JCRS Online Case Reports最新文献

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Ultrasound biomicroscopy characteristics of late capsular block syndrome before and after treatment 晚期囊膜阻滞综合征治疗前后的超声生物显微镜特征
JCRS Online Case Reports Pub Date : 2019-01-01 DOI: 10.1016/j.jcro.2018.08.002
Xiaowei Yan MD, Guangxian Tang MD, Hengli Zhang PhD, Fan Li MD
{"title":"Ultrasound biomicroscopy characteristics of late capsular block syndrome before and after treatment","authors":"Xiaowei Yan MD,&nbsp;Guangxian Tang MD,&nbsp;Hengli Zhang PhD,&nbsp;Fan Li MD","doi":"10.1016/j.jcro.2018.08.002","DOIUrl":"10.1016/j.jcro.2018.08.002","url":null,"abstract":"<div><p><span>A 78-year-old man who had phacoemulsification<span> and intraocular lens implantation developed capsular block syndrome (CBS) with </span></span>secondary glaucoma<span><span> 18 years after surgery in the affected eye. Ultrasound biomicroscopy (UBM) was used to diagnosis the CBS and evaluate its characteristics. The glaucoma resolved and the </span>intraocular pressure<span> decreased after a neodymium:YAG laser anterior capsulotomy and glaucoma drainage valve implantation. Atypical CBS that is secondary to glaucoma and cannot be diagnosed by a slitlamp examination can be diagnosed using UBM.</span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"7 1","pages":"Pages 9-10"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42218844","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: 2
Circle software for management of suction loss during small-incision lenticule extraction 管理小切口晶状体摘除过程中吸力损失的Circle软件
JCRS Online Case Reports Pub Date : 2019-01-01 DOI: 10.1016/j.jcro.2018.07.002
Gitansha Shreyas Sachdev MS, FICO , Mahipal S. Sachdev MD
{"title":"Circle software for management of suction loss during small-incision lenticule extraction","authors":"Gitansha Shreyas Sachdev MS, FICO ,&nbsp;Mahipal S. Sachdev MD","doi":"10.1016/j.jcro.2018.07.002","DOIUrl":"10.1016/j.jcro.2018.07.002","url":null,"abstract":"<div><p><span>A 20-year-old male presented to the Centre for Sight seeking correction for a myopic refractive error<span><span> of −2.0 diopters (D) and −2.5 D in the right and left eye, respectively. Anterior segment and fundus evaluations were unremarkable. Corneal tomography was within normal limits with a thinnest </span>pachymetry<span><span> of 554 μm and 547 μm in the right eye and left eye, respectively. Small-incision lenticule extraction (SMILE) was planned. Conjunctival tissue encroachment under the contact interface, secondary to unstable suction, interfered with femtosecond laser penetration and a subsequently unformed cap side cut. Because the laser was delivered for the entire duration of the treatment, the software registered a complete laser delivery. This prevented a </span>retreatment option, allowing completion of the incomplete side cut only. The cap was converted to a flap using Circle software (Pattern D), which allowed successful flap lift and access to the formed lenticule. A well-centered flap was noted at the first postoperative visit with an uncorrected distance </span></span></span>visual acuity of 20/20.</p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"7 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43259826","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: 1
Cataract surgery and the deep-set eye 白内障手术和深陷眼
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.05.003
Teresa G. Martz BS, Justin Karlin MD, Bruce E. Prum Jr. MD, Zeynel A. Karcioglu MD
{"title":"Cataract surgery and the deep-set eye","authors":"Teresa G. Martz BS,&nbsp;Justin Karlin MD,&nbsp;Bruce E. Prum Jr. MD,&nbsp;Zeynel A. Karcioglu MD","doi":"10.1016/j.jcro.2018.05.003","DOIUrl":"10.1016/j.jcro.2018.05.003","url":null,"abstract":"<div><p><span><span>Cataract phacoemulsification<span> in the setting of orbital structural anomalies that lead to a deep-set eye can present unique barriers to standard surgical methods. We describe a challenging case of a middle-aged woman presenting with elevated </span></span>intraocular pressure<span> secondary to phacomorphic changes in the left eye requiring lensectomy<span> and goniosynechialysis. She had small and deep-set eyes with inferiorly positioned superior orbital rims unsuitable for the standard approach of cataract extraction with phacoemulsification. We examine etiologies of </span></span></span>enophthalmos that might make cataract and other intraocular surgeries difficult and discuss potential planning strategies to address these anatomic impediments.</p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 62-64"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43219335","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: 2
Management of cataract and uncontrolled high intraocular pressure after inadvertent intralenticular dexamethasone implant injection 不小心晶状体内注射地塞米松后白内障和不受控制的高眼压的处理
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.05.004
Ipek Cigdem Ucar MD, Remzi Karadag MD, Esra Bulut MD, Ahmet Demirok MD
{"title":"Management of cataract and uncontrolled high intraocular pressure after inadvertent intralenticular dexamethasone implant injection","authors":"Ipek Cigdem Ucar MD,&nbsp;Remzi Karadag MD,&nbsp;Esra Bulut MD,&nbsp;Ahmet Demirok MD","doi":"10.1016/j.jcro.2018.05.004","DOIUrl":"10.1016/j.jcro.2018.05.004","url":null,"abstract":"<div><p><span><span>A 67-year-old man developed macular edema<span> in the left eye as a result of branch retinal vein occlusion. An intravitreal </span></span>dexamethasone<span> implant (Ozurdex) was injected. Despite macular edema regression 4 weeks later, the corrected distance visual acuity decreased from 0.3 decimal to 0.1 decimal. Anterior segment examination showed the dexamethasone implant was inadvertently injected into the crystalline lens. Although only 1 injection was given, 2 dexamethasone implants were observed, 1 located in the </span></span>posterior pole<span><span> of the lens and the other in the anterior vitreous. The intraocular pressure (IOP) was 60 mm Hg. </span>Phacoemulsification<span><span> surgery was performed. Because of the high IOP, both implants were removed. A 3-piece hydrophobic acrylic intraocular lens was implanted in the ciliary sulcus. At the 3-month follow-up, the visual acuity was 0.6 decimal as a result of the macular complications associated with vein occlusion, the IOP was 18 mm Hg under </span>glaucoma medication, and no complication was observed.</span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 59-61"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43723155","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: 1
Diffuse lamellar keratitis 14 years after laser in situ keratomileusis induced by an eyelash in the flap interface 激光原位角膜磨晶状体术后14年的弥漫性板层性角膜炎
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.06.001
Ryan P. Steck MS, Grant A. Justin MD, Timothy A. Soeken MD, Gary L. Legault MD
{"title":"Diffuse lamellar keratitis 14 years after laser in situ keratomileusis induced by an eyelash in the flap interface","authors":"Ryan P. Steck MS,&nbsp;Grant A. Justin MD,&nbsp;Timothy A. Soeken MD,&nbsp;Gary L. Legault MD","doi":"10.1016/j.jcro.2018.06.001","DOIUrl":"10.1016/j.jcro.2018.06.001","url":null,"abstract":"<div><p><span><span>We describe a case of unilateral late-onset diffuse lamellar keratitis<span> (DLK) in a 45-year old man 14 years after uneventful laser in situ keratomileusis (LASIK) surgery associated with an eyelash in the flap interface. The patient presented initially with a 1.0 mm central </span></span>epithelial defect<span> with haze, infiltrate, and epithelial ingrowth along the LASIK flap in the left eye. The initial corrected distance visual acuity was 20/60 in the right eye and 20/125 in the left eye. Two weeks after the flap was refloated and </span></span>topical steroid treatment administered, the corrected distance visual acuity was 20/20 in both eyes. This report describes an exceedingly rare presentation of DLK 14 years after LASIK triggered by a foreign body under the LASIK flap.</p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 69-70"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44233412","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: 1
Defective toric intraocular lenses with no subsequent effects on visual outcomes 有缺陷的环形人工晶状体对视力无后续影响
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.05.001
Fady K. Sammouh MD, Tania A. Baban MD, Elias L. Warrak MD, FASCRS
{"title":"Defective toric intraocular lenses with no subsequent effects on visual outcomes","authors":"Fady K. Sammouh MD,&nbsp;Tania A. Baban MD,&nbsp;Elias L. Warrak MD, FASCRS","doi":"10.1016/j.jcro.2018.05.001","DOIUrl":"10.1016/j.jcro.2018.05.001","url":null,"abstract":"<div><p><span>We report a case series of 8 toric intraocular lenses<span> (IOLs) noted to have paracentral inherent opacities after implantation in uneventful phacoemulsification<span> cataract surgery. Defective areas had a microbubble appearance embedded paracentrally in the lens material. All patients were followed up at 1 day, 1 week, and 3 months postoperatively; uncorrected distance </span></span></span>visual acuity<span> was unaffected in all cases. None of the 8 patients reported symptoms of increased glare or significant visual distortion postoperatively. It is likely that the defective areas were induced by the manufacturing process and less likely that they were the result of instrument manipulation or ophthalmic viscosurgical device use. To our knowledge, this is the first report of defective toric IOLs with no effects on visual acuity.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 55-56"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43623950","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: 1
Management of residual lenticule and irregular astigmatism after small incision lenticule extraction 小切口晶状体摘除后晶状体残留及不规则散光的处理
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.07.001
Alper Agca MD, Yusuf Yildirim MD, Burcin Kepez Yildiz MD, Ahmet Demirok MD
{"title":"Management of residual lenticule and irregular astigmatism after small incision lenticule extraction","authors":"Alper Agca MD,&nbsp;Yusuf Yildirim MD,&nbsp;Burcin Kepez Yildiz MD,&nbsp;Ahmet Demirok MD","doi":"10.1016/j.jcro.2018.07.001","DOIUrl":"10.1016/j.jcro.2018.07.001","url":null,"abstract":"<div><p>We report a case of a retained lenticule and irregular corneal astigmatism<span> after small-incision lenticule extraction (SMILE) and successful extraction of the residual lenticule 2 months later. Slitlamp examination showed a residual lenticule 1 week after small-incision lenticule extraction. There was a loss of 3 lines of corrected distance visual acuity<span> (CDVA). Corneal topography showed nasal steepening and irregular astigmatism. The presence of the lenticule was confirmed with spectral-domain optical coherence tomography. The CDVA did not improve during the 2-month follow-up. The retained lenticule was successfully extracted 2 months postoperatively. One month after the extraction of the retained small lenticule, the uncorrected distance visual acuity improved to the level of the preoperative CDVA. Slitlamp examination showed a clear cornea, and the anterior corneal curvature was regular on corneal topography.</span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 65-68"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45544856","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
Assessment of the quality of online information on cataract surgery 白内障手术在线信息质量评估
JCRS Online Case Reports Pub Date : 2018-10-01 DOI: 10.1016/j.jcro.2018.05.002
Abison Logeswaran MB BS, BSc, MSc, Yu Jeat Chong MB BS, BSc, MSc, John Awad MB BS, Matthew R. Edmunds PhD, MRCP, FRCOphth
{"title":"Assessment of the quality of online information on cataract surgery","authors":"Abison Logeswaran MB BS, BSc, MSc,&nbsp;Yu Jeat Chong MB BS, BSc, MSc,&nbsp;John Awad MB BS,&nbsp;Matthew R. Edmunds PhD, MRCP, FRCOphth","doi":"10.1016/j.jcro.2018.05.002","DOIUrl":"10.1016/j.jcro.2018.05.002","url":null,"abstract":"<div><p><span>The quality of health information of 51 unique websites on cataract surgery was assessed using 2 validated instruments, the DISCERN instrument and JAMA benchmark criteria. Quality was evaluated on a combination of different criteria such as aims, resources cited, bias, authorship, and </span>treatment choices.</p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 4","pages":"Pages 57-58"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47466876","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: 2
Fungal endophthalmitis caused by Zygomycetes after phacoemulsification 超声乳化术后接合菌引起的真菌性眼内炎
JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.02.001
Flávio C. Ferreira MD, César K. Ishii MD, Alessandra A. Kusabara MD, João Victor V. Godinho MD, Richard Y. Hida MD
{"title":"Fungal endophthalmitis caused by Zygomycetes after phacoemulsification","authors":"Flávio C. Ferreira MD,&nbsp;César K. Ishii MD,&nbsp;Alessandra A. Kusabara MD,&nbsp;João Victor V. Godinho MD,&nbsp;Richard Y. Hida MD","doi":"10.1016/j.jcro.2018.02.001","DOIUrl":"10.1016/j.jcro.2018.02.001","url":null,"abstract":"<div><p>Fungal endophthalmitis<span><span><span> is a severe intraocular infection with a poor prognosis in most cases. We report a case of a 56-year-old man who had phacoemulsification<span> with intraocular lens implantation<span> and presented with fungal endophthalmitis 1 month after surgery. Histopathology<span> studies suggested the infection was related to the Zygomycetes class. Three months after treatment<span> with intravenous and intracameral amphotericin B in addition to a </span></span></span></span></span>pars plana vitrectomy<span>, the patient successfully recovered a corrected distance visual acuity of 20/20. Based on the literature, this is the second case reported of Zygomycetes related to fungal </span></span>exogenous endophthalmitis<span> after cataract surgery.</span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 3","pages":"Pages 43-46"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42751566","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: 2
Rare cause of acute postoperative endophthalmitis: Gemella morbillorum 术后急性眼内炎的罕见病因:麻疹小胚
JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.02.003
Soner Guven MD, Murat Kucukevcilioglu MD, Ali Hakan Durukan MD, Seckin Aykas MD, Mustafa Guney MD
{"title":"Rare cause of acute postoperative endophthalmitis: Gemella morbillorum","authors":"Soner Guven MD,&nbsp;Murat Kucukevcilioglu MD,&nbsp;Ali Hakan Durukan MD,&nbsp;Seckin Aykas MD,&nbsp;Mustafa Guney MD","doi":"10.1016/j.jcro.2018.02.003","DOIUrl":"10.1016/j.jcro.2018.02.003","url":null,"abstract":"<div><p>We report a case of <em>Gemella morbillorum</em> endophthalmitis after uneventful cataract surgery<em>.</em> A 73-year-old woman presented with a 2-day history of decreased vision, pain, redness, and eyelid swelling in the right eye. She had phacoemulsification with intraocular lens implantation to that eye 5 days previously. The corrected distance visual acuity (CDVA) was uncertain light perception (LP) in the right eye and 20/30 in the left eye. A slitlamp examination shows conjunctival hyperemia, corneal lytic lesions in the upper corneal limbus, a semiopaque cornea with corneal edema, and 3+ cells and dense flare in the anterior chamber. The symptoms did not improve and 2 days after surgery, her CDVA decreased to no LP (NLP). One week after, <em>G morbillorum</em> grew in the specimens. To our knowledge, this is the first report of postoperative endophthalmitis caused by this species that did not respond to treatment and resulted in NLP<em>.</em></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 3","pages":"Pages 40-42"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45746841","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
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