Bob Wang, Adam Rudkin, Paul Badenoch, Geoff Higgins, Dinesh Selva
The purpose of this study is to provide an overview of laboratory-confirmed chlamydial ocular disease. Specifically, we describe the incidence and associated clinical characteristics of adult inclusion conjunctivitis (AIC), chlamydial ophthalmia neonato-rum (CON), and trachoma.
The pathology records at two tertiary teach-ing hospitals in South Australia were investigated. The study includes all patients in which chlamydia was detected in a conjunctival specimen (direct immu-nofluorescence, culture or PCR) between January 2000 and June 2009. Case records were reviewed retrospectively.
64 patients were identified. 55 were diag-nosed with AIC, 9 with CON and none with trachoma. The median age of patients was 22 years (range: 14 to 56 years) for AIC and 15 days (range: 7 to 35 days) for CON. The average duration of symptoms prior to diagnosis was 17.3 days for AIC and 8.3 days for CON. For AIC, 15% of the patients had bilateral involve-ment, 85% had follicular conjunctivitis, 47% had sub-epithelial infiltrates, 38% had superficial punctate keratitis, and 17% had pre-auricular lymphadenopa-thy. All patients with CON were delivered vaginally and 22% were preterm. All were afebrile at diagnosis and 67% had bilateral involvement.
In our study, the most common mani-festation of ocular chlamydia was AIS and there were no identified cases of active trachoma. A persisting follicular conjunctivitis was the most common pre-senting feature of AIS.
GLISTENINGS IN INTRAOCULAR LENSES IN AUSTRALIA AND NEW ZEALAND- A COLLABORATIVE SURGICAL QUALITY AUDIT OVER THE 24 MONTH PERIOD UP TO FEBRUARY 2017. FINDINGS OF THIS AUDIT OF LENSES IMPLANTED BETWEEN 1995 AND 2016, HIGHLIGHT THE ONGOING PRESENCE AND SEVERITY OF VACUOLES EVEN IN THE MOST RECENTLY IMPLANTED LENSES.