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https://www.readbyqxmd.com/read/27882002/a-simple-integrated-primary-health-care-based-model-for-detection-of-diabetic-retinopathy-in-resource-limited-settings-in-pakistani-population
#1
Ali Jawa, Muhammad Zaman Khan Assir, Syed Hunain Riaz, Rashin Chaudhary, Farooq Awan, Javed Akram
OBJECTIVE: To find out prevalence of Diabetic Retinopathy in general population of three districts in Pakistan. METHODS: A community based cross-sectional survey was conducted in three large districts of Pakistan namely Rawalpindi in Punjab, Peshawar in Khyber Pakhtoonkhwa and Hyderabad in Sindh between January 2013 and August 2015. Lady Health Workers identified individuals at high risk for diabetes based on pre-defined criteria. High risk population was tested for dysglycemia...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27858370/intracranial-hypertension-in-cystinosis-is-a-challenge-experience-in-a-children-s-hospital
#2
Nieves Martín-Begué, Silvia Alarcón, Charlotte Wolley-Dod, Luis Enrique Lara, Álvaro Madrid, Paola Cano, Mireia Del Toro, Gema Ariceta
BACKGROUND: Cystinosis is a rare systemic lysosomal disease affecting mainly the kidney and eye. Ocular involvement in cystinosis is universal being the presence of cystine crystals in the cornea a diagnostic criterion and one of the earliest manifestations of the disease. Neuro-ophthalmologic manifestations are considered a rare and late complication in these patients. The aim of this article is to report the unexpectedly high incidence of intracranial hypertension in children with cystinosis at our centre...
November 18, 2016: JIMD Reports
https://www.readbyqxmd.com/read/27801997/nonmydriatic-fundoscopic-imaging-using-the-pan-optic-iexaminer-system-in-the-pediatric-emergency-department
#3
Lindsay M Day, Serena X Wang, Craig J Huang
OBJECTIVES: The primary objective of this study was to determine the percentage of clinically adequate (CA) fundoscopic images that could be obtained using the Pan Optic iExaminer system to perform nonmydriatic fundoscopic imaging in the pediatric emergency department. Secondary objectives were to identify target age groups in which this technology is best utilized, and evaluate the overall ease of use in this setting. METHODS: Children 18 years of age or less who presented to the pediatric emergency department with a non-eye related chief complaint were enrolled and stratified by age group (0-2 years, 2-6 years and 6-18 years)...
November 1, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27800246/comet-lesions-in-patients-with-pseudoxanthoma-elasticum
#4
Sinan Tatlıpınar, Berna Şahan, Muhsin Altunsoy
Pseudoxanthoma elasticum (PXE) is a genetic multisystemic disorder affecting the skin, eyes and cardiovascular system. Basic fundoscopic findings in PXE result from Bruch's membrane involvement. The most important fundoscopic findings are angioid streaks. Other significant ocular findings are peau d'orange appearance, optic disc drusen, pattern dystrophy-like macular appearance, comet lesions, and choroidal neovascularization. Comet lesions are a pathognomonic ocular finding for PXE. The presence of both angioid streaks in the fundus and typical skin lesions should alert clinicians to PXE...
December 2015: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27760094/-ocular-toxocariasis-in-a-boy-with-idiopathic-nephrotic-syndrome-a-case-report
#5
Agnieszka Antonowicz, Piotr Skrzypczyk, Beata Kępa, Małgorzata Pańczyk-Tomaszewska
: Toxocariasis is a common zoonosis caused by infection with Toxocara canis or cati larvae. Ocular toxocariasis is one of the forms of infestation found in 1/1,000 - 1/10,000 children. Children with idiopathic nephrotic syndrome (INS) are at high risk of infections, also parasitic infestations, which can, in turn, cause relapses of the disease. A CASE REPORT: We present a case of a 6-year-old boy with steroiddependent nephrotic syndrome. The disease started at age of 2, the boy had 9 relapses of INS, and was treated with oral prednisone, levamisole, and cyclophosphamide...
October 19, 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27734650/lipemia-retinalis-due-to-secondary-hyperlipidemia-in-type-1-diabetes-mellitus
#6
K Gayathri, P K Ramalingam, Rpsp Santhakumar, B V Manjunath, N Karuppuswamy, B Vetriveran, S Selvamani, P Vishnuram, A Muruganathan, Kumar Natarajan
Lipemia retinalis is a rare and asymptomatic condition which occurs when high levels of triglycerides and chylomicrons are present in blood. We report a rare case of secondary hyperlipoproteinemia in a 27 year old type 1 diabetes patient who presented with diabetic ketoacidosis and this peculiar ocular manifestation. The fundoscopic abnormality and creamy white serum cleared as the level of chylomicrons in the plasma dropped with intensive insulin therapy.
April 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27712896/choroid-detachment-a-rare-cause-of-vision-loss-diagnosed-by-point-of-care-ultrasound
#7
Brian Jarrett, Michael Secko
BACKGROUND: Choroid detachment is a rare disease process that has a multitude of etiologies; usually related to recent ophthalmological surgery, eye trauma, corneal ulcers, or intraocular pressure-lowering agents. Point-of-care ocular ultrasound has high utility and accuracy in diagnosing pathology of the eye. CASE REPORT: We present a case of a patient who presented with vision loss caused by a choroid detachment diagnosed on point-of-care ultrasound because fundoscopic examination was limited due to cataracts...
October 3, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27587955/eye-globe-abnormalities-on-mr-and-ct-in-adults-an-anatomical-approach
#8
REVIEW
James Thomas Patrick Decourcy Hallinan, Premilla Pillay, Lilian Hui Li Koh, Kong Yong Goh, Wai-Yung Yu
Eye globe abnormalities can be readily detected on dedicated and non-dedicated CT and MR studies. A primary understanding of the globe anatomy is key to characterising both traumatic and non-traumatic globe abnormalities. The globe consists of three primary layers: the sclera (outer), uvea (middle), and retina (inner layer). The various pathological processes involving these layers are highlighted using case examples with fundoscopic correlation where appropriate. In the emergent setting, trauma can result in hemorrhage, retinal/choroidal detachment and globe rupture...
September 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/27508580/-op-8d-06-ocular-fundus-photography-with-a-smartphone-device-in-acute-hypertension
#9
M L Muiesan, M Riviera, C Pintossi, F Bertacchini, E Colonetti, M Salvetti, A Paini, M Poli, F Semeraro, E Agabiti Rosei, A Russo
OBJECTIVE: The ocular fundus (FO) examination is infrequently and poorly performed in the emergency department (ED) clinical settings, placing patients at risk for missed diagnosis of hypertensive emergencies. AIM: to investigate the feasibility of the FO photography with a smartphone small optical device (D-Eye; J Ophtalmol. 2015) in a ED setting and to compare it to a traditional FO examination. DESIGN AND METHOD: The study included 41 consecutive patients (mean age 69 ± 16 years, 50% women) presenting to an hospital ED with an acute increase in blood pressure (SBP >180 and/or DBP >100 mmHg)...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27486810/bilateral-optic-nerve-edema-presenting-as-initial-manifestation-of-thyroid-eye-disease
#10
Michelle E Wilson, Charles Kim, Jacqueline Carrasco
A 48-year-old smoker with a history of hyperthyroidism treated 10 years prior to presentation with radioactive iodine ablation of the thyroid gland presented to his ophthalmologist with a 2-week history of transient loss of vision in the right eye occurring for 1 to 2 hours each morning. He denied ocular pain, diplopia or change in the prominence of one or both eyes. Examination revealed 2 mm of relative proptosis on the right, bilateral temporal flare and lower lid retraction. There was minimal upper lid retraction and no evidence of lid lag...
October 2016: Orbit
https://www.readbyqxmd.com/read/27471949/skew-deviation-case-report-and-review-of-the-literature
#11
Katarina Ivana Tudor, Damir Petravić, Anđela Jukić, Zlatko Juratovac
OBJECTIVE: To present a patient with a sudden onset ocular tilt reaction (OTR) and review recent knowledge and evolving insights of the underlying pathophysiological mechanisms of skew deviation and OTR. METHODS: A middle-aged hypertensive man who had previously suffered stroke with good recovery presented with sudden-onset double vision, slurred speech, ataxia, and a head tilt. Romberg test was positive. The patient denied having disturbances of visual acuity, eye pain, or recent trauma...
July 29, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27461014/-atypical-acute-syphilitic-posterior-placoid-chorioretinitis
#12
Z Szepessy, B B Entz, Z Z Nagy
Syphilis is an infectious disease that can cause a wide variety of ocular signs. One of the rarest manifestations of ocular syphilis is acute syphilitic posterior placoid chorioretinitis (ASPPC). We report the case of an immunocompetent 38-year-old woman diagnosed with unilateral, atypical, acute syphilitic posterior placoid chorioretinitis. Fundoscopic examination revealed a yellow-white, subretinal, placoid lesion at the posterior pole, which is typical sign of ASPPC. In the periphery of the retina, multifocal choroiditis was also found...
July 26, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27440451/electroretinographic-changes-after-intravenous-lipid-emulsion-therapy-in-a-dog-and-a-foal-with-ivermectin-toxicosis
#13
Danielle Pollio, Tammy M Michau, Ellen Weaver, K Leann Kuebelbeck
This case report describes ivermectin-induced blindness in a dog and a foal with normal ophthalmic fundic examinations and attenuated electroretinography (ERG). Subsequent recovery in ERG was noted following intravenous lipid emulsion (ILE) therapy. A dog and a foal were evaluated for ivermectin-induced blindness. Clinical signs included dull mentation, absent pupillary light reflexes (PLRs), and absent menace on presentation. The animals had normal fundoscopic examinations; however, in both cases ERG was consistent with neurosensory retinal dysfunction...
July 20, 2016: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/27419834/a-novel-mutation-and-variable-phenotypic-expression-in-a-large-consanguineous-pedigree-with-jalili-syndrome
#14
S Rahimi-Aliabadi, N Daftarian, H Ahmadieh, B Emamalizadeh, J Jamshidi, A Tafakhori, H Ghaedi, R Noroozi, S Taghavi, A Ahmadifard, E Alehabib, M Andarva, P Shokraeian, M Atakhorrami, H Darvish
PurposeJalili syndrome is an autosomal recessive disorder characterized by simultaneous appearance of cone-rod dystrophy (CRD) and amelogenesis imperfecta (AI). Mutations in CNNM4 gene have been identified as the underlying cause of the syndrome. In this study, we investigated a large affected family to identify the causative mutation.Patients and MethodsA seven-generation family with 24 members affected with Jalili syndrome were enrolled in the study. Comprehensive ophthalmologic and dental examinations were performed on them...
July 15, 2016: Eye
https://www.readbyqxmd.com/read/27376753/transient-retinal-dysfunctions-after-acute-cannabis-use
#15
Thomas Schwitzer, Matthieu P Robert, Anne Giersch, Karine Angioi-Duprez, Isabelle Ingster-Moati, Amandine Pon-Monnier, Raymund Schwan, Vincent Laprevote
Although cannabis is very widespread worldwide, the impact of cannabis on visual function remains poorly understood. This is partly due to numerous difficulties met in developing clinical studies in cannabis users. Here, we report the first documented case of neuroretinal dysfunction after acute cannabis smoking. This observation was favored by the need of an annual ophthalmic evaluation in the context of a chloroquine intake for a systemic lupus erythematosus in a 47-year-old heavy cannabis user. A complete ophthalmic evaluation including visual acuity tests, intraocular pressure, fundoscopic examination, automated 10° central visual field, full-field electroretinogram (ERG) and multifocal ERG was performed twice - 30 min and 5 h after cannabis smoking...
July 5, 2016: European Addiction Research
https://www.readbyqxmd.com/read/27308085/papilledema-due-to-mirtazapine
#16
Mehmet Emin Ceylan, Alper Evrensel, Gökçe Cömert
BACKGROUND: Mirtazapine is a tetracyclic antidepressant that enhances both noradrenergic and serotonergic transmission. The most common cause of papilledema is increased intracranial pressure due to brain tumor. Also it may occur as a result of idiopathic intracranial hypertension (IIH, pseudo tumor cerebri). Moreover, papilledema may also develop due to retinitis, vasculitis, Graves' disease, hypertension, leukemia, lymphoma, diabetes mellitus and radiation. CASE REPORT: In this article, a patient who developed papilledema while under treatment with mirtazapine (30 mg/day) for two years and recovered with termination of mirtazapine treatment was discussed to draw the attention of clinicians to this side effect of mirtazapine...
May 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/27283596/-eclipse-retinopathy-a-case-series-after-the-partial-solar-eclipse-on-20-march-2015
#17
I Bachmeier, H Helbig, R Greslechner
BACKGROUND: Solar retinopathy refers to damage to the central macula caused by exposure to intense solar radiation, most frequently observed after a solar eclipse. OBJECTIVE: Description of the morphological changes in spectral domain optical coherence tomography (SD-OCT) and the clinical course in patients with acute solar retinopathy. MATERIAL AND METHODS: The study included a retrospective analysis of 12 eyes from 7 patients with solar retinopathy after the partial solar eclipse on 20 March 2015...
June 9, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27258541/tattoo-associated-uveitis-with-choroidal-granuloma-a-rare-presentation-of-systemic-sarcoidosis
#18
Vivek B Pandya, Claire Y Hooper, Rohan Merani, Peter McCluskey
PURPOSE: The authors report a rare case of systemic sarcoidosis manifesting as bilateral granulomatous panuveitis and multiple tattoo granulomas. METHODS: Case report. RESULTS: A 30-year-old man presented with headaches, ocular pain, photophobia, and blurred vision. He was found to have significant skin inflammation, predominantly involving areas of tattoos. Fundoscopic examination revealed bilateral granulomatous panuveitis with small focal choroidal lesions...
June 2, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27239592/diabetes-mellitus-diabetes-insipidus-optic-atrophy-and-deafness-a-case-of-wolfram-didmoad-syndrome
#19
Nasrollah Maleki, Bahman Bashardoust, Anahita Zakeri, Azita Salehifar, Zahra Tavosi
PURPOSE: To report a case of Wolfram syndrome (WS) characterized by diabetes mellitus, diabetes insipidus, progressive optic atrophy, and deafness. CASE REPORT: A 19-year-old female patient, a known case of diabetes mellitus type I from six years before, presented with progressive vision loss since four years earlier. On fundoscopic examination, she had bilateral optic atrophy without diabetic retinopathy. The patient also had diabetes insipidus, neurosensory deafness, and neurogenic bladder...
September 2015: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/27182273/delayed-visual-loss-due-to-radiation-retinopathy
#20
Salih Uzun, Sami Toyran, Fahrettin Akay, Fatih C Gundogan
Radiation retinopathy remains a devastating cause of visual morbidity in patients undergoing radiation for globe, orbit, and head and neck malignancies. A 65-year-old female was admitted with the complaint of low vision in the right eye for two months. Best corrected visual acuity was 20/32 in the right eye and 20/25 in the left eye. Slit lamp examination was normal in both eyes. Fundoscopic examination revealed perifoveolar hard exudates, paramacular microhemorrhages, telangiectasias, and macular degeneration in both eyes...
March 2016: Pakistan Journal of Medical Sciences Quarterly
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