GMS ophthalmology cases最新文献_第10页

Mirtazapine-induced bilateral secondary angle closure in a female. 米氮平诱导的女性双侧继发性角关闭。

GMS ophthalmology cases Pub Date : 2020-06-29 eCollection Date: 2020-01-01 DOI: 10.3205/oc000156

Srishti Raj, Manpreet Kaur, Kandragunta Srinivasarao, Faisal Thattaruthody, Sushmita Kaushik, Surinder Singh Pandav

引用次数: 2

Inverted temporal internal limiting membrane flap technique for chronic large traumatic macular hole. 颞内限位膜瓣倒瓣技术治疗慢性创伤性黄斑大裂孔。

GMS ophthalmology cases Pub Date : 2020-05-28 eCollection Date: 2020-01-01 DOI: 10.3205/oc000154

Archana Kumari, Lalit Agarwal, Nisha Agrawal, Sabin Sahu, Indranath Prasad, Deepti Pradhan

{"title":"Inverted temporal internal limiting membrane flap technique for chronic large traumatic macular hole.","authors":"Archana Kumari, Lalit Agarwal, Nisha Agrawal, Sabin Sahu, Indranath Prasad, Deepti Pradhan","doi":"10.3205/oc000154","DOIUrl":"https://doi.org/10.3205/oc000154","url":null,"abstract":"Various modifications of surgical techniques and surgical adjuncts are adopted with standard pars plana vitrectomy (PPV) to improve the outcome of traumatic macular hole (TMH) surgeries. We describe a successful closure of a chronic large TMH of three years duration with inverted temporal internal limiting membrane (ILM) flap technique. A 36-year-old male patient had an optical coherence tomography (OCT) documented chronic macular hole (MH) for three years following blunt trauma. Fundus examination also showed choroidal rupture scar temporal to fovea. The minimum MH diameter was 769 µ and the basal diameter 1431 µ in OCT. Standard PPV with inverted temporal ILM flap and gas tamponade was done. The postoperative period was uneventful. The best corrected visual acuity improved from 6/60 preoperatively to 6/18 six months postoperatively, and OCT showed a closed MH with anatomical type 1 closure. This case highlights that the inverted temporal ILM flap technique is a safe and effective technique for patients with even chronic and large TMH.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc27"},"PeriodicalIF":0.0,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161859","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: 4

Spontaneous resolution of acute syphilitic posterior placoid chorioretinitis: reappraisal of the literature and pathogenetic insights. 自发性解决急性梅毒后placoid脉络膜视网膜炎:重新评估文献和病理见解。

GMS ophthalmology cases Pub Date : 2020-05-04 eCollection Date: 2020-01-01 DOI: 10.3205/oc000153

Giuseppe Casalino, Stefano Erba, Vasuki Sivagnanavel, Shervin Lari, Antonio Scialdone, Carlos Pavesio

{"title":"Spontaneous resolution of acute syphilitic posterior placoid chorioretinitis: reappraisal of the literature and pathogenetic insights.","authors":"Giuseppe Casalino, Stefano Erba, Vasuki Sivagnanavel, Shervin Lari, Antonio Scialdone, Carlos Pavesio","doi":"10.3205/oc000153","DOIUrl":"https://doi.org/10.3205/oc000153","url":null,"abstract":"Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a rare clinical manifestation of ocular syphilis. Spontaneous resolution of this condition has been reported in a few cases. The aim of this manuscript is to report an additional case and to discuss the possible pathogenesis of this condition by reviewing the current evidence on this subject. A 45-year-old man presented to us with decreased vision in the right eye secondary to a placoid macular lesion. Fourteen days after presentation, there was a dramatic improvement of the vision, and multimodal retinal imaging showed almost complete spontaneous resolution of the placoid lesion. Syphilis serology turned out positive and a diagnosis of ASPPC was made. The pathogenesis of ASPPC is unclear, and there is contrasting evidence about the role of the cellular immune system. Since this condition may resolve spontaneously before systemic antimicrobial treatment, the presence of a placoid macular lesion should raise a high suspicion of ASPPC in order to make a timely diagnosis and to avoid progression of untreated syphilis.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc26"},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161858","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: 8

Prolonged central nervous system and respiratory depression in preterm neonates after exposure to brimonidine tartrate and timolol maleate ophthalmic drops. 酒石酸溴硝定和马来酸噻莫洛尔滴眼液对早产儿中枢神经系统和呼吸功能的影响。

GMS ophthalmology cases Pub Date : 2020-05-04 eCollection Date: 2020-01-01 DOI: 10.3205/oc000152

Corrina P Azarcon, Darby E Santiago

引用次数: 1

Autologous full-thickness RPE-choroid graft to treat high-risk drusenoid pigment epithelial detachment without CNV. 自体全层rpe -脉络膜移植治疗无CNV的高危类胆色素上皮脱离。

GMS ophthalmology cases Pub Date : 2020-04-22 eCollection Date: 2020-01-01 DOI: 10.3205/oc000151

Hedwig Sillen, Joke Ruys, Pieter-Paul Schauwvlieghe, Marc Veckeneer

引用次数: 2

Favorable clinical outcome with intravitreal aflibercept treatment in a case with bilateral choroidal neovascular membrane and quiescent Vogt-Koyanagi-Harada syndrome. 双侧脉膜新生血管膜伴静止型Vogt-Koyanagi-Harada综合征1例玻璃体内注射阿布西普治疗临床效果良好。

GMS ophthalmology cases Pub Date : 2020-04-17 eCollection Date: 2020-01-01 DOI: 10.3205/oc000150

Sefik Can Ipek, Ziya Ayhan, Sinan Emre, Ali Osman Saatci

{"title":"Favorable clinical outcome with intravitreal aflibercept treatment in a case with bilateral choroidal neovascular membrane and quiescent Vogt-Koyanagi-Harada syndrome.","authors":"Sefik Can Ipek, Ziya Ayhan, Sinan Emre, Ali Osman Saatci","doi":"10.3205/oc000150","DOIUrl":"https://doi.org/10.3205/oc000150","url":null,"abstract":"Objective: To describe the favorable clinical outcome in a case with bilateral choroidal neovascular membrane and quiescent Vogt-Koyanagi-Harada (VKH) syndrome by administering bilateral intravitreal aflibercept injections. Case report: A 30-year-old woman was diagnosed with VKH syndrome at another institution and had been in remission with oral mycophenolate mofetil for two years. However, nearly simultaneous right juxtafoveal and left subfoveal type 2 choroidal neovascular membrane was detected two years after the initial diagnosis. The right eye (OD) received three and the left eye (OS) received four aflibercept injections within a time span of eight months. Visual acuity was 20/30 in OD and 20/25 in OS at the last follow-up visit. Conclusion: Although suppression of inflammation is a must in eyes with inflammatory type choroidal neovascular membranes, anti-VEGF (vascular endothelial growth factor) therapy with agents, such as aflibercept in the present case, is a key therapeutic adjunct and may possibly help improve the visual prognosis.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc23"},"PeriodicalIF":0.0,"publicationDate":"2020-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161959","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: 4

Nonsurgical management of photoaversive ocular and systemic loiasis in Michigan. 非手术治疗在密歇根州的光厌恶性眼和全身红斑。

GMS ophthalmology cases Pub Date : 2020-04-15 eCollection Date: 2020-01-01 DOI: 10.3205/oc000149

Sneha Padidam, Hamilton Trinh, Xihui Lin, Joseph D Boss

{"title":"Nonsurgical management of photoaversive ocular and systemic loiasis in Michigan.","authors":"Sneha Padidam, Hamilton Trinh, Xihui Lin, Joseph D Boss","doi":"10.3205/oc000149","DOIUrl":"https://doi.org/10.3205/oc000149","url":null,"abstract":"Objective: Ocular loasis refers to ocular conditions such as pain and redness caused by the movement of the Loa loa nematode through the subconjuctival space of the eye. It is a tropical disease that is very rarely seen in North America. We report the case of a 32-year-old male who was recently diagnosed with ocular loasis in the Midwestern region of the United States. Methods: He presented to the emergency department with left eye pain after seeing a \"worm in his eye\" the previous night. He had emigrated from Cameroon 7 years prior. Anterior segment examination revealed a translucent, motile worm in the subconjunctival space of his left eye. Results: Prior to the patient's scheduled follow-up for surgical removal of the worm, it migrated into the lower eyelid subdermal space. Serum testing confirmed the presence of Loa loa microfilariae at a concentration of >17,000 mf/mL. Conclusion: The patient was treated at the National Institute of Health (NIH) with pheresis followed by diethylcarbamazine and reported symptomatic improvement 1 month after treatment. This case report demonstrates the importance of being able to recognize and properly manage vector-borne parasites in nonendemic areas due to increased travel and climate change.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc22"},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161958","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

Real-world experience with pro re nata dosing of intravitreal dexamethasone implant for eyes with refractory diabetic macular edema. 玻璃体内地塞米松植入治疗难治性糖尿病黄斑水肿的临床经验。

GMS ophthalmology cases Pub Date : 2020-04-08 eCollection Date: 2020-01-01 DOI: 10.3205/oc000148

Pukhraj Rishi, Ekta Rishi, Yamini Attiku, Abhinav Dhami, Vandana Iyer

{"title":"Real-world experience with pro re nata dosing of intravitreal dexamethasone implant for eyes with refractory diabetic macular edema.","authors":"Pukhraj Rishi, Ekta Rishi, Yamini Attiku, Abhinav Dhami, Vandana Iyer","doi":"10.3205/oc000148","DOIUrl":"https://doi.org/10.3205/oc000148","url":null,"abstract":"Aims: To evaluate treatment outcomes of pro re nata dosing of intravitreal dexamethasone implant in eyes with refractory diabetic macular edema (DME) amongst Indian subjects. Methods and material: Retrospective, interventional case series. Medical records of 28 eyes of 23 patients with refractory DME who underwent intravitreal dexamethasone (700 µ) implant were reviewed. Paired t-test was carried out to measure mean change in the parameters evaluated. Mann-Whitney U test and Fisher's exact t-test were done to explore differences between groups receiving single or multiple injections. Results: Best corrected visual acuity (BCVA) and central macular thickness (CMT) at baseline were 0.85 (±0.44) and 612 µm (±123), respectively. Mean CMT over 6 months (measured monthly) following injection was 340±119 µm (p=0.001), 346±150 µm (p=0.02), 368±169 µm (p=0.02), 304±174 µm (p=0.001), 525±216 µm (p=0.94) and 532±201 µm (p=0.46), respectively. Mean BCVA at each month following injection was 0.68±0.36 (p=0.02), 0.75±0.45 (p=0.42), 0.55±0.40 (p=0.11), 0.63±0.40 (p=0.12), 0.78±0.30 (p=0.90) and 0.60±0.47 (p=0.92), respectively. Mean follow-up was 12 months (range: 6-33 months). Mean BCVA and CMT at mean 12 months were 0.72±0.46 (p=0.10) and 358 µm±189 (p=0.0001), respectively. Seven eyes had raised IOP; five eyes required cataract extraction. Conclusions: Intravitreal dexamethasone implant is effective in treatment of refractory DME. However, its therapeutic effect lasts for about 4 months.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc21"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38161957","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: 4

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