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Case Reports in Ophthalmological Medicine

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https://www.readbyqxmd.com/read/29445557/benign-recurrent-sixth-nerve-palsy-in-a-child
#1
Rita Gonçalves, Pedro Coelho, Carlos Menezes, Isabel Ribeiro
Benign recurrent sixth nerve palsy in children is rare. It typically occurs following viral illness or immunization, and prognosis is usually excellent. However, it is always a diagnosis of exclusion given the more serious alternative causes. Therefore, a thorough examination with brain imaging is recommended. The authors report a child with six recurrent episodes of isolated benign sixth nerve palsy.
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29430314/cilioretinal-artery-occlusion-combined-with-central-retinal-vein-occlusion-what-is-the-best-imaging-modality-for-the-follow-up
#2
Mahmut Kaya, Taylan Ozturk, Ziya Ayhan, Nilufer Kocak, Suleyman Kaynak
We report retinal structural changes of a 37-year-old man diagnosed with the concomitant occlusion of cilioretinal artery and central retinal vein. Comprehensive ophthalmological evaluation was performed, followed by spectral-domain optical coherence tomography (SD-OCT, Heidelberg), optical coherence tomography angiography (OCT angiography, Optovue Inc., Fremont, California, USA), fluorescein angiography, and color fundus photography. The use of OCT angiography and en face SD-OCT imaging as an adjunct test to map out correlative paracentral scotomas during follow-up allowed us to evaluate cilioretinal artery occlusion in the best way due to obtaining satisfactory images of the normal retinal vascular networks and areas of nonperfusion and congestion at various retinal levels...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29387501/simultaneous-noncentered-photoactivated-chromophore-for-keratitis-corneal-collagen-cross-linking-and-penetrating-keratoplasty-for-treatment-of-severe-marginal-fusarium-spp-keratitis-a-description-of-a-new-surgical-technique
#3
Kepa Balparda, Juan Carlos Mejia-Turizo, Tatiana Herrera-Chalarca
The purpose of this article is to describe the use of simultaneous noncentered photoactivated chromophore for keratitis-corneal collagen cross-linking (PACK-CXL) combined with penetrating keratoplasty in the treatment of a severe marginal Fusarium spp. keratitis case with imminent corneal perforation. It is a retrospective case report study; it was performed by collecting clinical data, images, video, and postoperative evaluations. The clinical control of the infection was accomplished, despite difficulties in obtaining antifungal medications due to the patient's extremely poor socioeconomic status and essentially nonexistent health insurance...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29379657/coats-disease-related-macular-edema-treated-with-combined-aflibercept-and-laser-photocoagulation
#4
Wen-Shi Shieh, Gaurav K Shah, Kevin J Blinder
Purpose: To describe the clinical response of refractory macular edema associated with Coats' disease following treatment with aflibercept and laser photocoagulation. Methods: Case report. Results: A 17-year-old female presented with decreased vision of the left eye. Ophthalmic exam demonstrated intraretinal hemorrhages and exudation with associated edema centrally. Angiographic evaluation revealed central leaking microaneurysms and peripheral capillary dropout...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29348953/multimodal-images-of-acute-central-retinal-artery-occlusion
#5
Parth Shah, Stephen G Schwartz, Harry W Flynn
Two illustrative cases of acute central retinal artery occlusion (CRAO) are presented with multimodal imaging, including fluorescein angiography (FA) and commercially available optical coherence tomography angiography (OCT-A). In both patients, retinal ischemia was imaged well using both FA and OCT-A, and the two imaging studies provided comparable pictures. OCT-A provides useful information for the diagnosis and management of patients with acute CRAO, without the need for dye injection.
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29348952/persistent-corneal-decompensation-due-to-anterior-dislocation-of-soemmering-ring-cataract
#6
Travis Peck, Shruti Aggarwal, Sandra Johnson
Purpose: We present a case of a patient with Soemmering ring after cataract surgery and a potential complication that can arise as a result of its presence. Observations: A patient with history of ruptured globe status after repair and lensectomy, complicated by aphakic secondary open angle glaucoma, was referred for management of second injury to the same eye. This injury resulted in Soemmering ring dislocation into the anterior chamber. The cortical material caused a significant increase in intraocular pressure and corneal decompensation...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29318070/low-grade-mucoepidermoid-carcinoma-of-the-lacrimal-gland-in-a-teenaged-patient
#7
Ozgun Melike Gedar Totuk, Mustafa Kemal Demir, Ozlem Yapicier, Mert Mestanoglu
Mucoepidermoid carcinoma is the most common malignant, locally invasive tumour of the salivary glands and accounts for approximately 35% of all malignancies of the major and minor salivary glands. Mucoepidermoid carcinoma that originated from the lacrimal gland is exceedingly rare in teenage patients, with only a few cases reported. Herein, we report clinical and radiological findings of a mucoepidermoid carcinoma arising from the lacrimal gland in a 15-year-old boy. We suggest that since preoperative imaging findings are not diagnostic for mucoepidermoid carcinoma, histopathologic examination should be performed for definitive diagnosis...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29250452/optical-coherence-tomography-angiography-of-macular-telangiectasia-type-2-with-associated-subretinal-neovascular-membrane
#8
Victor M Villegas, Jaclyn L Kovach
Optical coherence tomography angiography (OCTA) is a recently established noninvasive technology for evaluation of the retinal and choroidal vasculature. The literature regarding the findings in macular telangiectasia type 2 (MacTel2) is scarce. We report the OCTA findings associated with a subject with MacTel2 and secondary subretinal neovascularization (SNV). The commercially available Cirrus 5000 with AngioPlex (Zeiss, Jena, Germany) was used, without any subsequent image modification or processing. Subretinal neovascularization was detectable with OCTA at the level of the outer retina and choriocapillaris...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29234549/bilateral-mycobacterium-chelonae-keratitis-after-phacoemulsification-cataract-surgery
#9
Jaime D Martinez, Guillermo Amescua, Jesus Lozano-Cárdenas, Leejee H Suh
The purpose of this manuscript is to report the case of an 81-year-old patient who presented with bilateral keratitis after phacoemulsification surgery. Cultures came back positive for Mycobacterium chelonae. Despite aggressive topical and systemic antimicrobial treatment, the patient developed a corneal perforation in both eyes, treated with corneal glue in the right eye and corneoscleral patch in the left eye. After two years of follow-up, patient was free of infection in the right eye with visual acuity of 20/200 and the left eye progressed to phthisis bulbi...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29230338/optical-coherence-tomography-angiography-of-punctate-inner-choroidopathy
#10
Blake M Hampton, Christopher M Aderman, Harry W Flynn, Jayanth Sridhar
Purpose: To report a case of bilateral choroidal neovascularization (CNV) in punctate inner choroidopathy (PIC) visualized utilizing optical coherence tomography angiography (OCT-A). Methods: Case report. Results: A 29-year-old woman presented with new visual symptoms in both eyes. Fundoscopic exam revealed bilateral multifocal, small, well-defined lesions consistent with PIC. Optical coherence tomography demonstrated subretinal fluid and retinal pigment epithelium detachments (RPEDs) in both eyes...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29225985/late-onset-descemet-membrane-detachment-after-radial-keratotomy-resolved-with-medical-therapy
#11
P Rosetta, E F Legrottaglie, R Vinciguerra, P Vinciguerra
Purpose: To report a case of a Descemet membrane's (DM) detachment after radial keratotomy (RK). Methods: A patient (male) underwent RK (16 cuts) 20 years before referring to the Eye Center of Humanitas (Milan) for a progressive visual loss. The slit-lamp examination showed severe corneal stromal edema and a large DM detachment in the lower half of the cornea. Anterior segment optical coherence tomography (AS-OCT) and endothelial cells count confirmed DM detachment and endothelial cells damage...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29201477/a-case-of-advanced-glaucoma-with-increased-episcleral-venous-pressure-in-a-17-year-old-with-eisenmenger-syndrome
#12
Leanne Grech, Adrian Mifsud, Maryanne Caruana, Francis Carbonaro
Eisenmenger syndrome refers to reversal of shunt and central cyanosis due to pulmonary hypertension induced by congenital heart disease with a large systemic-to-pulmonary shunt. We report a case of a 17-year-old man with Eisenmenger syndrome who presented with gradual deterioration in visual acuity and was diagnosed with advanced secondary open angle glaucoma. There have been reports of patients suffering from thrombosis due to hyperviscosity associated with this syndrome; however, to our knowledge, the association of secondary open angle glaucoma with Eisenmenger syndrome has not yet been documented...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29201476/multimodal-imaging-analysis-in-a-case-with-congenital-fovea-involving-retinal-macrovessel-and-excellent-visual-acuity
#13
Vishal Shah, M Ashwin Reddy, Vasilios P Papastefanou
Purpose: Congenital retinal macrovessels (CRM) represent rare aberrant vasculature of the retinal vessels that can supply or drain the macula. In this report, the optical coherence tomography angiography features of a congenital retinal macrovessel are discussed. Methods: The history and examination findings are presented alongside swept-source OCT angiography with corresponding B scan and en face OCT imaging. Patients: The case is a 12-year-old female patient with excellent best-corrected visual acuity in both eyes...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29158934/ocular-rosacea-causing-corneal-melt-in-an-african-american-patient-and-a-hispanic-patient
#14
Joanna S Saade, Bachir Abiad, Jonathan Jan, Dana Saadeh, James P McCulley, Jeremy Bartley
Purpose: To discuss two rare presentations of ocular rosacea in a Hispanic patient and an African American patient with unusual ocular manifestations. Case Report: Case  1: a 43-year-old Hispanic woman presented with right eye corneal perforation. Her prior medical history was significant for rosacea only, diagnosed clinically by a dermatologist. Her eye exam showed signs of bilateral ocular rosacea. An emergent full thickness tectonic corneal patch graft was done...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29138701/valsalva-related-subretinal-hemorrhage-as-a-presenting-symptom-of-polypoidal-choroidal-vasculopathy
#15
Yousif Subhi, Torben L Sørensen
Purpose: To describe a case of Valsalva-related subretinal hemorrhage as a presenting symptom of polypoidal choroidal vasculopathy (PCV). The patient refrained from treatment against our best advice, and thus this is also a rare case of the natural course of an untreated PCV. Methods: Case report. Results: A 66-year-old female with a respiratory infection coughed intensely until exhaustion, after which she developed visual symptoms on the right eye...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29130009/optical-coherence-tomography-angiography-of-two-choroidal-nevi-variants
#16
Victor M Villegas, Armando L Monroig, Lazaro H Aguero, Stephen G Schwartz
Optical coherence tomography angiography (OCT-A) is a recently established noninvasive technology for evaluation of the retinal and choroidal vasculature. The literature regarding the findings in choroidal nevi is scarce. We report the OCT-A findings associated with two different variants. Subject one had decreased vascular flow signal in the choroidal, choriocapillaris, deep retinal, and superficial retinal layers. Subject two had decreased vascular flow signal in the choroidal, choriocapillaris, and deep retinal layers with a normal vascular flow signal in the superficial retinal layer...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29119030/latanoprost-induced-iris-pigment-epithelial-and-ciliary-body-cyst-formation-in-hypermetropic-eyes
#17
Abhijit Anand Mohite, Rangarajan V Prabhu, Thomas Ressiniotis
Purpose: Latanoprost has become one of the most widely prescribed topical antihypertensive medications in recent years. Yet there have been few reports of secondary iris pigment epithelial (IPE) and ciliary body (CB) cyst formation to date and none, to our knowledge, reported in eyes predisposed to primary angle closure. Methods: We report the first documented case of bilateral IPE and CB cysts in a hypermetropic patient with prior laser peripheral iridotomies (LPIs) as a rare, delayed side effect of topical Latanoprost treatment...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29109883/nd-yag-laser-photodisruption-for-multilevel-premacular-hemorrhage-due-to-isolated-retinal-venous-macroaneurysm
#18
Kenan Sonmez, Pehmen Y Ozcan
A 55-year-old man presented with sudden deterioration of vision in the right eye. His visual acuity was reduced to hand motion because of a large multilevel premacular hemorrhage. Nd:YAG laser was performed to drain the entrapped hemorrhage under the internal limiting membrane (ILM) and posterior hyaloid face in the macula into the vitreous. Immediately after laser treatment, streaming of red blood cells into the vitreous gel through the perforation site was observed. At the first-month follow-up, BCVA improved to 20/25 and ILM wrinkling was observed at the macula where the preretinal hemorrhage cleared...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29098101/a-new-side-effect-of-intravitreal-dexamethasone-implant-ozurdex%C3%A2
#19
Erdem Eris, Gurkan Erdogan, Irfan Perente, Gokhan Demir, Burcin Kepez Yildiz, Ebru Demet Aygit
Dexamethasone implant, 0,7 mg (Ozurdex, Allergan, Inc., Irvine, CA, USA), is drug mostly used in the treatment of the diabetic macular edema and edema related to retinal vein occlusion. By reporting this case we aimed to report a new side effect of 0.7 mg intravitreal dexamethasone implant that has not been reported in the literature before.
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29098100/chronic-central-serous-chorioretinopathy-in-a-patient-with-pigment-dispersion-syndrome-a-possible-correlation
#20
Dimitrios Kourkoutas, George Tsakonas, Aristotelis Karamaounas, Nikolaos Karamaounas
Chronic central serous chorioretinopathy (CSCR) is a progressive chorioretinopathy with widespread atrophic RPE abnormalities and serous retinal detachments (SRDs) present for 6 months or longer. We report a case of CSCR in a 38-year-old patient with Pigment Dispersion Syndrome (PDS). In the presented case of CSCR, the chronic course of the disease may in part be associated with an underlying generalized degenerative dysfunction of the pigmented cells of the eye on grounds of PDS. We suggest that a chronic course of disease may be suspected in the setting of CSCR with concurrent RPE pathology, such as what is found in PDS...
2017: Case Reports in Ophthalmological Medicine
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