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Case Reports in Ophthalmological Medicine

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https://www.readbyqxmd.com/read/29692939/optical-coherence-tomography-angiography-of-retinal-arterial-macroaneurysm-before-and-after-treatment
#1
Victoria S Chang, Stephen G Schwartz, Harry W Flynn
A case of retinal arterial macroaneurysm (RAM) is presented with multimodal imaging, including commercially available optical coherence tomography angiography (OCT-A). Following treatment with intravitreal bevacizumab, reduction of flow signal through the RAM is documented. OCT-A provides useful information for the diagnosis and management of at least some patients with RAM, without the need for traditional fluorescein angiography.
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29686914/optical-coherence-tomography-angiography-of-purtscher-retinopathy-after-severe-traffic-accident-in-16-year-old-boy
#2
Hassan Hamoudi, Marie Krogh Nielsen, Torben Lykke Sørensen
Purpose: To describe optical coherence tomography (OCT) angiography (OCTA) in a case of Purtscher retinopathy. Methods: A 16-year-old male underwent ophthalmological examination including color fundus photography, spectral domain OCT, OCTA, and microperimetry. Examination was performed 10 days, 1 month, and 6 months after the trauma. Diagnosis was based on the characteristic clinical presentation. Patients: A single patient case. Results: Only the right eye was affected, and all examinations of the left eye were normal...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29675279/bilateral-diffuse-and-cluster-pigment-epithelial-detachment-associated-with-diffuse-proliferative-glomerulonephritis
#3
Heshmatollah Ghanbari, Alireza Dehghani, Mohsen Pourazizi
Retinal pigment epithelium detachment (PED) is an area of retinal pigment epithelium (RPE) elevation with minimal or no sensory retinal detachment resulting from the accumulation of sub-RPE fluid. There are many etiological factors that lead to the development of PED. PED may be observed as an isolated finding or in association with ocular and systemic conditions. In this case we report a 23-year-old male with bilateral cluster PED associated with diffuse proliferative glomerulonephritis (DPGN). The importance of current report is that development of PED and DPGN is more than a simple incidental event...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29670789/repeat-intravitreal-dexamethasone-implant-for-refractory-cystoid-macular-edema-in-syphilitic-uveitis
#4
Cassandra C Lautredou, Joshua S Hardin, John R Chancellor, Sami H Uwaydat, Abdallah A Ellabban, Ahmed B Sallam
Purpose: To report the successful utilization of adjunctive repeat intravitreal corticosteroid therapy for the treatment of cystoid macular edema in syphilis-related uveitis. Methods/Patients: An HIV-positive patient with treated ocular syphilis who developed refractory cystoid macular edema (CME) was treated with repeat intravitreal corticosteroid therapy including dexamethasone intravitreal implants. Results: Treatment led to the resolution of CME and improvement in visual acuity...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29651354/evolution-of-choroidal-neovascularization-due-to-presumed-ocular-histoplasmosis-syndrome-on-multimodal-imaging-including-optical-coherence-tomography-angiography
#5
T Y Alvin Liu, Alice Yang Zhang, Adam Wenick
A 37-year-old Caucasian woman presented with acute decrease in central vision in her right eye and was found to have subfoveal choroidal neovascularization (CNV) due to presumed ocular histoplasmosis syndrome (POHS). Her visual acuity improved from 20/70 to 20/20 at her 6-month follow-up, after 3 consecutive monthly intravitreal bevacizumab injections were initiated at her first visit. Although no CNV activity was seen on fluorescein angiography (FA) or spectral-domain optical coherence tomography (SD-OCT) at her 2-month, 4-month, and 6-month follow-up visits, persistent flow in the CNV lesion was detected on optical coherence tomography angiography (OCTA)...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29619263/a-rare-presentation-of-actinic-keratosis-affecting-the-tarsal-conjunctiva-and-review-of-the-literature
#6
Selina Khan, Melanie Chak
We report an unusual case of actinic keratosis (AK) of the tarsal conjunctiva in a 63-year-old man. Examination revealed a crusty, leukoplakic lesion prone to bleeding on the tarsal conjunctiva of the right upper eyelid. This was treated by surgical excisional biopsy. At 1-year follow-up, there was no evidence of recurrence and the surgical site was completely healed without conjunctival scarring. Current opinion cites excessive exposure to ultraviolet (UV) radiation, in particular UV-B in sunlight, as the causative agent in developing AK...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29619262/optical-coherence-tomography-angiography-of-combined-central-retinal-artery-and-vein-occlusion
#7
Shuo-Chieh Wu, Victor M Villegas, Jaclyn L Kovach
Optical coherence tomography angiography (OCTA) is a new, noninvasive technology that enables detailed evaluation of flow in the retinal and choroidal vasculature. The authors believe this to be the first report to describe the optical coherence tomography angiography findings associated with combined central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO).
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29487754/modified-descemet-s-stripping-automated-endothelial-keratoplasty-the-use-of-ophthalmic-viscoelastic-devices-in-hypotonic-eyes-that-had-undergone-glaucoma-filtering-surgeries
#8
Itaru Oyakawa, Takahiko Hayashi, Toshiki Shimizu, Naoko Kato
Purpose: Descemet's stripping automated endothelial keratoplasty (DSAEK) is more difficult in hypotonic eyes with filtering bleb, due to the difficulties in elevating the intraocular pressure (IOP). We report a new method that uses ophthalmic viscoelastic devices (OVDs) to achieve good graft adhesion. Case Presentation: We performed modified DSAEK surgery on 2 eyes of 2 patients, who had previously undergone a trabeculectomy. Both eyes had functioning filtering blebs; the IOP was lower than 10 mmHg without medication...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29479487/intravitreal-ziv-aflibercept-in-treatment-of-na%C3%A3-ve-chronic-central-serous-chorioretinopathy-related-choroidal-neovascular-membrane
#9
Nishant Radke, Charudutt Kalamkar, Amrita Mukherjee, Snehal Radke
Purpose. To study the effect and outcome of intravitreal Ziv-Aflibercept (IVZ) in treatment of Chronic Central Serous Chorioretinopathy (CSCR) related Choroidal Neovascular Membrane (CNVM). Methods. A case report of 48-year-old male patient treated with 1.25 mg/0.05 ml IVZ (total 3 doses at monthly intervals) in CSCR related CNVM. Pre- and posttreatment fundus fluorescein angiography (FFA) and Optical Coherence Tomography (OCT) were done to document response along with improvement in visual acuity. Patients...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29445557/benign-recurrent-sixth-nerve-palsy-in-a-child
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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