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GMS Ophthalmology Cases

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https://www.readbyqxmd.com/read/28293537/a-rare-case-of-concomitant-sicca-keratopathy-and-ipsilateral-central-facial-palsy-in-wallenberg-s-dorsolateral-medullary-syndrome
#1
Deborah De Bruyn, Elisabeth Van Aken, Kristien Herman
Objective: To describe a patient with a right-sided supranuclear facial palsy and concomitant sicca keratopathy of the right eye following right-sided dorsolateral medullary infarction. Methods: Our patient underwent a complete ophthalmologic and neurologic examination including biomicroscopy, fundus examination, cranial nerve examination, Shirmer I test, and magnetic resonance imaging of the brain. Results: A 61-year-old woman presented in emergency with a central facial nerve palsy on the right side and truncal ataxia...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28293536/early-onset-bilateral-juvenile-myasthenia-gravis-masquerading-as-simple-congenital-ptosis
#2
Md Shahid Alam, Pratheeba Devi Nivean
Myasthenia gravis is an autoimmune disorder affecting the neuromuscular junction. Ocular myasthenia gravis presents as ptosis with extraocular motility restriction and is prone to be misdiagnosed as third nerve palsy or congenital or aponeurotic ptosis. Juvenile ocular myasthenia gravis in very young children is difficult to diagnose and can be easily labeled as a case of congenital ptosis, the more so when the condition is bilateral. We present a case of a two-year-old child who presented with bilateral ptosis and was diagnosed as a case of simple congenital ptosis elsewhere with the advice to undergo tarsofrontalis sling surgery...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28293535/inflammatory-choroidal-neovascular-membrane-after-healed-tuberculous-choroidal-granuloma
#3
Sikander A K Lodhi, Khadija Saifuddin, Santhosh Devulapally
Objective: To present a case of choroidal granuloma masquerading as intraocular tumor that healed on anti-tuberculous treatment but led to the development of inflammatory choroidal neovascular membrane (CNVM). Method: A 42-year-old female patient with past history of hysterectomy presented with diminution of vision in the right eye. Fundus examination in the right eye showed a yellowish white choroidal mass with associated bullous retinal detachment superotemporal to fovea. Left eye fundus was normal. Fundus flourescein angiography showed early and late hyperflourescence with late pooling in serous detachments...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28293534/near-infrared-fundus-autoflorescence-imaging-in-solar-retinopathy
#4
Maciej Czepita, Anna Machalińska, Damian Czepita
Solar retinopathy is a rare clinical entity caused by photochemical damage to the retinal pigment epithelium layer and photoreceptors of the fovea. Here we describe a case of a 33-year-old female patient diagnosed by near-infrared fundus autofluorescence imaging for signs of damage to the melanosomes of the retinal pigment epithelium of the fovea. The patient was advised to discontinue looking at the sun with the naked eye.
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28194321/extranodal-natural-killer-t-cell-lymphoma-presenting-as-orbital-cellulitis
#5
Hanis Zuhaimy, Hayati Abdul Aziz, Suresh Vasudevan, Siah Hui Hui
Objective: To report an aggressive case of extranodal natural killer/T-cell lymphoma (NKTCL) of the ethmoid sinus presenting as orbital cellulitis Method: Case report Results: A 56-year-old male presented with right eye redness, reduced vision, and periorbital swelling for 5 weeks duration associated with a two-month history of blocked nose. The visual acuity of the right eye was 6/18. The eye was proptosed with periorbital oedema and conjunctival chemosis. The pupil was mid-dilated but there was no relative afferent pupillary defect...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28194320/congenital-upper-eyelids-ectropion-in-down-s-syndrome
#6
Rafael Corredor-Osorio, José Luis Tovilla-Pomar, José Luis Tovilla-Canales
Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down's syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down's syndrome. Management of these patients usually requires medial and lateral canthoplasties, full-thickness pentagonal resection of the upper eyelids and placement of skin grafts. We present herein the evolution of one of these patients and we will discuss the mechanism of the eyelid ectropion and its treatment...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28154792/a-case-of-morning-glory-syndrome-associated-with-persistent-hyperplastic-primary-vitreous-and-peters-anomaly
#7
Isil Sayman Muslubas, Mumin Hocaoglu, Serra Arf, Murat Karacorlu
We report a case of morning glory syndrome (MGS) associated with persistent hyperplastic primary vitreous (PHPV) and Peters' anomaly. A 2-day-old girl, born at term with a birth weight of 3,350 g was diagnosed with Peters' anomaly, cataract, microphthalmia, PHPV, and MGS. A right limbal lensectomy and vitrectomy with stalk cauterization was performed 8 days later. No early postoperative complication occurred, the family was discharged with advice on medication, and follow-up examination was scheduled. The case report reveals the coexistence of PHPV, Peters' anomaly, and MGS, which may suggest a genetic link...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28154791/acute-angle-closure-glaucoma-secondary-to-polypoidal-choroidal-vasculopathy-a-devastating-complication
#8
Prabu Baskaran, Manavi D Sindal, Pankaja Dhoble, Seema Ramakrishnan, Venkatesh Rengaraj, Pradeep Ramulu
Acute angle closure glaucoma (ACG) in the setting of polypoidal choroidal vasculopathy (PCV) is a catastrophic complication that has been documented infrequently in literature. Ours is the second only report that describes hemorrhagic choroidal detachment as an event leading to acute angle closure glaucoma in PCV patients and the first one to describe the use of diode cyclophotocoagulation (CPC) for this condition. The purpose of this article is to familiarize readers with this entity that has an extremely dismal visual prognosis...
2017: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/28028488/bilateral-ectopia-lentis-with-isolated-lens-coloboma-in-marfan-syndrome
#9
Sabin Sahu, Reena Yadav, Sharad Gupta, Lila Raj Puri
A rare case of bilateral ectopia lentis with isolated lens coloboma in Marfan syndrome is reported. A 21-year-old female presented with decreased vision in both eyes. Her unaided visual acuity was 20/200 and 20/400 in the right and left eye, respectively, improving to 20/40 with -4.5 DS/-3.0 DC x 10° correction in the right eye and 20/80 with -10.0 DS/-6.5 Dc x10° correction in the left eye. On slit lamp examination under mydriasis, both eyes revealed ectopia lentis with lens coloboma and stretched zonules...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27822435/isolated-ectopic-cilia-in-an-11-year-old-girl
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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