Taiwan Journal of Ophthalmology最新文献_第3页

Bilateral dead bag syndrome in skeletal dysplasia: A case report and review of literature 骨骼发育不良的双侧死袋综合征：病例报告和文献综述

Taiwan Journal of Ophthalmology Pub Date : 2024-01-23 DOI: 10.4103/tjo.tjo-d-23-00088

Prabrisha Banerjee, Sweksha Priya, Sweta Khan, Maitreyi Chowdhury

引用次数: 0

Ophthalmic giant cell arteritis in a patient with normal visual acuity 一名视力正常患者的眼科巨细胞动脉炎

Taiwan Journal of Ophthalmology Pub Date : 2024-01-23 DOI: 10.4103/tjo.tjo-d-23-00082

MacGregor N. Hall, A. Maleki

{"title":"Ophthalmic giant cell arteritis in a patient with normal visual acuity","authors":"MacGregor N. Hall, A. Maleki","doi":"10.4103/tjo.tjo-d-23-00082","DOIUrl":"https://doi.org/10.4103/tjo.tjo-d-23-00082","url":null,"abstract":"\u0000 In this study, we report a case of giant cell arteritis (GCA) and central retinal artery occlusion (CRAO) with cilioretinal artery sparing in a patient who presented with normal visual acuity and was treated with corticosteroids and tocilizumab. An 80-year-old male presented with restriction of his peripheral vision in the right eye along with fever, generalized headache, and jaw pain. His visual acuity was 20/20 in both eyes (OU) with an afferent pupillary defect in the right eye. Dilated fundoscopy revealed whitening of the retina around the vascular arcades with sparing of the central macula in the right eye, indicating CRAO sparing the cilioretinal artery. Laboratory evaluation revealed elevated inflammatory markers. The patient was treated initially with a pulse dose of intravenous corticosteroids, followed by an oral steroid taper, and he underwent a temporal artery biopsy (TAB). At 1-week follow-up, the patient reported improvement in his right eye visual symptoms. The TAB results confirmed the diagnosis of GCA, and the patient’s oral steroid was tapered with the addition of subcutaneous tocilizumab. One month later, the patient’s inflammatory markers returned to normal, and the patient’s vision remained stable. We conclude from this case that GCA may present with normal visual acuity, it can affect the central retinal artery without posterior ciliary artery involvement, and the combination of corticosteroids and subcutaneous tocilizumab may be an adequate treatment regimen.","PeriodicalId":508969,"journal":{"name":"Taiwan Journal of Ophthalmology","volume":"122 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139605651","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}

引用次数: 0

Simplified segmental scleral buckling without localization and cryopexy: A retrospective comparison with conventional segmental scleral buckling 无需定位和冷冻的简化节段性巩膜扣锁术：与传统节段式巩膜扣锁术的回顾性比较

Taiwan Journal of Ophthalmology Pub Date : 2024-01-19 DOI: 10.4103/tjo.tjo-d-23-00093

Pei-Hsuan Lin, Yi-An Lee, Lu-Chun Wang

{"title":"Simplified segmental scleral buckling without localization and cryopexy: A retrospective comparison with conventional segmental scleral buckling","authors":"Pei-Hsuan Lin, Yi-An Lee, Lu-Chun Wang","doi":"10.4103/tjo.tjo-d-23-00093","DOIUrl":"https://doi.org/10.4103/tjo.tjo-d-23-00093","url":null,"abstract":"\u0000 \u0000 \u0000 The aim of this study was to propose a simplified segmental scleral buckling (SSSB) technique that does not require break localization for less-experienced vitreoretinal surgeons.\u0000 \u0000 \u0000 \u0000 This retrospective study compared the clinical results of 46 conventional and 23 SSSB (conventional segmental SB [CSSB] and SSSB, respectively) procedures in a tertiary referral retinal center in Taiwan between 2008 and 2019. In the CSSB group, breaks were localized during surgery. In the SSSB group, a wider sponge band and a longer scleral buckle were used to maximize the chances of sealing the retinal breaks based on the preoperative fundus examination findings and to minimize the positioning error caused by cyclotorsion, without performing indirect ophthalmoscopy. The primary outcome was assessed after 6 months. Patient characteristics, surgical parameters, and outcomes were compared between groups. The main outcomes were the duration of surgery, changes in visual acuity, primary success rate, rhegmatogenous retinal detachment recurrence rate, and the frequency of further laser photocoagulation.\u0000 \u0000 \u0000 \u0000 SSSB had a shorter duration than CSSB and was associated with more frequent use of longer and wider explants and need for further laser retinopexy. Both groups showed high primary success rates (95.65%).\u0000 \u0000 \u0000 \u0000 The primary success rates for the SSSB and CSSB groups were comparable and equally high. SSSB required laser retinopexy more frequently and was a shorter procedure.\u0000","PeriodicalId":508969,"journal":{"name":"Taiwan Journal of Ophthalmology","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139612470","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}

引用次数: 0

Endoscopic transmaxillary approach to the inferior rectus muscle in correcting traumatic diplopia 矫正外伤性复视的经下颌直肌内窥镜方法

Taiwan Journal of Ophthalmology Pub Date : 2024-01-16 DOI: 10.4103/tjo.tjo-d-23-00107

Jin-Yu Chang, Yun-Ting Chao, An-Gour Wang, Wei-Kuang Yu

引用次数: 0

Persistent pupillary membrane and accessory iris membrane in cataract surgery 白内障手术中的顽固性瞳孔膜和虹膜附属膜

Taiwan Journal of Ophthalmology Pub Date : 2024-01-16 DOI: 10.4103/tjo.tjo-d-23-00127

Ya-Feng Cheng, Hung-Yu Lin, Shih-Chun Chao

引用次数: 0

Updates on congenital hereditary endothelial dystrophy 先天性遗传性内皮营养不良症的最新进展

Taiwan Journal of Ophthalmology Pub Date : 2023-11-28 DOI: 10.4103/tjo.tjo-d-23-00135

Neetee Mehta, Anshuman Verma, Divya Sree Achanta, C. Kannabiran, Sanhita Roy, D. Mishra, S. Chaurasia, Deepak P Edward, Muralidhar Ramappa

{"title":"Updates on congenital hereditary endothelial dystrophy","authors":"Neetee Mehta, Anshuman Verma, Divya Sree Achanta, C. Kannabiran, Sanhita Roy, D. Mishra, S. Chaurasia, Deepak P Edward, Muralidhar Ramappa","doi":"10.4103/tjo.tjo-d-23-00135","DOIUrl":"https://doi.org/10.4103/tjo.tjo-d-23-00135","url":null,"abstract":"Congenital hereditary endothelial dystrophy (CHED) is a rare genetic corneal disorder causing progressive cornea clouding and significant visual impairment. CHED remains a leading indication for pediatric corneal transplantation despite its infrequency, particularly in regions with high consanguinity rates like Southeast Asia. Identifying the Solute Carrier Family 4 Member 11 (SLC4A11) gene as the genetic basis of CHED has led to the discovery of it’s various genetic variations. However, a comprehensive understanding of its clinical-genetic correlation, pathophysiology, and optimal management is ongoing. This review aims to consolidate current knowledge about CHED, covering its genetic origins, pathophysiological mechanisms, clinical presentation, and management strategies. Surgical intervention, such as penetrating keratoplasty (PK), Descemet stripping automated endothelial keratoplasty (DSAEK), and Descemet membrane endothelial keratoplasty (DMEK), remains the primary treatment. DSAEK and DMEK offer advantages over PK, including quicker visual recovery, reduced complications, and longer graft survival, especially in the pediatric age group. The timing of surgical interventions depends on disease severity, age at presentation, comorbidities, and visual potential. Elevated oxidative stress in CHED corneal tissue suggests potential benefits from anti-inflammatory drugs to rescue mutated endothelial cells. Considering the limitations of corneal graft surgeries, exploring novel gene-based molecular therapies are essential for future management. Early diagnosis, appropriate surgical interventions, amblyopia control, and genetic counseling for predictive analysis are pivotal for optimizing CHED management. A multidisciplinary approach involving ophthalmologists, researchers, and genetic counselors is essential for precise diagnosis and optimal care for CHED patients.","PeriodicalId":508969,"journal":{"name":"Taiwan Journal of Ophthalmology","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139222232","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}

引用次数: 0

Mucopolysaccharidosis 粘多糖病

Taiwan Journal of Ophthalmology Pub Date : 2023-11-28 DOI: 10.4103/tjo.tjo-d-23-00137

Kusumitha Bhakthaganesh, Manumuraleekrishna, M. Vanathi, S. Ahmed, Noopur Gupta, Radhika Tandon

引用次数: 0

Axenfeld–Rieger syndrome in the pediatric population: A review 小儿阿森费尔德-里格综合征：综述

Taiwan Journal of Ophthalmology Pub Date : 2023-11-24 DOI: 10.4103/tjo.tjo-d-23-00089

Nikhila S. Khandwala, Muralidhar Ramappa, Deepak P Edward, Mehmet C. Mocan

引用次数: 0

Overview of sclerocornea 硬膜病概述

Taiwan Journal of Ophthalmology Pub Date : 2023-11-23 DOI: 10.4103/tjo.tjo-d-23-00070

Rama Rajagopal, Divya Giridhar, Jyotirmay Biswas

引用次数: 0