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Retinal Cases & Brief Reports

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https://www.readbyqxmd.com/read/27902541/central-serous-chorioretinopathylike-mimicking-multifocal-vitelliform-macular-dystrophy-an-ocular-side-effect-of-mitogen-extracellular-signal-regulated-kinase-inhibitors
#1
Chiara Giuffrè, Elisabetta Miserocchi, Giulio Modorati, Adriano Carnevali, Alessandro Marchese, Lea Querques, Giuseppe Querques, Francesco Bandello
PURPOSE: To describe a case of multiple detachments of the neurosensory retina mimicking multifocal vitelliform macular dystrophy after chemotherapy with mitogen/extracellular signal-regulated kinase inhibitor for metastatic ovarian cancer. METHODS: Case report. RESULTS: A 38-year-old woman presented to our clinic for eye examination before the initiation of chemotherapy with trametinib. One month after starting treatment, the patient complained of vision loss and metamorphopsia in both eyes...
November 29, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27902540/macular-perivenous-retinal-whitening-and-presumed-retino-ciliary-sparing-in-a-recurrent-central-retinal-vein-occlusion-associated-with-the-antiphospholipid-syndrome-and-cryoglobulinemia
#2
Dov B Sebrow, Jesse J Jung, Jason Horowitz, Jeffrey G Odel, K Bailey Freund
PURPOSE: Macular perivenous retinal whitening results from hypoperfusion-induced ischemia of the middle retina that can occur in central retinal vein occlusion (CRVO). We describe an unusual case of recurrent CRVO with macular perivenous retinal whitening and retino-ciliary venous sparing in the setting of 2 prothrombotic diseases, antiphospholipid syndrome and Type II cryoglobulinemia. METHODS: A 50-year-old man presented with intermittent loss of vision in his right eye related to a recurrent CRVO...
November 29, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27902539/cystoid-macular-edema-and-cystoid-macular-degeneration-as-a-result-of-multiple-pathogenic-factors-in-the-setting-of-central-serous-chorioretinopathy
#3
Polina Astroz, Chandrakumar Balaratnasingam, Lawrence A Yannuzzi
PURPOSE: To report the pathogenic factors that account for cystoid macular edema and cystoid macular degeneration in chronic central serous chorioretinopathy (CSC). METHODS: The clinical course and multimodal imaging findings, including fundus color photography, fundus autofluorescence, spectral-domain optical coherence tomography, and fluorescein angiography, of one eye with cystoid macular edema due to chronic CSC was documented. RESULTS: A 44-year old woman with a history of chronic CSC presented with progressive visual decline in the right eye...
November 29, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27893592/coughing-induced-suprachoroidal-hemorrhage-simulating-melanoma-in-two-cases
#4
Charlotte L Marous, Kareem Sioufi, Carol L Shields, Arman Mashayekhi, Jerry A Shields
PURPOSE: To describe two cases of coughing-induced suprachoroidal hemorrhage referred as choroidal melanoma. METHODS: Observational case reports. RESULTS: Two female patients (ages 54 and 60 years) were referred with possible choroidal melanoma. Both gave a history of 1 day of heavy coughing with Valsalva maneuver within 2 weeks before discovery of the tumor. In one case, the patient used anticoagulants for aortic valve replacement and the other patient used antiasthma medications...
November 23, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27893591/endophthalmitis-in-a-patient-treated-with-bacillus-calmette-gu%C3%A3-rin-immunotherapy
#5
Julie Vadboncoeur, Sébastien Olivier, Hafid Soualhine, Annie-Claude Labbé, Marie-Lyne Bélair
BACKGROUND: Intravesical Bacillus Calmette-Guérin (BCG) instillation has become one of the mainstays of adjunctive therapy in the treatment of superficial bladder cancer. Ophthalmologic complications are rare, but few cases are reported in the literature. METHODS: Retrospective observational case report. RESULTS: The authors report a case of unilateral Mycobacterium bovis BCG endophthalmitis after intravesical BCG instillations. Despite appropriate systemic antituberculous and corticosteroid therapy, the patient almost completely lost sight in the affected eye...
November 23, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27861254/bilateral-diffuse-uveal-melanocytic-proliferation-associated-with-renal-cancer-the-importance-of-indocyanine-green-angiography-and-early-diagnosis
#6
Vinicius F Kniggendorf, Elmar T Neto, Elizabeth M Maia, Joao P S Grando, Anne M C Bardal, Patrícia M M Beato, Caroline C Torres, Mauricio Maia
PURPOSE: To report a case of bilateral diffuse uveal melanocytic proliferation associated with renal carcinoma and to illustrate the importance of ancillary examinations to early diagnosis and treatment. DESIGN: Clinical case report. METHODS: A 56-year-old man reported a 3-day history of visual impairment and scotoma in the right eye. An ophthalmoscopic examination, visual field test, fundus autofluorescence, fluorescein angiography, indocyanine green angiography, optical coherence tomography, and systemic evaluation were performed...
November 17, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27841831/-heads-up-digitally-assisted-surgical-viewing-for-retinal-detachment-repair-in-a-patient-with-severe-kyphosis
#7
Cassandra C Skinner, Christopher D Riemann
PURPOSE: To describe the surgical approach with a screen-based "heads up" digital viewing technology for the successful repair of a retinal detachment in a patient with severe kyphosis. METHODS: Case report. RESULTS: An 89-year-old man with vision loss in the left eye from a macula-involving retinal detachment of 4 weeks was scheduled for pars plana vitrectomy and retinal detachment repair. The patient had severe thoracic kyphosis, causing a fixed spinal flexion that presented a significant challenge to traditional intraoperative positioning and management...
November 10, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27831971/a-case-of-posterior-uveal-effusion-syndrome-masquerading-as-uveitis
#8
Qingyun Liu, Kornwipa Hemarat, Denise L Kayser, Jay M Stewart
PURPOSE: To report a case of posterior uveal effusion syndrome presented and treated as posterior uveitis. METHODS: We report one case of a 73-year-old woman with posterior uveal effusion syndrome who developed bilateral chorioretinal folds, treated as uveitis, who did not resolve on oral steroids. RESULTS: Nasal choroidal thickening and intraretinal fluid were present in both eyes, along with choroidal folds and yellowish pigmentary changes in the macula...
November 9, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27831970/spontaneous-closure-of-a-macular-hole-after-four-failed-vitrectomies-in-the-setting-of-nf-1
#9
Kendall W Wannamaker, Robert A Sharpe, Jan A Kylstra
PURPOSE: To present the case of a patient who developed spontaneous closure of an idiopathic macular hole after four failed attempts at surgical closure. METHODS: This is a retrospective case review of the medical record of a single patient. No statistical analysis was performed. The patient is a 71-year-old white woman with neurofibromatosis Type 1 who presented to the retina clinic of one of the authors. RESULTS: The patient underwent four vitrectomies with long acting gas by two surgeons over the course of 2 years...
November 9, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828906/a-case-of-metastatic-urothelial-carcinoma-of-the-retina-and-vitreous
#10
Katherine E Whalen, Ralph C Eagle, Tamara R Vrabec
PURPOSE: To report a rare case of vitreoretinal metastasis from urothelial carcinoma of the bladder. METHODS: Case report. RESULTS: A 55-year-old male with a history of bladder cancer developed atypical vitritis and a white fundus mass. IV fluorescein angiography demonstrated connection between the retinal and tumor vasculature consistent with a retinal malignancy. Cytologic analysis of the vitreous sample revealed large atypical cells with pleomorphic nuclei, mucin vacuoles, and rare mitotic figures...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828905/macular-telangiectasia-type-2-in-an-otherwise-healthy-teenage-boy-with-consanguineous-parents
#11
Christina L Ryu, Mikel Mikhail, Ayesha Khan, John C Chen, Amer Omar
PURPOSE: To report a case of macular telangiectasia Type 2 in a teenage boy with consanguineous parents. METHOD: Clinical case report and literature review. RESULTS: A healthy 14-year-old boy presented with mildly reduced vision in both eyes. Visual acuity was 20/30 in the right eye and 20/25 in the left eye. Fundus examination revealed intraretinal crystals in both eyes and an intraretinal pigment plaque temporal to the fovea in the left eye...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828904/the-double-ring-sign-in-anemic-retinopathy-evaluated-by-spectral-domain-optical-coherence-tomography
#12
Neha Goel
PURPOSE: To describe three cases of anemic retinopathy who demonstrated premacular hemorrhage with a "double-ring sign." METHODS: Three patients with anemia were found to have a premacular hemorrhage and a double-ring sign either at presentation or after laser membranotomy. Spectral domain optical coherence tomography was performed to ascertain the level of the hemorrhage. RESULTS: To the best of the author's knowledge, there is no report of a double-ring sign in anemic retinopathy...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828903/intravenous-immunoglobulin-in-the-treatment-of-juvenile-retinitis-pigmentosa-associated-cystoid-macular-edema-and-uveitis
#13
Lilangi S Ediriwickrema, Priyanka Chhadva, Damien C Rodger, Hossein Ameri, Narsing A Rao
PURPOSE: To evaluate the efficacy of intravenous immunoglobulin in the treatment of cystoid macular edema and uveitis caused by juvenile retinitis pigmentosa in a woman interested in planning a pregnancy. METHODS: Descriptive case report. A 25-year-old woman with retinitis pigmentosa presented with decreased visual acuity, interested in a second opinion. RESULTS: Intravenous immunoglobulin therapy was begun at 2-week intervals. Visual acuity improved from 20/100 to 20/70 by 6 weeks, where it stabilized for the remaining year...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828902/bilateral-metastatic-cutaneous-melanoma-to-retina-and-vitreous-after-ipilimumab-treated-with-pars-plana-vitrectomy-and-radiotherapy
#14
Sam Kanavati, Christian Ottensmeier, Vipul Foria, Radhika Krishnan
PURPOSE: To report a patient with bilateral metastatic cutaneous melanoma to the retina and vitreous presenting as a right panuveitis. METHODS: A 63-year-old woman with metastatic malignant cutaneous melanoma treated with ipilimumab and prolonged high-dose steroids presented with a right panuveitis and right blurred vision. Dilated fundus examination revealed bilateral, off-white, large, globular vitreous opacities and bilateral retinal lesions. These retinal lesions had a pale yellow appearance with a cuff of haemorrhage...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828901/fusarium-solani-subretinal-abscess-in-a-patient-with-acute-myeloid-leukemia
#15
Ariel Schlaen, Mariana Ingolotti, Pablo Lorenzon, Jorge Mancini, Cristobal Couto, Maria Casanova, Gustavo Kusminsky, Matias Tisi Baña, Gloria Pineda, Alejandra Rima, Mario Saravia
PURPOSE: To report on a case of Fusarium solani subretinal abscess in a patient with acute myeloid leukemia treated with an allogenic bone marrow transplant. METHODS: A 47-year-old male with a history of acute myeloid leukemia with intermediate cytogenetic risk was admitted in our hospital. The disease relapsed after two cycles of chemotherapy. He was then treated with an allogenic bone marrow transplant, with busulfan, cyclophosphamide, and thymoglobulin. One week after the procedure, a sepsis of unknown origin in neutropenia occurred...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828900/multicolor-scanning-laser-imaging-in-lipemia-retinalis
#16
David Rivera-De La Parra, Liliana Perez-Peralta, Jim Toldi, Jason Levine, Michael Fikhman, Enrique O Graue-Hernandez
PURPOSE: To describe multicolor scanning laser imaging (MSLI) and conventional fundus photography findings in lipemia retinalis (LR). METHODS: We report two LR cases. The first case is a 47-year-old diabetic woman with LR secondary to familial hypertriglyceridemia examined with MSLI, conventional fundus photography, and optical coherence tomography (OCT). The second case is a 39-year-old diabetic man with hypertriglyceridemia and LR. He was followed over time with conventional fundus photography of his retina until metabolic control was achieved...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27828899/ultra-wide-field-fundus-imaging-in-the-diagnosis-and-follow-up-of-susac-syndrome
#17
Panagiotis Salvanos, Morten C Moe, Tor P Utheim, Ragnheiur Bragadóttir, Emilia Kerty
PURPOSE: To present the use of ultra-wide-field (UW) fundus imaging in the diagnosis and follow-up of a patient with Susac syndrome. METHODS: Case report of a myopic patient presenting initially with rhegmatogenous retinal detachment. A significant portion of the retina was found to be avascular bilaterally at presentation. Surgery was performed with scleral buckle. Then, UW color and autofluorescent imaging and UW fluorescein angiography were obtained. RESULTS: Successful retinal reattachment was obtained...
November 8, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27824724/multiple-evanescent-white-dot-syndrome-with-central-visual-loss
#18
Gaetano R Barile, Sarah A Harmon
PURPOSE: To report the clinical case of a 64-year-old man who developed several features of multiple evanescent white dot syndrome (MEWDS) but with central visual loss that persisted because of significant structural macular disease. METHODS: A case report was generated by a review of the clinical course and imaging investigations of one patient, along with review of the literature. RESULTS: A 64-year-old man noted decreased vision in the right eye for 2 weeks, associated with a central scotoma with shimmering, gauze effect of the vision...
November 7, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27820754/en-face-optical-coherence-tomography-of-multiple-evanescent-white-dot-syndrome
#19
Daniel Su, David Xu, Nopasak Phasukkijwatana, David Sarraf
PURPOSE: To report novel en face imaging findings of multiple evanescent white dot syndrome. METHODS: A 25-year-old woman presented with photopsia and vision loss affecting the left eye. Ophthalmic examination, color fundus photography, fluorescein angiography, spectral domain optical coherence tomography (SD-OCT), fundus autofluorescence, en face OCT, and OCT angiography were performed. RESULTS: The diagnosis of multiple evanescent white dot syndrome was made based on clinical examination and multimodal imaging findings...
November 3, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27820753/retinal-vasculitis-associated-with-neuromyelitis-optica
#20
Mikel Mikhail, Ayesha Khan
PURPOSE: To report a case of retinal vasculitis in a patient with neuromyelitis optica. METHODS: Clinical case report, imaging was obtained with photographs, fluorescein angiography, spectral domain optical coherence tomography, and magnetic resonance imaging. RESULTS: The aforementioned patient presented with urinary incontinence and spastic paraparesis. She was found to have a transverse myelitis on magnetic resonance imaging and positive anti-aquaporin-4 (AQP4-Ab) testing...
November 3, 2016: Retinal Cases & Brief Reports
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