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Case Reports in Ophthalmology

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https://www.readbyqxmd.com/read/28626419/shallow-anterior-chamber-in-a-severe-case-of-unilateral-acute-central-serous-retinal-detachment
#1
Ahmet Colakoglu, Banu Cosar
BACKGROUND: Atypical serous chorioretinopathy can present with symptoms similar to those of other pachychoroid diseases; however, a proper differential diagnosis will prevent unnecessary intensive treatments. To this end, we report on the shallowness of anterior chamber and transitory anterior vitreous cells in a patient with atypical severe serous retinal detachment. CASE PRESENTATION: A 42-year-old woman presented with unilateral visual loss accompanied by mild, vague eye pain for 4 days...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28626418/rapid-cataract-progression-after-nd-yag-vitreolysis-for-vitreous-floaters-a-case-report-and-literature-review
#2
I-Ting Sun, Tsung-Han Lee, Chih-Hsin Chen
PURPOSE: We report a case of rapid cataract progression after Nd:YAG vitreolysis for vitreous floaters. CASE REPORT: A 55-year-old man presented with acute onset of blurred vision following Nd:YAG vitreolysis for symptomatic floaters in the left eye. His initial best corrected visual acuity (BCVA) was 20/1,000 in the left eye. Ocular examinations showed frost-like opacities of the lens and a suspected break of the posterior capsule in the left eye. There were no detectable retinal lesions...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28626417/spironolactone-as-an-adjunctive-treatment-in-neovascular-age-related-macular-degeneration
#3
Kapil G Kapoor, Jennifer Sim
Neovascular age-related macular degeneration (AMD) is a potentially sight-threatening condition. The current standard-of-care treatment regimen is serial intravitreal antivascular endothelial growth factor injections. While these typically have great success, they do carry exceptional treatment burden on the patient, cost burden due to their required frequency of use, and the risk of endophthalmitis, which can be devastating. This case report explores an alternative potential option as a treatment adjunct for neovascular AMD (nAMD), and identifies some of the overlap between nAMD and central serous chorioretionpathy...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28626416/multiquadrant-subtenon-triamcinolone-injection-for-acute-corneal-graft-rejection-a-case-report
#4
Sunali Goyal, Sami H Uwaydat
BACKGROUND: We report a case of reversal of an acute corneal graft rejection following multiquadrant subtenon triamcinolone injection. CASE PRESENTATION: A 19-year-old woman who had acute corneal graft rejection failed to show resolution of the graft rejection after standard treatment with systemic, intravenous, and topical steroids. The graft rejection, however, responded to injection of triamcinolone in multiple subtenon quadrants. CONCLUSIONS: For corneal graft rejection, multiquadrant subtenon triamcinolone injections may be a safe adjunct to systemic treatment...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28626415/a-case-of-childhood-onset-giant-cell-tumor-that-caused-optic-nerve-atrophy-in-both-eyes
#5
Masahiro Tonari, Junko Matsuo, Hidehiro Oku, Jun Sugasawa, Tsunehiko Ikeda, Kazunori Tatsuzawa, Tomoaki Fujita
PURPOSE: The purpose of this study was to report the case of a female patient who had a giant cell tumor in the paranasal sinus during childhood, and while undergoing multiple resection surgeries experienced optic atrophy in both eyes. CASE PRESENTATION: This study involved a 35-year-old woman who was previously diagnosed with a giant cell tumor of the paranasal sinus bone at age 13. A CT scan revealed a large tumor extending from the sphenoid sinus to the ethmoid sinus...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28626414/an-unusual-differential-diagnosis-of-orbital-cavernous-hemangioma-ancient-schwannoma
#6
Sara Filipa Teixeira Ribeiro, Tatiana Queirós, José M Amorim, Ana M Ferreira, Marco Sales-Sanz
Schwannomas are rare lesions of the orbit that can be confused with cavernous hemangioma on imaging studies. We report the case of an 84-year-old woman with a 9-year history of a tumoral lesion in the inferolateral left orbit. The imaging studies did not reveal specific characteristics, only bone remodeling due to the long evolution of the tumor. The patient underwent complete excision of the tumor by anterior orbitotomy via the inferior conjunctival fornix. The histopathological examination revealed an ancient schwannoma, a variant of schwannoma with uncommon histological features...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611653/familial-retinal-arteriolar-tortuosity-with-acute-hippocampal-infarction
#7
Tae Hee Kim, Sonia Lee, Su Jin Lim
PURPOSE: To report a case of familial retinal arteriolar tortuosity with acute hippocampal infarction. METHOD: Single-patient case report. RESULTS: A 50-year-old woman presented with blurred vision and was found to have cataract, retinal hemorrhages, and tortuous retinal arterioles in both eyes. Similar findings of tortuous retinal arterioles were observed in her daughter and son. In her past history of 6 years prior to the visit, she had been diagnosed with transient global amnesia after brain magnetic resonance imaging, which showed hippocampal infarction and multiple chronic ischemic lesions in the periventricular and subcortical white matter...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611652/a-novel-abca4-mutation-associated-with-a-late-onset-stargardt-disease-phenotype-a-hypomorphic-allele
#8
Cindy S Kaway, Madeleine K M Adams, Kevin Sean Jenkins, Christopher J Layton
BACKGROUND: Stargardt disease (STGD) is the most common juvenile hereditary macular dystrophy. In the majority of cases, the diagnosis is made prior to 20 years of age and usually leads to loss of central vision. Late-onset STGD affects a smaller number of patients. Identifying genetic changes which could be associated with clinically important differences in severity or presentation of the disease is important for understanding the mechanisms of visual loss and for planning future therapeutic approaches...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611651/usefulness-of-intravitreal-bevacizumab-for-retinopathy-of-prematurity-with-severely-dilated-tunica-vasculosa-lentis-and-poor-mydriasis
#9
Tomoaki Higashiyama, Sanae Muraki, Masahito Ohji
BACKGROUND: Laser therapy has been the gold standard treatment for retinopathy of prematurity (ROP), while intravitreal bevacizumab (IVB) is reported to be of significant benefit for zone I ROP. A problem with laser therapy is that it is difficult to administer in ROP patients with severely dilated tunica vasculosa lentis and poor mydriasis. However, although IVB treatment has been performed in such severe ROP cases, only 1 report has discussed its usefulness. CASE 1: A male infant was born with a birth weight of 382 g at 23 weeks' gestation...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611650/anterior-360%C3%A2-synechiolysis-in-a-case-of-late-iridocorneal-adhesions-after-25-g-vitrectomy-surgical-and-physiopathogenetic-aspects
#10
Raffaele Nuzzi, Francesca Monteu
We describe the case of an 86-year-old patient, pseudophakic in both eyes and with high myopia, who had previously had a 25-G vitrectomy with 20% C3F8 used as a tamponade due to a total retinal detachment with choroidal hemorrhages and macular hole. At the postoperative 4-month follow-up, we found 360° iridocorneal synechiae with elevated intraocular pressure due to angle closure in all sectors, with an adherent retina and in the absence of choroidal hemorrhage/detachment and of corneal edema or endothelial damage...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611649/a-case-of-diabetic-macular-edema-with-prominent-chorioretinal-folds
#11
Takaki Sato, Ryohsuke Kohmoto, Masanori Fukumoto, Seita Morishita, Daisaku Kimura, Kensuke Tajiri, Takatoshi Kobayashi, Teruyo Kida, Shota Kojima, Tsunehiko Ikeda
PURPOSE: To report a case of diabetic macular edema with prominent chorioretinal folds. CASE REPORT: This study involved a 55-year-old male with untreated bilateral diabetic retinopathy who had undergone cataract surgery at another clinic. Following that surgery, diabetic macular edema rapidly exacerbated, accentuating marked cystoid macular edema and radial chorioretinal folds in the macula. Investigation of his medical history revealed that in addition to diabetes, he had uncontrolled hypertension and severe diabetic nephropathy...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611648/complete-recovery-from-blindness-in-case-of-compressive-optic-neuropathy-due-to-unruptured-anterior-cerebral-artery-aneurysm
#12
Yurie Fukiyama, Hidehiro Oku, Yusuke Hashimoto, Yuko Nishikawa, Masahiro Tonari, Jun Sugasawa, Shigeru Miyachi, Tsunehiko Ikeda
It is not common for an isolated visual symptom to be the first indication of an aneurysm compressing the optic nerve. The compression can lead to blindness, and a recovery from the blindness is rare. We report a female with a left painless optic neuropathy caused by an unruptured anterior cerebral artery aneurysm. The patient had a temporal hemianopic visual field defect, which progressed to blindness in the left eye, while the right visual function was not affected. A coil embolization of the aneurysm completely restored her visual acuity to 20/20...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611647/pediatric-bilateral-blue-laser-pointer-induced-maculopathy
#13
Joseph Raevis, Eric Shrier
BACKGROUND: We report the first case of pediatric bilateral blue laser pointer maculopathy with complete resolution of visual symptoms. CASE: A 12-year-old boy presented with bilateral decreased visual acuity and central scotomata after blue laser pointer exposure. He was treated with a Medrol Dosepak and topical nonsteroidal anti-inflammatory drug (NSAID), with gradual visual acuity improved from 20/40 OU to 20/20 OU over 22 weeks, but with persistent evidence of outer retinal layer disruption from the external limiting membrane to the interdigitation zone...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611646/corneal-cross-linking-as-a-treatment-for-fungal-keratitis-associated-with-corneal-melting
#14
Vadim Igal, Yael Sara Pikkel Igal, Yoav Yechezkel Pikkel
We present the case of a young male that suffered from fungal corneal abscess and corneal melting. The patient was treated successfully by corneal cross-linking. Taking into account our experience from this case, we offer to consider corneal cross-linking as a therapeutic option in cases of fungal keratitis.
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611645/an-overwhelming-desire-to-be-blind-similarities-and-differences-between-body-integrity-identity-disorder-and-the-wish-for-blindness
#15
Katja Gutschke, Aglaja Stirn, Erich Kasten
BACKGROUND: The urge to be permanently blind is an extremely rare mental health disturbance. The underlying cause of this desire has not been determined yet, and it is uncertain whether the wish for blindness is a condition that can be included in the context of body integrity identity disorder, a condition where people feel an overwhelming need to be disabled, in many cases by amputation of a limb or through paralysis. OBJECTIVE: The aim of this study is to test the hypothesis that people with a desire for blindness suffer from a greater degree of visual stress in daily activities than people in a healthy visual control group...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28611644/conjunctival-chemosis-caused-by-exposure-of-the-lacrimal-caruncle-a-case-report
#16
Akinori Baba, Hiromichi Matsuda, Takuya Shiba, Yasuhiro Takahashi, Hiroshi Tsuneoka
An 84-year-old woman presented with a 3-month history of conjunctival chemosis in the left eye. At the first examination, the chemosis neighbored the lacrimal caruncle and was localized in the inferomedial region of the conjunctiva. During eyelid closure, only the left lacrimal caruncle was exposed. One month later, the chemosis further extended to the inferolateral region. We debulked the lacrimal caruncle to prevent the exposure of the caruncle. One month after the surgery, conjunctival chemosis had resolved completely...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28559841/giant-orbital-melanoma-in-a-heroin-abuser
#17
Alena Furdova, Pavel Babal
PURPOSE: The aim of this report was to report a heroin abuser with nondiagnosed giant uveal melanoma infiltrating the orbit and prolapsing through the face. METHODS: We conducted a case report of the patient with giant melanoma. RESULTS: In March 2013, a 39-year-old male with bleeding from the right side of his face was taken to the Emergency Center of the University Hospital Bratislava by ambulance. The heroin abusing, homeless male who had never been treated before reported a 2-year history of a prolapsed, dark colored mass from his eye...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28559840/limbal-stem-cell-sparing-corneoscleroplasty-with-peripheral-intralamellar-tuck-a-new-surgical-technique-for-keratoglobus
#18
Elias Jarade, Rafic Antonios, Sylvain El-Khoury
PURPOSE: To describe the technique of limbal stem cell-sparing corneoscleroplasty for the management of advanced keratoglobus. METHODS: A patient with bilateral advanced keratoglobus, with best-corrected visual acuity of 20/400 in the right eye and 20/200 in the left eye, underwent limbal stem cell-sparing corneoscleroplasty of the right eye. Initially, a 360-degree limbal incision with 200-μm depth was created, followed by a sublimbal tunnel dissection into the sclera, in order to conserve stem cells...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28559839/branch-retinal-vein-occlusion-macular-ischemia-and-intravitreal-anti-vegf-therapy
#19
Thomas Bertelmann, Hans Ulrich Frank, Hendrik Ansgar Fuchs, Nicolas Feltgen
PURPOSE: To report a case with ischemic macular edema (ME) due to an acute branch retinal vein occlusion (BRVO) which was treated with repeated intravitreal anti-VEGF injections. METHODS: Retrospective case presentation. RESULTS: A 66-year-old female patient was treated with repeated intravitreal anti-VEGF injections due to ischemic ME following an acute BRVO. Over a period of 2.5 years best corrected visual acuity increased from 0.06 to 0...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28559838/ten-year-follow-up-after-bilateral-submacular-neovascular-membrane-removal-in-a-case-of-autosomal-recessive-bestrophinopathy
#20
Carlos A Moreira, Carlos A Moreira-Neto, Mario Junqueira Nobrega, Eduardo Cunha de Souza
Herein, we report the case of an 8-year-old girl who presented in December 2000 with a submacular neovascular membrane in the right eye, with a clinical diagnosis of Best disease. At that time, she underwent pars plana vitrectomy (PPV) with removal of the subretinal choroidal neovascularization (CNV). Her vision improved from 20/200 to 20/25. Four years later, a new CNV developed in the other eye. Initially, she underwent unsuccessful photodynamic therapy. As her vision worsened, she underwent a second, this time successful, PPV with membrane removal in the left eye, with vision improving to 20/30...
January 2017: Case Reports in Ophthalmology
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