Retrospective statistical study a collection of all patients with post intra vitreal injection (IVI) endophthalmitis in last 10 year period between 2010–2019 in eye department of Tobruk medical center -Tobruk and eye department of Alwahda hospital - Derna. We aim in this study to review the microbiology, clinical characteristics, diagnosis, and management strategies of post-intra vitreal injection endophthalmitis, by comparing our results with the different studies designs and treatment protocols. There were 9 patients of the after intra vitreal injections endophthalmitis cases. The age average is 70 years, 6 cases are females and 3 casees are male, all of them were practice post intravitreal Avastin injection endophthalmitis. There were 8 patients had Diabetes mellitus (DM), 2 patients had cardiovascular disease and 1 patient had hepatitis C as a systemic disease. The most common causative organism after intra vitreous injection endophthalmitis is Coagulase-negative staphylococci (CNS) 100% from the 56% positive causative organisms and 44% are no detected microorganisms, the outcome of cases which managed with pars-plana-vitrectomy (PPV) improved significantly about 60 Letters (> 3 Lines) and cases managed without PPV > 15 Letters (> 3 Lines). The cases of post intraocular endophthalmitis which diagnosed and treated early with PPV give a good result and can save the vision. The cases of acute POE in the first 3 day had significant better function (P value = 0.02). Conclusion: The post intraocular endophthalmitis is a serious complication, but if treated early with PPV give a good result and can save the vision.

Accurate patient identification is key to ensure the correct administration of therapies. Mix-up of patients’identification and lack of a failsafe system remain common factors in producing erroneous pathology reports or giving the wrong treatment to patients with potential serious ramifications. This paper illustrates the importance of accurate patients’ identification and appropriate action by the clinicians on histology reports. We document 5 cases in which mistakes happened with variable consequences despite robust clinical and laboratory safety measures.

Kidney transplantation is the appropriate treatment for patients with end stage kidney disease. Although it offers survival and quality of life, it is still costing and has its complications such as transplantation failure mainly due to immunological reactions. The main objective of the present study is to describe a case study of a patient with renal failure and kidney fibrosis. Kidney transplantation was recommended. The patient and his family asked for possible alternative therapeutic options. The patient was male, 26 years age. The therapeutic option was a combination of the crude extract of Ammi visnaga and the powder of dried leaves of Urtica pillulifera mixed with honey. This regimen was applied for 21 days. At the end of the regimen, both creatinine and urea were restored to their physiological limits. Taken together, it is possible to use herbs of medical importance to replace kidney transplantation.