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Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society

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https://www.readbyqxmd.com/read/27330396/kyrieleis-plaques-associated-with-herpes-simplex-virus-type-1-acute-retinal-necrosis
#1
Neha Goel, Amrita Sawhney
We report the case of a 55-year-old immunocompetent male who presented with features typical of acute retinal necrosis (ARN). Polymerase chain reaction of the aqueous tap was positive for Herpes Simplex Virus (HSV) - 1. Following therapy with intravenous Acyclovir, followed by oral Acyclovir and steroids, there was marked improvement in the visual acuity and clinical picture. At one week after initiation of treatment, Kyrieleis plaques were observed in the retinal arteries. They became more prominent despite resolution of the vitritis, retinal necrosis and vasculitis and persisted till six weeks of follow-up, when fluorescein angiography was performed...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330395/intravitreal-ranibizumab-in-the-treatment-of-choroidal-neovascularization-secondary-to-morning-glory-syndrome-in-a-child
#2
Abdullah Özkaya, Ihsan Yilmaz, Zeynep Alkin, Yalcin Karakucuk, Ahmet Taylan Yazici
Congenital optic nerve abnormalities may rarely cause choroidal neovascularization (CNV). This case report summarizes the clinical and therapeutic outcomes of a 7-year-old boy with unilateral CNV secondary to morning glory syndrome associated with acute visual acuity loss. The patient was successfully treated with a single intravitreal ranibizumab injection. One month after the injection the visual acuity increased and optic coherence tomography (OCT) showed a decrease in the intraretinal fluid around the CNV...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330394/an-unusual-radiological-presentation-of-optic-nerve-sheath-meningioma
#3
Chameen Samarawickrama, Ellen Frydenberg, Matthew Wells, Timothy Steel, Raf Ghabrial
Our report describes an unusual radiological presentation of optic nerve sheath meningioma. The classic radiological appearance of optic nerve thickening with enhancement and calcification within the tumor was not seen; instead, an elongating gadolinium enhancing band-like area adjacent to the superomedial aspect of the left optic nerve sheath was identified. The diagnosis was confirmed on histopathology. Our report adds to the spectrum of presentations of this relatively common clinical entity.
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330393/continuous-intraoperative-oct-guided-management-of-post-deep-anterior-lamellar-keratoplasty-descemet-s-membrane-detachment
#4
Namrata Sharma, Neelima Aron, Prateek Kakkar, Jeewan S Titiyal
Continuous intraoperative optical coherence tomography (iOCT) integrated into the operating microscope is a new modification in the current operating microscope to aid in the surgical procedures involving both the anterior and the posterior segment. This helps in intraoperative planning, modification of the surgical steps if required and confirmation of the surgical endpoint in the operating room itself. iOCT was used for the successful management of descemet's membrane detachment (DMD) following deep anterior lamellar keratoplasty (DALK) with intracameral injection of 20% Sulphur hexafluoride...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330392/scleral-abscess-following-posterior-subtenon-triamcinolone-acetonide-injection-for-diabetic-macular-edema
#5
Koushik Tripathy, Yog Raj Sharma, Harsh Inder Singh, Rajpal Vohra, Pradeep Venkatesh, Shabeer Basheer
A 65-year-old male with uncontrolled diabetes, received posterior subtenon triamcinolone (PST) injection in the right eye for diabetic macular edema. Two days following PST, he developed scleral abscess at the injection site. The Gram stain showed Gram positive cocci in clusters. He responded favorably with systemic control of diabetes, topical concentrated cefazolin, concentrated tobramycin, and intravenous antibiotics. Possibility of infective complications should be considered when using periocular steroids, especially in diabetics...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330391/vitiligo-in-association-with-vernal-keratoconjunctivitis
#6
Sunil Kumar, Wajeeha Al Khars
Vernal keratoconjunctivitis (VKC) is a chronic allergic inflammation of ocular surface involving the tarsal and/or bulbar conjunctiva. Signs of VKC are confined to the conjunctiva and cornea. The skin of the lid remains uninvolved. Here we report a case of 17 year-old male suffering from VKC who develops vitiligo of lid skin and lash poliosis. All ocular and systemic causes of localized skin and lash depigmentation were excluded in our patient by thorough clinical examination and investigations. During regular follow-up for two-year patient did not develop any ocular and systemic illness presenting as vitiligo and poliosis...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330390/late-onset-endophthalmitis-associated-with-unexposed-glaucoma-valved-drainage-device
#7
Abdulaziz AlHadlaq, Salem AlMalki, Sami AlShahwan
We report an extremely rare presentation of late-onset endophthalmitis in a young adult patient with an unexposed Ahmed tube implant. The implant was inserted 11 years prior to presentation. There was no history of trauma or any obvious exposure on clinical examination and the tube plate was filled with purulent material. After aqueous and vitreous tap, the patient underwent intracameral, intravitreal subconjunctival antibiotic injections and was started on systemic antibiotics with good response. Endophthalmitis associated with tube drainage device can present as late as 11 years and even without an unexposed tube...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330389/bilateral-acute-iris-transillumination-case-report
#8
Cumali Degirmenci, Suzan Guven Yilmaz, Melis Palamar, Halil Ates
Bilateral acute iris transillumination (BAIT) is a recently defined disease characterized with bilateral acute, severe pigment dispersion of iris and pupil sphincter paralysis. The etiopathogenesis of the disease is unknown, but antibiotics such as moxifloxacin, clarithromycin, viral infections, and fumigation therapies were considered as probable etiologic factors. A 33-year-old female was referred to our clinic for acute iridocyclitis refractory to azathioprine, colchicum and corticosteroid treatments. Ophthalmic examination revealed bilateral pigment dispersion, significant iris transillumination, heavy pigment deposition in iridocorneal angle, and elevated intraocular pressure...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330388/ocular-findings-in-systemic-lupus-erythematosus
#9
REVIEW
Samir S Shoughy, Khalid F Tabbara
Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease. Ocular complications occur in up to one-third of patients with SLE. The ocular findings may represent the initial manifestation of the disease and may lead to severe ocular morbidity and loss of vision. Early diagnosis and prompt management of patients with SLE are mandatory and require collaboration between the ophthalmologist and the rheumatologist.
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330387/high-frequency-of-squamous-intraepithelial-neoplasia-in-pterygium-related-to-low-ultraviolet-light-exposure
#10
Pablo Zoroquiain, Samir Jabbour, Sultan Aldrees, Natalia Villa, Vasco Bravo-Filho, Helena Dietrich, Patrick Logan, Miguel N Burnier
PURPOSE: The aim of this study was to determine the frequency of clinically unsuspected ocular surface squamous neoplasia (OSSN) in cases of biopsied pterygium (PT). METHODS: We reviewed 15,016 cases presented at the Henry C. Witelson Ocular Pathology Laboratory during the period 1993-2013. All cases with a clinical diagnosis of PT were included. Histopathological diagnoses were reviewed and demographic data were retrieved from histopathological request forms. All cases associated with OSSN were re-evaluated independently by two ocular pathologists...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330386/incidence-of-retinopathy-of-prematurity-at-two-tertiary-centers-in-jeddah-saudi-arabia
#11
Saad Waheeb, Khalid Alshehri
PURPOSE: To review the incidence and risk factors for retinopathy of prematurity (ROP) King Faisal Specialist Hospital and King Abdulaziz University Hospital in Jeddah, Saudi Arabia. MATERIAL AND METHODS: In this prospective cohort study, preterm infants who were admitted to a neonatal intensive care unit from 2012 to 2013 were evaluated for ROP. Inclusion criteria were, preterm infants with gestational age <32 weeks and/or birth weight <1500 g. The risk factors that were assessed were intraventricular hemorrhage, patent ductus arteriosus (PDA), sepsis and hydrocephalus...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330385/neutrophil-lymphocyte-ratio-and-mean-platelet-volume-in-branch-retinal-vein-occlusion
#12
Esra Turkseven Kumral, Nursal Melda Yenerel, Nimet Yesim Ercalik, Serhat Imamoglu, Ece Turan Vural
PURPOSE: To evaluate the mean platelet volume (MPV) and the neutrophil/lymphocyte ratio (NLR) in patients with branch retinal vein occlusion (BRVO). METHODS: Thirty patients with branch retinal vein occlusion (BRVO group) and 27 age and sex matched subjects (control group) were included in the study. MPV and NLR parameters obtained from peripheral blood were recorded. RESULTS: The mean age was 62.6 ± 12.3 years in BRVO and 63.5 ± 8...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330384/morphometric-changes-of-corneal-endothelial-cells-following-intracameral-air-for-micro-perforation-of-the-descemet-membrane-during-big-bubble-deep-anterior-lamellar-keratoplasty
#13
Ashbala Khattak, Fouad R Nakhli, Hussam Mohammad Abdullatif Abouollo
AIM: The aim of this study was to assess the effect of intracameral air on the endothelial cell morphometrics. PATIENTS AND METHODS: This is a retrospective controlled interventional cohort study of 26 patients (18 males and 8 females) who underwent unilateral deep anterior lamellar keratoplasty (DALK) for moderate keratoconus. The DALK patients were divided into two groups: a treatment group (14), which had micro perforations of the Descemet Membrane (DM) intraoperatively and received intracameral air at the end of the surgery; and an independent control group (12), which had no micro perforation and thus no intracameral air was injected...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330383/exophthalmometry-value-distribution-in-healthy-lithuanian-children-and-adolescents
#14
Dalia Jarusaitiene, Julija Lisicova, Agne Krucaite, Jurate Jankauskiene
PURPOSE: To determine absolute and relative ocular protrusion values for healthy Lithuanian children and adolescents and analyze the data according to the age, gender, weight, height, and outer orbital distance. METHODS: A total of 397 children and adolescents were included in this study. Measurements for the right and left eyes protrusions were done with Hertel exophthalmometer in healthy subjects aged from 5 to 18 years old. Height, weight, age and gender of subjects were recorded...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330382/imaging-drusens-using-spectral-domain-optical-coherence-tomography
#15
Laxmi Gella, Rajiv Raman, Tarun Sharma
PURPOSE: The purpose was to evaluate pathological changes of photoreceptor layer and retinal pigment epithelium in eyes with drusens using Spectral Domain Optical Coherence Tomography (SD-OCT). METHODS: Twenty-nine eyes of 29 patients with (drusens) dry age-related macular degeneration and 43 eyes of 43 controls were included in this study. All subjects underwent complete ophthalmic examination including SD-OCT. Central foveal thickness (CFT), photoreceptor layer (PRL) thickness and retinal pigment epithelial (RPE) thickness were measured and compared between the groups...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27330381/comparative-evaluation-of-applanation-and-indentation-tonometers-in-a-community-ophthalmology-setting-in-southern-india
#16
Swathi Nagarajan, Veerabahu Velayutham, G Ezhumalai
PURPOSE: Measurement of intraocular pressure (IOP) is one of the basic investigations in a general ophthalmic workup. In this study, we attempt to determine the agreement in the measurement of IOP obtained by Perkin's applanation tonometer, noncontact tonometer and Schiotz indentation tonometer in patients attending general ophthalmology OPD in a tertiary care centre in South India and its use in a community ophthalmology setting. METHODS: A cross-sectional analytical study in which IOP was measured in patients using the three tonometers...
April 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/26949368/diagnosis-of-reverse-implantable-collamer-lens-icl-orientation-on-anterior-segment-optical-coherence-tomography-asoct
#17
Jawahar Lal Goyal, Ritu Arora, Aditi Manudhane, Gaurav Goyal
No abstract text is available yet for this article.
January 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/26949367/unilateral-phthiriasis-palpebrarum-infestation-in-a-child-during-occlusion-therapy-for-amblyopia-case-report
#18
Elif Demirkilinc Biler, Ozlem Barut Selver, Melis Palamar, Ahmet Uner, Onder Uretmen
An 8-year-old mentally retarded boy is brought to the hospital because of itching and burning at his right eye for 10 days. He was on full time right eye occlusion therapy for left amblyopia. Slit lamp examination revealed nits and adult lice anchored to the eyelashes in his occluded eye. Eyelashes and all detected lice and nits were mechanically trimmed, and sent for parasitological examination, which confirmed the diagnosis. Upon familial evaluation for additional infestation, the father was also found to have genital phthiriasis pubis and received appropriate treatment...
January 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/26949366/secondary-implantation-of-implantable-collamer-lens-icl-for-correction-of-anisometropic-hyperopia-in-a-3-year-old-pseudophakic-child
#19
Khalid E Emara, Omar Al Abdulsalam, Ahmed Al Habash
We report the first case of secondary implantation of implantable collamer lens (ICL) for correction of anisometropic hyperopia in a 3-year-old pseudophakic child. The ICL implantation was considered in our patient due to parental noncompliance for contact lens and spectacles use for one year. In terms of efficacy, the preoperative refractive error of +7.00-1.75 diopter (D) reduced to +1.00-1.75 D. The uncorrected distance visual acuity (UDVA) significantly improved from 20/400 (preoperatively) to 20/50 (postoperatively)...
January 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/26949365/endogenous-bacterial-endophthalmitis-masquerading-as-an-intraocular-tumor
#20
Anna Paola Salvetti, Marco Pellegrini, Ferdinando Bottoni, Giovanni Staurenghi
A 40-year-old female patient referred for a possible intraocular tumor was found to have an endogenous bacterial endophthalmitis in her right eye. Fundus examination revealed an amelanotic dome shaped choroidal mass and an exudative retinal detachment. Enhanced Depth Imaging-Optical Coherence Tomography (EDI-OCT), fundus autofluorescence (FAF) and ultrasounds were suggestive of a possible choroidal melanoma. A multimodal imaging approach and a thorough anamnesis were instrumental in establishing the correct diagnosis...
January 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
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