Journal of Case Reports in Practice
Volume:7 Issue: 1, Jan 2019

Implantation of iris-claw Artisan intraocular lens (IOL) is a surgical option for correction of aphakia; however, these IOLs have not been used in eyes with uveitis including Fuchs’ heterochromic iridocyclitis (FHI) due to possible risk of severe postoperative intraocular inflammation. In our case,we primarily implanted an Artisan IOL in a 37-year-old woman with FHI who had subluxated lens and cataract. The nucleus delivered by ICCE technique. Enclavation was easily performed and no intraoperative complication was noted.the IOP was rised after surgery to 24 mmhg and gross hyphema was seen. Postoperative course has not significant anterior chamber inflammation during 12 months of follow-up. The patient achieved a best-corrected visual acuity of 20/20 without any complications and IOP controlled by timolol for 1 months and hyphema was resolved .Therefore, Artisan IOL may be considered for correction of refractive error in cataract patients with FHI. However, studies on large number of patients are required to evaluate safety of the procedure.

Actinomycosis is a chronic, slowly progressive and suppurative infection, caused by actinomyces israeli and actinomyces gerenecseriae. limb involvement is not usual in this infection and limb amputation has been reported in a few cases. Here, we report a case of resistant right hand actinomycotic osteomyelitis of distal radius, carpal, and metacarpal bones in a 38-year-old woman, treated with various antibiotics, several debridement sessions, and amputation, finally. Imaging and pathological information are discussed and different medical and surgical treatment approaches are included. Taking a good history and timely diagnosis can lead to treating actinomycosis through medical and surgical treatments, if needed, before the catastrophic outcomes and amputation.