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Biomedical subjects

M H Shih

Publications and source records attributed to M H Shih.

7 recordsLinked to original sources
PubMed2000

Reversible axial myopia following infectious scleral ulceration--a case report.

Adult-onset axial myopia is uncommon in comparison with the lenticular myopia. When we dealt with a case of the infectious scleral ulceration, the progressive myopic shift was not only due to the dense nuclear sclerosis but also due to the longer axial length. The elongating axis became shortened after 3-months follow up. Then the patient underwent uneventful cataract surgery. However, the reversal process persisted even after the operation. Although the pathogenesis is not well known, we concluded that the cataract surgery in dealt with the complicated cataract should be delayed in the cases with any inflammation or the axial changes.

Cataract Extraction↗
PubMed1999

Fungal keratitis caused by Candida utilis--case report.

We report the first case of an ocular fungal infection caused by Candida utilis in a 72-year-old woman. Although candidiasis is the most common opportunistic fungal infection in humans, C. utilis had not been associated with human morbidity until two cases of fungemia were reported in 1988 and 1993. The clinical features exhibited typical feather-like infiltration at the ulceration margin of this case. After treatment with topical fluconazole and amphotericin-B, the ulceration healed within 3 weeks. The patient underwent penetrating keratoplasty and regained useful vision. We concluded that C. utilis is a new corneal pathogen and should be included in the differential list of mycotic keratitis.

Aged↗
PubMed1997

Clinical experiences of infectious scleral ulceration: a complication of pterygium operation.

AIMS: To report the special clinical manifestations and determine the appropriate management of infectious scleral ulceration. METHODS: A retrospective study was performed on 30 eyes with infectious scleral ulceration. Information was recorded on patients' age, onset and course of disease, pathogenic organism, clinical presentations, methods of diagnosis, treatment, and outcome. RESULTS: 10 cases (33.3%) were accompanied by corneal involvement. Subconjunctival abscess was noted in 16 cases (53.3%). 17 cases (56.7%) gave positive results of pathogen culture and all were Pseudomonas aeruginosa. Two cases had combined bacterial infections and one case was complicated by fungal infection. A total of 26 cases had surgical debridement in this series. Extensive involvement of the sclera with the presence of a 'tunnel lesion' or a 'satellite subconjunctival abscess' were found during debridement. All of the eyeballs involved were salvaged except one. CONCLUSION: The results of this study were contrary to the poor prognosis presented in previous reports. Early and repetitive surgical debridement is believed to be mandatory in the intractable cases to shorten the admission period and to save these eyes.

Aged↗
PubMed1997

[Ophthalmic manifestations of giant cell arteritis--two cases report].

Two elderly women had catastrophic visual loss due to giant cell arteritis. The other eyes of both were attacked within two weeks. Bilateral central retinal artery occlusion, negative temporal artery biopsy and relentless nature course were noted despite treatment with a high dose of corticosteroid in one case. Unilateral central retinal artery and ischemic optic neuropathy were noted in the other case with typical pictures in temporal artery biopsy.

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PubMed1996

Repair of a giant scleral ulcer with preserved sclera and tissue adhesive.

BACKGROUND AND OBJECTIVE: Infectious scleral ulcer is a rare but severe late complication of pterygium surgery. Scleral grafts may be required in scleral ectasia with uveal exposure, corneal distortion, and severe anterior chamber reaction that are induced by scleral ulcer. The authors report a method for scleral grafting with preserved sclera and tissue adhesive. PATIENTS AND METHODS: Six cases of infectious scleral ulcers were repaired with this method. Preserved sclera was attached to the thinning sclera with tissue adhesive without sutures. The free or rotation conjunctival flap was placed over the graft area and sutured with 10-0 nylon. RESULTS: The six cases repaired by this method showed good results during the follow-up, except for one loss. The only complication was protrusion of the adhesive postoperatively. This protrusion can be easily removed with forceps on an outpatient basis. CONCLUSION: Tissue adhesive with preserved sclera is a useful method for repair of scleral thinning.

Aged↗