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Digital Journal of Ophthalmology: DJO

Amanda Mohanan-Earatt, Lathika Vasu Kamaladevi, Charles K Skariah
No abstract text is available yet for this article.
2016: Digital Journal of Ophthalmology: DJO
Stacey Lu, Mehran Taban
Patients with bilateral serous retinal detachments and panuveitis related to Vogt-Koyanagi-Harada disease are commonly managed with oral corticosteroids, immunosuppressive agents, and/or intravitreal injections. We present the case of a 56-year-old Hispanic man with Harada disease whose bilateral serous retinal detachments and panuveitis were treated with topical corticosteroid difluprednate alone. Functional and anatomical recoveries were assessed by fluorescein angiograms and optical coherence tomography studies over a period of 9 months...
2016: Digital Journal of Ophthalmology: DJO
Sandro Saviano, Pia Easter Leon, Alessandro Mangogna, Daniele Tognetto
PURPOSE: To assess the efficacy and safety of combined intravitreal bevacizumab and low-fluency-rate photodynamic therapy (PDT) in the treatment of choroidal neovascularization (CNV) associated with age-related macular degeneration (AMD) and to compare it with intravitreal bevacizumab monotherapy. METHODS: A total of 62 eyes of 62 patients with angiographic evidence of CNV were divided into 2 groups: the eyes of one group were treated with a combined therapy of 1 intravitreal bevacizumab injection (1...
2016: Digital Journal of Ophthalmology: DJO
Federico Ricci, Antonio Calabrese, Cecilia De Felici, Filippo Missiroli, Marco Pileri, Federico Regine
PURPOSE: To report the outcome of 5 consecutive cases of presumed, noninfectious endopththalmitis following intravitreal injection of bevacizumab (IVB). METHODS: Ten pre-loaded syringes of bevacizumab (1.25 mg/50 µL) furnished by a compounding pharmacy were injected intravitreally. Treatments were performed in the operating room by the same surgeon on 2 consecutive days. RESULTS: Of 10 eyes, 5 showed moderate to severe ocular inflammation within a few days of injection...
2016: Digital Journal of Ophthalmology: DJO
Cory Miller, Luke Dolezal, Sandra R Montezuma
No abstract text is available yet for this article.
2016: Digital Journal of Ophthalmology: DJO
Bryan K Hong, Emil Anthony T Say, Patricia Chévez-Barrios, Thomas C Lee, Jonathan W Kim
Anterior chamber cholesterolosis is a rare phenomenon typically associated with non-neoplastic conditions such as hyphema or Coats disease; it has never been reported to be associated with intraocular malignancy. We report a case of anterior chamber cholesterolosis presenting in the setting of retinoblastoma and discuss clinical features relevant for its differentiation from Coats disease.
2016: Digital Journal of Ophthalmology: DJO
Rajesh Subhash Joshi
We report a case of rapid anterior lens capsular contraction leading to decentration of a hydrophilic acrylic lens with stiff haptics (Rayner design). To our knowledge, this is the first report to investigate early capsular contraction with folding of the haptic over the optic in a patient with a tendency toward hypertrophic scar formation.
2016: Digital Journal of Ophthalmology: DJO
Alexander W S Dryden, Mrinal Rana, Pravin Pandey
A 49-year-old diabetic man presented with a 2-day history of a painful right eye associated with a purulent discharge. Prior to becoming symptomatic, he reported that someone spat at him, resulting in direct contact between the saliva and his affected eye. Gram stain revealed numerous leucocytes with Gram-negative diplococci, and culture yielded Neisseria meningitidis (serogroup C). There was no evidence of any systemic infection, and blood cultures were negative for any growth. He was treated for primary meningococcal conjunctivitis (PMC) with intensive topical antibiotic eyedrops as well as systemic antibiotics...
2016: Digital Journal of Ophthalmology: DJO
Louis F Dell'Osso, Faruk H Orge, Jonathan B Jacobs
PURPOSE: To test the hypothesis that augmented tenotomy and reattachment surgery (AT-R), which involves placing an additional suture in each distal tendon during the 4-muscle tenotomy and reattachment (T-R) or other infantile nystagmus syndrome (INS) procedures, could increase the beneficial effects of many types of extraocular muscle (EOM) surgery to treat INS. METHODS: Both infrared reflection and high-speed digital video systems were used to record the eye movements in 4 patients with INS before and after AT-R surgery...
2016: Digital Journal of Ophthalmology: DJO
Christopher T Leffler, Allison Pariyadath
PURPOSE: To compare strabismus surgery reoperation rates in a large national database of provider payments when the adjustable-suture technique was available and not available. MATERIALS AND METHODS: Fee-for-service payments to Medicare providers for horizontal (CPT 67311) and vertical (CPT 67314) strabismus surgery in 2012 were analyzed to identify payments for reoperations in the same calendar year. The adjustable-suture technique was considered to be available to the patient if the patient's surgeon billed for adjustable sutures during the year...
2016: Digital Journal of Ophthalmology: DJO
Gabriel Lazcano-Gomez, David Ancona-Lezama, Felix Gil-Carrasco, Jesus Jimenez-Roman
PURPOSE: To determine whether topical application of travoprost 0.004% induces changes in corneal biomechanical properties affecting intraocular pressure (IOP) values in rabbits. METHODS: Both eyes of 10 New Zealand rabbits were measured 3 times with the Ocular Response Analyzer (ORA) before treatment. Each measurement included corneal hysteresis (CH), corneal resistance factor (CRF), corneal-corrected IOP (IOPcc), and Goldmann equivalent IOP (IOPg). A drop of travoprost 0...
2016: Digital Journal of Ophthalmology: DJO
Duriye D Sevgi, Lucia Sobrin, George N Papaliodis
Cogan syndrome is a rare disease characterized by coexisting audiovestibular and ocular symptoms. Almost half of patients develop systemic manifestations. We report the case of a 38-year-old woman who presented with severe medium and large vessel vasculitis as a systemic manifestation of Cogan syndrome.
2016: Digital Journal of Ophthalmology: DJO
Maria Stephanie R Jardeleza, Marc-Andre Rheaume, James Chodosh, Anne Marie Lane, Claes H Dohlman
PURPOSE: To determine the rates, predisposing factors, and visual outcomes of retinal detachment (RD) after Boston Keratoprosthesis (KPro) implantation. METHODS: In this noncomparative, interventional case series, the medical records of 170 patients (205 eyes) who underwent Boston type 1 and type 2 KPro implantation at the Massachusetts Eye and Ear Infirmary between April 1993 and June 2009 were retrospectively reviewed. Incidence and annual rates of RD were calculated, and the roles of possible predictive factors for RD after KPro were investigated...
2015: Digital Journal of Ophthalmology: DJO
Ambika Hoguet, Louis R Pasquale
This review article summarizes four key case reports published in the field of glaucoma in the year 2014. The first article describes successful early drainage of delayed suprachoroidal hemorrhage in 7 patients who underwent glaucoma surgery. The second describes the use of a corneal patch graft to repair leaking or hypotonous blebs in patients who underwent glaucoma filtration surgery. The third article describes methods to reduce complications when implanting posterior chamber phakic intraocular lenses. The last article describes the clinical course and treatment of a patient in whom oseltamivir use resulted in bilateral acute angle closure...
2015: Digital Journal of Ophthalmology: DJO
Kenneth J Taubenslag, Stephen J Kim, Albert Attia, Ty W Abel, Hilary Highfield Nickols, Kristin K Ancell, Anthony B Daniels
A 75-year-old man was incidentally found to have a yellow-white retinal lesion with scattered hemorrhages. He was empirically treated elsewhere for viral retinitis without resolution and later transferred to the Vanderbilt Eye Institute, where retinal biopsy with silicone oil tamponade showed retinal metastasis. He had no prior history of cancer, and multiple systemic imaging evaluations failed to identify a primary site. Histopathology and immunohistochemistry of the biopsy were consistent with non-small-cell lung carcinoma...
2015: Digital Journal of Ophthalmology: DJO
Morgan L Pansegrau, Eddie Mengarelli, Inci Irak Dersu
Neovascular glaucoma is commonly treated surgically with implantation of glaucoma drainage devices. We report the case of a 57-year-old man who underwent an uneventful Ahmed glaucoma valve (AGV) placement for radiation-induced neovascular glaucoma but later developed early postoperative infection with tube exposure. The infection was identified 3 weeks postoperatively and antibiotic treatment was immediately initiated. However, the conjunctival melt progressed, and the AGV had to be removed. Culture of the device revealed methicillin-resistant Staphylococcus aureus (MRSA)...
2015: Digital Journal of Ophthalmology: DJO
Lewis Y W Lam, Robert G Weatherhead
We report a case of tympanic membrane rupture during snorkeling in a 17-year-old young man who had previously undergone bilateral Jones tubes placed for epiphora. To our knowledge, this phenomenon has not been previously reported.
2015: Digital Journal of Ophthalmology: DJO
Gaurav Jindal, Aubrey Gilbert, Rafeeque Bhadelia, Nurhan Torun
No abstract text is available yet for this article.
2015: Digital Journal of Ophthalmology: DJO
Ahmed Al Habash, Khalid Al Arfaj, Omar Al Abdulsalam
We describe the case of a healthy 28-year-old woman who underwent implantation of a posterior chamber, phakic, toric, implantable Collamer lens (ICL) in both eyes for correction of bilateral high myopia with astigmatism. On the first postoperative day the patient developed increased intraocular pressure (IOP) and a fixed, mid-dilated pupil in her left eye. The elevated IOP was corrected within 3 days by medical treatment. However, the pupil remained mid-dilated and nonreactive to both light and accommodative effort during 2 months of follow-up; there was no reaction to pilocarpine (0...
2015: Digital Journal of Ophthalmology: DJO
Daniel R Lefebvre, Sonya Dhar, Irene Lee, Felicia Allard, Suzanne K Freitag
PURPOSE: To investigate nonidiopathic causes of external dacryocystorhinostomy (DCR) failure. METHODS: The medical records of all patients with acute or chronic dacryocystitis who underwent external dacryocystorhinostomy performed by the senior author over a 5-year period were retrospectively reviewed, with attention to microbiology, pathology, and associated medical and history. RESULTS: A total of 52 lacrimal systems of 49 patients were included, with a minimum follow-up of 2 months (average, 15...
2015: Digital Journal of Ophthalmology: DJO
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