Middle East African Journal of Ophthalmology最新文献_第6页

Large Conjunctival Inclusion Cyst after Anterior Approach Ptosis Surgery. 前路上睑下垂手术后的大结膜包涵囊肿。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_181_21

Alicia Galindo-Ferreiro, Victoria E Marqués-Fernández, Jorge Cuevas Gonzalez, Silvana A Schellini

引用次数: 1

Bilateral Occlusive Retinal Vasculitis in a Patient with Dermatomyositis. 皮肌炎患者的双侧闭塞性视网膜血管炎。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_289_21

Dean Loporchio, Daniel Gealy, Taygan Yilmaz, Andrew T Barton, Pranjal Thakuria, Robert Janigian

{"title":"Bilateral Occlusive Retinal Vasculitis in a Patient with Dermatomyositis.","authors":"Dean Loporchio, Daniel Gealy, Taygan Yilmaz, Andrew T Barton, Pranjal Thakuria, Robert Janigian","doi":"10.4103/meajo.meajo_289_21","DOIUrl":"https://doi.org/10.4103/meajo.meajo_289_21","url":null,"abstract":"A 48-year-old woman with a history of dermatomyositis (DMS) presented with 2 weeks of worsening myalgias, weakness, and diffuse edema following cessation of her systemic immunosuppression and subsequently developed severe bilateral vision loss consistent with bilateral frosted branch angiitis. Multimodal imaging was performed, and the patient was successfully treated with pulse-dose steroids and intravenous immunoglobulin, as well as intravitreal aflibercept. Ophthalmic involvement of DMS is typically limited to episcleritis, conjunctivitis, and uveitis. We present an uncommon case of bilateral occlusive retinal vasculitis with frosted branch angiitis in a patient with DMS. The significant improvement anatomically and in visual acuity in our patient suggests a role of combined anti-vascular endothelial growth factor and systemic immunosuppression in the management of DMS -related frosted branch angiitis. We suggest that retinal vasculitis should be considered in patients with known DMS and acute vision loss, with prompt referral for ophthalmologic evaluation.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"156-158"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Femtosecond Laser-Assisted Membranectomy of Retained Host's Descemet's Membrane Postpenetrating Keratoplasty. 飞秒激光辅助穿透性角膜移植术后保留寄主视网膜膜的膜切除术。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_102_20

Zuheer Meeraalam, Enrique Suarez, Mohammad Al-Amro, Jose M Vargas

{"title":"Femtosecond Laser-Assisted Membranectomy of Retained Host's Descemet's Membrane Postpenetrating Keratoplasty.","authors":"Zuheer Meeraalam, Enrique Suarez, Mohammad Al-Amro, Jose M Vargas","doi":"10.4103/meajo.meajo_102_20","DOIUrl":"https://doi.org/10.4103/meajo.meajo_102_20","url":null,"abstract":"We report the two cases in which femtosecond laser (FSL) technology used to manage visually significant retained host's Descemet's membrane (RHDM) after penetrating keratoplasty (PKP). FSL-assisted descemetorhexis was done first, then membrane removal with intraocular forceps. Both patients had advanced keratoconus and were managed with PKP. In the first patient, FSL descemetorhexis of RHDM was incomplete. It was augmented manually, and then, the removal of the retained membrane was done with an intraocular forceps, whereas, a complete and central 5.5 mm FSL descemetorhexis was created in the second case. Then, it was pulled out with intraocular forceps. Postoperatively, the best-corrected visual acuity was 20/40, with an intraocular pressure (IOP) of 18 mmHg. In the second case, best-corrected visual acuity and IOP were 20/70 and 16 mmHg, respectively. In conclusion, FSL technology can be an alternative to manual or neodymiumdoped yttrium - aluminum garnet membranotomy for the management of RHDM after PKP.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"167-169"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Smoking on Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Patients with Diabetic Macular Edema: A Retrospective Case-Control Study. 吸烟对糖尿病黄斑水肿患者抗血管内皮生长因子治疗结果的影响:一项回顾性病例对照研究

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_135_22

Mouna Al Saad, Amin Shehadeh, Asem Hizzani, Abdulla Alzibdeh, Amani A Alsubhi, Dina Hamdan, Ebtehal Alkubati, Jehad Meqbil, Lina Hamadneh, Osama Ababneh

{"title":"Effects of Smoking on Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Patients with Diabetic Macular Edema: A Retrospective Case-Control Study.","authors":"Mouna Al Saad, Amin Shehadeh, Asem Hizzani, Abdulla Alzibdeh, Amani A Alsubhi, Dina Hamdan, Ebtehal Alkubati, Jehad Meqbil, Lina Hamadneh, Osama Ababneh","doi":"10.4103/meajo.meajo_135_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_135_22","url":null,"abstract":"Purpose: To determine the effect of smoking on the response to anti-vascular endothelial growth factor (anti-VEGF) therapy treatment in patients with diabetic macular edema (DME).Methods: This is a retrospective case - control study that included 60 eyes with DME. Smoking habits were obtained from hospital records and patient recall. Patients were divided into two groups: the ever-smoker group and the never-smoker group. All patients received Intravitreal ranibizumab with three loading doses followed by PRN protocol and all were followed up for at least 1 year. Outcome measures were best-corrected visual acuity (BCVA), central retinal thickness (CRT) at the fovea, and number of visits.Results: Smoking was not associated with worse posttreatment visual acuity and was not found to influence the change in ocular coherence tomography measurement of central macular thickness and the change in BCVA (posttreatment minus pretreatment). There were no statistically significant differences in the duration of treatment or number of visits between two groups of patients the ever-smoker group and the never-smoker group (P > 0.05).Conclusion: In this study, smoking status did not influence the treatment outcome of anti-VEGFs; however, smoking should be encouraged due to its well-known other systemic unwanted effects.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"116-121"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trans Palpebral Intraocular Pressure Measurement by Diaton Tonometer and Central Corneal Thickness in Eyes before and after Transepithelial Photorefractive Keratectomy of Saudi Patients. 沙特患者经上皮性屈光性角膜切除术前后经眼睑眼压测量及角膜中央厚度的变化。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_156_22

Sultan Alzuhairy

{"title":"Trans Palpebral Intraocular Pressure Measurement by Diaton Tonometer and Central Corneal Thickness in Eyes before and after Transepithelial Photorefractive Keratectomy of Saudi Patients.","authors":"Sultan Alzuhairy","doi":"10.4103/meajo.meajo_156_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_156_22","url":null,"abstract":"Purpose: The influence of central corneal thickness (CCT) on intraocular pressure (IOP) measurement by Diaton is debatable. We present a correlation of CCT to transpalpebral IOP (tpIOP) and its determinants in patients undergoing transepithelial photorefractive keratectomy (TPRK) in Saudi Arabia.Methods: In this cross-sectional study held in 2022, the IOP of patients undergoing TPRK was measured by Diaton tonometer. The CCT was measured before and 1 week after refractive surgery. The correlation coefficient of CCT and IOP and its Pearson P value were estimated. The effects of gender, type of refractive error (RE), and corneal epithelial thickness (CET) on the correlation of IOP to CCT were reviewed.Results: We studied 202 eyes in 101 patients (Male: Female, 47:53; age 25.7 ± 5.8 years). The tpIOP was 15.1 ± 2.8 mmHg before, 15.9 ± 2.8 mmHg 1 week after, and 15.7 ± 4.1 mmHg 1 month after TPRK. The CCT was significantly correlated with tpIOP before surgery (Pearson correlation 0.168, P = 0.017) and after tPRK (Pearson correlation 0.246, P < 0.001). Gender (P = 0.96), CET (P = 0.43), and type of RE (P = 0.99) were not significant determinants of correlation between CCT and tpIOP before TPRK. The correlation of tpIOP and CCT was not affected by gender (P = 0.07), CET (P = 0.39), and type of RE (P = 0.13).Conclusion: CCT should be considered before interpreting tpIOP measured by with Diaton. Diaton could be a useful tool to monitor IOP changes in young patients undergoing refractive surgery.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"127-131"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Primary Open-Angle Glaucoma and its Relationship with Smoking in the Population of the Azar Cohort: A Cross-Sectional Study. 阿扎尔人群中原发性开角型青光眼患病率及其与吸烟的关系:一项横断面研究

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_101_22

Ali F Khalili, Shahryar Razzaghi, Behzad F Motlagh, Elnaz Faramarzi, Ali H Zeinalzadeh

{"title":"Prevalence of Primary Open-Angle Glaucoma and its Relationship with Smoking in the Population of the Azar Cohort: A Cross-Sectional Study.","authors":"Ali F Khalili, Shahryar Razzaghi, Behzad F Motlagh, Elnaz Faramarzi, Ali H Zeinalzadeh","doi":"10.4103/meajo.meajo_101_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_101_22","url":null,"abstract":"Purpose: The purpose is to determine the prevalence of primary open-angle glaucoma (POAG) and study the relationship of smoking and other potential risk factors with POAG.Methods: This is a cross-sectional study based on the Azar cohort databases (including the eye cohort study) in Iran, including 11,208 participants aged 35-70 years. According to the questionnaire, participants were divided into five groups in terms of smoking. Ophthalmologic examinations were performed in two steps. The first step was performed by an optometrist, and all referred participants underwent a complete ophthalmological examination in the second step, then after POAG cases were diagnosed using Criteria of the International Society of Geographic and Epidemiological Ophthalmology.Results: Of the participants, 4992 (44.5%) were male and 6216 (55.5%) were female, with a mean age of 50.1 ± 9.27 years. The prevalence of POAG in our study population was 1%, which included 58 (1.2%) males and 58 (0.9%) females. There was no significant difference between the two groups in terms of the prevalence of different smoking categories in both genders. There was a statistically significant difference between the two groups in both genders in terms of diabetes mellitus (DM) after adjusting for age and there was a statistically significant difference between the two groups in the male population in terms of triglycerides ≥150 mg/dl.Conclusion: Findings of this study indicated that there is no association between cigarette smoking in different doses and a history of smoking with POAG. Other factors, such as aging and underlying diseases, including DM and hypertriglyceridemia, have a statistically significant association with POAG.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"109-115"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Reliable and Popular are Trabeculectomy Videos on Youtube? Youtube上的小梁切除术视频有多可靠和受欢迎?

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_86_22

Saadet G Irgat, Mehmet S Oruç, Fatih Özcura

{"title":"How Reliable and Popular are Trabeculectomy Videos on Youtube?","authors":"Saadet G Irgat, Mehmet S Oruç, Fatih Özcura","doi":"10.4103/meajo.meajo_86_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_86_22","url":null,"abstract":"Purpose: Evaluating the quality, dependability, and popularity of YouTube videos about trabeculectomy.Methods: A simulated user search for trabeculectomy videos on YouTube was conducted using the keywords \"trabeculectomy, trabeculectomy surgery for glaucoma, and trabeculectomy surgery.\" Hundred out of the one hundred and fifty videos met the criteria and were analyzed. To assess quality and reliability, each video was evaluated by two independent reviewers using the DISCERN (scale, 1-5), Journal of the American Medical Association (JAMA; scale, 0-4), and Global Quality (GQ; scale, 1-5) criteria. The popularity of the videos was evaluated by Video Power Index (VPI). Videos were further classified into three groups based on the source of their upload.Results: Of the 100 analyzed videos, 50 were uploaded to the system by doctors, 40 by health institutions and 10 by patients. Fifty-seven percent are videos with surgical content. The mean DISCERN score was 44.84 ± 8.14 the mean JAMA score was 2.08 ± 0.67, and the mean Global Quality score was 2.02 ± 0.72. Although some videos provided adequate information, the majority of the videos were rated as fair. While the DISCERN, JAMA, GQS scores were statistically higher in videos uploaded by doctors than in videos uploaded by patients (P < 0.01), VPI was higher in videos uploaded by patients (P = 0.003). Nonsurgical videos had the highest rate of likes and comments (P < 0.05). No substantial difference in scoring was observed between the 2 independent reviewers (P < 0.05).Conclusion: Videos with high popularity had low information quality and reliability. This situation presupposes video sharing in a more understandable language for patients.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"141-146"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Affecting the Efficacy of Botulinum Toxin Injection in the Treatment of Infantile and Partially Accommodative Esotropia. 影响肉毒毒素注射治疗婴幼儿部分调节性内斜视疗效的因素。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_39_23

Motazz A Alarfaj, Waleed K Alsarhani, Saleh H Alrashed, Faris A Alarfaj, Khabir Ahmad, Abdulaziz Awad, Gorka Sesma

{"title":"Factors Affecting the Efficacy of Botulinum Toxin Injection in the Treatment of Infantile and Partially Accommodative Esotropia.","authors":"Motazz A Alarfaj, Waleed K Alsarhani, Saleh H Alrashed, Faris A Alarfaj, Khabir Ahmad, Abdulaziz Awad, Gorka Sesma","doi":"10.4103/meajo.meajo_39_23","DOIUrl":"https://doi.org/10.4103/meajo.meajo_39_23","url":null,"abstract":"Purpose: We aimed to investigate the effect of botulinum toxin (BT) injection on the treatment of infantile and partially accommodative esotropia (PAET).Methods: This retrospective cohort study included patients who received BT injections for infantile and PAET between January 2015 and December 2018. Treatment was considered successful if orthotropia, consecutive exotropia, or esotropia within 10 prism diopters (PD) was achieved.Results: The overall success rate was 47.4%, with a mean follow-up period of 27.8 months in 403 children. BT treatment was considered successful in 37.1% of cases of infantile esotropia and 53.1% of cases of partially accommodative esotropia. The average deviation angle before starting treatment was 35.5 ± 13.9 PD. Side effects 1 week after BT injections included transient overcorrection (63.8%) and transient ptosis (41.7%). There were no significant differences in the success rates between the different doses of BT (P = 0.69). The angle of deviation at presentation was significantly associated with the success rate of BT injection (failed group, mean: 38.1 ± 15.3 PD vs. success group, mean: 32.6 ± 11.6 PD; P < 0.001). Other factors associated with higher success rates were overcorrection at 1 week and PAET, while multivariate logistic regression analysis showed that a smaller angle of deviation and overcorrection (1 week after injection) were associated with a higher success rate.Conclusion: A smaller angle of deviation and transient overcorrection were associated with a higher success rate, and no significant difference was observed in the success rates of different BT doses.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"122-126"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Corneal Epithelial Thickness Mapping. 了解角膜上皮厚度映射。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_207_22

Abdullah Alghamdi, Muhammad S Khan, Turki A Dakhil

{"title":"Understanding Corneal Epithelial Thickness Mapping.","authors":"Abdullah Alghamdi, Muhammad S Khan, Turki A Dakhil","doi":"10.4103/meajo.meajo_207_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_207_22","url":null,"abstract":"Corneal epithelial thickness (CET) and the regional variations in response to changes in corneal architecture and biomechanics have recently drawn the interest of corneal surgeons. Corneal epithelium possesses the tremendous capability of remodeling and changing its thickness. This remodeling of corneal epithelium takes place in response to underlying stromal irregularities which can result from a variety of corneal disorders including corneal ectasia. Measurement of CET can reveal the underlying stromal abnormalities and supplement in early diagnosis of corneal disorders especially corneal ectasia which has been one of the leading challenges in planning corneal refractive surgery. A significant number of patients ends up in ectasia after refractive surgery and the most common cause of this complication is the presence of preoperative subclinical keratoconus. Furthermore, postoperative complications of corneal refractive surgery are partly masked by epithelial remodeling and make the diagnosis and management difficult and extremely challenging. This leads not only to unpredictable visual and refractive outcome but also the need of multiple interventions to treat these complications. Although corneal tomography is considered as gold standard in the detection and diagnosis of corneal ectasia, a small number of subclinical cases may still go undetected. In this review, we have highlighted the underlying mechanism of epithelial remodeling, the devices and imaging modalities used to measure CET, and application of epithelial mapping in the diagnosis and management of various corneal disorders.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"147-155"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peripheral Subretinal Mass Complicating Necrotizing Anterior Scleritis in a Patient with Granulomatosis with Polyangiitis. 周围视网膜下肿块合并坏死性前巩膜炎一例肉芽肿合并多血管炎。

IF 0.6

Middle East African Journal of Ophthalmology Pub Date : 2022-07-01 DOI: 10.4103/meajo.meajo_180_22

Abeer A Alhazzani, Mohanned F Tobaigy, Munirah I Aldofyan, Abdulrahman F AlBloushi

{"title":"Peripheral Subretinal Mass Complicating Necrotizing Anterior Scleritis in a Patient with Granulomatosis with Polyangiitis.","authors":"Abeer A Alhazzani, Mohanned F Tobaigy, Munirah I Aldofyan, Abdulrahman F AlBloushi","doi":"10.4103/meajo.meajo_180_22","DOIUrl":"https://doi.org/10.4103/meajo.meajo_180_22","url":null,"abstract":"Anterior scleritis is rarely diagnosed with a peripheral amelanotic subretinal mass. We reported a rare case of a 31-year-old woman who was referred for suspected left eye choroidal melanoma. The patient had granulomatosis with polyangiitis with a history of treated left eye necrotizing anterior scleritis. Her left eye examination revealed 20/60 vision, superotemporal diffuse scleral injection, and thinning. Dilated fundus examination of the left eye showed a large peripheral amelanotic subretinal mass below the area of anterior scleritis, optic disc hyperemia, and subretinal fluid. The patient was successfully treated with intravenous methylprednisolone, rituximab infusions, and oral methotrexate. Two months after treatment, her vision improved to 20/20, with inactive anterior scleritis and a significant reduction in the subretinal mass with complete resolution of optic disc hyperemia and subretinal fluid. High index of suspicion of this atypical presentation of anterior scleritis is important to avoid aggressive modalities of treatment.","PeriodicalId":18740,"journal":{"name":"Middle East African Journal of Ophthalmology","volume":"29 3","pages":"159-162"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1