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GMS Ophthalmology Cases

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https://www.readbyqxmd.com/read/29326863/cmv-endotheliitis-a-cause-for-recurrent-failed-corneal-transplant
#1
Nurul Ain Shahrudin, Aida Zairani Mohd Zahidin, Umi Kalthum Md Noh, Wan Haslina Wan Abdul Halim, Norshamsiah Md Din
Objective: To highlight the clinical presentation of CMV endotheliitis and the challenge in diagnosing this condition in recurrent failed penetrating keratoplasty (PK). Methods: Case series Results: There are 3 cases of recurrent failure in PK secondary to CMV endotheliitis presented. Case 1 and 2 were pseudophakic patients, while in case 3, the patient had a previous history of recurrent anterior uveitis. Case 1 and 3 had four and one previous failed PK respectively, while case 2 had endothelial keratoplasty twice before the diagnosis of CMV endotheliitis was made, following positive culture of aqueous humour...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/29326862/perfluoro-n-octane-mimicking-an-intraocular-foreign-body
#2
Prabu Baskaran, Pratyusha Ganne, Nagesha C Krishnappa
Retained intraocular foreign body (IOFB) is a major cause of visual loss following open globe injuries. Detecting the presence and accurate localization of IOFB in the setting of an open globe injury remains a challenge. There can be various mimics of intraocular IOFB on imaging including air, ocular calcifications, etc. Here, we describe a case of open globe injury wherein a retained perfluoro-n-octane bubble mimicked a retained intraocular foreign body.
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/29326861/brentuximab-vedotin-related-bilateral-purtscher-like-retinopathy-unresponsive-to-pulse-steroid-therapy-and-intravitreal-aflibercept-injection
#3
Ziya Ayhan, Sureyya Yigit Kaya, Mehmet Ali Ozcan, Ali Osman Saatci
We describe a 36-year-old woman with a relapsing Hodgkin's lymphoma who developed a severe bilateral sudden visual loss almost three weeks after the initiation of brentuximab therapy. Ancillary fundus tests yielded bilateral severe retinal arteriolar occlusion 360° and serous macular retinal detachment. No visual improvement could be achieved despite the pulse corticosteroid therapy and a single bilateral intravitreal aflibercept administration cessation of the brentuximab therapy. Unfortunately, she succumbed to respiratory failure almost six weeks after the diagnosis of Purtscher-like retinopathy...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/29082123/ocular-surface-chemical-injury-treated-by-regenerating-agent-rgta-cacicol20
#4
Melih Ustaoglu, Nilgun Solmaz, Feyza Onder
Objective: To present the successful outcome of regenerating agent (RGTA) treatment in a patient with severe ocular surface chemical injury. Methods: Case report Results: A 14-year-old female patient was admitted to our clinic following chemical burn in the left eye. Her best corrected visual acuity (BCVA) was 20/40; and she had total corneal and 75% conjunctival epithelial loss, corneal haze, and limbal ischemia for nine clock hours in the left eye. The patient had already received standard therapy consisting of patching, preservative-free artificial tears, topical netilmicin, topical dexamethasone, oral doxycycline, and vitamin C for two weeks...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/29082122/optical-coherence-tomography-and-fundus-autofluorescence-findings-in-presumed-congenital-simple-retinal-pigment-epithelium-hamartoma
#5
Prabu Baskaran, Dhananjay Shukla, Parag Shah
Aim: Presumed congenital simple retinal pigment epithelium hamartoma is a rare benign lesion of the macula that mimics congenital hypertrophy of the retinal pigment epithelium (RPE) and combined hamartoma of the retina and the RPE; newer imaging modalities can help in diagnosis. We report three patients with presumed congenital simple RPE hamartoma, and describe the enhanced-depth imaging optical coherence tomography (EDI-OCT) and fundus autofluorescence (FAF) findings. Methods: Two patients were asymptomatic; one had an intraocular foreign body in addition to the hamartoma...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/29082121/bilateral-posterior-crystalline-lens-dislocations-in-an-otherwise-healthy-child
#6
Omar A AlShehri, Hashem Almarzouki, Badr A Alharbi, Mohammed Alqahtani, Khaled Allam
Introduction: Ectopia lentis is defined as a crystalline lens displacement, either partially or completely, due to zonular abnormalities. It can be a result of trauma, hereditary ocular disease, or part of systemic diseases, like Marfan syndrome and homocystinuria. Case description: We report a case of a medically free 16-year-old girl, who was referred to our hospital complaining of poor vision and a squint in both eyes since childhood. Her history included a traffic accident when she was one-year-old. She was previously diagnosed with alternating esotropia, which was treated with glasses, alternating patching, and bilateral Botox injections...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28944156/peripheral-ischaemic-retinopathy-and-neovascularisation-in-a-patient-with-subacute-streptococcus-mitis-induced-bacterial-endocarditis
#7
Laura S Leysen, Elke O Kreps, Ilse De Schryver, Kristien P Hoornaert, Vanessa Smith, Julie De Zaeytijd
Objective: To describe a patient with peripheral retinal ischaemia and neovascularisation who was diagnosed with streptococcus mitis-induced bacterial endocarditis. Methods: Retrospective analysis of case report. A 57-year-old man presented with a history of a rapidly progressive, bilateral, painless visual loss. He also suffered from pain in the neck and lower back and a weight loss of 10 kg. He underwent a full ophthalmologic work-up, laboratory investigations, and imaging of the spine. Results: BCVA was reduced to 20/40 in the right eye and 20/32 in the left eye...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28944155/choroidal-neovascular-membrane-in-intraocular-tuberculosis
#8
Koushik Tripathy
Recently, Lodhi SA and colleagues have reported on a patient with choroidal neovascular membrane (CNVM) associated with tubercular granuloma, who responded to intravitreal bevacizumab injections. The available literature regarding CNVM associated with intraocular tuberculosis is briefly discussed. Choroidal neovascular membrane is a possible complication of choroidal tuberculosis and the patients should be informed about this risk. However, patients usually respond well to intravitreal anti-vascular endothelial growth factor agents as evidenced by the case reported by us and the current case reported by Lodhi et al...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28944154/custard-apple-seed-induced-keratitis-a-harmful-traditional-practice-in-south-india
#9
Pratheeba Devi Nivean, S Malarkodi, M Nishanth, M Nivean
Custard apple seeds have been used as a traditional remedy for scalp infestation of lice and dandruff since many years in our part of the world. Not many people, doctors even, are aware about the ill effects of this practice. Surprisingly, there are very few reports on poisoning due to these seeds and the management is not very well streamlined. Rohit Shetty et al. highlighted the ill effects of the seeds and the need to avoid steroids in these cases as they worsen the clinical scenario. We present 2 patients who developed keratoconjunctivitis due to ocular exposure with custard apple seeds...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28944153/sequential-development-of-non-arteritic-anterior-ischemic-optic-neuropathy-in-a-patient-on-hemodialysis
#10
Mukesh Jain, Renuka Srinivasan, K Ramesh Babu, M Swapnil Parchand
Purpose: Non-arteritic anterior ischemic optic neuropathy (NA-AION) is typically a disorder of patients 50 years and older predisposed to the vascular and structural optic disc risk factors. We present an interesting case of sequential development of NA-AION in a 45-year-old patient with end-stage renal disease undergoing hemodialysis. Methods: Observational case report. Results: A 45-year-old female on hemodialysis for chronic renal failure complained of sequential acute onset sudden painless gross diminution of vision in right eye followed by the left eye...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28875112/bilateral-corneal-perforation-due-to-mrsa-keratitis-in-a-crosslinking-patient
#11
Zackery Oakey, Kevin Thai, Sumit Garg
Introduction: The cornea may become infected and perforated after epithelium-on collagen crosslinking. Case presentation: A healthy 33-year-old male who underwent corneal collagen crosslinking in both eyes developed a purulent keratitis and bilateral corneal perforations, requiring bilateral penetrating keratoplasties. He was exposed to methicillin resistant staphylococcus aureus (MRSA) by a family member with a tracheostomy and was treated with MRSA-directed antibiotics. After prolonged recovery and treatment of his infection, he had acceptable but limited uncorrected visual acuity, with excellent corrected visual acuity...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28875111/carotid-cavernous-fistula-masquerading-as-delayed-suprachoroidal-hemorrhage-after-trabeculectomy
#12
Mukesh Jain, Md Shahid Alam, Bipasha Mukherjee, Rajiv Raman
Objective: Carotid cavernous fistulae (CCFs) are abnormal communications between the cavernous sinus and the carotid arterial system. Based on the etiology, CCFs can be traumatic, spontaneous and rarely iatrogenic. We report an interesting case of new onset CCF associated with shallow choroidal detachment after trabeculectomy surgery. Method: Observational case report Result: A 69-year-old male patient presented with complain of proptosis, congestion, and gross diminution of vision in the left eye following trabeculectomy elsewhere...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28875110/monomorphic-xanthomatous-type-of-xanthogranuloma-a-rare-entity
#13
Pratheeba Devi Nivean, M Nivean
Xanthogranuloma is an uncommon tumor in the ocular adnexa. It usually presents as diffuse lid swelling with or without orbital involvement. Xanthogranulomas can be associated with systemic comorbidities. They are diagnosed by their characteristic pathological finding. They are further subclassified based on immunohistochemistry. We present two cases with lid swelling which were diagnosed to be xanthogranuloma. Our cases were special because of the unique presentation as localized monomorphic lesions.
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28706771/an-unusual-case-of-bilateral-anterior-uveitis-related-to-moxifloxacin-the-first-report-in-latin-america
#14
Carlos M Rangel, M Margarita Parra, Gabriel Frederick, Alejandro Tello, Clara L Varón
Objective: To report a case of bilateral anterior uveitis secondary to oral moxifloxacin. Methods: Case report. Results: A 54-year-old female presented bilateral anterior uveitis following a 10-day course of oral moxifloxacin. She developed a bilateral anterior uveitis associated with pigment dispersion syndrome and iris transillumination. Conclusions: Drug-induced uveitis is one of the causes of anterior uveitis. Uveitis related to fluoroquinolones is a rare entity, there are few cases reported in the literature, this is the first case reported in Latin America...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28706770/open-globe-injury-with-an-interesting-intra-ocular-foreign-body
#15
Ekjyot Gill, Matthew Shulman, Sid Schechet, Lawson Grumbine
Introduction: Cases of penetrating ocular trauma due to osseous material are limited, so reported incidents are valuable in determining outcomes and proper treatment courses. Case description: We report a case of an open globe injury of the left eye with an intraocular foreign body occurring after a firework exploded in the hand of a 22-year-old man. The patient presented with light perception vision in the injured eye with a full-thickness limbal laceration and dense hyphema obscuring fundoscopy. CT scan revealed a hyperdense foreign body juxtaposed to the lens...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28580224/upper-eyelid-angiolipoma-associated-friction-in-the-glide-zone
#16
Selman Karaci, Ayten Livaoğlu, Rüştü Köse, Barış Kömür
A 74-year-old man was examined for a mass in the left upper eyelid. It was inconspicuous in inspection. There was no visual restriction, however a feeling of friction on the superior orbit during lid movement. Through eyelid crease lid incision, a solitary lesion appeared in the preaponeurotic space that orginated from the upper tarsal plate. Excisional biopsy revealed adipose proliferation with patch form vessels. This case represents the second reported angiolipoma of the eyelid in English literature.
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28580223/carotid-cavernous-fistula-with-central-retinal-artery-occlusion-and-terson-syndrome-after-mid-facial-trauma
#17
Satya Karna, Mukesh Jain, Md Shahid Alam, Bipasha Mukherjee, Rajiv Raman
Objectives: To report a rare occurrence combination of central retinal artery occlusion (CRAO) and Terson syndrome in a Barrow's type A carotid cavernous fistula (CCF) patient. Methods: Observational case report. Results: A twenty-year-old male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. Examination revealed a CRAO with intraretinal and preretinal hemorrhages. On imaging, type A CCF and subarachnoid hemorrhage were detected. He underwent embolization of the fistula for cosmetic blemish...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28435768/cortical-blindness-as-severe-neuro-ophthalmological-manifestation-of-tuberous-sclerosis-complex
#18
Alvaro I Ortiz Z, Pedro Luis Cárdenas, Luis C Escaf, Marcela Peralta
Patients with retinal lesions related to tuberous sclerous complex (TSC) commonly have no impairment of visual acuity. We present a case of a 1-year-old Hispanic girl with TSC in which bilateral cortical blindness is documented.
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28401030/macular-ischemia-after-intravitreal-amikacin-on-patient-with-intraocular-foreign-body
#19
Arief Kartasasmita, Susi Mona, Erwin Iskandar, Iwan Sovani, Djonggi Panggabean
Background: Although still used in third world countries, amikacin has a harmful effect to be used intravitreally. Purpose: To report macular ischemia after an intravitreal injection of amikacin Methods: A case report regarding a traumatized eye of a 26-year-old man that was injected intravitreally with amikacin due to intraocular foreign body endophthalmitis Results: Angiography and OCT show macular ischemia due to amikacin toxicity. Conclusion: The case reported here is to alert about the potential harmful effect of intravitreally injected amikacin despite its role as an accepted regimen for endohthalmitis cases...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28401029/iatrogenic-central-retinal-artery-occlusion-after-carotid-body-tumor-embolization-and-excision
#20
Carlos M Rangel, Sergio Jaramillo, Clara L Varón, Angélica M Prada
Objective: To report a case of iatrogenic central retinal artery occlusion after embolization and surgical resection of carotid body paraganglioma. Methods: Case report Results: One adult female patient presented with persistent unilateral visual loss after embolization with Embosphere(®) and Contour(®) microparticles of carotid body tumor. Fluorescein angiography revealed intraluminal microspheres in the central retinal artery ramifications. OCT revealed intraretinal spherical, hyporeflective particles with posterior shadowing...
2017: GMS Ophthalmology Cases
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