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Retinal Cases & Brief Reports

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https://www.readbyqxmd.com/read/29443808/retinal-microvasculature-alteration-in-paracentral-acute-middle-maculopathy-and-acute-macular-neuroretinopathy-a-quantitative-optical-coherence-tomography-angiography-study
#1
Alexei N Kulikov, Dmitrii S Maltsev, Tatiana A Leongardt
PURPOSE: To present a series of idiopathic paracentral acute middle maculopathy (PAMM) and acute macular neuroretinopathy (AMN) cases and to compare the microvascular retinal status of PAMM/AMN eyes with those of healthy individuals. METHODS: Six eyes with PAMM and two eyes with AMN in a total of six patients were included in this study. Multimodal retinal imaging, including optical coherence tomography angiography, was performed in all patients. The vessel density of the superficial capillary plexus and deep capillary plexus, as well as the area, circularity, and angle of the superficial foveal avascular zone (FAZ) were measured and compared with the same parameters in age-matched healthy individuals...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443807/multimodal-imaging-of-angioid-streaks-associated-with-turner-syndrome
#2
Bing Q Chiu, Edmund Tsui, Syed Amal Hussnain, Irene A Barbazetto, R Theodore Smith
PURPOSE: To report multimodal imaging in a novel case of angioid streaks in a patient with Turner syndrome with 10-year follow-up. METHODS: Case report of a patient with Turner syndrome and angioid streaks followed at Bellevue Hospital Eye Clinic from 2007 to 2017. Fundus photography, fluorescein angiography, and optical coherence tomography angiography were obtained. RESULTS: Angioid streaks with choroidal neovascularization were noted in this patient with Turner syndrome without other systemic conditions previously correlated with angioid streaks...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443806/hand-held-optical-coherence-tomography-monitoring-of-chemoresistant-retinoblastoma
#3
Kunal Malik, R Joel Welch, Carol L Shields
PURPOSE: Retinoblastoma (Rb) is a potentially fatal intraocular malignancy in children, and hand-held optical coherence tomography (HH-OCT) can assist in submillimeter detection and monitoring after treatment of Rb. Retinoblastoma located in the macula, or those with chemoresistance, can be among the most difficult to manage. We describe HH-OCT features in a case of chemoresistant macular Rb that eventually responded to plaque radiotherapy after failing intravenous chemotherapy and intraarterial chemotherapy...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443805/nitinol-flex-loop-assisted-retrieval-and-sutureless-intrascleral-refixation-of-a-dislocated-intraocular-lens-implant
#4
Jason Hsu
BACKGROUND/PURPOSE: To describe a novel use of the flexible nitinol loop membrane scraper (FINESSE Flex loop; Alcon, Fort Worth, TX) for rescue and refixation of a dislocated intraocular lens (IOL). METHODS: A 27-gauge nitinol flex loop was used to lasso each haptic of a dislocated 3-piece IOL. By retracting the loop, the haptic could be effectively locked to the instrument and externalized through a scleral tunnel, thereby fixating it to the sclera in a sutureless fashion...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443804/progression-of-retinal-ischemia-in-a-case-of-macular-telangiectasia-type-1-after-ranibizumab-injection-optical-coherence-tomography-angiography-findings
#5
Massimo Lorusso, Roberta Zito, Eleni Nikolopoulou, Luisa Micelli Ferrari, Maria Vittoria Cicinelli, Giuseppe Querques, Tommaso Micelli Ferrari
PURPOSE: To describe a case of a 68-year-old man with macular telangiectasia (MacTel) Type 1 in the right eye, showing an increase in capillary ischemia after intravitreal ranibizumab. METHODS: The patient underwent complete ophthalmologic evaluation, including best-corrected visual acuity, intraocular pressure, anterior segment and fundus examination, optical coherence tomography (OCT), and OCT angiography at baseline and on each visit. Fluorescein angiography was performed at baseline...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443803/newly-diagnosed-asymptomatic-retinal-astrocytic-hamartoma-in-an-older-adult
#6
A Kaan Gündüz, Carol L Shields, Gökçen Çöndü, Ragıp Gürsel
BACKGROUND: To report a coincidentally discovered retinal astrocytic hamartoma in an asymptomatic older woman with no history of tuberous sclerosis or neurofibromatosis. METHODS: A 63-year-old Turkish woman underwent routine ophthalmic examination. RESULTS: Visual acuity was 20/25 in each eye. On fundus examination, the right eye showed a flat yellow-white superficial retinal lesion in the inferotemporal macula and measuring 1 mm in diameter...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29443802/full-thickness-macular-hole-with-macular-intrachoroidal-cavitation-in-a-patient-with-pathologic-myopia
#7
Nurgül Örnek, Kemal Örnek
PURPOSE: To describe a full-thickness macular hole (MH) opening to macular intrachoroidal cavitation in a patient with pathologic myopia. METHODS: Full ophthalmologic examination, fundus camera (Topcon TRC; Topcon Co, Tokyo, Japan), optical coherence tomography (RetinaScan Advanced RS-3000; NIDEK, Gamagori, Japan) imaging, and cataract surgery. RESULTS: A 61-year-old woman admitted with decreased vision in the left eye. Visual acuity was counting fingers from 30 cm...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29401179/ophthalmic-artery-occlusion-after-forehead-autologous-fat-injection
#8
Hongtao Liu, Danian Chen, Junjun Zhang
PURPOSE: To present clinical findings of ophthalmic artery occlusion, a devastating ocular complication because of forehead autologous fat injection. METHODS: Retrospective study of three eyes of three patients whereby ophthalmic artery occlusion and/or hemiplegia occurred after forehead autologous fat injection in China. RESULTS: All patients suffered severe ocular pain, vomiting, and vision loss immediately after the injections and had unilateral permanent blindness...
February 2, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29384982/traumatic-macular-hole-closure-and-visual-improvement-after-topical-nonsteroidal-antiinflammatory-drug-treatment
#9
Albert S Li, Philip J Ferrone
PURPOSE: To report a case of pediatric traumatic macular hole that closed with visual improvement after treatment with topical ketorolac. METHODS: Retrospective case report. RESULTS: A 15-year-old girl presented with persistent left blurred vision after being hit with a soccer ball 2 months before. Visual acuity was 20/40 with a full-thickness macular hole with cystoid macular edema. After treatment with ketorolac 0.4% four times a day for a month, the hole closed with resolution of the cystoid macular edema but some remaining subretinal fluid...
January 30, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29384981/autosomal-recessive-bestrophinopathy-multimodal-imaging-update
#10
Ananda Kalevar, Judy J Chen, H Richard McDonald, Arthur D Fu
BACKGROUND: Autosomal recessive bestrophinopathy is part of the diverse spectrum of retinal diseases caused by mutations in the BEST1 gene. METHODS: A case report. RESULTS: We present a case that highlights the classic retinal findings of autosomal recessive bestrophinopathy with an emphasis on modern multimodal imaging. CONCLUSION: We describe modern multimodal imaging in an individual with a BEST1 gene mutation and clinical findings consistent with an autosomal recessive bestrophinopathy...
January 30, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29373342/choriocapillaris-flow-voids-in-cryptococcal-choroiditis-using-optical-coherence-tomography-angiography
#11
Daniel M Vu, Akshay S Thomas, Avni P Finn, Dilraj S Grewal
PURPOSE: To report an unusual case of cryptococcal choroiditis and highlight the multimodal imaging findings, particularly the choriocapillaris flow voids using optical coherence tomography angiography. METHODS: Retrospective review of the clinical course of a single patient with cryptococcal choroiditis. RESULTS: A 69-year-old man undergoing chemotherapy for T-cell prolymphocytic leukemia developed disseminated crytococcal neoformans infection...
January 25, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29369084/directional-variability-of-fundus-reflectance-in-acute-macular-neuroretinopathy-evidence-for-a-contribution-of-the-stiles-crawford-effect
#12
Caroline Bottin, Kate Grieve, Florence Rossant, Alexandre Pedinielli, Sarah Mrejen, Michel Paques
PURPOSE: To document directional reflectivity of fundus lesions in a case of acute macular neuroretinopathy. METHODS: Case report. Clinical and imaging data from a patient with acute macular neuroretinopathy were reviewed. Imaging comprised infrared scanning laser ophthalmoscopy, optical coherence tomography and flood-illumination adaptive optics images acquired through different entry pupils in the cardinal directions (approximately 2° eccentricity). RESULTS: The patient reported acute bilateral paracentral scotoma revealing dark, wedge-shaped macular plaques which by optical coherence tomography were associated with focal loss of the visibility of the cone outer segment tip and inner/outer segment lines...
January 19, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29342012/diffuse-chorioretinopathy-without-serous-detachment-associated-with-cardiac-transplantation
#13
Michael F Marmor
PURPOSE: To analyze an unusual case of widespread chorioretinopathy after cardiac transplantation for its potential etiology and clinical significance. METHODS: Clinical examinations included widefield and macular color and fundus autofluorescence photography, spectral domain optical coherence tomography, fluorescein angiography and indocyanine green angiography, full-field electroretinography, and Goldmann visual fields. PATIENT: A 44-year-old Hispanic woman was referred to rule out retinitis pigmentosa...
January 16, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29324624/intravitreal-aflibercept-in-the-treatment-of-polypoidal-choroidal-vasculopathy-associated-with-morning-glory-syndrome
#14
Claudio Iovino, Maurizio Fossarello, Enrico Peiretti
PURPOSE: To describe an unusual case of polypoidal choroidal vasculopathy secondary to morning glory syndrome successfully treated with three aflibercept intravitreal injections. METHODS: Case report. RESULTS: A 68-year-old white man presented with a 2-month history of diminished vision of his left eye. Fundus examination showed a morning glory syndrome disk anomaly with some perimacular subretinal hemorrhages and lipid depositions. Fundus autofluorescence, fluorescein and green indocyanine angiography, spectral domain optical coherence tomography, and optical coherence tomography angiography were performed and confirmed the presence of a juxtapapillary polypoidal choroidal vasculopathy with intraretinal and subretinal fluid...
January 10, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29315126/recurrent-opening-and-closure-of-macular-hole-after-pars-plana-vitrectomy-for-rhegmatogenous-retinal-detachment
#15
Ece Ozdemir, Sengul Ozdek
PURPOSE: To report a case of full-thickness macular hole formation and closure twice after pars plana vitrectomy for macula-off rhegmatogenous retinal detachment. METHODS: Case report. RESULTS: A 45-year-old woman with a macula-off rhegmatogenous retinal detachment underwent uncomplicated pars plana vitrectomy with silicone oil tamponade, which was removed 3 months postoperatively. A full-thickness macular hole developed spontaneously 18 months after silicone oil removal, concurrently with the formation of epiretinal membrane and perifoveal cystoid changes...
January 5, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29286955/invisible-honeycomb-like-cavitary-retinal-astrocytic-hamartoma
#16
Phoebe L Mellen, Kareem Sioufi, Jerry A Shields, Carol L Shields
PURPOSE: To report a patient with clinically invisible retinal astrocytic hamartomas (RAHs) detected on optical coherence tomography (OCT) and studied with OCT angiography (OCTA). METHOD: Case report. RESULTS: An 11-year-old healthy girl was evaluated for reduced visual acuity in the right eye. On examination, best-corrected visual acuity was 20/50 in the right eye and 20/20 in the left eye. Fundus examination revealed blunted foveal reflex in the right eye and normal findings in the left eye...
December 28, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29283912/paracentral-acute-middle-maculopathy-in-purtscher-retinopathy
#17
David Rivera-De La Parra, Jans Fromow-Guerra
PURPOSE: To describe paracentral acute middle maculopathy associated with Purtscher retinopathy, particularly in Purtscher flecken lesions as a retinal complication in a case secondary to fractures of long bones. METHODS: Case report. RESULTS: A 16-year-old boy with bilateral paracentral scotomata presented with bilateral paracentral acute middle maculopathy as part of Purtscher retinopathy in both eyes as consequence of tibia and fibula fractures...
December 27, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29283911/dynamic-retina-vessel-color-change-during-ocular-compression-in-severe-lipemia-retinalis
#18
Maria Benson, Robert W Wong, Ryan C Young, James B Gibson, Yuxin Fan, Clio Armitage Harper
PURPOSE: The aim of this study was to describe dynamic color change in retinal vessels from white to coral pink due to externally applied ocular pressure in a 6-week-old infant with lipemia retinalis secondary to type 1b familial hyperlipoproteinemia. METHODS: Fundus images and fluorescein angiogram were taken with RetCam3 camera. Color photographs of pooled blood were taken during phlebotomy. RESULTS: Genetic analysis revealed a rare genetic mutation in the APOC2 gene, a lipoprotein lipase activator...
December 27, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29261556/macular-burn-during-an-attempted-yag-laser-capsulotomy-by-inadvertent-use-of-selective-laser-trabeculoplasty-mode-of-a-dual-mode-laser
#19
Timothy P Flood, Colin T Flood
PURPOSE: To present a case of a patient who suffered a macular burn after an attempted YAG laser capsulotomy because of the inadvertent use of the selective laser trabeculoplasty mode of a dual-mode laser. METHOD: Case report. RESULTS: A 62-year-old man with slight opacification of the posterior capsule noted sudden central vision loss immediately after an attempted YAG laser capsulotomy. The selective laser trabeculoplasty mode of a dual-mode laser had inadvertently been used...
December 19, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29261555/treatment-of-idiopathic-retinal-vasculitis-aneurysms-and-neuroretinitis-irvan-with-photocoagulation-in-combination-with-systemic-immunosuppression
#20
Rohan Ameratunga, Mark Donaldson
BACKGROUND: Idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome is a very rare primary retinal vasculitis. It seems to evolve in stages, where there is initially a florid vasculitis associated with aneurysm formation. Neuroretinitis and macula edema are common features. Subsequently, retinal ischemia ensues, leading to neovascularization. If untreated, further sight-threatening complications occur, including traction retinal detachment and secondary glaucoma. METHODS AND RESULTS: Here, we describe a patient with early idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome, who was treated with a combination of systemic immunosuppression and localized photocoagulation...
December 19, 2017: Retinal Cases & Brief Reports
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