Ophthalmology videos & books 2021


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Fusarium species cause a broad spectrum of infections in humans, including superficial, locally invasive, and disseminated infections. The clinical form of fusariosis depends largely on the immune status of the host and the portal of entry, with superficial and localized disease occurring mostly in immunocompetent patients and invasive and disseminated disease affecting immunocompromised patients. Risk factors for severe fusariosis include prolonged neutropenia and T-cell immunodeficiency, especially in hematopoietic stem cell transplant recipients with severe graft-versus-host disease. The most frequent presentation of disseminated fusariosis is a combination of characteristic cutaneous lesions and positive blood cultures, with or without lung or sinus involvement. The prognosis is poor and is determined largely by degree of immunosuppression and extent of infection, with virtually a 100% death rate among persistently neutropenic patients with disseminated disease. These infections may be clinically suspected on the basis of a constellation of clinical and laboratory findings, which should lead to prompt therapy. Treatment options include the lipid formulations of amphotericin B, voriconazole, and posaconazole. Prevention of fusarial infection among high-risk patients should be considered.






Q3. A young man aged 30years, presents with difficulty
in vision in the left eye for the last 10 days. He is
a rural community and gives history of trauma
to his left eye with vegetative matter 10- 15 days
back. On examination, there is an ulcerative lesion
in the cornea, whose base has raised soft creamy
infiltrate. Ulcer margin is. feathery and hyphate.
There are a few satellite lesions also. The most
probable etiological agent is:


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Q2) 5 In a 6-month randomized trial of a pharmacologic agent, one group of patients receives a cyclooxygenase-2 (COX-2) inhib-itor, and a control group does not. Both groups of adult males had mild congestive heart failure and bilateral symmetric arthritis of small joints. Laboratory measurements during the trial show no significant differences between the groups in WBC count, platelet count, hemoglobin, and creatinine. The group receiving the drug reports subjective findings different from those of the control group. Which of the following findings was most likely reported by the group receiving the drug?




Q2) A 55-year-old male with a limbal scar presents to the ophthalmology clinic with markedly defective vision for near and far. Clinical examination reveals a wide and deep anterior chamber, iridodonesis and a dark pupillary reflex. A vision of 6/6 is achieved with correcting lens of +11 D. Which of the following is the most likely diagnosis:


red colored striated lenses





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