Trabeculitis, 179 Trachoma
and chronic conjunctivitis, 148 diagnosis, 143
stages of, 150 treatment, 150–151
Trachoma inclusion conjunctivitis (TRIC), 143, 147, 148
treatment, 151–152 Trachoma, 146
Trachomatous inflammation follicular (TF), 148 Trachomatous inflammation intense (TI), 148 Trachomatous scarring (TS), 148 Trachomatous trichiasis (TT), 148
Traditional eye medicines (TEMs), 287
Treponema pallidum infection, 195, 218 Triazoles, 167, 331, 332
Trichinosis, 340 Trifluorothymidine (F3T), 179, 181 Trifluridine, 214
Trimethoprim, 145, 324, 326 Trimethoprim-sulphamethoxazole combination,
336 Trisulphopyrimidines, 333
Tropheryma whippelii, 195, 208 Tropical ophthalmomycoses, 271–302
extraocular fungal infections, 280–285.
See also Extraocular fungal infections fungal infections of globe, 285–297.
See also Globe
fungal infections of the orbit, 271–280. See also Orbit, fungal infections of
intraocular mycoses, 297–302. See also Intraocular mycoses
Tuberculosis, 209–210 miliary tubercles, 209
[Tuberculosis]
tuberculous choroiditis, 209 Tuberculous chorioretinitis, 210
Ulcerative keratitis, 155 Ultrasonography, 226 Unreliability, 308 Uvea, 191–234
anterior uveitis, 191–196. See also Anterior uveitis
posterior uveitis, 196–234. See also Posterior uveitis
Vaccinia, 186 Valaciclovir, 214
Vancomycin, 128, 242, 252, 253, 324, 327 Varicella Zoster virus (VZV), 84, 193
uveitis due to, 194
Vibrio cholerae, 32 Vibrio vulnificus, 32 Vidarabine, 214
Viral conjunctivitis, 141–142
Viral infections, 177–185, 192–194, 211–223 Acquired Immunodeficiency Syndrome
(AIDS), 213–217
Acute hemorrhagic conjunctivitis (AHC), 186 Acute Retinal Necrosis (ARN) syndrome, 211 antiviral drugs, effects of, 214–215
cataract, 187
Creutzfeldt-Jacob disease (CJD), 186 Cytomegalovirus (CMV), 193 Epstein-Barr Virus, 186
Herpes simplex eye disease, 178–179 Herpes simplex Virus (HSV), 193 Herpes viruses, 192
human T-cell lymphotrophic virus-1 (HTLV- 1), 194
Measles, 185–186 Mumps, 186 Prions, 186–187
Progressive Outer Retinal Necrosis (PORN), 212
rare virus infections, 213 vaccinia, 186
Varicella Zoster Virus (VZV), 193 Viral-induced chorioretinitis, 233 Viral keratitis, 80
Viridans streptococci, 27 Vitrasert, 221 Vitrectomy, 113 Vitrector, 247–249
Voriconazole, 167, 225, 231, 298, 301, 331
Wessley rings, 16–17
Whipple’s disease, 194, 208
Tropheryma whippelii, 208
