Digital journal of ophthalmology : DJO最新文献

{"title":"An 8-year-old with a unilateral droopy eyelid.","authors":"Maxwell G. Su, Jana Waters, Matthew Recko","doi":"10.5693/djo.03.2021.08.002","DOIUrl":"https://doi.org/10.5693/djo.03.2021.08.002","url":null,"abstract":"","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"207 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76873689","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}

{"title":"Delayed-onset ligneous conjunctivitis as a rare association with congenital hydrocephalous: a case report and review of the literature.","authors":"Hamed Ghassemi, Mehrnaz Atighehchian, Fahimeh Asadi Amoli","doi":"10.5693/djo.02.2022.08.005","DOIUrl":"https://doi.org/10.5693/djo.02.2022.08.005","url":null,"abstract":"Ligneous conjunctivitis is an uncommon form of chronic and recurrent conjunctivitis characterized by a thick, \"woody,\" yellowish pseudomembranous lesion on the tarsal conjunctiva. Plasminogen deficiency plays an important role in this disease, which affects the mucous membranes, including the conjunctiva as well as other systemic organs. In rare cases, congenital hydrocephalus is associated with this disease. We present the case of a 21-year-old woman with delayed-onset bilateral ligneous conjunctivitis and a history of congenital hydrocephalous in infancy. She was treated with topical ophthalmic medication and surgical excision.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 4","pages":"110-115"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838180/pdf/djo-21-133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10573967","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}

{"title":"A comparison of sutureless flanged fixation and 4-point Gore-Tex fixation for scleral-fixated intraocular lenses: a pilot study.","authors":"Usha K Raina,&nbsp;Brajesh Kumar,&nbsp;Shruti Bhattacharya,&nbsp;Varun Saini,&nbsp;Shantanu Kumar Gupta,&nbsp;Jawaharlal Goyal","doi":"10.5693/djo.01.2022.08.001","DOIUrl":"https://doi.org/10.5693/djo.01.2022.08.001","url":null,"abstract":"<p><strong>Purpose: </strong>Scleral-fixation of intraocular lenses (IOLs) provides an option for eyes that lack sufficient capsular support for in-the-bag IOL placement. The latest techniques for lens fixation include use of a novel suture material, Gore-Tex, and a sutureless method, with flanged intrascleral fixation. The purpose of this pilot study was to compare these methods in terms of anatomic and clinical outcomes.</p><p><strong>Methods: </strong>A total of 35 eyes of patients 18-60 years of age who presented with aphakia, subluxated lens, or ectopia lentis were randomized into two groups. Group A (15 eyes) underwent flanged intrascleral IOL fixation using the Yamane technique; group B (20 eyes) underwent 4-point transscleral fixation of IOL using Gore-Tex suture. The following parameters were compared between groups on day 1, week 3, and month 6 postoperatively: logMAR uncorrected and best-corrected visual acuity, retinoscopy, IOL centration on slit-lamp biomicroscopy, and IOL tilt on ultrasound biomicroscopy.</p><p><strong>Results: </strong>Postoperative visual acuity was better in group B: uncorrected, logMAR 0.89 ± 0.22 versus 0.72 ± 0.24 (<i>P</i> = 0.046); best-corrected, logMAR 0.51 ± 0.18 versus 0.37 ± 0.26 (<i>P</i> = 0.016). No significant difference was found in postoperative retinoscopy and astigmatism between groups. IOL tilt (>100 µm) occurred in 8 cases in group A and in 9 cases in group B; 87% in group A and 100% in group B were well centered. Complications in both groups were minimal.</p><p><strong>Conclusions: </strong>In our small study cohort, both sutureless flanged IOL fixation and Gore-Tex sutured scleral IOL fixation resulted in excellent visual rehabilitation of patients with aphakia and subluxated lenses. Patients who underwent Gore-Tex suture fixation experienced better postoperative visual acuity, IOL centration, and stability.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 3","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635760/pdf/djo-22-139.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9093359","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}

{"title":"A case of aggressive natural killer cell leukemia.","authors":"Yu-Chieh Hung,&nbsp;Benjamin Wilkinson,&nbsp;Chee Foong Chong","doi":"10.5693/djo.02.2022.03.001","DOIUrl":"https://doi.org/10.5693/djo.02.2022.03.001","url":null,"abstract":"<p><p>A 23-year-old man presented with a 1-month history of a red and painful right eye, with visual acuity reduced to hand motions. Examination showed uveitis with keratic precipitates, cells and flare in the anterior chamber, and vitritis that obscured visualization of the right fundus. The following week, he was noted to have the following left-sided findings: reduced visual acuity (6/18), painless upper eyelid edema, an elevated, pink bulbar conjunctival lesion, limitation of ocular abduction, paresthesia in the V1 and reduced sensation in the V2 distributions. Blood tests showed pancytopenia. Results from the aspirate and trephine biopsy of his bone marrow were consistent with aggressive natural killer (NK) cell leukemia, a rare cause of ocular and periocular inflammation that requires a multidisciplinary team approach to care.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 4","pages":"116-118"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838178/pdf/djo-21-031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10550860","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}

{"title":"Video-based surgical curriculum for open-globe injury repair, I: open-globe injury.","authors":"Vivian Paraskevi Douglas,&nbsp;Konstantinos A A Douglas,&nbsp;Karen M Wai,&nbsp;Xueyang Wang,&nbsp;Tedi Begaj,&nbsp;Yifan Lu,&nbsp;Grayson W Armstrong","doi":"10.5693/djo.01.2022.01.001","DOIUrl":"https://doi.org/10.5693/djo.01.2022.01.001","url":null,"abstract":"As one of the most severe forms of ocular trauma, open-globe injuries (OGI) cause significant vision loss. Timely and meticulous repair of these injuries can improve patient outcomes. This video-based educational curriculum is intended to serve as a quick and efficient yet comprehensive reference for OGI repair.  We hope that these video-based articles help surgeons and trainees from around the world find answers to specific surgical questions in OGI management. The curriculum has been divided into six separate review articles, each authored by a different set of authors, to facilitate a systematic and practical approach to the subject of wound types and repair techniques. The first article highlights pertinent terminology and standardized definitions for OGI trauma, which aids in communication, prognostication, and outcomes research.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 3","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635763/pdf/djo-21-071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10703931","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}

{"title":"Surgical outcome and pathological findings in macular epiretinal membrane caused by neurofibromatosis type 2.","authors":"H. Kunikata, K. Nishiguchi, M. Watanabe, T. Nakazawa","doi":"10.5693/djo.02.2021.06.001","DOIUrl":"https://doi.org/10.5693/djo.02.2021.06.001","url":null,"abstract":"We present surgical outcomes in a 10-year-old Japanese girl with neurofibromatosis type 2 (NF2)-induced epiretinal membrane (ERM). Her right eye underwent lens-sparing 27-gauge microincision vitrectomy surgery (MIVS) with ERM peeling. Decimal best-corrected visual acuity increased from 0.3 to 0.4 postoperatively. However, abnormal thickening of the macula persisted for 3 years. Staining of the extracted ERM revealed many cells positive for glial fibrillary acidic protein and nestin. Although removal of NF2-induced ERM with MIVS can improve visual acuity, the potential surgical risks require careful consideration on a case-by-case basis.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"2 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73028212","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}

{"title":"Photodynamic therapy for peripapillary pachychoroid syndrome-a case report.","authors":"George J. Manayath, S. Verghese, Ratnesh Ranjan, V. Narendran","doi":"10.5693/djo.02.2021.11.001","DOIUrl":"https://doi.org/10.5693/djo.02.2021.11.001","url":null,"abstract":"A 76-year-old man presented with reduced visual acuity in both eyes, more severe in the right eye. His previous medical history included anti-vascular endothelial growth factor treatment, with multiple intravitreal injections in both eyes, and repeated focal laser in the left eye. His best-corrected visual acuity was 20/200 in the right eye and 20/40 in the left eye. Based on fundus examination and multimodal imaging, the patient was diagnosed with pachychoroid disease with peripapillary pachychoroid syndrome in the right eye and nasal macular scarring with late cystoid degeneration in the left eye. He underwent low-fluence photodynamic therapy in both eyes. At 6 months' follow-up, best-corrected visual acuity improved to 20/120 in the right eye and was maintained at 20/40 in the left eye, with good anatomical outcome.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"37 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91174917","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}

{"title":"Factors associated with postoperative visual outcome in acute endophthalmitis after cataract surgery-a cross-sectional, analytical study.","authors":"T. Senthamizh, Haripriya Aravind, T. P. Singh","doi":"10.5693/djo.01.2021.08.001","DOIUrl":"https://doi.org/10.5693/djo.01.2021.08.001","url":null,"abstract":"Purpose To identify predictors of visual outcome in patients with acute endophthalmitis following cataract surgery. Methods This cross-sectional study included consecutive patients with acute endophthalmitis following cataract surgery at our tertiary care center between January 2017 and June 2018. Baseline demographic details, surgical details, and treatment offered were extracted from the medical record, and patients were followed for 3 months after diagnosis and treatment for endophthalmitis. A good outcome was defined as visual acuity of greater than 6/12; a poor outcome, visual acuity of less than 6/60 on 3-month follow-up. The factors associated with these outcomes were analyzed. Results A total of 60 patients were included, of whom 32 (53%) had good visual outcome, and 11 (18%) had poor visual outcome. On univariate analysis, factors associated with good outcome were younger age at surgery, male sex, diabetes, absence of hypopyon, and absence of fibrillary membrane over the intraocular lens (IOL). Poor visual acuity at presentation, inability to visualize the optic disc on indirect ophthalmoscopy, and negative microbiological culture were associated with poor visual outcome. Stepwise logistic regression analysis showed that absent hypopyon (OR = 19.50; 95% CI, 2.87-132.14) and absent fibrillary membrane over the IOL (OR =15.0; 95% CI, 2.34-96.89) were independent factors for good visual outcome. Negative microbiological culture (OR = 18.67; 95% CI, 2.32-150.13) was the only independent factor associated with poor visual outcome. Conclusions The clinical findings at presentation and microbiological profile play an important role in determining the outcome in patients with acute post-cataract surgery endophthalmitis.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 1 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70747129","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}

{"title":"Facilitating glaucoma diagnosis with intereye neuroretinal rim asymmetry analysis using spectral-domain optical coherence tomography.","authors":"Andrew S Taliaferro,&nbsp;Mahmoud A Fayed,&nbsp;Edem Tsikata,&nbsp;Regina A De Luna,&nbsp;Firas Jassim,&nbsp;Sumir Pandit,&nbsp;Elli A Park,&nbsp;Maria A Guzman Aparicio,&nbsp;Linda Yi-Chieh Poon,&nbsp;Christian Que,&nbsp;Huseyin Simavli,&nbsp;Vivek Srinivasan,&nbsp;Johannes F de Boer,&nbsp;Teresa C Chen","doi":"10.5693/djo.01.2022.10.001","DOIUrl":"https://doi.org/10.5693/djo.01.2022.10.001","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether intereye asymmetry of a three-dimensional neuroretinal rim parameter, the minimum distance band, is useful in differentiating normal eyes from those with open-angle glaucoma.</p><p><strong>Materials and methods: </strong>This is a cross-sectional study of 28 normal subjects and 33 glaucoma subjects. Subjects underwent spectral domain optical coherence tomography imaging of both eyes. From high-density raster scans of the optic nerve head, a custom-designed segmentation algorithm calculated mean minimum distance band neuroretinal rim thickness globally, for four quadrants, and for four sectors. Intereye minimum distance band thickness asymmetry was calculated as the absolute difference in minimum distance band thickness values between the right and left eyes.</p><p><strong>Results: </strong>Increasing global minimum distance band thickness asymmetry was not associated with increasing age or increasing refractive error asymmetry. Glaucoma patients had thinner mean neuroretinal rim thickness values compared to normal patients (209.0 μm vs 306.0 μm [<i>P</i> < 0.001]). Glaucoma subjects had greater intereye thickness asymmetry compared to normal subjects for the global region (51.9 μm vs 17.6 μm [<i>P</i> < 0.001]) as well as for all quadrants and all sectors. For detecting glaucoma, a thickness asymmetry value >28.3 μm in the inferior quadrant yielded the greatest sum of sensitivity (87.9%) and specificity (75.0%). Globally, thickness asymmetry >30.7 μm yielded the greatest sum of sensitivity (66.7%) and specificity (89.3%).</p><p><strong>Conclusions: </strong>This study indicates that intereye neuroretinal rim minimum distance band asymmetry measurements, using high-density spectral domain optical coherence tomography volume scans, may be an objective and quantitative tool for assessing patients suspected of open-angle glaucoma.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 4","pages":"100-109"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838176/pdf/djo-22-127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10561730","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}

{"title":"Video-based surgical curriculum for open globe injury repair, IV: corneal wounds.","authors":"Sila Bal,&nbsp;Inês Laíns,&nbsp;Carolina Chiou,&nbsp;Neal Patel,&nbsp;Noam D Rudnik,&nbsp;Clifford B Kim,&nbsp;Kevin K Ma,&nbsp;Stephan Ong Tone,&nbsp;Tedi Begaj,&nbsp;Yifan Lu,&nbsp;Grayson W Armstrong","doi":"10.5693/djo.01.2022.08.003","DOIUrl":"https://doi.org/10.5693/djo.01.2022.08.003","url":null,"abstract":"As one of the most severe forms of ocular trauma, open-globe injury (OGI) causes significant vision loss. Timely and meticulous repair of these injuries can improve patient outcomes. This video-based educational curriculum is intended to serve as an efficient, yet comprehensive reference for OGI repair. We hope that these video-based articles help surgeons and trainees from around the world find answers to specific surgical questions in OGI management. The curriculum has been divided into six separate review articles, each authored by a different set of authors, to facilitate a systematic and practical approach to the subject of wound types and repair techniques. This fourth article highlights special considerations in the repair of open-globe injuries affecting the anterior chamber and cornea.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 4","pages":"86-99"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838177/pdf/djo-21-074.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523762","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}