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GMS Ophthalmology Cases

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https://www.readbyqxmd.com/read/27822435/isolated-ectopic-cilia-in-an-11-year-old-girl
#1
Hosny Ahmed Zein, M Tarek A Moustafa
Ectopic cilia (EC) are a very rare condition with only few cases reported in literature. Many associations were seen with ectopic cilia which include distichiasis, choristoma and aberrant lacrimal gland, hypochromic nevus, atopic eczema and others. We are reporting a case of an 11-year-old girl with isolated left upper lid ectopic cilia, which was confirmed by surgical removal and histopathological study.
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27822434/seven-year-evaluation-of-idiopathic-multiple-retinal-pigment-epithelium-detachments
#2
Pawel Krasnicki, Diana Dmuchowska, Ewa Zukowska, Zofia Mariak
Objective: To analyze a 7-year natural history of idiopathic multiple retinal pigment epithelium (RPE) detachment based on optical coherence tomography (OCT) images. Methods: Case report. SD-OCT imaging (Topcon 3D OCT-1000). Results: A 55-year-old female presented with three foci of pigment epithelium detachment (PED) in her left eye. Her past ophthalmic and medical history was uneventful. The patient's visual acuity in both eyes was 1.0 throughout the follow-up period. Fluorescein angiography images are shown...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27703873/vitrectomy-for-bilateral-macular-schisis-without-apparent-optic-disc-anomalies
#3
José Andonegui, José Ramón Maya, Marta Echeverría, Araceli Alcaine
A 78-year-old man complained of bilateral visual acuity loss. Optical coherence tomography examination showed bilateral macular schisis with fluid accumulation in the external retinal layers without vitreous traction. Fundus examination and fluorescein angiography were normal in both eyes. Both eyes were treated by phacoemulsification, intraocular lens implantation, and vitrectomy without laser, gas exchange, or retinal fenestration. Slow and progressive fluid resorption and improvement in VA were observed in both eyes...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27703872/management-of-implant-plate-exposure-of-silicone-ahmed-glaucoma-valve-a-review-of-six-cases
#4
Avik Kumar Roy, Sirisha Senthil
Objective: To describe the management options for exposed silicone Ahmed glaucoma valve (AGV) implant. Methods: This was carried out as a retrospective chart review at a tertiary care eye hospital in Southern India. Medical records of six subjects managed for AGV exposure from 2006 to 2013 were reviewed. Results: All six eyes had explantation of the AGV and 3 of them had reimplantation in a different quadrant at a later date and the other 3 eyes were managed medically. All eyes had well controlled IOP at the last follow-up...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27703871/conjunctival-lymphangioma-in-a-4-year-old-girl-revealed-tuberous-sclerosis-complex
#5
Florentina Joyce Freiberg, Erdmute Kunstmann, Thomas König, Juliane Matlach, Daniel Kampik
Background: To present a case of conjunctival lymphangioma in a 4-year-old girl with tuberous sclerosis complex. Methods/results: A 4-year-old girl presented with a relapsing cystic lesion of the bulbar conjunctiva in the right eye with string-of-pearl-like dilation of lymphatic vessels and right-sided facial swelling with mild pain. Best-corrected vision was not impaired. Examination of the skin revealed three hypomelanotic macules and a lumbal Shagreen patch. Magnetic resonance imaging (MRI) findings displayed minimal enhancement of buccal fat on the right side...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27703870/intravitreal-bevacizumab-role-in-the-treatment-of-macular-edema-secondary-to-retinal-vasoproliferative-tumor-in-a-patient-with-neurofibromatosis-type-1
#6
Ramin Nourinia, Tahmineh Motevasseli, Zahra Tofighi
Objective: To report a case of neurofibromatosis-1 (NF-1) with retinal vasoproliferative tumor (RVPT) and macular edema and exudation that was successfully treated with intravitreal bevacizumab (IVB). Method: A retrospective case report of patient with neurofibromatosis, retinal vasoproliferative tumor and macular edema who received three monthly intravitreal injections of bevacizumab. Optical coherence tomography (OCT) and fluorescein angiography (FAG) before and three months after treatment were done. Results: Macular edema and exudation of the right eye was effectively resolved with IVB injection and vascularity of RVPT significantly decreased after treatment with IVB...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625966/iris-pigment-epithelial-cysts-in-a-newborn
#7
Shabnam Zargar, Kevin John Prendiville, Eladio Martinez
PURPOSE: We report a case of iris pigment epithelial cysts in a newborn and discuss the importance of an accurate diagnosis for prevention of amblyopia. METHODS: We describe a case of an abnormal red reflex seen on a newborn exam. RESULTS: A full-term female born via normal spontaneous vaginal delivery without any complications was seen in the newborn nursery. She was noted to have an abnormal eye exam. Pupils were large with circular dark excrescences of the iris pigment epithelium...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625965/a-case-report-of-primary-orbital-non-hodgkin-s-lymphoma-causing-complete-vision-loss
#8
Neerav Lamba, Douglas P Dworak, Shyam A Patel, Rohini Chennuri
A 29-year-old male with acquired immunodeficiency syndrome presented with a week of left eye blurriness, which then progressed to complete vision loss. On exam, the left pupil was nonreactive to light, and fundoscopy showed significant optic nerve edema. CT and MRI of the left orbit showed a mass lesion compressing the posterior aspect of the sclera with diffuse thickening and contrast enhancement of the retrobulbar portion of the left optic nerve. The lesion demonstrated low T1 and intermediate T2 intensities and heterogeneous contrast enhancement and measured 17...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625964/bilateral-simultaneous-anterior-ischemic-optic-neuropathy-an-extrahepatic-manifestation-of-hepatitis-c-cured-with-direct-acting-antivirals
#9
Sylvie Prud'homme, Frederik Nevens, Ingele Casteels
We report a patient with a bilateral optic anterior ischemic neuropathy as an extrahepatic complication of a chronic hepatitis C (HCV) infection. The patient presented with a bilateral visual acuity loss and bilateral optic disc oedema. The optic neuropathy was associated with a sudden increase in the viral HCV load after a recent liver transplantation. The stop of the calcineurin inhibitor had no effect on the course of the optic neuropathy. Visual improvement and normalization of HCV viraemia occurred after treatment with sofosbuvir and daclatasvir, which are direct acting antivirals...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625963/successful-repair-of-injury-to-the-eyelid-lacrimal-passage-and-extraocular-muscle
#10
Shreya Mehul Shah, Mehul Ashvin Shah, Prerna D Shah, Kashyap B Patel
INTRODUCTION: Injury is a known cause of monocular blindness. Ocular trauma may affect lacrimal canaliculi and the extraocular muscle. We report this case as it includes injury to lid, lacrimal canaliculi and inferior rectus. CASE DESCRIPTION: A 25-year-old male presented with an injury caused by a sharp object that resulted in a conjunctival tear, lid tear involving the lacrimal canal, and rupture of the inferior rectus muscle. All of the structures were repaired successfully during a single procedure...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625962/fibrolipoma-on-upper-eyelid-in-child
#11
Rafael Corredor-Osorio, Nelly Ramos-Pineda, María Eugenia Orellana
An 18-months-old male infant presented with a rapidly growing tumor on the right upper eyelid. Orbital computed tomography (CT) revealed a large, well-circumscribed mass with low density signal in the right upper eyelid. Magnetic resonance images (MRI) showed a lesion of mixed T1-signal intensity and high signal intensity in T2-weighted images. The tumor was treated by simple anterior orbitotomy with excisional biopsy, and the diagnosis of fibrolipoma was made by histopathologic examination. There was no evidence of tumor at the four-year follow-up...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625961/severe-acute-syphilitic-posterior-placoid-chorioretinitis-with-complete-spontaneous-resolution-the-natural-course
#12
Mónica Franco, Vanda Nogueira
PURPOSE: We report on a case of unilateral acute syphilitic posterior placoid chorioretinitis (ASPPC) with spontaneous resolution of the lesions, and discuss the role of an altered versus adequate immune response as the major pathogenic factor. METHODS: We describe a case of acute loss of visual acuity (VA) in the left eye (LE) in a 55-year-old healthy man. RESULTS: The patient presented with VA of 20/20 in the right eye (RE) and hand movements in the LE...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625960/traumatic-endophthalmitis-following-a-crane-pecking-injury-an-unusual-mode
#13
Prabu Baskaran, Seema Ramakrishnan, Pankaja Dhoble, Joseph Gubert
PURPOSE: To report a case of beta-hemolytic streptococcal endophthalmitis following crane-pecking injury. CASE REPORT: A twelve-year-old boy was brought to us by his father with history of crane beak injury in his right eye. On examination, his vision was 6/24 Snellen's acuity. Anterior segment examination showed a full thickness two mm corneo-limbal tear at 1 o'clock with iris prolapse. Pupil showed peaking through the wound with a clear crystalline lens. There was no evidence of hypopyon in the anterior chamber and B-scan ultrasonography showed acoustically clear vitreous with an attached retina...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625959/serous-retinal-detachment-after-trabeculectomy-in-angle-recession-glaucoma
#14
Avik Kumar Roy, Debananda Padhy
An 18-year-old male with 360 degree angle recession after blunt trauma in his right eye developed uncontrolled intraocular pressure (IOP) despite four antiglaucoma medications (AGM) with advancing disc damage. He underwent trabeculectomy with intraoperative mitomycin-c (MMC) application. There was an intraoperative vitreous prolapse which was managed accordingly. On post-surgery day 1, he had shallow choroidal detachment superiorly with non-recordable IOP. This was deteriorated 1 week postoperatively as choroidal detachment proceeded to serous retinal detachment...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625958/central-retinal-artery-occlusion-following-laser-treatment-for-ocular-ischemic-aortic-arch-syndrome
#15
Payal J Shah, Brian Ellis, Lauren R DiGiovine, Jeffery P Hogg, Monique J Leys
OBJECTIVE: Ocular ischemic syndrome is a rare blinding condition generally caused by disease of the carotid artery. We describe a 69-year-old female with a 50 pack-year smoking history with aortic arch syndrome causing bilateral ocular ischemic syndrome. METHODS: The patient presented with progressive visual loss and temple pain. Slit lamp biomicroscopy revealed bilateral iris neovascularization. This finding prompted a cardiovascular work up. Panretinal photocoagulation with retrobulbar block was performed in the right eye...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625957/ophthalmologic-identification-of-cerebral-malaria-in-adults
#16
Catarina Areias Pedrosa, Cristina Santos, Inês Coutinho, Maria Lisboa, Susana Teixeira, Filomena Silva, Graça Pires, Isabel Prieto
OBJECTIVE: To report the clinical presentation of malarial retinopathy in an adult, emphasizing the importance of this diagnosis for the clinical suspicion and prognosis of cerebral malaria. METHODS: A 39-year-old caucasian man presented with hemolytic anemia, thrombocytopenia, acidemia and acute renal failure, developing severe encephalopathy. The diagnosis of Plasmodium falciparum malaria was done and after systemic stabilization, the patient noticed a central scotoma in the left eye...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625956/lens-siderosis-resulting-from-a-small-intralenticular-metallic-foreign-body
#17
Mehul A Shah, Shreya M Shah, Pritesh Teori, Anjli Israni
We report a rare case of lens siderosis with an undetectable intraocular foreign body by imaging. An 8-year-old boy presented with diminution of vision in the left eye since 3 months. His parents gave a preceding uncertain history of a foreign body injury to his left eye 3 months ago while playing. Presenting visual acuity in the left eye was perception of hand movements. Slit-lamp examination revealed a total white cataract with brownish-pigmented spots on the anterior capsule of the lens, but no intraocular foreign body was found...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625955/spontaneous-dislocation-of-lens-bag-with-acrylic-lens-after-uneventful-cataract-surgery-unusual-complication-of-cataract-surgery
#18
Mehul A Shah, Shreya M Shah, Ruchir Mehta, Prerna Shah
INTRODUCTION: Spontaneous dislocation of intraocular lens with bag is rare. METHODS: We report a case of a 56-year-old male who presented with spontaneous anterior dislocation of an in-the-bag intraocular lens 3 years after manual small incision cataract surgery. He had undergone manual small incision cataract surgery with foldable acrylic intraocular lens implantation, and 18 months after cataract surgery ND: YAG capsulotomy with uneventful post capsulotomy follow-up...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625954/massive-suprachoroidal-hemorrhage-surgical-management-and-outcome
#19
Thomas Laube, Claudia Brockmann, Norbert Bornfeld
OBJECTIVE: To describe options for vitreoretinal surgery in the management of massive suprachoroidal hemorrhage (SCH). METHODS: Visual acuity (VA), ocular findings, timing of surgical intervention, surgical procedures, and outcomes of four patients diagnosed with massive SCH and admitted to the University Eye Clinic Essen were reviewed retrospectively. RESULTS: Four eyes of four patients (mean age, 82 years; range, 74-89 years) were studied...
2015: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625953/a-case-of-mac-tel-2-with-an-unusual-sub-macular-vitelliform-lesion
#20
T Lekha, Nikit Sarwate, Renuka Sarwate
METHOD: Observational case report describing the clinical, FFA, OCT and mfERG findings in an elderly female patient with atypical features of macular telangiectasia (Mac Tel 2) RESULTS: A 71-year-old lady was detected to have characteristic features of Mac Tel 2 in the left eye (LE) and a yellowish sub macular vitelliform like lesion in the right eye (RE). FFA showed ill defined hyper fluorescence in the RE and telangiectasia and parafoveal leakage typical of Mac Tel 2 in the LE. On OCT RE had hyper reflective clump of echoes subfoveally with an intact RPE and LE had foveal thinning with hypo reflective intraretinal cavities...
2015: GMS Ophthalmology Cases
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