GMS ophthalmology cases最新文献_第10页

Necrotizing scleritis after strabismus surgery in Treacher Collins syndrome. Treacher Collins综合征斜视手术后坏死性巩膜炎。

GMS ophthalmology cases Pub Date : 2020-04-03 eCollection Date: 2020-01-01 DOI: 10.3205/oc000147

Soveeta Rath, Suma Ganesh, Umang Mathur, Manasvini Sharma

{"title":"Necrotizing scleritis after strabismus surgery in Treacher Collins syndrome.","authors":"Soveeta Rath, Suma Ganesh, Umang Mathur, Manasvini Sharma","doi":"10.3205/oc000147","DOIUrl":"https://doi.org/10.3205/oc000147","url":null,"abstract":"Objective: To describe a case of surgically induced scleral necrosis in Treacher Collins syndrome after strabismus surgery. Methods: A 19-year-old girl underwent bilateral squint surgery. Two weeks postoperatively, she presented with subconjunctival abscess in the left eye. The surrounding conjunctiva was markedly inflamed with raised edges. Surgical debridement, microbiological evaluation and medical management were started immediately. Screening for autoimmune and vasculitic conditions did not provide any positive results. Results: On subsequent follow-up, conjunctival retraction and an area of scleral necrosis with thinning was noted. Significant healing with antibiotics and steroids was noted within one week. The integrity of the globe was well maintained and no further procedure for tectonic support was performed. Conclusion: Surgically induced scleral necrosis can be immune-mediated or following surgical site infection. Pre-existing scleral thinning due to neuroectodermal apoptosis in Treacher Collins syndrome remains a possible explanation for the accelerated necrotising scleritis in our case.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc20"},"PeriodicalIF":0.0,"publicationDate":"2020-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161956","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: 2

A technique for the management of posttraumatic aniridia and aphakia. 创伤后无虹膜和无晶状体的治疗技术。

GMS ophthalmology cases Pub Date : 2020-04-02 eCollection Date: 2020-01-01 DOI: 10.3205/oc000146

Rita Sousa Silva, Carolina Pereira Bruxelas, Gabriel Costa Andrade, André Correa Maia

引用次数: 6

Multimodal imaging of a patient with poppers maculopathy. 波普尔氏黄斑病变的多模态影像分析。

GMS ophthalmology cases Pub Date : 2020-04-02 eCollection Date: 2020-01-01 DOI: 10.3205/oc000143

Jale Mentes, Figen Batioglu

引用次数: 3

Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis. 严重曲霉菌性角膜炎大移植物构造穿透性角膜移植术1例。

GMS ophthalmology cases Pub Date : 2020-04-02 eCollection Date: 2020-01-01 DOI: 10.3205/oc000144

Albert John Bromeo, Elenor Reina Aquino-Alegre, Ruben Lim Bon Siong

{"title":"Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis.","authors":"Albert John Bromeo, Elenor Reina Aquino-Alegre, Ruben Lim Bon Siong","doi":"10.3205/oc000144","DOIUrl":"https://doi.org/10.3205/oc000144","url":null,"abstract":"Penetrating keratoplasty is indicated for cases of severe microbial keratitis, particularly if associated with impending corneal perforation. The case report details a 45-year-old male farmer who consulted for blurring of vision in the left eye after an incident wherein mud was flung onto his eye during farming. He noted eye redness and a growing opacity on his left eye. He was initially treated with topical antimicrobial and corticosteroid medication which did not resolve his symptoms. He presented with a visual acuity of hand movement on the affected eye. Slit lamp examination showed a large protruding mound-like plaque, occupying almost the entire corneal surface of the left eye, with associated scleritis. The ocular ultrasound was unremarkable. The patient was diagnosed with fungal keratitis, which culture from corneal scraping showed to be from an infection with Aspergillus. A tectonic penetrating keratoplasty with 360-degree iridectomy, lens extraction, and anterior vitrectomy was immediately done, and a regimen consisting of topical natamycin was started. Despite the severe presentation of the fungal corneal infection, the eye was fortunately salvaged.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc17"},"PeriodicalIF":0.0,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38164511","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

Hemophilia presenting as recurrent ocular hemorrhage. 血友病表现为复发性眼出血。

GMS ophthalmology cases Pub Date : 2020-03-18 eCollection Date: 2020-01-01 DOI: 10.3205/oc000142

Luis Miguel Aquino, Felice Katrina Ranche

{"title":"Hemophilia presenting as recurrent ocular hemorrhage.","authors":"Luis Miguel Aquino, Felice Katrina Ranche","doi":"10.3205/oc000142","DOIUrl":"https://doi.org/10.3205/oc000142","url":null,"abstract":"Objective: Patients with hereditary bleeding disorders rarely present with intraocular or orbital hemorrhage as the initial symptom. The presence of such a condition can be easily overlooked when contemplating ophthalmic surgery, and can give rise to intraoperative and postoperative complications. Awareness of such conditions can improve surgical decisions. Methods: This is a case report of an eight-year-old Filipino male who sustained blunt trauma to his right eye, causing traumatic total hyphema with corneal staining. Subretinal hemorrhage was seen on ultrasound. The patient underwent anterior chamber washout with temporary keratoprosthesis and pars plana vitrectomy with silicone oil tamponade. Clearance of the hyphema was noted postoperatively. However, on follow-up after 19 days, the patient presented with recurrence of hyphema, new onset proptosis and peribulbar hemorrhage. Results: Imaging of the orbit revealed new-onset pseudoproptosis with intraocular and peribulbar hemorrhage. A bleeding disorder was suspected at this point. Further probing revealed a family history of prolonged bleeding time in an X-linked genetic inheritance pattern spanning three generations. Laboratory testing of prothrombin, partial thromboplastin, and factor assays were done, which revealed factor VIII deficiency, diagnostic of hemophilia A. No further surgery was done. The patient was given transfusions of fresh frozen plasma, which resolved the hemorrhage. Conclusions: Bleeding disorders present a dilemma in the surgical management of patients. In cases of traumatic hemorrhage, adequate history and physical examination should always be done to rule these out. Surgical outcomes in hemophiliacs can be improved with preoperative prophylactic treatment and close postoperative monitoring and care.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc15"},"PeriodicalIF":0.0,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37816709","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: 2

Primary melanoma of the cornea. 原发性角膜黑色素瘤。

GMS ophthalmology cases Pub Date : 2020-03-18 eCollection Date: 2020-01-01 DOI: 10.3205/oc000139

Dimitrios Z Panagiotou, Angeliki A Chranioti, Sofia-Eleni Tzorakoleftheraki, Nikolaos G Ziakas, Panagiotis K Oikonomidis

{"title":"Primary melanoma of the cornea.","authors":"Dimitrios Z Panagiotou, Angeliki A Chranioti, Sofia-Eleni Tzorakoleftheraki, Nikolaos G Ziakas, Panagiotis K Oikonomidis","doi":"10.3205/oc000139","DOIUrl":"https://doi.org/10.3205/oc000139","url":null,"abstract":"Purpose: To present an extremely rare case of corneal melanoma. Method: An 84-year-old female patient presented to our department with a pigmented corneal lesion in her right eye (OD), 6x4 mm, complaining of mild pain and inability of complete eyelid closure. Tumor growth had been noted the previous year. She had undergone cataract surgery in her right eye three years before, followed by an unspecified postoperative complication. Her visual acuity was 3/10 OD and 9/10 OS. Ophthalmic evaluation and ultrasonography (A- and B-scan) did not reveal any other pathology. The pigmented lesion was surgically removed and the patient underwent a protocol therapy of topical chemotherapy (mitomycin 0.03%, 2x4 for 2 weeks and dexamethasone 0.1%, 2x4 for the following 2 weeks, followed by another cycle of mitomycin 0.03%, 2x4 for another 2 weeks). Results: The surgical removal of the lesion was uncomplicated, as was the postoperative period. The patient's visual acuity improved to 6/10 three months postoperatively. The histologic examination revealed malignant melanoma. Conclusions: Despite its rarity, primary melanoma of the cornea is an existing entity. Treatment of corneal melanoma consists of surgical removal and postoperative topical chemotherapy. Postoperative follow-up is mandatory.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc12"},"PeriodicalIF":0.0,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37816279","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: 2

Retrolental fibroplasias: What lies beneath? 网膜后纤维增生:下面是什么?

GMS ophthalmology cases Pub Date : 2020-03-18 eCollection Date: 2020-01-01 DOI: 10.3205/oc000141

Parveen Sen, Dhaivat Shah

引用次数: 1

Unintentional retinal artery amputation during macular peeling. 黄斑脱皮过程中视网膜动脉意外截肢。

GMS ophthalmology cases Pub Date : 2020-03-18 eCollection Date: 2020-01-01 DOI: 10.3205/oc000140

Yoshiaki Shimada

{"title":"Unintentional retinal artery amputation during macular peeling.","authors":"Yoshiaki Shimada","doi":"10.3205/oc000140","DOIUrl":"https://doi.org/10.3205/oc000140","url":null,"abstract":"Objective: To report a case of unintentional retina artery amputation during macular peeling. Methods: Observational case report Results: A 73-year-old female underwent surgery to treat epiretinal membrane (ERM) associated with severe staphyloma in her left eye. While the ERM/posterior hyaloid membrane visually enhanced with triamcinolone (TA) was peeled, a movement of the forceps unintentionally involved the inferior temporal branch artery near the inner edge of the staphyloma. The artery was avulsed and amputated. Oozing from the retinal cleft that had once enfolded the artery and microscopic bleeding from the amputation stump were observed. The vitreous hemorrhage obscured a view of the fundus more than 4 weeks after the surgery. After 8 weeks, postoperative visual acuity was improved; however, the superior nasal visual field was lost, and the patient was aware of the broken vessel as a floater in her vision. Conclusions: Macular peeling is technically challenging, so meticulous attention must be paid to avoid any damage on vessels. The retina tissue was stretched in a staphyloma and vessels were bulged into the vitreous space especially at the inner edge of the staphyloma. High levels of TA dye here buried the texture of the retina. Excessive TA should be removed prior to macular peeling.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc13"},"PeriodicalIF":0.0,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37816707","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: 1

Itching eyes after itching around the head. 头周围痒后眼睛痒。

GMS ophthalmology cases Pub Date : 2020-02-27 eCollection Date: 2020-01-01 DOI: 10.3205/oc000136

Laura Tabuenca Del Barrio, Marcos Mozo Cuadrado, Alicia Zubicoa Enériz, Iñigo Martínez de Espronceda Ezquerro

{"title":"Itching eyes after itching around the head.","authors":"Laura Tabuenca Del Barrio, Marcos Mozo Cuadrado, Alicia Zubicoa Enériz, Iñigo Martínez de Espronceda Ezquerro","doi":"10.3205/oc000136","DOIUrl":"https://doi.org/10.3205/oc000136","url":null,"abstract":"Objective: To report the occurrence and management of an eyelashes infestation by Phthirus pubis. Methods: A 27-year-old female presented with itching in her right eye and head after she had been traveling in southern Italy five days earlier. Visual acuity (VA) was 20/20 in both eyes. Slit-lamp examination showed bilateral blepharitis. Moreover, mobile insects and eggs attached to the eyelashes were observed. A microbiological study was performed with a Phthirus pubis result. The patient was treated with mechanical dislodging. Results: The resolution of the infection was carried out removing every insect and egg. A vaseline application twice daily for 7 days was necessary to stifle any nits that could remain. Conclusions: The eyelashes pediculosis is frequently caused by Phthirus pubis. Only a minor percentage of the cases are due to Phthirus capitis, but the differential diagnosis is essential: there are Phthirus pubis pediculosis cases due to sexual abuse. A sexual history and screening for other sexually transmitted diseases is warranted.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc09"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37816276","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: 3

Gyrate atrophy-like phenotype with normal plasma ornithine and low plasma taurine. 旋回萎缩样表型，血浆鸟氨酸正常，血浆牛磺酸低。

GMS ophthalmology cases Pub Date : 2020-02-27 eCollection Date: 2020-01-01 DOI: 10.3205/oc000131

Aubhugn T Labiano, Milagros H Arroyo

引用次数: 0