GMS ophthalmology cases最新文献_第10页

Orbito-sinal foreign body with floor fracture: an unusual presentation. 眶-骶部异物伴基底骨折:一种不寻常的表现。

GMS ophthalmology cases Pub Date : 2020-08-06 eCollection Date: 2020-01-01 DOI: 10.3205/oc000159

Narendra Patidar, Saket Agrawal, Rukmendra Pratap Singh, Prerana Phadnis

引用次数: 0

Recurrence of macular corneal dystrophy on the graft 50 years after penetrating keratoplasty. 穿透性角膜移植术后50年黄斑角膜营养不良复发的研究。

GMS ophthalmology cases Pub Date : 2020-08-06 eCollection Date: 2020-01-01 DOI: 10.3205/oc000161

Mona Bischoff-Jung, Elias Flockerzi, Andrea Hasenfus, Arne Viestenz, Pinio Matoula, Ursula Schlötzer-Schrehardt, Berthold Seitz

{"title":"Recurrence of macular corneal dystrophy on the graft 50 years after penetrating keratoplasty.","authors":"Mona Bischoff-Jung, Elias Flockerzi, Andrea Hasenfus, Arne Viestenz, Pinio Matoula, Ursula Schlötzer-Schrehardt, Berthold Seitz","doi":"10.3205/oc000161","DOIUrl":"https://doi.org/10.3205/oc000161","url":null,"abstract":"Purpose: To report the recurrence of a macular corneal stromal dystrophy 50 years after penetrating keratoplasty (PKP). Methods: Observational case report Case description: A 76-year-old male patient presented with visual impairment in the right eye (OD) 50 years after PKP in 1962 (44 years after PKP also in the left eye (OS) in 1968) following explosion injury. His visual acuity had already been impaired before the trauma because of bilateral corneal opacities. The central corneal thickness of the graft measured 584 µm (OD) and 544 µm (OS), whilst the peripheral host thickness (8 mm zone), however, was 1233 µm (OD, cranial) and 1131 µm (OS, nasal). The original graft diameter measured 6 mm in both eyes and the recipient cornea was cloudy and gray. The endothelial cell count was measured centrally (OD 1162 c/mm2, OS 1320 c/mm2). The visual acuity was 20/100 (OD) and 20/40 (OS). After excimerlaser-assisted repeated PKP (8.0/8.1 mm, OD), the histological analysis of the former graft revealed deposits of acid mucopolysaccharides (AMP) subepithelially, within the interface, in the donor stroma, and in the endothelium, which proved the peripheral recurrence of a macular corneal stromal dystrophy on the graft. Conclusion: Recurrence of macular corneal stromal dystrophy is seldom, but it may occur many decades after PKP. In this patient, the host's stroma was twice as thick as that of the graft. This may be caused by the active production of acid mucopolysaccharides in the host endothelium with secondary endothelial decompensation. Thus, PKP remains the gold standard in the cure of macular corneal dystrophy for long-term visual rehabilitation.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc34"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38343843","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

Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy. 少男中脑梗死合并缺铁性贫血导致双侧垂直凝视性麻痹。

GMS ophthalmology cases Pub Date : 2020-06-29 eCollection Date: 2020-01-01 DOI: 10.3205/oc000155

Virna M Shah, Ratnesh Ranjan, Mrunmayi Jeste, Peter MacIntosh, Duraiswamy Ashwath

引用次数: 0

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