JCRS Online Case Reports最新文献_第9页

Pupillary block angle closure after piggyback intraocular lens implantation 背负式人工晶状体植入术后瞳孔阻滞角闭合

JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.02.002

Pouya Alaghband MD, FRCOphth, Rubina Rahman MB ChB, FRCOphth

引用次数: 0

Corneal transplant rejection after initiation of systemic antineoplastic agents 全身抗肿瘤药物启动后角膜移植排斥反应

JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.02.004

Ashley Rohr MD, Gabrielle Fridman MD, Jesse D. Sengillo BS, Amilia Schrier MD

{"title":"Corneal transplant rejection after initiation of systemic antineoplastic agents","authors":"Ashley Rohr MD, Gabrielle Fridman MD, Jesse D. Sengillo BS, Amilia Schrier MD","doi":"10.1016/j.jcro.2018.02.004","DOIUrl":"10.1016/j.jcro.2018.02.004","url":null,"abstract":"<div>In this case series, we describe corneal transplant rejection after initiation of various antineoplastic agents. In our first case, an 85-year-old woman with previous Descemet-stripping automated endothelial keratoplasty of the right eye presented with decreased vision in the same eye after initiation of platinum taxane compounds and doxorubicin; examination demonstrated decreased acuity and corneal edema. In our second case, a 60-year-old woman with previous penetrating keratoplasty (PKP) in the left eye presented with irritation in the same eye after starting ipilimumab; examination showed keratic precipitates. In our last case, a 68-year-old woman with PKPs in both eyes presented with bilaterally decreased acuity, corneal edema, and anterior chamber reaction after initiating tamoxifen. These patients were diagnosed with rejection within 4 weeks of beginning their respective antineoplastic therapies and they were treated with topical prednisolone with or without hypertonic ointment (Muro 128). Close observation might be warranted in patients with corneal grafts starting antineoplastic therapy.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 3","pages":"Pages 37-39"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49144600","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

Software for management of repeated suction loss during femtosecond-assisted laser in situ keratomileusis 飞秒激光原位角膜磨镶术中重复吸引损失的管理软件

JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.02.005

Gitansha Shreyas Sachdev MS, FICO

引用次数: 0

Effect of arcus senilis on intraocular lens power calculation with intraoperative aberrometry 衰老弧对术中像差法计算人工晶状体度数的影响

JCRS Online Case Reports Pub Date : 2018-07-01 DOI: 10.1016/j.jcro.2018.04.001

Wonchon Lin MD, Peter Lam MD, Terry Kim MD

引用次数: 0

Medical and surgical lessons learned from a severe case of Fusarium solani keratitis 从一例严重梭兰镰刀菌角膜炎中吸取的医学和外科经验教训

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2017.12.001

Fatema Asi MD, Loay Daas MD, Arne Viestenz MD, Berthold Seitz MD

引用次数: 2

New approach to management of traumatic phacocele with iris loss 外伤性眼球突出伴虹膜丢失的治疗新方法

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2018.01.002

Geng-Yi Yong MB BS, Xiao-Wei Ting MB Bch BAO, Alex Chau-Sim Yee MD, Shin-Wei Pan MMed, Jelinar Mohamed Noor MS, Mimiwati Zahari FRCS

引用次数: 0

Femtosecond laser–assisted intrastromal corneal lenticule implantation for treatment of advanced keratoconus in a child’s eye 飞秒激光辅助角膜基质内晶状体植入术治疗儿童晚期圆锥角膜

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2018.01.004

Edna Motta Almodin MD, MSc, Paulo Ferrara MD, Flavia Motta Almodin Camin MD, Juliana Motta Almodin Colallilo MD

{"title":"Femtosecond laser–assisted intrastromal corneal lenticule implantation for treatment of advanced keratoconus in a child’s eye","authors":"Edna Motta Almodin MD, MSc, Paulo Ferrara MD, Flavia Motta Almodin Camin MD, Juliana Motta Almodin Colallilo MD","doi":"10.1016/j.jcro.2018.01.004","DOIUrl":"10.1016/j.jcro.2018.01.004","url":null,"abstract":"<div>We present a case of a 12-year-old male patient who received a femtosecond laser–assisted intrastromal implantation of a donor corneal lenticule for the treatment of advanced keratoconus. Initially, the uncorrected distance visual acuity (UDVA) in the left eye was counting fingers (CF) and cycloplegic refraction was −18.50 −4.50 × 85 = 20/400. Preoperative corneal topography demonstrated a curvature of 65.90 × 62/57.17 × 152. Twelve months after lenticule implantation, the cornea was completely clear and the thickness changed from 245 μm to 639 μm. The UDVA was CF at 2 m and refraction was −12.25 −2.50 × 180 = 20/30, whereas topography demonstrated a curvature of 61.44 × 52/59.28 × 142. The results showed that the procedure was successful in thickening and flattening the cornea. It is expected that penetrating or deep anterior lamellar keratoplasty, if required, could be postponed to a more suitable age.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 2","pages":"Pages 25-29"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46733535","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: 10

Accelerated corneal crosslinking to treat Acanthamoeba and Fusarium coinfection of the cornea 加速角膜交联治疗棘阿米巴和镰刀菌角膜共感染

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2018.01.001

Mattia Passilongo MD, Emilio Pedrotti MD, Pietro M. Talli MD, Francesco Comacchio MD, Adriano Fasolo MSc, Erika Bonacci MD, Tommaso Merz MD, Jacopo Bonetto MD, Sara Ficial MD, Giorgio Marchini MD

{"title":"Accelerated corneal crosslinking to treat Acanthamoeba and Fusarium coinfection of the cornea","authors":"Mattia Passilongo MD, Emilio Pedrotti MD, Pietro M. Talli MD, Francesco Comacchio MD, Adriano Fasolo MSc, Erika Bonacci MD, Tommaso Merz MD, Jacopo Bonetto MD, Sara Ficial MD, Giorgio Marchini MD","doi":"10.1016/j.jcro.2018.01.001","DOIUrl":"10.1016/j.jcro.2018.01.001","url":null,"abstract":"<div>A 44-year-old man presented with Acanthamoeba and Fusarium coinfection keratitis. Fifteen years before, he had hyperopic laser in situ keratomileusis, and the coinfection was under the flap. The keratitis was nonresponsive to topical and systemic therapy; therefore, accelerated corneal crosslinking (CXL) with photoactivated riboflavin (photoactivated chromophore for keratitis) was performed to prevent a corneal perforation. After the treatment, there was unexpected rapid corneal melting with subsequent perforation. A reconstructive penetrating keratoplasty was promptly performed and was effective in resolving the coinfection. The current protocol for the application of photoactivated riboflavin CXL should be improved, and clinical criteria for applying this technique are required. Photoactivated riboflavin CXL might be an effective alternative to conventional agents in some cases of fungal and/or amoeba keratitis. However, in cases of deep stromal infections on previous surgically treated anterior stroma, it should not be considered a viable option.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 2","pages":"Pages 19-21"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43368727","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: 3

Can facial arteriovenous malformation predispose to bilateral intraoperative suprachoroidal hemorrhage? 面部动静脉畸形会导致双侧术中脉络膜上出血吗?

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2018.01.005

Sirisha Senthil FRCS, Vani Sethi MS, Sashwanthi Mohan MB BS, Jagadesh C. Reddy MS, Jay Kumar Chhablani MS

{"title":"Can facial arteriovenous malformation predispose to bilateral intraoperative suprachoroidal hemorrhage?","authors":"Sirisha Senthil FRCS, Vani Sethi MS, Sashwanthi Mohan MB BS, Jagadesh C. Reddy MS, Jay Kumar Chhablani MS","doi":"10.1016/j.jcro.2018.01.005","DOIUrl":"10.1016/j.jcro.2018.01.005","url":null,"abstract":"<div>Suprachoroidal hemorrhage is one of the most dreaded intraoperative complications that can lead to loss of vision, and is usually associated with certain ocular and systemic risk factors and is rarely reported with phacoemulsification. We present a case of bilateral recurrent intraoperative suprachoroidal hemorrhage during phacoemulsification and secondary intraocular lens implantation in a patient with no known risk factors. Our patient had a history of surgery for a lower facial arteriovenous malformation and no external ocular vascular anomalies. However, postoperatively after the resolution of the complication, enhanced-depth imaging optical coherence tomography showed bilateral marked thickening of the choroid, suggestive of subclinical choroidal hemangioma in both eyes. This abnormally thickened choroid was the possible risk factor causing recurrent suprachoroidal hemorrhage in our case. We suggest performing choroidal thickness measurements in patients with facial vascular malformations or when suprachoroidal hemorrhage occurs in the absence of known risk factors.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 2","pages":"Pages 33-35"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46295135","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

Iris ricochet sign: Indicator of peripheral extension of anterior capsulorhexis during femtosecond laser–assisted capsulotomy 虹膜跳征:飞秒激光辅助前囊切开术中前囊外周延伸的指示

JCRS Online Case Reports Pub Date : 2018-04-01 DOI: 10.1016/j.jcro.2018.01.003

Chintan Malhotra MS, Deepika Dhingra MS, DNB, Arun K. Jain MD, DNB, Rahul Khanna BSc Optometry

{"title":"Iris ricochet sign: Indicator of peripheral extension of anterior capsulorhexis during femtosecond laser–assisted capsulotomy","authors":"Chintan Malhotra MS, Deepika Dhingra MS, DNB, Arun K. Jain MD, DNB, Rahul Khanna BSc Optometry","doi":"10.1016/j.jcro.2018.01.003","DOIUrl":"10.1016/j.jcro.2018.01.003","url":null,"abstract":"<div>A 25-year-old man with history of electrocution presented with an intumescent cataract in the left eye and was scheduled for femtosecond laser–assisted cataract surgery. During delivery of the laser pulses for creation of the capsulotomy, leakage of milky intralenticular fluid was noted at multiple points, accompanied by an iris ricochet; that is, explosive outward displacement of the pupillary margin at the 3 o’clock position followed by a slower inward rebound. After the corneal incisions and capsule staining were opened with trypan blue dye, the anterior capsulorhexis margin was noted to be extending peripherally up to the equator at the site of the iris ricochet. This report highlights the possibility of peripheral extension of the anterior capsulorhexis margin during the creation of the femtosecond laser–assisted capsulotomy itself and emphasizes the importance of recognizing the iris ricochet sign as a possible indicator of this complication.</div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 2","pages":"Pages 30-32"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2018.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45147280","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