Ocular Immunology and Inflammation最新文献

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Chronic Retinal Necrosis Associated with Toxoplasma Gondii. 弓形虫引起的慢性视网膜坏死
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-06-12 DOI: 10.1080/09273948.2024.2362876
Alessandro Marchese, Gaia L'Abbate, Francesco Bandello, Elisabetta Miserocchi
{"title":"Chronic Retinal Necrosis Associated with Toxoplasma Gondii.","authors":"Alessandro Marchese, Gaia L'Abbate, Francesco Bandello, Elisabetta Miserocchi","doi":"10.1080/09273948.2024.2362876","DOIUrl":"10.1080/09273948.2024.2362876","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic retinal necrosis encompasses severe occlusive retinal vasculitis, granular retinitis, and vitritis. This phenotype has been observed in patients with limited immune dysfunction, cytomegalovirus (CMV) uveitis, and negative serology for human immunodeficiency virus (HIV).</p><p><strong>Methods: </strong>Case series.</p><p><strong>Results: </strong>We present two cases: an 85-year-old female and a 76-year-old male, both displaying unusual occlusive panretinal vasculopathy associated with long-standing necrotizing retinitis and vitritis. Anterior chamber taps with real-time polymerase chain reaction (PCR) were negative for herpesviruses and positive for Toxoplasma gondii in both cases. These findings are consistent with chronic retinal necrosis associated with toxoplasma gondii.</p><p><strong>Conclusions: </strong>In elderly patients or those with limited immune dysfunction who present with chronic retinal necrosis, Toxoplasma gondii should be considered in the differential diagnosis.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"210-213"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamic Changes of Fundus and Predictors of Visual Prognosis in New-Onset Vogt-Koyanagi-Harada Disease. 新发 Vogt-Koyanagi-Harada 病的眼底动态变化和视觉预后的预测因素。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-06-25 DOI: 10.1080/09273948.2024.2369940
Suo Guo, Rong Hu, Meiwen Wang, Lan Xia, Peizeng Yang
{"title":"Dynamic Changes of Fundus and Predictors of Visual Prognosis in New-Onset Vogt-Koyanagi-Harada Disease.","authors":"Suo Guo, Rong Hu, Meiwen Wang, Lan Xia, Peizeng Yang","doi":"10.1080/09273948.2024.2369940","DOIUrl":"10.1080/09273948.2024.2369940","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the dynamic changes of fundus in Vogt-Koyanagi-Harada (VKH) disease through enhanced spectral-domain optical coherence tomography (EDI-OCT) and explore the predictors of visual prognosis.</p><p><strong>Methods: </strong>In this retrospective cohort study, a total of 2152 VKH patients referred to our uveitis center from January 2013 to April 2022 were screened; 151 new-onset VKH patients (299 eyes) and 82 healthy controls (164 eyes) were included. The manifestations of fundus at baseline, 1 month, 3 months, and 12 months after treatment were analysed and their relevance to visual prognosis were evaluated.</p><p><strong>Results: </strong>After retinal detachment (RD) (97.3%) and optic disc swelling (100%) presented at baseline, retinal reattachment (81.6%) and the granular hyperreflective depositions at the retinal pigment epithelium (RPE) (61.5%) were observed at month 1. The RPE and ellipsoid zone rearrangement accompanying interdigitation zone attenuation (57.9%) was noted finally. Choroidal thickness of patients was higher than that in the controls at baseline and month 1 (both P < 0.001). Best-corrected visual acuity (BCVA) (logarithm of the minimum angle of resolution [logMAR]) (P < 0.001; OR, 4.01), subretinal fibrinoid exudate (P < 0.001; OR, 3.9) and RPE folds (<i>p</i> = 0.001; OR, 2.39) at baseline, and the RD at month 1 (P < 0.001; OR, 3.42) were associated with visual prognosis.</p><p><strong>Conclusions: </strong>New-onset VKH patients after treatment exhibited dynamic changes in the fundus especially the outer retina during a 12-month period. The BCVA, subretinal fibrinoid exudate, and RPE folds at baseline, and RD at month May 1, serve as predictors of visual prognosis.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"221-229"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Periorbital Tuberculosis: A Rare Case of Extrapulmonary Tuberculosis. 眶周结核病:肺外结核的罕见病例。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-09-25 DOI: 10.1080/09273948.2024.2407460
Aylin Var, Yusuf Uysal, Mehmet Kuruş, Yağmur Seda Yeşiltaş, Uğur Bozlar, Şeref Özkara, Ali Albay
{"title":"Periorbital Tuberculosis: A Rare Case of Extrapulmonary Tuberculosis.","authors":"Aylin Var, Yusuf Uysal, Mehmet Kuruş, Yağmur Seda Yeşiltaş, Uğur Bozlar, Şeref Özkara, Ali Albay","doi":"10.1080/09273948.2024.2407460","DOIUrl":"10.1080/09273948.2024.2407460","url":null,"abstract":"<p><strong>Purpose: </strong>Orbital/periorbital tuberculosis (TB) is an uncommon manifestation of extrapulmonary TB, presenting diagnostic challenges due to its varied clinical features that can mimic other diseases. This report aims to present a rare case of periorbital TB in a young man.</p><p><strong>Methods: </strong>Case report.</p><p><strong>Results: </strong>A 36-year-old man presented with painless left periorbital swelling and discharge following facial trauma. Despite initial treatment with antibiotics elsewhere, symptoms persisted. Imaging revealed a periorbital abscess with adjacent bone involvement. Microbiologic studies demonstrated Mycobacterium tuberculosis complex growth, confirming TB. There was no evidence of systemic TB. The patient received anti-tuberculosis therapy. At the 8-month follow-up, he remained symptom-free.</p><p><strong>Conclusion: </strong>Orbital/periorbital TB, although rare, should be taken into consideration in regions with high TB prevalence when dealing with chronic, non-resolving periorbital lesions. Advanced imaging and molecular diagnostics play crucial roles in confirming the diagnosis, especially given the low sensitivity of traditional culture methods for extrapulmonary TB.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"313-316"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acinetobacter baumannii Endogenous Endophthalmitis Presenting with Iris Nodules. 伴有虹膜结节的鲍曼不动杆菌内源性眼内炎
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-10-04 DOI: 10.1080/09273948.2024.2412215
Kalpana Babu, S Chandana, Aniruddha Tirumalai, Krishna R Murthy
{"title":"<i>Acinetobacter baumannii</i> Endogenous Endophthalmitis Presenting with Iris Nodules.","authors":"Kalpana Babu, S Chandana, Aniruddha Tirumalai, Krishna R Murthy","doi":"10.1080/09273948.2024.2412215","DOIUrl":"10.1080/09273948.2024.2412215","url":null,"abstract":"<p><strong>Aim: </strong>We report a unique finding of iris nodules in a woman with endogenous endophthalmitis due to <i>Acinetobacter baumannii</i> with no history of ocular surgery or trauma and good visual outcome.</p><p><strong>Materials & methods: </strong>Retrospective case report.</p><p><strong>Results: </strong>A 39-year-old woman with a history of type 2 diabetes mellitus presented with a decrease in vision in the right eye of 1-month duration. On examination, her BCVA was CF2m (OD) and 6/6 (OS). Right eye examination showed medium-to-large-sized keratic precipitates, iris nodules, and vitritis. PCR on the aqueous showed faint positivity for <i>Propionibacterium acne</i> and was negative to panfungal genome. Despite two intravitreal injections of vancomycin (1 mg/0.1 ml) and intravenous cefazolin 1 g bd for 5 days, there was progression to hypopyon. Vitrectomy with lensectomy was done. The vitreous culture grew <i>Acinetobacter baumannii</i>. She was given multiple intravitreal ceftazidime (2.25 mg/0.1 ml) with dexamethasone (0.4 mg/0.1 ml) injections. She was also put on tab bactrim DS twice a day for 3 months along with tab doxycycline 100 mg twice a day for 3 months by the infectious disease specialist. As the inflammation improved, the iris nodules were the last to resolve completely in 6 weeks. At 15-month follow-up, her eye was quiet, and vision was 6/9 (OD) with aphakic correction.</p><p><strong>Conclusion: </strong>We report a rare finding of iris nodules in a patient with culture proven <i>Acinetobacter baumannii</i> endogenous endophthalmitis.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"317-319"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posterior Scleritis Associated with Late-Onset Takayasu Arteritis: A Case Report. 晚发高安动脉炎伴发后巩膜炎:病例报告。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-10-10 DOI: 10.1080/09273948.2024.2413894
Yann Bertolani, Tetiana Goncharova, Eric Kirkegaard-Biosca, Julia Angrill-Valls, Natalia Anglada-Masferrer, Liliana Gutuleac, Laura Distefano, Miguel Ángel Zapata
{"title":"Posterior Scleritis Associated with Late-Onset Takayasu Arteritis: A Case Report.","authors":"Yann Bertolani, Tetiana Goncharova, Eric Kirkegaard-Biosca, Julia Angrill-Valls, Natalia Anglada-Masferrer, Liliana Gutuleac, Laura Distefano, Miguel Ángel Zapata","doi":"10.1080/09273948.2024.2413894","DOIUrl":"10.1080/09273948.2024.2413894","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a rare case of posterior scleritis associated with late-onset Takayasu arteritis.</p><p><strong>Methods: </strong>A case report of a 75-year-old female presenting with posterior scleritis, eventually diagnosed with late-onset Takayasu arteritis was described. Several medical evaluation visits were conducted, including ophthalmological and rheumatological follow-up. Multiple diagnostic tests were carried out, and the cornerstones of the treatment were corticosteroids and the IL-6 inhibitor tocilizumab.</p><p><strong>Results: </strong>The patient was admitted to our hospital's emergency room with right unilateral eyelid edema, chemosis and red eye. She had previously experienced two episodes that were misdiagnosed as preseptal cellulitis. The presence of choroidal folds and the T sign on the ultrasound exam were highly suggestive of posterior scleritis. Later, the patient was diagnosed with Takayasu arteritis, a type of large vessel vasculitis. Treatment with steroids was started, which was later switched to IL-6 inhibitors to achieve better control of the systemic disease.</p><p><strong>Conclusion: </strong>Posterior scleritis is often misdiagnosed, necessitating high clinical suspicion. Multimodal diagnosis is important to establish an accurate diagnosis. Up to 34% of cases may be associated with a systemic disease. This is the first case described in the literature of posterior scleritis associated with late-onset Takayasu arteritis.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"320-323"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unusual and Atypical Ocular Infections. 异常和非典型眼部感染。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2025-01-31 DOI: 10.1080/09273948.2025.2458997
Derrick P Smit, Ilknur Tugal-Tutkun, Jennifer E Thorne
{"title":"Unusual and Atypical Ocular Infections.","authors":"Derrick P Smit, Ilknur Tugal-Tutkun, Jennifer E Thorne","doi":"10.1080/09273948.2025.2458997","DOIUrl":"https://doi.org/10.1080/09273948.2025.2458997","url":null,"abstract":"","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":"33 2","pages":"189-190"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intermediate Uveitis with Cystoid Macular Edema as Presentation of Retained Caterpillar Hair in the Vitreous Cavity. 中间葡萄膜炎伴有囊样黄斑水肿,表现为玻璃体腔内毛虫毛发残留。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-05-07 DOI: 10.1080/09273948.2024.2345282
Nitin Kumar Menia, Sabia Handa, Ashish Markan, Umang Thakur, Aniruddha Agarwal, Vishali Gupta
{"title":"Intermediate Uveitis with Cystoid Macular Edema as Presentation of Retained Caterpillar Hair in the Vitreous Cavity.","authors":"Nitin Kumar Menia, Sabia Handa, Ashish Markan, Umang Thakur, Aniruddha Agarwal, Vishali Gupta","doi":"10.1080/09273948.2024.2345282","DOIUrl":"10.1080/09273948.2024.2345282","url":null,"abstract":"<p><strong>Purpose: </strong>To report an unusual case of retained caterpillar hair in the vitreous cavity presenting as recurrent Intermediate Uveitis with cystoid macular edema.</p><p><strong>Method: </strong>Case Report.</p><p><strong>Results: </strong>A 40-year-old male presented to our uveitis clinic with recurrent episodes of redness and diminution of vision in his left eye for 3 years. He was diagnosed and treated elsewhere as a case of recurrent intermediate uveitis and was referred to our center for a second opinion to initiate immunosuppressive therapy. A detailed history revealed that a caterpillar had fallen into his left eye 3 years back, followed by severe irritation, pain, and redness. He received topical antibiotics and corticosteroids, and retained caterpillar hair was removed from the ocular surface. During the last 3 years, the patient had multiple episodes of inflammation despite being treated with oral and topical corticosteroids. At the current visit, a meticulous clinical examination at our centre revealed multiple, migrated, retained caterpillar hair in the vitreous cavity. The patient was diagnosed with Ophthalmia Nodosa (Type V) and managed with surgical intervention (vitreous surgery). The case highlights an unusual presentation of ON and the role of pars plana vitrectomy in its successful management.</p><p><strong>Conclusion: </strong>We highlight a rare and unusual presentation of ophthalmia nodosa and its successful management.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"206-209"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140876859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ocular Leptospirosis: Report of a Challenging Diagnosis. 眼部钩端螺旋体病:一个棘手诊断的报告
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-06-26 DOI: 10.1080/09273948.2024.2367651
Guilherme Macedo Souza, Heloisa Nascimento, Rubens Belfort
{"title":"Ocular Leptospirosis: Report of a Challenging Diagnosis.","authors":"Guilherme Macedo Souza, Heloisa Nascimento, Rubens Belfort","doi":"10.1080/09273948.2024.2367651","DOIUrl":"10.1080/09273948.2024.2367651","url":null,"abstract":"<p><strong>Purpose: </strong>To report a challenging case of serologically confirmed posterior uveitis due to leptospirosis.</p><p><strong>Methods: </strong>Review of medical records.</p><p><strong>Results: </strong>Thirteen-year-old boy presented focal necrotizing retinochoroiditis after flood exposure. Laboratory work-up confirmed leptospirosis infection and proper antibiotic treatment was done. The patient evolved well. but during late follow-up he developed nummular keratitis.</p><p><strong>Conclusion: </strong>Leptospirosis is a possible etiology of necrotizing posterior uveitis. The use of antimicrobial therapy is controversial but was used in this case, in association with corticosteroids, leading to resolution of retinal inflammation. Despite treatment, the patient developed late corneal opacities, which did not lead to visual impairment.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"214-217"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ocular Involvement in Patients with Brucellosis: A Single-Center Prospective Study. 布鲁氏菌病患者的眼部受累:单中心前瞻性研究
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-06-25 DOI: 10.1080/09273948.2024.2369655
Murat Aydin, Ahmet Duhan Özbay, Nurten Nur Aydin
{"title":"Ocular Involvement in Patients with Brucellosis: A Single-Center Prospective Study.","authors":"Murat Aydin, Ahmet Duhan Özbay, Nurten Nur Aydin","doi":"10.1080/09273948.2024.2369655","DOIUrl":"10.1080/09273948.2024.2369655","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the prevalence, type and treatment outcomes of ocular involvement in patients with brucellosis.</p><p><strong>Methods: </strong>This prospective, single-center study enrolled patients admitted to the infectious disease outpatient clinic with diagnosed brucellosis between July 15, 2022 and July 15, 2023. Diagnosis was based on clinical symptoms and a standard Brucella tube agglutination test (≥1/160) or a positive blood culture. Ophthalmologic examinations were performed at baseline and in the first month of treatment. Third and sixth month follow-up examinations were also performed for patients with ocular findings.</p><p><strong>Results: </strong>Ocular involvement occurred in 60 (24.8%) of 242 patients. Conjunctivitis was the most common ocular involvement and was observed in 39 patients (16.1%). Uveitis was the second most common ocular involvement in 14 patients (5.8%). Scleritis was the least common ocular involvement and was observed in only one patient. Patients with ocular involvement were older (<i>p</i> = 0.027) and had higher rates of weight loss and spondylodiscitis (<i>p</i> = 0.044 and 0.001, respectively). Among laboratory parameters, erythrocyte sedimentation rate and lactate dehydrogenase levels were significantly higher in patients with ocular involvement (<i>p</i> = 0.001 and 0.036, respectively). There were no significant differences in other demographic, clinical, and laboratory characteristics between patients with and without ocular involvement. In 56 (93.3%) patients, the ocular findings improved during the follow-up examination.</p><p><strong>Conclusion: </strong>Brucellosis, a systemic infection, can manifest with ocular involvement. Early detection and treatment through ophthalmological examination are crucial in managing brucellosis.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"191-197"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asymptomatic Ophthalmomyiasis Interna Posterior with Central Pigment Accumulation in the Inner Retina. 无症状眼球后膜内炎伴内视网膜中央色素积聚。
IF 2.6 4区 医学
Ocular Immunology and Inflammation Pub Date : 2025-02-01 Epub Date: 2024-07-12 DOI: 10.1080/09273948.2024.2374433
Vishal Jadhav, Jyoti Goyal, Suman Sahu, Anup Kelgaonkar, Soumyava Basu, Avinash Pathengay
{"title":"Asymptomatic Ophthalmomyiasis Interna Posterior with Central Pigment Accumulation in the Inner Retina.","authors":"Vishal Jadhav, Jyoti Goyal, Suman Sahu, Anup Kelgaonkar, Soumyava Basu, Avinash Pathengay","doi":"10.1080/09273948.2024.2374433","DOIUrl":"10.1080/09273948.2024.2374433","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of ophthalmomyiasis interna posterior which was asymptomatic and had pigment clumps in the inner retina at the macula.</p><p><strong>Methods: </strong>Single-centre, observational, retrospective case report.</p><p><strong>Results: </strong>A routine refractive error check-up for an asymptomatic 52-year-old Asian Indian woman, who had relied on glasses for 8 years, unfolded a captivating narrative within her retina. This coloured fundus photo unveils mid-peripheral retinal disease with multiple outer retinal atrophic tracts, circumlinear patterns, and intricately intertwined RPE atrophic tracts. These were hyper-autofluorescent on blue autofluorescence. The inferonasal periphery had two-disc diameters of pigmented retinal-choroidal atrophic scar. The macula revealed a collection of black intraretinal pigments in parafoveal areas. The distinct clinical presentation, marked by multiple tracts and unilateral manifestation without disc pallor, hinted at the intriguing possibility of self-resolved \"Ophthalmomyiasis interna posterior.\"</p><p><strong>Conclusion: </strong>The course of disease in ophthalmomyiasis interna posterior can be self-limiting and asymptomatic. The presence of inner retinal pigments at foveal and parafoveal areas, possibly due to pigment migration from the peripheral outer retinal tracts, is a rare presentation.</p>","PeriodicalId":19406,"journal":{"name":"Ocular Immunology and Inflammation","volume":" ","pages":"218-220"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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