GMS ophthalmology cases最新文献_第5页

Successful management of recalcitrant fungal keratitis with topical caspofungin. 外用卡泊霉素成功治疗顽固性真菌性角膜炎。

GMS ophthalmology cases Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.3205/oc000206

Siddhi Goel, Arpit Sharma, Rajesh Sinha

{"title":"Successful management of recalcitrant fungal keratitis with topical caspofungin.","authors":"Siddhi Goel, Arpit Sharma, Rajesh Sinha","doi":"10.3205/oc000206","DOIUrl":"https://doi.org/10.3205/oc000206","url":null,"abstract":"Objective: To report a case of recalcitrant fungal keratitis successfully managed with topical caspofungin acetate in North India.Methods: Case report and literature review.Results: An 18-year-old male patient presented with complaints of redness, watering, pain and diminution of vision in the right eye and was referred to our centre as a case of corneal ulcer. The patient was examined and found to have a near total epithelial defect, with corneal infiltrates approximately 8x8 mm. A provisional diagnosis of polymicrobial keratitis was made based on corneal scraping suggestive of S tap h ylococcus aureus and confocal scan revealing fungal hyphae. The patient failed to respond to topical voriconazole 1%, natamycin 5% and moxifloxacin hydrochloride 0.5% with oral voriconazole. In view of the poor response to these drugs, the patient was subsequently administered topical caspofungin 0.5% in place of natamycin and continued on topical and oral voriconazole, in addition to topical moxifloxacin and cycloplegics, which finally led to healing with minimal scarring. The patient attained a best corrected visual acuity (BCVA) of 6/12.Conclusion: Topical caspofungin may be used as a useful and effective alternative in cases of recalcitrant fungal keratitis. It may result in healing with minimal scarring.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":" ","pages":"Doc19"},"PeriodicalIF":0.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40438174","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

Combined central retinal artery and vein occlusion following trabeculectomy. 小梁切除术后视网膜中央动静脉联合闭塞。

GMS ophthalmology cases Pub Date : 2022-06-28 eCollection Date: 2022-01-01 DOI: 10.3205/oc000205

Albert John Bromeo, Sweet Jorlene Lerit, Patricia Grulla-Quilendrino, George Michael Sosuan, Edgar Leuenberger

引用次数: 1

Unusual extraconal orbital location of a cavernous hemangioma. 海绵状血管瘤的异常眶外位置。

GMS ophthalmology cases Pub Date : 2022-06-10 eCollection Date: 2022-01-01 DOI: 10.3205/oc000204

Gabriela Pacheco Callirgos, Francisco Javier Valentín Bravo, Pablo Panadero Meseguer, Víctor Manuel Asensio Sánchez

引用次数: 0

Acute zonal occult outer retinopathy: optical coherence tomography angiography findings and treatment response. 急性带状隐匿性外视网膜病变:光学相干断层血管造影的发现和治疗反应。

GMS ophthalmology cases Pub Date : 2022-06-09 eCollection Date: 2022-01-01 DOI: 10.3205/oc000203

Erhan Özyol, Pelin Özyol

引用次数: 1

Toxoplasmosis chorioretinitis mimicking cytomegalovirus retinitis in an immunocompromised pediatric patient following bone marrow transplantation. 骨髓移植后免疫功能低下儿童患者的弓形虫病绒毛膜视网膜炎模拟巨细胞病毒视网膜炎。

GMS ophthalmology cases Pub Date : 2022-06-07 eCollection Date: 2022-01-01 DOI: 10.3205/oc000201

Anubhav Garg, Bryon R McKay, Carolina L M Francisconi, Rajeev H Muni

引用次数: 1

Acute myeloid leukemia presenting as unilateral central retinal vein occlusion. 急性髓性白血病表现为单侧视网膜中央静脉阻塞。

GMS ophthalmology cases Pub Date : 2022-06-07 eCollection Date: 2022-01-01 DOI: 10.3205/oc000202

Ashok Kumar, Sandeep Shankar, Divya Kochhar, Amit Arora, Kapil Kumar

引用次数: 0

Choroidal metastasis as a presenting feature in a metastatic lung carcinoma. 脉络膜转移是转移性肺癌的主要表现。

GMS ophthalmology cases Pub Date : 2022-05-20 eCollection Date: 2022-01-01 DOI: 10.3205/oc000200

Mukesh Jain, Deepika C Parameswarappa

引用次数: 0

Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis. 同时双侧炎性脉络膜新生血管愈合一例蛇形样脉络膜炎。

GMS ophthalmology cases Pub Date : 2022-05-20 eCollection Date: 2022-01-01 DOI: 10.3205/oc000199

Gitanjli Sood, Ramanuj Samanta, Devesh Kumawat, Prateek Nishant

{"title":"Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis.","authors":"Gitanjli Sood, Ramanuj Samanta, Devesh Kumawat, Prateek Nishant","doi":"10.3205/oc000199","DOIUrl":"https://doi.org/10.3205/oc000199","url":null,"abstract":"Objective: Inflammatory choroidal neovascularization (i-CNV) is an infrequent but sight-threatening complication of posterior uveitis. Although it can occur in a wide range of infectious and non-infectious uveitides, presence of simultaneous bilateral i-CNV is rare. In this report, we present a unique case of bilateral simultaneous i-CNV in a young patient of healed tubercular serpiginous-like choroiditis.Method: A 20-year-old male presented with recent worsening of vision in the right eye for one month. Fundus examination revealed bilateral multifocal healed choroiditis lesions with right eye tiny subfoveal hemorrhage raising the suspicion of an underlying choroidal neovascularization. Fundus fluorescein angiography and optical coherence tomography confirmed presence of choroidal neovascular membrane in both eyes.Result: Resolution of activity was noted in both eyes after bilateral sequential intravitreal bevacizumab injections.Conclusion: Inflammatory choroidal neovascularization may be seen in patients with healed tubercular serpiginous-like choroiditis, after a long period of quiescence. Simultaneous bilateral presentation is rare but possible, requiring mandatory multimodal imaging of both eyes under high index of suspicion. Early institution of anti-vascular endothelial growth factor may salvage optimum vision in such a scenario.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":" ","pages":"Doc12"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571987","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

Multimodal imaging of a sporadic retinal astrocytic hamartoma simulating retinoblastoma in a newborn. 新生儿散发性视网膜星形细胞错构瘤模拟视网膜母细胞瘤的多模态成像。

GMS ophthalmology cases Pub Date : 2022-05-20 eCollection Date: 2022-01-01 DOI: 10.3205/oc000198

Bilge Batu Oto, Aslihan Yilmaz Çebi, Oguzhan Kiliçarslan, Ahmet Murat Sarici

{"title":"Multimodal imaging of a sporadic retinal astrocytic hamartoma simulating retinoblastoma in a newborn.","authors":"Bilge Batu Oto, Aslihan Yilmaz Çebi, Oguzhan Kiliçarslan, Ahmet Murat Sarici","doi":"10.3205/oc000198","DOIUrl":"https://doi.org/10.3205/oc000198","url":null,"abstract":"Introduction: To report a sporadic astrocytic hamartoma simulating retinoblastoma in a newborn.Methods: Clinical data was reviewed retrospectively.Results: A 3-month-old baby with a history of perinatal asphyxia was referred to our ocular oncology clinic with suspected retinoblastoma in the left eye. Dilated fundoscopy revealed a solitary tumor covering the optic disc at the left eye. The whitish-yellow lesion was well-defined, opaque, and minimally calcified. High internal reflectivity and posterior shadowing due to the intralesional calcification, and intratumoral cystic spaces were observed in B-scan ultrasound imaging. Optical coherence tomography imaging showed an intraretinal tumor with cystic spaces and posterior shadowing. The tumor was diagnosed as an astrocytic hamartoma. The systemic evaluation was negative for phacomatoses. The lesion has been observed with multimodal imaging for six years without significant changes.Conclusions: Retinal astrocytic hamartomas are benign tumors that arise within the retinal nerve fiber layer. Differential diagnosis constitutes high importance since they may be misdiagnosed as retinoblastoma, and therefore may be overtreated. Whereas retinoblastoma requires immediate treatment, retinal astrocytic hamartomas are commonly followed-up. Multimodal imaging with B-scan ultrasonography and optical coherence tomography are useful in distinguishing those two entities.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":" ","pages":"Doc11"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40572440","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

Intraoperative optical coherence tomography (I-OCT) assisted passage of the encircling element during retinal detachment surgery 术中光学相干断层扫描（I-OCT）辅助视网膜脱离手术中环形元件的通过

GMS ophthalmology cases Pub Date : 2022-04-01 DOI: 10.3205/oc000197

A. Markan, N. Gupta, Basavaraj Tigari, Ramandeep Singh, M. Dogra

引用次数: 2