Ju-Lee Ooi

Zoledronic Acid Infusion and Orbital Inflammatory Disease

A 57-year-old man presented with a 4-day history of increasing orbital pain and swelling in the right eye. A diagnosis of orbital inflammatory disease due to bisphosphonate infusion was made.

THE LENGTH OF SUPERFICIAL TEMPORAL ARTERY BIOPSIES

Background:  To compare temporal artery biopsy specimen lengths from a tertiary care and a community hospital in New South Wales to recommended clinical guidelines in suspected giant cell arteritis.

Laser corneal biofilm disruption for infectious crystalline keratopathy

Crystalline keratopathy can be successfully treated by the Nd:YAG laser. We present two cases of crystalline keratopathy managed this way. A 36‐year‐old female contact lens wearer presented with crystalline keratopathy following recent treatment with topical steroids and antibiotics for a corneal abscess. In this case crystalline keratopathy developed despite the intensive topical antibiotic treatment. A 55‐year‐old man with a history of acne rosacea, chronic myelomonocytic leukaemia, asthma and Crohns disease presented with crystalline keratopathy following an episode of infectious keratitis. Treatment with the Nd:YAG laser to the area of involvement was instituted in both cases. Noticeable resolution occurred within days, with subsequent full recovery. No side‐effects from the use of the Nd:YAG laser were noted. There have been only two cases previously reported using this treatment modality.

Corneal perforation and intraocular lens prolapse in Serratia marcescens endophthalmitis.

A 72‐year‐old lady was referred with bacterial endophthalmitis secondary to complicated left cataract extraction. The organism was identified as Serratia marcescens. Despite aggressive treatment the eye continued to deteriorate with corneal perforation and prolapse of the intraocular contents.

Culture-proven Aspergillus fumigatus infection in a primary hydroxyapatite orbital implant.

Hydroxyapatite orbital implants are widely used in enucleation surgery. Infection in this setting is an uncommon but severe complication. Herein a patient with a 3‐year history of chronic socket discharge, orbital discomfort, conjunctival breakdown and implant exposure after enucleation and implantation of a hydroxyapatite sphere 7 years previously is reported. Repeated attempts at covering the exposed implant failed. Eventually the implant was removed, and Aspergillus fumigatus was cultured from the explanted material. This is the second reported case of Aspergillus infection of a hydroxyapatite orbital implant, and the first case where fungal cultures were positive.

Dislocated crystalline lens in an Aboriginal patient

Dislocated crystalline lens in an Aboriginal patientajr_1257 97..98 Neil S. Sharma, MBBS (Hons), MPH, Maria Z. Li, MBBS (Hons), DCH, Ju-Lee Ooi, MBBS, MPH, Dip Paeds Australian School of Advanced Medicine and Macquarie University Hospital, University of Sydney, University of Wollongong, St George Hospital, Sydney, and Sydney Eye Hospital and University of New South Wales, Sydney, New South Wales, Australia