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Digital journal of ophthalmology : DJO最新文献

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Bilateral anterior lens capsule rupture in Alport syndrome: case series and literature review. Alport综合征双侧前晶状体囊破裂：病例系列和文献回顾。
Digital journal of ophthalmology : DJO Pub Date : 2024-08-04 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.03.001
Danielle Gouws, Dian P van der Westhuizen, Kelsey V Stuart
{"title":"Bilateral anterior lens capsule rupture in Alport syndrome: case series and literature review.","authors":"Danielle Gouws, Dian P van der Westhuizen, Kelsey V Stuart","doi":"10.5693/djo.02.2024.03.001","DOIUrl":"10.5693/djo.02.2024.03.001","url":null,"abstract":"<p><p>We present 3 cases of bilateral anterior lens capsule rupture, all leading to a subsequent diagnosis of Alport syndrome. Clinicians should be alert to the ocular and systemic features of Alport syndrome, especially when presented with a spontaneous rupture of the anterior lens capsule in young males. Ophthalmologists are often the first contact for patients with Alport syndrome, and a sound knowledge of the associated features will enable timely referral to other members of a multidisciplinary team required to treat such patients. Diagnosis and subsequent testing of affected families further aids in genetic counseling and early, comprehensive treatment.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 3","pages":"55-59"},"PeriodicalIF":0.0,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878258","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
Secondary glaucoma as a late complication of a primary iris stromal cyst. 继发性青光眼是原发性虹膜间质囊肿的晚期并发症。
Digital journal of ophthalmology : DJO Pub Date : 2024-08-03 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.03.002
David Oh, Jeffrey Goshe, Jonathan Eisengart
{"title":"Secondary glaucoma as a late complication of a primary iris stromal cyst.","authors":"David Oh, Jeffrey Goshe, Jonathan Eisengart","doi":"10.5693/djo.02.2024.03.002","DOIUrl":"10.5693/djo.02.2024.03.002","url":null,"abstract":"<p><p>An 18-year-old woman with a congenital iris stromal cyst was referred for sudden-onset increased intraocular pressure (IOP) that did not respond to medical therapy. Ultrasound biomicroscopy demonstrated synechial angle closure from 9:00 to 12:00 in addition to a large cyst occupying much of the inferior angle. After implantation of an Ahmed glaucoma valve, her visual acuity returned to baseline, and IOP normalized. Although primary iris cysts are generally stationary and have rarely been reported to cause ocular complications, secondary glaucoma can present as a rare complication of primary iris cysts. This case highlights the importance of serial examinations to monitor iris cysts and consideration of glaucoma as a late complication.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 3","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878268","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
Excision of an intrascleral cyst guided by anterior segment optical coherence tomography. 前段光学相干断层扫描引导下的巩膜内囊肿切除术。
Digital journal of ophthalmology : DJO Pub Date : 2024-07-06 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2023.12.001
Corrina P Azarcon, Phoebe D Lenhart, Caroline M Craven, Jill R Wells
{"title":"Excision of an intrascleral cyst guided by anterior segment optical coherence tomography.","authors":"Corrina P Azarcon, Phoebe D Lenhart, Caroline M Craven, Jill R Wells","doi":"10.5693/djo.02.2023.12.001","DOIUrl":"10.5693/djo.02.2023.12.001","url":null,"abstract":"<p><p>A 4-year-old girl presented with an enlarging, congenital, intrascleral cyst of the left eye. Intraoperative anterior segment optical coherence tomography was used to visualize and to assess the extent of the cyst, facilitating safe excision. The cyst was completely removed, and the defect was covered with an amniotic membrane graft, with a good outcome.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 3","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878261","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
Visual restoration with KPro after face allotransplantation with a grade III phthisical eye. 面部异体移植术后，III 级咽峡炎眼用 KPro 恢复了视力。
Digital journal of ophthalmology : DJO Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.03.003
Dinasha N Dahanayake, Alexandra G Castillejos, James Chodosh, Demetrios G Vavvas
{"title":"Visual restoration with KPro after face allotransplantation with a grade III phthisical eye.","authors":"Dinasha N Dahanayake, Alexandra G Castillejos, James Chodosh, Demetrios G Vavvas","doi":"10.5693/djo.02.2024.03.003","DOIUrl":"10.5693/djo.02.2024.03.003","url":null,"abstract":"<p><p>The Boston Keratoprosthesis type I (KPro-I) has been shown to be successful in restoring vision after severe ocular burns; however, its long-term outcomes in phthisical eyes have rarely been reported. A monocular woman with a history of severe alkali chemical injury necessitating facial transplantation presented with a light perception left eye after a complicated course, including failed KPro-I, therapeutic penetrating keratoplasty, endophthalmitis, hypotony, total retinal detachment, and structural changes, including a shrunken 18 mm axial length and eye wall thickening. The patient underwent a combined vitrectomy with silicone oil and KPro-I implantation, resulting in her regaining ambulatory visual acuity (20/250) at 3 years' follow-up<b>.</b></p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 2","pages":"45-47"},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141500154","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
Leukocoria in a 4-year-old boy. 一名 4 岁男孩的白细胞减少症。
Digital journal of ophthalmology : DJO Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.03.005
Francisco Altamirano, Efren Gonzalez, Isdin Oke
{"title":"Leukocoria in a 4-year-old boy.","authors":"Francisco Altamirano, Efren Gonzalez, Isdin Oke","doi":"10.5693/djo.02.2024.03.005","DOIUrl":"10.5693/djo.02.2024.03.005","url":null,"abstract":"<p><p>A healthy 4-year-old boy referred for evaluation of an abnormal red reflex in the left eye was noted, on fundus examination, to have extensive white, striated lesions surrounding the optic nerve that involved the superior and inferior macular arcades. On further examination, he was found to have ipsilateral high myopia and amblyopia. The triad of unilateral myelinated retinal nerve fibers, myopia, and amblyopia led to a diagnosis of Straatsma syndrome, which requires early treatment to prevent permanent vision loss. Treatment comprised a contact lens for refractive correction of the left eye, patching of the right eye, and full-time polycarbonate protective lenses. With 2 years' follow-up, the left eye failed to improve appreciably.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 2","pages":"42-44"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499236","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
Post-traumatic lens absorption with an intact lens capsule. 创伤后晶状体吸收，晶状体囊完好无损。
Digital journal of ophthalmology : DJO Pub Date : 2024-05-19 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.01.001
Ashley Gao, Alisha Kamboj, Amanda C Maltry, Joshua Olson
{"title":"Post-traumatic lens absorption with an intact lens capsule.","authors":"Ashley Gao, Alisha Kamboj, Amanda C Maltry, Joshua Olson","doi":"10.5693/djo.02.2024.01.001","DOIUrl":"10.5693/djo.02.2024.01.001","url":null,"abstract":"<p><p>A 29-year-old man presented with longstanding, stable, unilateral vision loss in the setting of a remote paintball injury. His examination was notable for a sensory exotropia as well as multiple foci of posterior synechiae, segments of white lenticular material and islands of lenticular cells within a grossly intact capsule, and severe zonular compromise in the affected eye. The majority of the nuclear lens material was absent. The patient was diagnosed with post-traumatic lens absorption and underwent synechialysis, capsulotomy, excision of remnant lenticular material, and placement of a sulcus lens, with significant improvement in visual acuity and ocular alignment following surgery. Our report uniquely highlights identification of a Soemmering's ring in an absorbed lens in the presence of an intact anterior and posterior capsule as well as successful refractive and sensorimotor outcomes following surgical repair despite delay in treatment of many years.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 2","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499237","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
Thrombolysis in acute retinal ischemia treated with tenecteplase. 使用替奈普酶治疗急性视网膜缺血的溶栓治疗。
Digital journal of ophthalmology : DJO Pub Date : 2024-04-05 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2023.11.001
Sreevishnu Venkata Phanipawan Kalaga, Pramod Krishnan, Lakshmi Krupa A, Alfa Riyaz, Ramya Vemula
{"title":"Thrombolysis in acute retinal ischemia treated with tenecteplase.","authors":"Sreevishnu Venkata Phanipawan Kalaga, Pramod Krishnan, Lakshmi Krupa A, Alfa Riyaz, Ramya Vemula","doi":"10.5693/djo.02.2023.11.001","DOIUrl":"10.5693/djo.02.2023.11.001","url":null,"abstract":"<p><p>Central retinal artery occlusion (CRAO), a type of acute retinal arterial ischemia, analogous to an ocular stroke, is a medical emergency that warrants immediate diagnosis and treatment. CRAO usually presents with sudden, painless, monocular vision loss. Ipsilateral carotid artery disease is an important associated finding in these patients. The primary limitation to effective treatment of CRAO is that patients are rarely seen in the acute stage. Moreover, there are no guidelines for effective treatment. We report a patient with right CRAO whose treatment with intravenous thrombolysis with tenecteplase and anterior chamber paracentesis with ocular massage resulted in a good clinical outcome.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 2","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499239","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
Rotational stability of two different piggyback toric intraocular lenses for correction of high post-keratoplasty pseudophakic ametropia. 用于矫正角膜塑形术后高度假性斜视的两种不同背负式散光眼内透镜的旋转稳定性。
Digital journal of ophthalmology : DJO Pub Date : 2024-04-01 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2024.02.002
Konstantinos Papadopoulos, Mohamed S Elalfy, Samer Hamada, Artemis Matsou
{"title":"Rotational stability of two different piggyback toric intraocular lenses for correction of high post-keratoplasty pseudophakic ametropia.","authors":"Konstantinos Papadopoulos, Mohamed S Elalfy, Samer Hamada, Artemis Matsou","doi":"10.5693/djo.02.2024.02.002","DOIUrl":"10.5693/djo.02.2024.02.002","url":null,"abstract":"<p><p>We present the case of a 65-year-old man with bilateral keratoconus and history of bilateral penetrating keratoplasty (PK) who developed gradual visual decline in the left eye due to cataract formation. Following successful left eye cataract surgery and monofocal, non-toric intraocular lens (IOL) in-the-bag implantation, the patient experienced persistently low uncorrected distance visual acuity (UDVA) due to high residual refractive error and intolerance to contact lenses. A supplementary toric IOL was placed in the ciliary sulcus, but subsequent rotational instability of the lens required repeated realignment. Despite two attempts at IOL repositioning, the rotational instability persisted, necessitating the replacement of the original Sulcoflex IOL with a toric, implantable Collamer lens. Following the implantation of the toric ICL, the patient achieved excellent UDVA with no adverse events over a 4-year follow-up period. This case highlights the potential rotational instability associated with toric piggyback IOLs in keratoconic, post-PK, pseudophakic eyes and the special considerations on choosing the type of piggyback lens in these eyes.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 2","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499238","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
Lethal mycotic pseudoaneurysm presenting as isolated sixth nerve palsy. 致命的霉菌性假动脉瘤表现为孤立的第六神经麻痹。
Digital journal of ophthalmology : DJO Pub Date : 2024-03-20 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2023.11.002
Rasna Bhanuman, Shriram Varadharajan, Karthik Kumar, Virna M Shah
{"title":"Lethal mycotic pseudoaneurysm presenting as isolated sixth nerve palsy.","authors":"Rasna Bhanuman, Shriram Varadharajan, Karthik Kumar, Virna M Shah","doi":"10.5693/djo.02.2023.11.002","DOIUrl":"https://doi.org/10.5693/djo.02.2023.11.002","url":null,"abstract":"<p><p>Pseudoaneurysm of the internal carotid artery caused by skull base osteomyelitis (SBO) is a lethal condition seen in immunocompromised patients, predominantly those with diabetes mellitus. Cranial nerve involvement is a common complication and generally indicates a poor prognosis. We report the case of a 62-year-old diabetic patient who presented with isolated sixth cranial nerve palsy. She had uncontrolled blood sugar levels and high erythrocyte sedimentation rate, and she suffered from pyelonephritis. Neuroimaging detected SBO with multiple secondary mycotic pseudoaneurysms prominent at the petrocavernous junction. Ischemia is the most common etiology for an isolated abducens nerve palsy, but in certain cases neuroimaging is warranted to prevent life-threatening complications. This case highlights the importance and urgency of identifying and managing such conditions.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866740","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
Juvenile ocular myasthenia gravis: a report of two cases. 青少年眼肌无力症：两例病例报告。
Digital journal of ophthalmology : DJO Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI: 10.5693/djo.02.2023.09.002
Ryan Gabbard, Richard Yi, James Pratt, Kenneth Chang, Katie Keck
{"title":"Juvenile ocular myasthenia gravis: a report of two cases.","authors":"Ryan Gabbard, Richard Yi, James Pratt, Kenneth Chang, Katie Keck","doi":"10.5693/djo.02.2023.09.002","DOIUrl":"https://doi.org/10.5693/djo.02.2023.09.002","url":null,"abstract":"<p><p>We report 2 cases of pediatric ocular myasthenia gravis. The first case was a 7-year-old girl who presented with bilateral ophthalmoplegia and ptosis that correlated with the onset of upper respiratory symptoms. Neuroimaging and acetylcholine receptor antibody testing were unremarkable. The ice pack test was positive. Symptoms greatly improved with pyridostigmine, with full resolution of ophthalmoplegia achieved by 8-month follow-up. The second case was a 4-year-old girl who presented emergently with ptosis and bilateral ophthalmoplegia. Acetylcholine receptor antibodies testing was positive. The patient was started on pyridostigmine and intravenous immunoglobulin and is scheduled to follow-up with pediatric ophthalmology in the outpatient setting.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"30 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852093","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
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