Ekaterina Milovanova, Michael P Fielden, Faazil Kassam
{"title":"Acute zonal occult outer retinopathy in a patient with retinitis pigmentosa.","authors":"Ekaterina Milovanova, Michael P Fielden, Faazil Kassam","doi":"10.5693/djo.02.2022.06.001","DOIUrl":"https://doi.org/10.5693/djo.02.2022.06.001","url":null,"abstract":"<p><p>A 30-year-old woman with a phenotypic presentation of retinitis pigmentosa (RP) presented with a 5-day history of painless, acute vision loss in her right eye, with visual acuity dropping from 20/30 to hand motions. Optical coherence tomography of the right macula showed near-complete loss of the ellipsoid layer. Treatment with a prolonged course of oral prednisone resulted in a complete structural regeneration of the ellipsoid layer and improvement of visual acuity to 20/50, with eccentric fixation. Tests for infectious diseases, autoimmune disorders, and rare RP mimic syndromes (eg, Refsum disease) were negative. The patient has remained stable since. We favor a diagnosis of two separate pathologies and suggest a designation of acute zonal occult outer retinopathy (AZOOR) in RP for this previously unreported presentation.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"28 3","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635758/pdf/djo-21-089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529871","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}
Khushali Shah, Benjamin J Fowler, Benjamin Lin, Kara M Cavuoto, Jayanth Sridhar
{"title":"A 56-year-old man with a unilateral central scotoma.","authors":"Khushali Shah, Benjamin J Fowler, Benjamin Lin, Kara M Cavuoto, Jayanth Sridhar","doi":"10.5693/djo.03.2021.08.004","DOIUrl":"https://doi.org/10.5693/djo.03.2021.08.004","url":null,"abstract":"","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 3","pages":"56-59"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668168/pdf/djo-20-173.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39739774","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}
James H Powers, Pali P Singh, Dilraj S Grewal, John D Matthews, Sharon Fekrat
{"title":"Multimodal imaging of type 2 acute macular neuroretinopathy in a young woman.","authors":"James H Powers, Pali P Singh, Dilraj S Grewal, John D Matthews, Sharon Fekrat","doi":"10.5693/djo.02.2021.06.004","DOIUrl":"https://doi.org/10.5693/djo.02.2021.06.004","url":null,"abstract":"<p><p>We report a case of type 2 acute macular neuroretinopathy (AMN) that occurred in an otherwise healthy 22-year-old white woman taking oral contraceptives and consuming large quantities of caffeinated coffee. The patient presented with a teardrop-shaped scotoma just inferior to her central vision in her left eye after a recent and significant increase in coffee consumption. A small extrafoveal retinal lesion was present superior to the fovea on pseudocolor fundus photography. Multimodal retinal imaging demonstrated focal disruption of the inner segment-outer segment junction of the photoreceptors with overlying hyperreflectivity at the level of the outer plexiform layer superior to the fovea, consistent with a diagnosis of type 2 AMN. Oral contraceptive use and high caffeine intake may be risk factors for the development of type 2 AMN.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 3","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668169/pdf/djo-21-030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39739768","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}
Edward S Lu, Vincent S Reppucci, S K Steven Houston, Ashley L Kras, John B Miller
{"title":"Three-dimensional telesurgery and remote proctoring over a 5G network.","authors":"Edward S Lu, Vincent S Reppucci, S K Steven Houston, Ashley L Kras, John B Miller","doi":"10.5693/djo.01.2021.06.003","DOIUrl":"https://doi.org/10.5693/djo.01.2021.06.003","url":null,"abstract":"<p><strong>Purpose: </strong>To present 2 cases of vitreoretinal surgery performed on a three-dimensional (3D) heads-up display surgical platform with real-time transfer of 3D video over a fifth-generation (5G) cellular network.</p><p><strong>Methods: </strong>An epiretinal membrane peel and tractional retinal detachment repair performed at Massachusetts Eye and Ear in April 2019 were broadcast live to the Verizon 5G Lab in Cambridge, MA.</p><p><strong>Results: </strong>Both surgeries were successful. The heads-up digital surgery platform, combined with a 5G network, allowed telesurgical transfer of high-quality 3D vitreoretinal surgery with minimal degradation. Average end-to-end latency was 250 ms, and average round-trip latency was 16 ms. Fine surgical details were observed remotely by a proctoring surgeon and trainee, with real-time communication via mobile phone.</p><p><strong>Conclusions: </strong>This pilot study represents the first successful demonstration of vitreoretinal surgery transmitted over a 5G network. Telesurgery has the potential to enhance surgical education, provide intraoperative consultation and guidance from expert proctors, and improve patient outcomes, especially in remote and low-resource areas.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 3","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668170/pdf/djo-20-199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39739767","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}
Donald C Hubbard, Jacob W Fleenor, Maxwell G Su, Jonathan H Tsai
{"title":"A 47-year-old man with a necrotic wound after trauma.","authors":"Donald C Hubbard, Jacob W Fleenor, Maxwell G Su, Jonathan H Tsai","doi":"10.5693/djo.03.2020.12.001","DOIUrl":"https://doi.org/10.5693/djo.03.2020.12.001","url":null,"abstract":"Ophthalmology consultation was requested to evaluate right eyelid swelling on an intubated 47-year-old white man, with no significant past medical history or past ocular history, who was in the surgical trauma intensive care unit at Baylor Scott and White Health after a motorcycle accident, during which he was thrown into a ditch and suffered significant injuries to his left lower leg, which required amputation. He also had a 6 cm laceration across his right cheek, just under his right lower eyelid. This laceration was cleaned and repaired by another service prior to the patient being seen by ophthalmology. The patient had been hospitalized for 1 week between the time of his motorcycle accident and our consultation for eyelid swelling. Throughout his hospitalization, he maintained high fevers that were assumed to be caused by surgical complications of his traumatic leg wound. As a result, he was taken to the operating room for debridement and cleaning of the amputation wound multiple times, causing him to lose copious amounts of blood, which led to more than 30 transfusions of packed red blood cells over the first 2 weeks of his admission.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 2","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406642/pdf/djo-20-053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39408262","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":"Delayed-onset seesaw nystagmus following brain irradiation.","authors":"Gabrielle Fridman, Alberto Distefano","doi":"10.5693/djo.02.2020.12.002","DOIUrl":"https://doi.org/10.5693/djo.02.2020.12.002","url":null,"abstract":"Seesaw nystagmus (SSN) is a rare, debilitating neurologic syndrome with few known etiologies. Typically, patients present with oscillopsia subsequent to a recent neurologic insult, with only a handful of patients showing delayed onset after trauma. We report a case of seesaw nystagmus in a patient with a large meso-diencephalic mass treated with external beam radiation therapy (XRT), who developed asymptomatic SSN nearly 8 years after treatment.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 2","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406641/pdf/djo-20-037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39408261","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 29-year-old man with bilateral megalocornea.","authors":"John Mark S De Leon, Marc Alfred C Mangahas","doi":"10.5693/djo.03.2020.12.003","DOIUrl":"https://doi.org/10.5693/djo.03.2020.12.003","url":null,"abstract":"A 29-year-old man presented at the Department of Health Eye Center, East Avenue Medical Center, Quezon City, for assessment of intermittent right-sided headache of 3 months’ duration and gradual progressive blurring of vision in the right for the previous year. He had never been examined by an ophthalmologist. He had no hypertension or diabetes but did have a 10-year history of hyperthyroidism, with thyroid hormone levels presently controlled. There was no history of ocular trauma. Family history was unremarkable for other health conditions.","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 2","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2021-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406643/pdf/djo-20-036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39408259","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}
Sally Justus, Alexander Pomerantz, Lisa M Tom, Amy Yuan, Grayson W Armstrong
{"title":"Open-globe injury caused by barbed fish hook repaired using the back-out method: a report of two cases.","authors":"Sally Justus, Alexander Pomerantz, Lisa M Tom, Amy Yuan, Grayson W Armstrong","doi":"10.5693/djo.02.2021.01.003","DOIUrl":"https://doi.org/10.5693/djo.02.2021.01.003","url":null,"abstract":"<p><p>Fish hook open-globe injuries (OGIs) are challenging to repair surgically because of the backward-projecting barb near the hook's point that prevents withdrawal of the hook. The most commonly reported ophthalmic surgical technique for removal of barbed hooks is advance-and-cut, wherein the fish hook is pushed through an iatrogenic wound to the exterior of the globe, the barb is cut off, and the shank is backed out of the entry wound. We report 2 cases of zone I OGIs with retained fish hooks successfully repaired using the back-out technique. This strategy involves enlarging the entry wound to allow the entire hook and barb to be backed out, decreasing iatrogenic injuries and eliminating the need for wire cutters.</p>","PeriodicalId":38112,"journal":{"name":"Digital journal of ophthalmology : DJO","volume":"27 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051161/pdf/djo-20-127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38915297","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}