Marlon García Roa, MD » Miscellaneous

  • Metallic Intraocular Foreign Body

    Jan 13 2020 by Marlon García Roa, MD

    38-year-old male patient with eye pain and strange body sensation when using hammer. Previous segment of the eye examined without alterations. Visual acute 20/30 appearing access road of the strange body by temporary flat pars. Strange intraocular body in retina is observed at the end of temporary arches.

    Photographer: Marlon Garcia Roa, Instituto mexicano de oftalmologia, Queretaro, Mexico

    Imaging device: SMARTHPHONE

    Condition/keywords: intraocular foreign body

  • Candida Endophthalmitis

    Jan 26 2020 by Marlon García Roa, MD

    Female, 30-years-old with <<< V Pregnancy Currently with 18 weeks gestation. Pathological personal history 1 month prior hospitalization for complicated acute appendicitis + pyelonephritis + severe thrombocytopenia (autoimmune treated with corticosteroids) with septic shock, appendectomy was performed, due to torpid evolution, intensive care unit with placement of central venous catheter treated with intravenous antibiotics is performed, CT scan is performed of thorax, abdomen and pelvis in search of aggregate pathology; finding multiple renal lithiasis that conditions hydronephrosis and reactivation of pyelonephritis, so he continued with antibiotic therapy and underwent endoscopic lithotomy, due to febrile persistence and with a positive blood culture result for candida Albicans, intravenous antifungals (anidulafungin) were started for 1 week, with improvement satisfactory for what was decided his discharge. During hospitalization it was required to transfuse 2 globular packages and platelet plasmapheresis as well as replacement of calcium, phosphorus and potassium. It refers to approximately 3 weeks of visual loss of the left eye associated with myodisopsia. visual acuity 20/100 Vitritis +, with floating vitreous abscess on the posterior pole, round papilla, slightly erased edges, excavation 0.3, macula without foveolar luster, conserved vein artery relationship, with vessels with multiple mineralization areas and superior peripheral lesion of ΒΌ diameter of papilla as ball of snow applied to retina.

    Photographer: MARLON GARCIA ROA, INSTITUTO DE RETINA DEL BAJIO (INDEREB), QUERETARO, MEXICO

    Condition/keywords: candida endophthalmitis