{"title":"OPTICAL COHERENCE TOMOGRAPHY INTERFACE REFLECTION IMAGE ASSOCIATED WITH INTRAVITREAL GAS.","authors":"Michael Colucciello","doi":"10.1097/ICB.0000000000001770","DOIUrl":"10.1097/ICB.0000000000001770","url":null,"abstract":"<p><strong>Purpose: </strong>To describe an optical coherence tomography (OCT) interface reflection image simulating a full-thickness macular hole, in a postoperative eye with intravitreal gas.</p><p><strong>Methods: </strong>A retrospective case report using postoperative retina images and spectral-domain OCT (Cirrus HD-OCT 6000; Carl Zeiss Meditec, Inc, Dublin, CA) in a partially gas-filled eye.</p><p><strong>Results: </strong>The OCT interface reflection image, captured anterior to the macula, mimicked Type 2 closure of a central full-thickness macular hole. Retrospective inspection of the slice navigator which was associated with the image generation disclosed the image was because of interface reflection of the closed eccentric hole rather than a direct image of the fovea.</p><p><strong>Conclusion: </strong>Clinicians should be aware that OCT interface reflection images may be obtained when the OCT light beam reflects off a fluid-gas interface. Unless recognized, these images can confuse the clinical picture and postoperative planning.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":"527-528"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040510","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}
Ashley Z Zhou, Jin Kyun Oh, Stephen H Tsang, Jason D Horowitz, Vlad Diaconita
{"title":"RETINAL TOXICITY ASSOCIATED WITH NAB-PACLITAXEL AND GEMCITABINE WITH SBP-101.","authors":"Ashley Z Zhou, Jin Kyun Oh, Stephen H Tsang, Jason D Horowitz, Vlad Diaconita","doi":"10.1097/ICB.0000000000001767","DOIUrl":"10.1097/ICB.0000000000001767","url":null,"abstract":"<p><strong>Purpose: </strong>To document retinal toxicity from nab-paclitaxel and gemcitabine with SBP-101, diethyl dihydroxyhomospermine, a polyamine inhibitor for the treatment of metastatic pancreatic adenocarcinoma.</p><p><strong>Methods: </strong>Observational case report.</p><p><strong>Results: </strong>Two patients with metastatic pancreatic ductal adenocarcinoma on nab-paclitaxel and gemcitabine with SBP-101 were found to have retina pigmentary changes and retinal pigment epithelium mottling. Spectral-domain optical coherence tomography showed retinal pigment epithelium and outer retinal speckled reflectivity in the nasal and superior macula in both eyes. Subsequent follow-up visits demonstrated progression of these findings despite discontinuation of the drug. Visual acuity remained stable or slightly worsened from baseline.</p><p><strong>Conclusion: </strong>These cases highlight retinal toxicity of the clinical trial drug nab-paclitaxel and gemcitabine with SBP-101 and the need to monitor these patients with regular ophthalmology examinations.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":"579-584"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032423","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":"HOME OPTICAL COHERENCE TOMOGRAPHY-GUIDED MANAGEMENT OF TYPE 3 MACULAR NEOVASCULARIZATION.","authors":"Livia Faes, Nancy Holekamp, Gidi Benyamini, Kester Nahen, Nishant Mohan, K Bailey Freund","doi":"10.1097/ICB.0000000000001792","DOIUrl":"10.1097/ICB.0000000000001792","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the impact of home optical coherence tomography (OCT)-guided treatment personalization for type 3 macular neovascularization in age-related macular degeneration.</p><p><strong>Methods: </strong>A prospective home OCT trial of a patient with a 1-month history of type 3 macular neovascularization under antiangiogenic treatment (2 \"loading\" injections). During the 23.4-week study period, the patient's treatment regimen was managed through regular self-imaging, enabling continuous monitoring of retinal fluid dynamics.</p><p><strong>Results: </strong>During the observation period, the patient performed 143 home OCT measurements (mean 6.1 per week, SD 1), which prompted 3 in-office visits where 3 antiangiogenic injections were delivered at the discretion of the investigator. The mean individualized treatment intervals established through home OCT were 8 weeks, with the patient maintaining stable visual acuity at 20/20 Snellen. Complete resolution of intraretinal fluid was noted between injections. Notably, home OCT revealed unexpected fluctuations in retinal fluid measured as hyporeflective spaces in the absence of treatment. Two out of 3 injections were administered after the retinal fluid volume had decreased by more than half within 2 and 8 days after an initial transient spike.</p><p><strong>Conclusion: </strong>The neovascular subtype as defined by the Consensus Nomenclature for Reporting Neovascular AMD Data may serve as a useful management framework when approaching home OCT-guided treatment decisions. In type 3 disease, home OCT-guided management demonstrates significant potential for optimizing treatment. Further research is warranted to elucidate the dynamics of retinal fluid variations in different macular neovascularization subtypes.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":"515-522"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700281","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}
Justin C Muste, Catherine J Hwang, Joseph Abraham, Devon A Cohen, Sumit Sharma
{"title":"SPONTANEOUS RESOLUTION OF PTOSIS AFTER SCLERAL BUCKLING.","authors":"Justin C Muste, Catherine J Hwang, Joseph Abraham, Devon A Cohen, Sumit Sharma","doi":"10.1097/ICB.0000000000001786","DOIUrl":"10.1097/ICB.0000000000001786","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of complete acquired ptosis after scleral buckling with spontaneous resolution.</p><p><strong>Methods: </strong>A 44-year-old otherwise healthy woman underwent placement of 4,050 scleral buckle, cryotherapy, and injection of 0.3 mL 100% C3F8 for a superior rhegmatogenous retinal detachment. She developed transient, acquired, isolated, complete ptosis that resolved spontaneously by postoperative month 3.</p><p><strong>Results: </strong>Ptosis resolved by postoperative month 3.</p><p><strong>Conclusion: </strong>This case of complete ptosis after scleral buckling would assist vitreoretinal surgeons in counseling patients on their postoperative care.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":"533-535"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585613","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}
Nish Patel, Tejaswini Matsyaraja, Marten R Hawkins, Shilpa Kodati
{"title":"Endogenous Streptococcus Anginosus Endophthalmitis: A Case Report and Review of the Literature.","authors":"Nish Patel, Tejaswini Matsyaraja, Marten R Hawkins, Shilpa Kodati","doi":"10.1097/ICB.0000000000001908","DOIUrl":"10.1097/ICB.0000000000001908","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of unilateral endogenous Streptococcus anginosus endophthalmitis in order to improve timely recognition and treatment strategies for similar presentations.</p><p><strong>Methods: </strong>A retrospective review of the electronic medical record of one patient was performed from September 2024 through December 2024.</p><p><strong>Results: </strong>A 50-year-old healthy male presented with a unilateral hypopyon and dense vitreous opacities. The patient was found to have evidence of systemic infection and endophthalmitis secondary to S. anginosus; specifically, the patient was found to have a large subcarinal mass as well as abscesses in the left cerebrum, both of which were positive for S. anginosus. The patient underwent treatment with intravitreal and systemic antibiotics as well as pars plana vitrectomy.</p><p><strong>Conclusion: </strong>S. anginosus endophthalmitis in the setting of a confirmed primary mediastinal infection has not previously been reported. Our patient had a particularly virulent presentation of S. anginosus endophthalmitis, and the ophthalmic findings led to the diagnosis of a systemic infection. A thorough systemic evaluation of patients with suspected endogenous endophthalmitis should be pursued, and a seemingly noncontributory medical history can prove to be significant.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320689","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}
Alessandra Romano, Carlo Bellucci, Antonio De Santis, Elio Spaggiari, Paolo Mora
{"title":"Kenny-Caffey syndrome: nanophthalmos complicated by uveal effusion, presentation and treatment.","authors":"Alessandra Romano, Carlo Bellucci, Antonio De Santis, Elio Spaggiari, Paolo Mora","doi":"10.1097/ICB.0000000000001950","DOIUrl":"10.1097/ICB.0000000000001950","url":null,"abstract":"<p><strong>Purpose: </strong>To report a pediatric case of exudative bullous retinal detachment and uveal effusion syndrome (UES) in Kenny-Caffey syndrome (KCS) complicated by nanophthalmos.</p><p><strong>Methods: </strong>Multimodal imaging evaluation and clinical outcome of a pediatric patient presenting emergently with decreased visual acuity.</p><p><strong>Results: </strong>A 13-year-old girl with KCS presented with 2-day blurred vision in the LE (20/100, +17 D; RE 20/20, +15 D). Fundus exam revealed exudative bullous retinal detachment involving the macula and temporal periphery. Ultrasound showed scleral and choroidal thickening with short axial length, consistent with nanophthalmos. The patient was treated with oral prednisone and acetazolamide. Complete resolution of subretinal fluid was observed at 6-week follow-up, with improved visual acuity.</p><p><strong>Conclusion: </strong>We describe a rare association of KCS, nanophthalmos, and UES. Conservative medical therapy may be an effective alternative to surgery mostly in pediatric cases.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297288","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":"Cancer-Associated Retinopathy Worsening After Tumor Resection: Case Report and Review of the Literature.","authors":"Melissa M Warne, Pawan Bhatnagar, Matthew M Habib","doi":"10.1097/ICB.0000000000001948","DOIUrl":"10.1097/ICB.0000000000001948","url":null,"abstract":"<p><strong>Purpose: </strong>To report an unusual presentation of cancer associated retinopathy and review the current literature for diagnostic consensus and recommended management.</p><p><strong>Methods: </strong>A single case report of a patient with cancer associated retinopathy that presented as bilateral severe anterior and intermediate uveitis that initially improved with high-dose steroids and IVIG. The patient was assessed via serum laboratory testing, optical coherence tomography, fundus auto-fluorescence, magnetic resonance imaging, lumbar puncture, computed tomography, and Humphrey visual field testing. A targeted literature review was conducted to evaluate visual outcomes in cancer-associated retinopathy (CAR) following tumor-directed therapy by searching Google Scholar from 2022 through April 2026. Studies reporting visual outcomes after tumor resection were included.</p><p><strong>Results: </strong>The patient initially greatly improved after initiation of IV methylprednisolone and IVIG and was stable for four months, but after the patient stopped IVIG due to insurance issues and was tapered off steroids, her vision acutely worsened after undergoing extensive resection of her pelvic mass.</p><p><strong>Conclusion: </strong>Though tumor resection is paramount to patient survival, it may negatively impact the course of cancer-associated retinopathy, particularly in the setting of withdrawal of immunosuppressive therapy. A review of the literature demonstrates heterogeneous visual outcomes following tumor removal, emphasizing the need for careful perioperative management.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297299","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}
Nemer Sayed Ahmad, Adiel Barak, Eric Nudleman, Dinah Zur
{"title":"Spontaneous Branch Retinal Artery Occlusion Secondary to Aneurysmal Fibrosis in an Adult with Coats Disease: A Case Report.","authors":"Nemer Sayed Ahmad, Adiel Barak, Eric Nudleman, Dinah Zur","doi":"10.1097/ICB.0000000000001953","DOIUrl":"10.1097/ICB.0000000000001953","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of branch retinal artery occlusion (BRAO) in an adult with Coats disease, documented using ultra-widefield fluorescein angiography (UW-FA).</p><p><strong>Methods: </strong>Observational case report with longitudinal evaluation using optical coherence tomography (OCT) and ultra-widefield fluorescein angiography.</p><p><strong>Results: </strong>A 21-year-old male with a childhood diagnosis of Coats disease presented with recalcitrant macular edema and best-corrected visual acuity (BCVA) of 6/40 in the right eye. Baseline UW-FA demonstrated multiple microaneurysms and a patent, tortuous temporal arteriole with focal aneurysmal distention. At a 10-month follow-up, the patient's BCVA remained entirely unchanged. However, repeated UW-FA revealed a new extensive area of retinal nonperfusion extending from the temporal macula to the periphery. Comparison with baseline imaging identified that the previously patent arteriole had become completely occluded at the site of the proximal aneurysm. The absence of prior laser application at this specific site confirms that the subsequent fibrotic closure and arterial occlusion were entirely spontaneous.</p><p><strong>Conclusion: </strong>Sudden arterial occlusion may occur in adult Coats disease due to spontaneous aneurysmal fibrosis. This highlights a vascular remodeling pathway distinct from classic exudative progression. Ultra-widefield imaging may aid in detecting and monitoring these ischemic changes.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297282","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}
Catarina Xavier, Adelaïde Toutée, Thomas Sales de Gauzy, Francesc March de Ribot, Pierre-Antoine Forte, Bahram Bodaghi, Elodie Bousquet, Sara Touhami
{"title":"Bilateral Giant Pigment Epithelial Detachments and Unilateral RPE Tear and Exudative Retinal Detachment After Tadalafil Exposure: Case Report and Review of the Literature.","authors":"Catarina Xavier, Adelaïde Toutée, Thomas Sales de Gauzy, Francesc March de Ribot, Pierre-Antoine Forte, Bahram Bodaghi, Elodie Bousquet, Sara Touhami","doi":"10.1097/ICB.0000000000001947","DOIUrl":"10.1097/ICB.0000000000001947","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of bilateral giant pigment epithelial detachments (PEDs) complicated by unilateral giant retinal pigment epithelium (RPE) tear and macula-off exudative retinal detachment (RD) in the context of tadalafil exposure, and to place it in the spectrum of reported non-AMD giant RPE tears.</p><p><strong>Methods: </strong>Case report with multimodal imaging and comprehensive systemic work-up, combined with a focused literature review of exudative RD associated with giant RPE tears unrelated to age-related macular degeneration.</p><p><strong>Results: </strong>A 62-year-old man presented with blurred vision in the left eye. Examination revealed bilateral giant temporal PEDs and, in the left eye, a crescent-shaped giant RPE tear contiguous with an inferior macula-off exudative RD and bilateral pachychoroid on OCT. Extensive systemic and ocular investigations were unremarkable except for regular tadalafil use. Discontinuation of tadalafil led to rapid resolution of subretinal fluid and improvement of BCVA to 20/25 OS at one year, whereas re-exposure triggered recurrence of serous macular detachment. Using the Naranjo scale, the causal relationship between tadalafil and the ocular event was rated as \"certain\". Literature review identified 33 published patients (43 eyes) with exudative RD and giant RPE tears without AMD, most commonly associated with bullous CSC and other pachychoroid entities.</p><p><strong>Conclusion: </strong>Bilateral giant PEDs with unilateral giant RPE tear and macula-off exudative RD can occur in the setting of tadalafil-associated bullous CSC. This case underscores the importance of systematically reviewing systemic medications, including phosphodiesterase-5 inhibitors, in patients with atypical serous retinal detachments and RPE tears.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297357","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}
Brian T Cheng, Justin C Muste, Sidra Zafar, Mak B Djulbegovic, Eric D Kim, Flavius A Beca, James P Dunn, Sunir J Garg, Jordan D Deaner
{"title":"Bilateral panuveitis associated with letrozole therapy.","authors":"Brian T Cheng, Justin C Muste, Sidra Zafar, Mak B Djulbegovic, Eric D Kim, Flavius A Beca, James P Dunn, Sunir J Garg, Jordan D Deaner","doi":"10.1097/ICB.0000000000001952","DOIUrl":"10.1097/ICB.0000000000001952","url":null,"abstract":"<p><strong>Purpose: </strong>Letrozole is a non-steroidal aromatase inhibitor commonly used for the treatment of postmenopausal estrogen receptor-positive breast cancer. We report a novel case of bilateral panuveitis associated with letrozole therapy.</p><p><strong>Methods: </strong>Retrospective chart review.</p><p><strong>Results: </strong>A 39-year-old female with a history of breast cancer presented with bilateral anterior chamber and vitreous inflammation, perivenular sheathing, retinal hemorrhages, and a focal area of retinal whitening in the left eye six weeks after starting letrozole therapy. Extensive infectious and systemic inflammatory work-up was negative. With letrozole cessation and corticosteroid therapy, the inflammation resolved, and the visual acuity improved to 20/20 bilaterally.</p><p><strong>Discussion and conclusion: </strong>Letrozole-associated panuveitis has not previously been reported. This case highlights the importance of detailed medication history as well as the need for interdisciplinary collaboration when managing drug-induced uveitis. Early recognition and appropriate therapy can result in favorable visual outcomes.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297308","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}