GMS ophthalmology cases最新文献_第3页

Recurrent multiple eye muscle palsy as a first sign of sarcoidosis. 复发性多发性眼肌麻痹是肉瘤病的首发症状。

GMS ophthalmology cases Pub Date : 2023-11-07 eCollection Date: 2023-01-01 DOI: 10.3205/oc000229

Isabel Deboutte, Daisy Godts, Michel Van Lint

{"title":"Recurrent multiple eye muscle palsy as a first sign of sarcoidosis.","authors":"Isabel Deboutte, Daisy Godts, Michel Van Lint","doi":"10.3205/oc000229","DOIUrl":"https://doi.org/10.3205/oc000229","url":null,"abstract":"Purpose: To report a case of (neuro)sarcoidosis presenting solely with recurrent cranial nerve palsies in a 57-year-old Caucasian female.Methods: Case report with clinical imaging.Results: A 57-year-old female first presented with a right sixth nerve palsy, which resolved spontaneously after 6 months. Three years later she was diagnosed with a sixth nerve palsy in the fellow eye followed by a complete palsy of the left third cranial nerve four months after. Medical history consisted of migraine and hypercholesterolemia. Further neurological and ophthalmic work-up was unrevealing at first. After repeated magnetic resonance imaging, an enhancing lesion in the left cavernous sinus was seen, which was initially diagnosed as a meningioma. However, imaging of the chest revealed an image of sarcoidosis, and the lesion and ophthalmoplegia of the left eye disappeared with systemic corticosteroid treatment.Discussion: Sarcoidosis is the ultimate imitator and the possibility of neurosarcoidosis must be taken into account when presented with unexplained ophthalmoplegia. Neurosarcoidosis has imaging properties very similar to other diseases such as a meningioma, and misdiagnosis occurs easily. Spontaneous recovery of ophthalmoplegia can rarely occur in neurosarcoidosis.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"13 ","pages":"Doc21"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10726560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814658","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

Intraocular twin cysticercosis. 眼内双囊尾蚴病。

GMS ophthalmology cases Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.3205/oc000226

Rohini Grover, Abhishek Varshney, Supreet Juneja, Upma Awashti, Sonali R Singh

引用次数: 0

Toxic anterior segment syndrome following trabeculectomy with mitomycin C. 丝裂霉素C小梁切除术后的毒性前段综合征。

GMS ophthalmology cases Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.3205/oc000225

Helen Ginger-Eke, Chimdia Ogbonnaya, Annamalai Odayappan, Jude Shiweobi

{"title":"Toxic anterior segment syndrome following trabeculectomy with mitomycin C.","authors":"Helen Ginger-Eke, Chimdia Ogbonnaya, Annamalai Odayappan, Jude Shiweobi","doi":"10.3205/oc000225","DOIUrl":"10.3205/oc000225","url":null,"abstract":"Objective: Toxic anterior segment (TASS) is a rare acute sterile anterior segment inflammation that typically develops within 12 to 24 hours after an anterior segment surgery. The purpose of this case report is to alert surgeons to the possibility of this complication following any anterior segment surgery, including trabeculectomy, and to highlight the possible etiologies and measures to prevent it.Patient and method: A 58-year-old male glaucoma patient was initially managed medically for primary open angle glaucoma with antiglaucoma medications. There was rapidly progressive glaucomatous optic nerve damage in his left eye within the following year, despite the use of antiglaucoma medications, hence the need for trabeculectomy.Result: The post-operative condition of the patient's eye was stormy with diffuse limbus-to-limbus corneal edema and profound Descemet's membrane folds, among other features of TASS, with associated deteriorating visual acuity.Conclusion: Although there is no documented report of TASS following trabeculectomy with mitomycin C, surgeons should be alerted to this possibility. Preventive measures include extreme care to avoid errors while preparing and administering diluted solutions, especially medications that are administered into the intracameral space.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"13 ","pages":"Doc17"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241750","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

Ocular tuberculosis masquerading as atypical ocular toxoplasmosis. 伪装为非典型眼弓形虫病的眼结核。

GMS ophthalmology cases Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.3205/oc000227

Albert John Bromeo, Sweet Jorlene Lerit, Cheryl Arcinue

引用次数: 0

Dolichoectatic arterial compression of the chiasm and optic nerve: a case report. 视交叉和视神经的多点静态动脉压迫：一例报告。

GMS ophthalmology cases Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.3205/oc000223

Sara Ceuppens, Ine Lambert, Marcel Ten Tusscher

引用次数: 0

Recurrence of gigantic overhanging bleb post excision: a case report. 巨大悬泡切除后复发1例报告。

GMS ophthalmology cases Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.3205/oc000224

Kirti Singh, Mainak Bhattacharyya, Ravinder Saran, Nikhil Gotmare, Himshikha Aggarwal, Pragya Jain

{"title":"Recurrence of gigantic overhanging bleb post excision: a case report.","authors":"Kirti Singh, Mainak Bhattacharyya, Ravinder Saran, Nikhil Gotmare, Himshikha Aggarwal, Pragya Jain","doi":"10.3205/oc000224","DOIUrl":"10.3205/oc000224","url":null,"abstract":"Purpose: To report the case of an extremely large overhanging bleb, extending from superior fornix to limbus, in a 57-year-old poorly controlled diabetic, six years after trabeculectomy for an uncontrolled primary open angle glaucoma (POAG) with recurrence, months after complete excision.Methods: An overhanging bleb is defined as a filtering cicatrix which has been massaged downward over the cornea by eyelid action. It has been linked to anti-metabolite use during glaucoma filtering surgery. Despite being functional, these blebs result in patient discomfort ranging from foreign body sensation and lacrimation to dysphotopsia. A 57-year-old male presented with complaints of reduced vision, foreign body sensation, watering, and difficulty in eye closure in the left eye (OS) for past 6 months. He had undergone trabeculectomy with mitomycin C 6 years ago for advanced primary open-angle glaucoma with no follow-up beyond the initial one 4 weeks post-surgery.Results: At presentation, he had a giant multi-loculated, cystic filtering bleb (15 mm x 8 mm x 4-5 mm), which was carefully excised. Amniotic membrane was used as an anti-fibrotic as well to cover the defect. Seven months after surgery, there was recurrence of this overhanging cystic bleb when it was again excised with debulking of the conjunctiva done and cryotherapy applied to its margins.Conclusion: Although multiloculated cystic overhanging blebs have been documented before, such a large (posterior extent till fornix), thick-walled multiloculated bleb with histopathological evidence of chronic inflammatory process has not been reported prior.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"13 ","pages":"Doc16"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241749","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

Central serous chorioretinopathy following oral quetiapine. 口服喹硫平后中枢性浆液性脉络膜视网膜病变。

GMS ophthalmology cases Pub Date : 2023-01-01 DOI: 10.3205/oc000221

Ceren Durmaz Engin, Mehmet Orcun Akdemir

引用次数: 0

Multimodal imaging in a case of bilateral astrocytic hamartoma with retinitis pigmentosa. 双侧星形细胞错构瘤合并色素性视网膜炎的多模态影像分析。

GMS ophthalmology cases Pub Date : 2023-01-01 DOI: 10.3205/oc000209

Sugandha Goel, Debmalya Das, Kumar Saurabh, Rupak Roy

引用次数: 0

Surgically induced scleral necrosis associated with concomitant tuberculosis infection: a diagnostic challenge. 手术诱发的巩膜坏死伴发结核感染:一个诊断挑战。

GMS ophthalmology cases Pub Date : 2023-01-01 DOI: 10.3205/oc000212

Raul E Ruiz-Lozano, Alejandro Rodriguez-Garcia, Maria F Colorado-Zavala, Carlos Alvarez-Guzman

引用次数: 0

Retinal artery occlusion following CoronaVac injection in a 45-year-old Filipino. 一名45岁菲律宾人注射CoronaVac后视网膜动脉闭塞。

GMS ophthalmology cases Pub Date : 2023-01-01 DOI: 10.3205/oc000220

Daniel Jose M Mendoza, David Francis F Chan, Ellen N Yu-Keh, Bryan Christopher W Sy

{"title":"Retinal artery occlusion following CoronaVac injection in a 45-year-old Filipino.","authors":"Daniel Jose M Mendoza, David Francis F Chan, Ellen N Yu-Keh, Bryan Christopher W Sy","doi":"10.3205/oc000220","DOIUrl":"https://doi.org/10.3205/oc000220","url":null,"abstract":"Background: While complex public health challenges and the emergence of variants have impeded responses to the COVID pandemic, vaccines continue to represent a crucial tool in mitigating the risk of morbidity and mortality. Safety issues weigh heavily upon both the utility and acceptability of every vaccine. Reports of sight-threatening events are scarce.Case description: We report the case of a hypertensive 45-year-old Filipino who noted unilateral (right eye) blurring of vision within 48 hours of his first dose of CoronaVac (Sinovac, China), an inactivated SARS-CoV-2/COVID-19 vaccine, with macular retinal arterial occlusion noted on day 21 post-inoculation. Further work-up revealed abnormal glycemic, metabolic, inflammatory, and bleeding parameters. Vision improved from counting fingers to 20/100 at week 6 with no interventions.Conclusion: A potential association between retinal vasoocclusion and inoculation with CoronaVac in our patient is supported by the temporal sequence of events, multiple mechanisms put forward in other cases, and reports of vascular adverse reactions in large country-level trials. It is mitigated by the profound infrequency of such events and the potentially substantial risk for ocular ischemic events imparted by the patient's baseline clinical background. Continued understanding of vaccine adverse reactions, however rare, is important not only for individual patient safety. This is helpful in ensuring the utility of current vaccines and in preserving the acceptability of vaccines through and beyond the current pandemic.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"13 ","pages":"Doc12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000997","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