JCRS Online Case Reports最新文献_第5页

Acanthamoeba and staphylococcal keratitis with epithelial ingrowth after laser in situ keratomileusis 激光原位角膜磨镶术后棘阿米巴和葡萄球菌性角膜炎伴上皮向内生长

JCRS Online Case Reports Pub Date : 2021-11-09 DOI: 10.1097/j.jcro.0000000000000066

Xiaorui Wang, C. McAlinden, Xiaodong Wang, Di Shen, Weijun Wei

{"title":"Acanthamoeba and staphylococcal keratitis with epithelial ingrowth after laser in situ keratomileusis","authors":"Xiaorui Wang, C. McAlinden, Xiaodong Wang, Di Shen, Weijun Wei","doi":"10.1097/j.jcro.0000000000000066","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000066","url":null,"abstract":"Introduction: A rare case of Acanthamoeba and staphylococcal keratitis after femtosecond laser–assisted laser in situ keratomileusis (LASIK), managed medically and surgically (with flap lift, scraping, and povidone–iodine 5% application) is reported. Patient and clinical findings: A 25-year-old woman presented 30 months after myopic LASIK with a painless loss of vision in the right eye. Visual acuity was 20/32, and a focal stromal opacity was observed. Diagnosis, intervention, and outcomes: The patient underwent flap lift, scraping, and application of povidone–iodine 5% to the flap interface. Samples were sent to the microbiology department for microscopic, culture, and sensitivity, and the patient was commenced with topical fluconazole, levofloxacin, and fusidic acid. Giemsa staining demonstrated 2 Acanthamoeba cysts. Microscopic examination revealed gram-positive cocci and pyogenic cells. Culture on a nonnutrient agar with a lawn of Escherichia coli identified the gram-positive organism Staphylococcus aureus. The clinical situation improved, and topical steroids were added. Mild epithelial ingrowth was noted at 4 months after flap lift; however, the growth remained stable and was under observation. The final visual outcome was good (visual acuity 20/25). Conclusions: This case emphasized the importance of precise microbiological diagnosis and consideration of early flap lift in post-LASIK infectious keratitis.","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"10 1","pages":"e00066"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41709999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interrupted femtosecond laser delivery secondary to face mask–related fogging 中断飞秒激光传送次要面罩相关的雾

JCRS Online Case Reports Pub Date : 2021-11-04 DOI: 10.1097/j.jcro.0000000000000065

M. Sachdev, Raghav Malik, G. Sachdev, Anagha Heroor, Bharat R. Thoumungkan

{"title":"Interrupted femtosecond laser delivery secondary to face mask–related fogging","authors":"M. Sachdev, Raghav Malik, G. Sachdev, Anagha Heroor, Bharat R. Thoumungkan","doi":"10.1097/j.jcro.0000000000000065","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000065","url":null,"abstract":"Introduction: An increase in face mask utilization has been noted during the COVID-19 pandemic. A rare complication of keratorefractive surgery where interruption of femtosecond-laser delivery was noted secondary to face-mask related fogging of the patient interface is reported. Patient and clinical findings: Young patients with stable tear film and healthy ocular surface were advised femtosecond laser assisted laser in situ keratomileusis (3 eyes) and small-incision lenticule extraction (1 eye) for refractive errors. Intraoperative interruption of laser delivery was noted secondary to droplet condensation or fogging of the patient interface. The fogging developed secondary to the escape of humid exhaled breath. Diagnosis, intervention, and outcomes: Incomplete delivery of the laser required aborting the procedure with retreatment at a later date. In eyes where partial laser delivery was obtained, the flap was manually dissected from the underlying stroma and the procedure was completed in the same sitting. All eyes achieved a final uncorrected distance visual acuity of 20/20 with no long-term sequelae. Conclusions: Fogging of the patient interface is a rare complication secondary to face mask use. Sealing the top of the face mask with well-adhering micropore, readjustment of face masks, removing the mask prior to draping, and checking for droplet condensates on the interface prior to laser delivery may minimize the incidence.","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"10 1","pages":"e00065"},"PeriodicalIF":0.0,"publicationDate":"2021-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47205138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uveitis–glaucoma–hyphema syndrome after uneventful placement of a 1-piece intraocular lens into the capsular bag 1片人工晶状体顺利植入囊袋后的葡萄膜炎-青光眼-积血综合征

JCRS Online Case Reports Pub Date : 2021-10-26 DOI: 10.1097/j.jcro.0000000000000064

Siddharth Nath, A. Rai

引用次数: 0

Manufacturing defect of a Zeiss multifocal intraocular lens 蔡司多焦人工晶状体制造缺陷

JCRS Online Case Reports Pub Date : 2021-10-26 DOI: 10.1097/j.jcro.0000000000000062

H. McKee, V. Jhanji

引用次数: 0

Surgical management of a white cataract induced by a metallic intralenticular foreign body 金属晶状体内异物致白色白内障的外科治疗

JCRS Online Case Reports Pub Date : 2021-10-26 DOI: 10.1097/j.jcro.0000000000000063

A. Vasco, Giulia Caruso, Eugenia Vasco

{"title":"Surgical management of a white cataract induced by a metallic intralenticular foreign body","authors":"A. Vasco, Giulia Caruso, Eugenia Vasco","doi":"10.1097/j.jcro.0000000000000063","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000063","url":null,"abstract":"Introduction: A patient with an intralenticular metal foreign body in the right eye who, following initial antibiotic treatment for a corneal wound, developed a traumatic cataract a month after the initial event. Patient and clinical findings: Upon presentation, the clinical examination of the patient showed just a small corneal leucoma, no signs of inflammation in the anterior segment, and a white cataract. Diagnosis, intervention, and outcomes: Ultrasound B-scan and orbital computed tomography were performed, which suggested the presence of a metallic foreign body in the crystalline lens. The surgical management of the case, where, given the integrity of the posterior capsule and verified intraoperatively, a triple procedure was performed, with foreign body extraction, phacoemulsification, and IOL implantation, resulting in a good visual outcome. Conclusions: Metallic intralenticular foreign bodies represent a rare finding that sometimes goes unnoticed in the clinical examination, but which can lead to serious sight-threatening complications and should therefore not be underestimated. When a foreign body sensation is referred, an accurate examination of the anterior segment is necessary. The surgery required in case of complications can be challenging and demands attentive preoperative evaluation and readiness to adapt to conditions found intraoperatively.","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"10 1","pages":"e00063"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42253509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corneal topographic changes after sequential suture removal in a corneal wound burn after phacoemulsification 超声乳化术后角膜创面烧伤顺序缝线拆除后角膜地形图的变化

JCRS Online Case Reports Pub Date : 2021-10-01 DOI: 10.1097/j.jcro.0000000000000060

S. Pereira, Laxmi Dorennavar, Nikhil R.P., S. Ganesh

{"title":"Corneal topographic changes after sequential suture removal in a corneal wound burn after phacoemulsification","authors":"S. Pereira, Laxmi Dorennavar, Nikhil R.P., S. Ganesh","doi":"10.1097/j.jcro.0000000000000060","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000060","url":null,"abstract":"Three sutures placed in a 2.8 mm clear corneal incision after wound burn in phacoemulsification, and their sequential removal at 1 month, the resultant corneal topographic changes, and refraction documented immediately have not been reported, making this case report unique. This case describes the timing of suture removal and stabilization of refraction in a case of corneal wound burn associated with phacoemulsification. A 70-year-old woman presented with diminution of visio in both eyes for 1 year. O/E lens opacification classification system grade NC4C3P2 cataract was present in both eyes with normal fundus. Primary diagnosis was cataract in both eyes. The left eye was planned for microincision cataract surgery by a trainee under local anesthesia. Corneal wound burn and iris chaffing were noted at the end of surgery, and 3 sutures were placed at the main port. At 15 days and 1 month postoperatively, the uncorrected distance visual acuity (UDVA) was 20/80 with high regular astigmatism showing over cylinder on autorefractometer. Sequential suture removal was done 1 month postoperatively with an interval of 15 minutes between each suture and corneal topography performed after each suture removal. Topography exhibited reduction in astigmatism from 10.6 to 1.2 diopters after suture removal. The UDVA and corrected distance visual acuity after 1-hour postsuture removal was 20/32 and 20/20, respectively, with a refraction of −0.50 diopter sphere/−0.50 diopter cylinder @ 95 degrees, which was stable even at 1-month and 6-month follow-up. We conclude that suture removal can be planned as early as 4 weeks with refraction and keratometric readings being stable even after 6 months.","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"9 1","pages":"e00060"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42768128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creation of small incision using CIRCLE software to manage suction loss during small-incision lenticule extraction 使用CIRCLE软件创建小切口以管理小切口小扁豆提取过程中的抽吸损失

JCRS Online Case Reports Pub Date : 2020-10-01 DOI: 10.1097/J.JCRO.0000000000000031

Vardhaman P. Kankariya, Ankita B. Dube, M. Grentzelos, G. Kymionis, I. Pallikaris

引用次数: 1

Management of interface irregularity due to high energy after uneventful SMILE 平稳SMILE后高能量导致界面不规则的处理

JCRS Online Case Reports Pub Date : 2020-10-01 DOI: 10.1097/J.JCRO.0000000000000027

S. Ganesh, Sheetal Brar

引用次数: 0

First presentation of keratoconus in a geriatric patient: Diagnosis and treatment of late progression 老年患者首次出现圆锥角膜：晚期进展的诊断和治疗

JCRS Online Case Reports Pub Date : 2019-10-01 DOI: 10.1016/j.jcro.2019.09.004

Owen Burton BBiomedSci, MOrthop , Abi Tenen MB BS, FRANZCO , Christopher Hodge BAppSc, PhD

{"title":"First presentation of keratoconus in a geriatric patient: Diagnosis and treatment of late progression","authors":"Owen Burton BBiomedSci, MOrthop , Abi Tenen MB BS, FRANZCO , Christopher Hodge BAppSc, PhD","doi":"10.1016/j.jcro.2019.09.004","DOIUrl":"10.1016/j.jcro.2019.09.004","url":null,"abstract":"<div>This case report presents an atypical, late presentation of keratoconus in a geriatric patient with successful management using a transepithelial corneal crosslinking (CXL) procedure. The treatment-naive 77-year old patient presented to the clinic after an assessment by an optometrist for recent onset of reduced vision that was initially thought to represent early cataract development. Corneal topography confirmed keratoconus, and subsequent review identified further progression. Crosslinking was performed using a transepithelial approach. The patient was followed for 3 years postoperatively. By the final visit, the uncorrected distance visual acuity had improved and the corrected distance visual acuity remained at 20/20 bilaterally. Corneal topographic parameters were considered stable. This case shows that keratoconus can present outside the previously established parameters and that CXL might be an effective option in older patients showing signs of progression. This might have additional benefits for future intraocular lens power calculations.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"7 4","pages":"Pages 65-70"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2019.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41507427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare intraoperative complication of femtosecond flap creation: Successful management of subepithelial vertical gas breakthrough 飞秒皮瓣术中罕见并发症:成功处理上皮下垂直气体突破

JCRS Online Case Reports Pub Date : 2019-10-01 DOI: 10.1016/j.jcro.2019.06.001

Ozgun Melike Gedar Totuk MD , Kerem Kabadayi MS , Sevgi Tongal MD

引用次数: 0