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Retinal Cases & Brief Reports

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https://www.readbyqxmd.com/read/28221261/zika-related-maculopathy
#1
Chee Wai Wong, Si Rui Ng, Chui Ming Gemmy Cheung, Tien Yin Wong, Ranjana Mathur
PURPOSE: To report a case of unilateral maculopathy associated with acute Zika virus infection. METHODS: Observational case report of one patient. RESULTS: A 22-year-old man presented with acute blurring of vision 10 days after symptoms of Zika virus infection. Findings resembling unilateral acute idiopathic maculopathy of the right eye were noted on ophthalmoscopy, fluorescein angiography, indocyanine green angiography, and optical coherence tomography...
February 17, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28221260/double-arcuate-relaxing-retinotomy-for-a-large-macular-hole
#2
Murat Karacorlu, Isil Sayman Muslubas, Mumin Hocaoglu, Serra Arf, Mehmet Giray Ersoz
PURPOSE: To describe double arcuate relaxing retinotomy as an alternative surgical technique in a case with a secondary large macular hole. METHODS: The management of a patient who developed a large macular hole and macular tractional rhegmatogenous retinal detachment after pars plana vitrectomy for proliferative diabetic retinopathy was retrospectively assessed. Despite surgical procedures, such as dissection of a preretinal membrane from the retina and peeling of the retinal internal limiting membrane, the macular hole could not be closed...
February 17, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28221259/retinal-metastasis-from-squamous-cell-carcinoma-of-the-lung-a-case-presentation
#3
Ozgur Yalcinbayir, Oner Gelisken, Feyza Sen, Sefa Yasar, Foad Alizadegan
BACKGROUND/PURPOSE: To present a case with retinal metastasis from squamous cell carcinoma of the lung. METHODS: Case report. RESULTS: A 54-year-old man presented with blurry vision in his left eye. His medical history was significant for Stage IV squamous lung carcinoma. He was undergoing chemotherapy and had a known metastasis. He had a slightly elevated whitish lesion associated with retinal hemorrhages in the left posterior pole. Optical coherence tomography showed a full-thickness retinal mass...
February 17, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28198750/relentless-placoid-chorioretinitis-successful-long-term-treatment-with-intravitreal-triamcinolone
#4
Daniel B Roth, Sheila Ballintine, Dimosthenis Mantopoulos, Jonathan Prenner, Howard F Fine
PURPOSE: To report a case of relentless placoid chorioretinitis (ampiginous choroiditis) treated with intravitreal triamcinolone acetonide (IVTA). METHODS: Interventional case report. RESULTS: A 34-year-old pregnant woman with a history of poor visual acuity in her left eye, secondary to an undetermined cause, developed an acute painless central scotoma and blurred vision in the right eye. The examination revealed decreased visual acuity, active inflammatory placoid choroidal lesions in the posterior pole, and mid-periphery with sharp disk margins and normal-appearing vasculature...
February 14, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28195982/identification-of-increased-blue-light-reflectivity-in-macular-telangiectasia-type-2-using-scanning-laser-ophthalmoscopy-versus-red-free-fundus-photography
#5
Talha Soorma, Tjebo Heeren, Daniela Florea, Irene Leung, Tunde Peto
PURPOSE: To compare two modalities used for detection of the characteristic parafoveal hyperreflective area seen in macular telangiectasia Type 2. METHODS: Scanning laser ophthalmoscope blue light reflectance was compared with red-free fundus photography imaging. Images were obtained as part of the international Natural History Study of Macular Telangiectasia (MacTel Study). RESULTS: The hyperreflective area can more frequently be seen with scanning laser ophthalmoscope blue light reflectance than with red-free imaging...
February 10, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28195981/clinical-features-in-a-case-of-occult-macular-dystrophy-with-rp1l1-mutation
#6
Yun Fu, Kuan-Jen Chen, Chi-Chun Lai, Wei-Chi Wu, Nan-Kai Wang
PURPOSE: To investigate appropriate diagnostic testing for occult macular dystrophy (OMD) in a patient with unexplained progressive visual loss. METHODS: Observational case report. RESULTS: Occult macular dystrophy is an uncommon autosomal dominant macular disease, but sporadic occurrences have been noted. We report a patient with progressive visual decline, but with normal findings in fundus photography, visual field, fluorescein angiography, and full-field standard electroretinography...
February 10, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28145942/clinical-pathologic-correlation-of-sarcoidosis-associated-multifocal-chorioretinitis-in-an-elderly-patient
#7
Mohamed G A Saleh, John L OʼDonnell, Ronald P Davis, David Wilson, Phoebe Lin
BACKGROUND/PURPOSE: To describe a case of histopathologic clinical correlation of sarcoidosis-related multifocal chorioretinitis in an elderly individual. METHODS: This is a single case report and review of the pertinent literature. A 72-year-old white woman with a history of asthma was referred with bilateral asymmetric low-grade chronic panuveitis with advancing peripheral punched-out chorioretinal lesions despite systemic corticosteroid treatment. RESULTS: Coalescent chorioretinal punched-out lesions on fundus examination in the more severely affected right eye did not respond to corticosteroid treatment, and the refractory nature resulted in a suspicion of intraocular lymphoma despite a previous inconclusive diagnostic vitrectomy result...
January 31, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28134741/gram-negative-bacteria-from-patients-with-endophthalmitis-distribution-of-isolates-and-antimicrobial-susceptibilities
#8
Benjamin D Wilson, Nidhi Relhan, Darlene Miller, Harry W Flynn
PURPOSE: To study the distribution of isolates and antimicrobial susceptibility of gram-negative bacteria among culture-positive vitreous samples from patients with endophthalmitis. METHODS: The records from culture-positive vitreous isolates (endophthalmitis cases) during a 24-year period (December 1990 to December 2014), at the Microbiology Department of Bascom Palmer Eye Institute were reviewed. RESULTS: In the current study, gram-negative bacteria were reported in 246 (11...
January 27, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28134740/relation-between-fluorescein-angiographic-and-spectral-domain-optical-coherence-tomography-findings-of-blood-flow-turbulence-at-arteriovenous-crossings-in-the-retina
#9
Anne Willerslev, Xiao Qiang Li, Inger Christine Munch, Michael Larsen
PURPOSE: To examine retinal blood flow at arteriovenous crossings using spectral-domain optical coherence tomography (SD-OCT). METHODS: Retrospective observational case series of 11 arteriovenous crossings in 10 eyes examined by SD-OCT and fluorescein angiography on suspicion of manifest or imminent branch retinal vein occlusion. RESULTS: Fluorescein angiographic evidence of turbulence was seen at 5 of 11 arteriovenous crossings, whereas laminar angiographic flow was intact at the crossing and downstream thereof at the remaining 6 crossings...
January 27, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28129236/endogenous-nocardia-endophthalmitis-presenting-as-a-mass-lesion-in-a-patient-with-metatstatic-nonsmall-cell-carcinoma-of-the-lung
#10
Brian Lee, Paul Drayna, Amanda C Maltry, Craig M Mason, Sandra R Montezuma, Dara Koozekanani
PURPOSE: To report a case of Nocardia cyriacigeorgica endophthalmitis. METHODS: Case report. RESULTS: A 71-year-old man on long-term steroid therapy for poor respiratory function from lung carcinoma and presumed recent liver metastases presented with a four week history of blurry vision in the left eye. Ophthalmic examination revealed a white elevated mass in the macula with hemorrhage, concerning for metastasis. The patient was treated for presumed ocular metastases but had poor response to radiotherapy and was diagnosed four weeks later with N...
January 26, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28125501/good-visual-outcome-in-a-bilateral-multifocal-syphilitic-chorioretinitis-despite-late-diagnosis
#11
Ricardo Evangelista Marrocos de Aragao, Ieda Maria Alexandre Barreira, Cristina Muccioli, Gustavo Jose Arruda Mendes Carneiro, Cesar Pereira de Araujo, Everton Fernandes Vieira de Almeida, Talles Peterson Cavalcante Oria, Nayara Queiroz Cardoso Pinto, Jhonatan de Paula Araujo Ferreira
PURPOSE: To report a case of a good visual outcome in a patient with bilateral multifocal syphilitic chorioretinitis, despite the late diagnosis. METHODS: Ophthalmologic examination, multimodal imaging, including fundus photography, angiography, and optical coherence tomography. RESULTS: The authors describe a 47-year-old heterosexual man with a bilateral multifocal syphilitic chorioretinitis that was lately diagnosed and despite that had a good visual outcome...
January 24, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28106626/unusual-serous-retinal-detachment-in-a-patient-with-waldenstrom-macroglobulinemia-a-case-report
#12
Albert B Lin, Alan T Sheyman, Lee M Jampol
BACKGROUND/PURPOSE: To report an unusual appearance of severe bilateral serous detachments in a patient with Waldenstrom macroglobulinemia. METHODS: A case report of a Fifty-six-year-old female patient with Waldenstrom macroglobulinemia. RESULTS: A patient with Waldenstrom macroglobulinemia presented with serous retinal detachments at the time of diagnosis with Waldenstrom. The patient's IgM levels remained abnormally elevated in the initial stages of her disease course, leading to dramatic ocular findings and images on optical coherence tomography...
January 18, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28098710/stellate-nonhereditary-idiopathic-foveomacular-retinoschisis-accompanied-by-contralateral-peripheral-retinoschisis
#13
Daniel Ahmed, Martin Stattin, Carl Glittenberg, Ilse Krebs, Siamak Ansari-Shahrezaei
PURPOSE: To present a patient with stellate nonhereditary idiopathic foveomacular retinoschisis on one eye and peripheral retinoschisis without foveal affection on the other eye. METHODS: A case report with complete workup of family history and clinical examination, including multimodal imaging with optical coherence tomography and angiography, fluorescein angiography, and infrared fundus imaging. Genetic testing for gene mutation XRLS1 was performed. RESULTS: A white woman with unremarkable medical history presented with stellate foveal splitting of the outer plexiform layer on the right eye and peripheral splitting of the outer plexiform layer on both eyes...
January 16, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28098709/multimodal-imaging-during-the-evolution-of-blood-brain-barrier-disruption-maculopathy
#14
Bikramjit P Pal, Tapani Palosaari, Tero Kivelä
PURPOSE: To highlight the course of blood-brain barrier disruption maculopathy in a patient with successfully managed relapsed central nervous system lymphoma. METHODS: Case report with fundus autofluorescence and optical coherence tomography imaging, and literature review. RESULTS: A 57-year-old patient diagnosed with central nervous system large B-cell lymphoma had a normal ophthalmic evaluation on his first visit. Subsequently, when his malignancy recurred locally, he was started on blood-brain barrier disruption therapy and intraarterial methotrexate...
January 16, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28092315/choroidal-blood-vessels-in-retinal-pigment-epithelial-atrophy-using-optical-coherence-tomography-angiography
#15
Ichiro Maruko, Hideki Koizumi, Shota Sawaguchi, Taiji Hasegawa, Hisaya Arakawa, Tomohiro Iida
PURPOSE: To observe choroidal blood vessels in cases sharply demarcated with retinal pigment epithelium (RPE) atrophy at the macular area using en-face optical coherence tomography angiography (OCTA) and standard en-face optical coherence tomography (OCT). METHODS: The retrospective study included 12 eyes (8 patients; 5 men, 3 women; average age, 64.3 years) with RPE atrophy seen by ophthalmoscopy. The macular areas with normal and atrophic RPE sections were examined using en-face OCTA with an 840-nm light source (RTVue XR Avanti; Optovue Inc), which system can obtain standard en-face OCT images at identical areas...
January 13, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28092314/novel-technique-for-subretinal-fluid-drainage-with-chandelier-assisted-scleral-buckle-surgery-cannula-controlled-drainage
#16
Abdulelah A Al-Abdullah
PURPOSE: To report a novel technique for subretinal fluid drainage in scleral buckle surgery. METHODS: A 26-gauge intravenous cannula with its needle was used to puncture the sclera; then, the needle (metallic part) was withdrawn to further introduce the cannula into the subretinal space. In addition, we describe using the 25-gauge microcannula of the chandelier light to inject the balanced salt solution to help restore the intraocular pressure and push the subretinal fluid through the intravenous cannula under direct visualization...
January 13, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28092313/surgical-management-of-tractional-retinoschisis-associated-with-vitreous-hemorrhage-in-retinopathy-of-prematurity
#17
Bozho Todorich, Aristomenis Thanos, Yoshihiro Yonekawa, Edward Korot, Michael T Trese, Kimberly A Drenser, Antonio Capone
PURPOSE: The tractional retinoschisis is a poorly understood, rare, and likely underappreciated entity in retinopathy of prematurity. The purpose of this article is to describe clinical findings and surgical management of tractional retinoschisis in retinopathy of prematurity, masquerading as Stage 4 retinopathy of prematurity retinal detachment. METHODS: A retrospective review of a single case with literature review and case discussion. RESULTS: In this report, we describe a child with retinopathy of prematurity and tractional schisis, who initially presented with vitreous hemorrhage and was effectively managed by vitrectomy and inner wall retinectomy...
January 13, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28085762/paracentral-acute-middle-maculopathy-associated-with-postviral-purtscher-like-retinopathy
#18
Abtin Shahlaee, Jayanth Sridhar, Ehsan Rahimy, Wendy S Shieh, Allen C Ho
PURPOSE: To report the imaging findings of a single case of paracentral acute middle maculopathy associated with bilateral Purtscher-like retinopathy in the setting of recent viral illness. METHODS: Case report, multimodal imaging. RESULTS: A 21-year-old woman who awoke with sudden-onset bilateral finger count vision in the setting of a recent viral illness. Initial examination and imaging was consistent with a bilateral Purtscher-like retinopathy with evidence of paracentral acute middle maculopathy and ellipsoid zone thickening and hyperreflectivity on spectral domain optical coherence tomography (OCT)...
January 12, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28085761/new-findings-from-multimodal-fundus-imaging-over-3-years-of-a-patient-with-microcephaly-chorioretinopathy-and-kif11-mutation
#19
Anthony Rososinski, Tuan Tran, Justin Galvin, Chirag Patel, Adrian T Fung
PURPOSE: To describe ocular features and long-term follow-up in a patient with microcephaly, chorioretinopathy, and KIF11 mutation. METHODS: Multimodal imaging including fundus color photography, autofluorescence, spectral-domain optical coherence tomography, visual fields, electrophysiologic assessment, and neuroimaging. RESULTS: A 44-year-old man with microcephaly and long-standing poor vision in his right eye presented for general ophthalmic review...
January 12, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28085760/outer-retinal-tubulations-in-chronic-rhegmatogenous-retinal-detachment
#20
Carly Seidman, Szilard Kiss, Anton Orlin
BACKGROUND/PURPOSE: To present the first reported case of outer retinal tubulations in the setting of a rhegmatogenous retinal detachment. METHODS: Case report. PATIENTS: A 56-year-old man presented with a right eye retinal detachment of unclear duration. On examination, he was found to have a chronic-appearing rhegmatogenous retinal detachment involving the peripheral macula with a demarcation line. RESULTS: Spectral-domain optical coherence tomography revealed outer retinal tubulations in the area of demarcation but not in the area of the detached retina...
January 12, 2017: Retinal Cases & Brief Reports
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