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Retinal Cases & Brief Reports

George J Manayath, Arvind Jain, Ratnesh Ranjan, Adarsh S Naik, Vekatapathy Narendran
PURPOSE: To report a case of idiopathic full-thickness macular hole in a young boy, which was managed surgically with good visual and anatomical outcomes. METHOD: Single case report. RESULTS: An 8-year-old boy presented for defective vision in the left eye noticed for the past 2 weeks with best-corrected visual acuity of 6/24. A large full-thickness macular hole was diagnosed clinically and was confirmed on optical coherence tomography. There was no clinical or tomographic findings suggestive of trauma or retinal degeneration...
October 9, 2018: Retinal Cases & Brief Reports
Saumya M Shah, Lisa A Schimmenti, Alan D Marmorstein, Sophie J Bakri
PURPOSE: To report a case of adult-onset vitelliform macular dystrophy in a patient who was found to have a previously unreported variant of the IMPG2 gene. METHODS: Case report. RESULTS: A 65-year-old white woman with no significant medical or ocular history presented with a complaint of persistent wavy vision for 10 months. On funduscopic examination, bilateral vitelliform lesions of approximately 1 mm in the right eye and 0.5 mm in the left eye were evident, with no choroidal neovascularization in either eye...
October 8, 2018: Retinal Cases & Brief Reports
Rengin Aslıhan Kurt, Baris Sonmez, Ziya Kapran
PURPOSE: To report neurotrophic keratopathy after vitreoretinal surgery combined with aggressive photocoagulation. METHODS: We report a series of three cases with neurotrophic keratopathy after pars plana vitrectomy combined with endolaser photocoagulation. RESULTS: Three patients who had pars plana vitrectomy with different indications were identified. On follow-up, all patients were diagnosed with neurotrophic keratopathy. Two of the patients underwent amniotic membrane transplantation for the treatment of resistant neurotrophic corneal ulcers...
October 8, 2018: Retinal Cases & Brief Reports
Daniel G Cherfan, Andrew W Browne, Ryan Deasy, James Lapinski, Sunil K Srivastava
PURPOSE: To present an atypical case of syphilis that presented with findings concerning for endocarditis and valsalva retinopathy. METHODS: History and clinical examination of 42-year-old white man who presented to the emergency department with acute onset vision changes associated with gastrointestinal symptoms, otalgia, and constitutional symptoms. RESULTS: The review of this case highlights the atypical nature in which syphilis can present and can remain undiagnosed even in the face of extensive workups for other systemic conditions...
October 8, 2018: Retinal Cases & Brief Reports
Michael Colucciello
PURPOSE: To report a case of photoreceptor restitution and vision improvement with pneumatic compaction treatment of acute subfoveal hemorrhage in a patient with angioid streaks associated with pseudoxanthoma elasticum, observed by sequential fundus photography, spectral domain optical coherence tomography, and fundus autofluorescence. METHODS: Findings on initial and sequential clinical examinations, fundus autofluorescence, and spectral domain optical coherence tomography are presented, before and after pneumatic compaction, demonstrating the course of compaction and resolution of subfoveal hemorrhage and status of the foveal ellipsoid zone and external limiting membrane...
October 8, 2018: Retinal Cases & Brief Reports
Peter H Tang, Tyson R Kinnick, James C Folk, MaryAnn Mahajan, Alexander G Bassuk, Stephen H Tsang, Vinit B Mahajan
PURPOSE: To characterize the changes found in the electroretinography (ERG) recordings of patients with autosomal dominant neovascular inflammatory vitreoretinopathy and correlate with clinical stages of the disease. METHODS: Retrospective chart review. Bright- and dim-flash full-field scotopic, photopic, and 30-Hz flicker ERGs were obtained according to international standards. The scotopic ERGs were further processed to analyze the oscillatory potential. The patient described in the case report underwent full ERG testing; five patients composed the archival case series data and included scotopic ERG recordings...
October 8, 2018: Retinal Cases & Brief Reports
Ravi Parikh, Orly Gal-Or, Yoichi Sakurada, Belinda Leong, K Bailey Freund
PURPOSE: To describe the occurrence of an acquired choroidal nevus in a 73-year-old white man. METHODS: Case report. RESULTS: A 73-year-old white man was referred for an evaluation and treatment of macular changes in his left eye consistent with pachychoroid neovasculopathy. Baseline funduscopic examination and color fundus photographs showed two small peripheral choroidal nevi in the right eye and a single small choroidal nevus in the far temporal macula of the left eye...
October 3, 2018: Retinal Cases & Brief Reports
Mehmet Giray Ersoz, Mumin Hocaoglu, Isil Sayman Muslubas, Serra Arf, Murat Karacorlu
PURPOSE: To report first case of sequential development of pachychoroid pigment epitheliopathy (PPE) and central serous chorioretinopathy (CSC) after repeated intravitreal dexamethasone implantations for diabetic macular edema treatment. METHODS: We present a case of a 54-year-old man having intravitreal dexamethasone implant for bilateral diabetic macular edema. RESULTS: We observed development of pachychoroid pigment epitheliopathy, seen as a small pigment epithelial detachment on optical coherence tomography after a fourth dexamethasone implantation...
September 26, 2018: Retinal Cases & Brief Reports
Dong-Wouk Park, Brock Alonzo, Ambar Faridi, Kavita V Bhavsar
PURPOSE: Photic retinal toxicity induced by exposure to arc welding can lead to irreversible vision loss. Serial multimodal imaging is characterized in a patient with outer retinal damage secondary to welder's maculopathy. METHODS: A single case was retrospectively reviewed. RESULTS: Spectral domain optical coherence tomography acutely revealed disruption of the ellipsoid zone, hyperreflective bands through the outer nuclear layer, and outer retinal cavitation consistent with phototoxicity...
September 26, 2018: Retinal Cases & Brief Reports
Juan José Toledo, Jesús Ramón García, Mónica Asencio, Armelle Schlincker, Alejandro López
PURPOSE: To describe an atypical case of acute retinal pigment epitheliitis including spectral domain optical coherence tomography (OCT) and OCT angiography features. METHODS: We report a 41-year-old woman with 3 episodes of acute retinal pigment epitheliitis over a 3-year period. Spectral domain OCT and OCT angiography images were acquired with Cirrus 5,000 spectral domain OCT. RESULTS: Although acute retinal pigment epitheliitis is described as a benign, self-limited pathology, as this case shows, recurrences are possible...
September 26, 2018: Retinal Cases & Brief Reports
Fabio Patelli, Leonardo Colombo, Mohamed Omar M Aly, Luca Rossetti
PURPOSE: To report and describe the anatomical changes detected by spectral domain optical coherence tomography between an Argus II retinal prosthesis and the inner retinal layers during 1-year follow-up. METHODS AND RESULTS: A patient presented with epiretinal fibrosis 12 months after implant of an Argus II epiretinal prosthesis. One month after uneventful surgery in March 2016, an evident hyporeflective space was detected between the epiretinal prosthesis and the inner retinal surface by spectral domain optical coherence tomography...
September 17, 2018: Retinal Cases & Brief Reports
Nitish Mehta, Jillian Chong, Edmund Tsui, Jacque L Duncan, Christine A Curcio, K Bailey Freund, Yasha Modi
PURPOSE: To report a detachment that apparently separated photoreceptor inner segment myoids from inner segment ellipsoids as a manifestation of toxoplasmosis chorioretinitis in a patient with pachychoroid spectrum disease. METHODS: Multimodal imaging including fundus photography, spectral domain and enhanced-depth imaging optical coherence tomography (OCT), indocyanine green angiography, and OCT angiography. RESULTS: A 33-year-old man with a history of toxoplasmosis chorioretinitis reported 1 week of decreased vision to 20/200 in his right eye...
August 23, 2018: Retinal Cases & Brief Reports
Anton M Kolomeyer, Alexander J Brucker
PURPOSE: To describe a case of persistent placoid maculopathy in a patient with high myopia. METHODS: Interventional case report. RESULTS: A 59-year-old white man with high myopia presented with blurriness in the left eye. Vision was 20/20 bilaterally. Optical coherence tomography showed subretinal thickening and fluid without definitive leakage on fluorescein angiography after which anti-vascular endothelial growth factor (anti-VEGF) therapy was initiated...
August 21, 2018: Retinal Cases & Brief Reports
Jingjing Liu, Peiquan Zhao
PURPOSE: To present a clinical case of lamellar macular hole with lamellar hole-associated epiretinal proliferation in a pediatric familial exudative vitreoretinopathy patient. Retinal findings are described, and spectral domain optical coherence tomography documentation is provided. The efficacy of surgical intervention is also discussed. METHODS: A 4-year-old girl presented with poor vision in her right eye, which was discovered during routine physical examination...
August 21, 2018: Retinal Cases & Brief Reports
Lina Ma, Stacey Lee, Alyssa Montieth, Andrew Stephenson, C Stephen Foster, Stephen D Anesi
PURPOSE: To report a case of uveitis and papillitis in a patient with cryopyrin-associated periodic syndrome. METHODS: Case report. A 44-year-old white woman with a long history of inflammatory arthritis, diffuse erythematous rashes and hives, and hearing loss was referred to the Massachusetts Eye Research and Surgery Institution for an evaluation of chronic ocular inflammation. She was diagnosed with bilateral papillitis and uveitis after a comprehensive eye examination, which included dilated fundoscopy, optic nerve ocular coherence tomography, fluorescein angiography, indocyanine green angiography, and B-scan ultrasonography...
August 21, 2018: Retinal Cases & Brief Reports
Andrew W Francis, Ivy Zhu, Sidhiporn Borirakchanyavat, Daniel M Schwartz, David G Hwang
PURPOSE: To report a central retinal artery occlusion with cilioretinal artery sparing in a 48-year-old woman after laser-assisted in situ keratomileusis surgery. METHODS: Case history and clinical examination including best-corrected visual acuity, serum markers, slit-lamp biomicroscopy, indirect ophthalmoscopy, fundus photography, fluorescein angiography, and optical coherence tomography. RESULTS: A 48-year-old woman underwent routine laser-assisted in situ keratomileusis surgery in both eyes...
August 10, 2018: Retinal Cases & Brief Reports
Hilal Nalcı, Figen Batıoğlu, Sibel Demirel, Emin Özmert
PURPOSE: To present a case of macular hole associated with macular telangiectasia Type 2 (Mac-Tel 2) which underwent spontaneous closure. METHODS: A 58-year-old woman is admitted with complaints of blurred and distorted vision. Optical coherence tomography, fundus autofluorescence, and optical coherence tomography angiography were performed for diagnosis and follow-up. RESULTS: Optical coherence tomography revealed hyporeflective cavitations in both eyes, and full-thickness macular hole covered with internal limiting membrane drape in the left eye...
August 9, 2018: Retinal Cases & Brief Reports
Olga A Shif, Matthew S J Katz
BACKGROUND/PURPOSE: We describe a case of full-thickness macular hole formation in a patient with exudative age-related macular degeneration after an intravitreal ranibizumab injection and its surgical management. METHODS: This case is a retrospective, interventional case report. RESULTS: A 77-year-old woman with bilateral exudative age-related macular degeneration and pre-existing retinal pigment epithelium tear developed a full-thickness macular hole after intravitreal ranibizumab...
August 7, 2018: Retinal Cases & Brief Reports
Eleonora Benatti, Elena Garoli, Francesco Viola
PURPOSE: Optic disk pit (ODP) is a rare congenital abnormality of the optic nerve head that can lead to a maculopathy characterized mainly by serous retinal detachment. Optic disk pit maculopathy (ODP-M) in children is rare, and at present, the best management is still unknown. Long-lasting ODP-M can lead to organic amblyopia and photoreceptor damage, whereas surgical treatments are invasive and have an uncertain prognosis. We present a case of spontaneous resolution of ODP-M in a child who was monitored morphologically and functionally during a 6-year follow-up...
August 6, 2018: Retinal Cases & Brief Reports
Richard I Kaplan, Joseph B Walsh, Richard B Rosen, Meenakashi Gupta
PURPOSE: To report a case of macular vortex vein imaged with indocyanine green angiography, spectral domain optical coherence tomography, and optical coherence tomography angiography. METHODS: Observational case report. RESULTS: A 51-year-old myopic man presented with the complaint of a floater in his left eye for the previous 2 weeks. His visual acuity was 20/25 in the right eye and 20/40 in the left eye. Biomicroscopy was normal. Retinoscopy revealed lattice degeneration and posterior vitreous detachment of both eyes with dilated submacular vasculature in the right eye and submacular hemorrhage in the left eye...
August 6, 2018: Retinal Cases & Brief Reports
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