GMS ophthalmology cases最新文献_第8页

Conjunctival and bulbar sporotrichosis as Parinaud's oculoglandular syndrome acquired by blood inoculation. 结膜和球孢菌病为Parinaud眼腺综合征，经血液接种获得。

GMS ophthalmology cases Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI: 10.3205/oc000175

Adail Orrith Liborio Neto, Tiago Rubim Caetano, Nairacyr Hans Pestana Gervasio, Rachel Camargo Carneiro

{"title":"Conjunctival and bulbar sporotrichosis as Parinaud's oculoglandular syndrome acquired by blood inoculation.","authors":"Adail Orrith Liborio Neto, Tiago Rubim Caetano, Nairacyr Hans Pestana Gervasio, Rachel Camargo Carneiro","doi":"10.3205/oc000175","DOIUrl":"https://doi.org/10.3205/oc000175","url":null,"abstract":"Parinaud's oculoglandular syndrome (POS) is a clinical condition characterized by granulomatous conjunctivitis associated with homolateral neck pain and anterior preauricular lymphadenopathy. Several reports of this condition occurred and some bacterial etiological agents were identified. However, fungal infections have also been associated, especially sporotrichosis. A 40-year-old female patient complained about a \"little ball\" in the lower eyelid of the left eye. On ocular examination, visual acuity and fundoscopy were normal. The biomicroscopy revealed a granulomatous lesion in the lower eyelid of the left eye associated with yellowish discharge. The patient returned the next day, reporting worsening of the condition accompanied by low fever, malaise, preauricular and submandibular lymphadenomegaly. The examination showed the evolution of conjunctival edema and various conjunctival granulomas in the lower and upper tarsus of the left eye, a clinical picture compatible with POS. In the investigation of the clinical history, the patient remembered an episode of contact with blood of cats. During the investigation, we discarded differential diagnoses such as tuberculosis, toxoplasmosis, CMV, herpes virus and Bartonella. Serology was positive for Sporothrix. Treatment with itraconazole 100 mg once daily was started. By the eighth week, the conjunctival granulomas had disappeared, and the medication was discontinued after 90 days of treatment, after about 2 weeks of total remission. According to the literature, there are no cases of primarily ocular manifestation of blood sporotrichosis transmission. However, in the report, the form of transmission of the disease occurred by inoculation by direct contact with the blood of contaminated cats.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"11 ","pages":"Doc02"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424578","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

An unusual presentation of macular telangiectasia type 2 with a large pigment deposit. 不寻常的黄斑毛细血管扩张2型伴大量色素沉积。

GMS ophthalmology cases Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI: 10.3205/oc000176

Sugandha Goel, Purna Nangia, A Joash Rijey, Kumar Saurabh, Rupak Roy

引用次数: 0

Atypical painless vision loss in a patient with granulomatosis with polyangiitis. 肉芽肿合并多血管炎患者的非典型无痛性视力丧失。

GMS ophthalmology cases Pub Date : 2020-12-15 eCollection Date: 2020-01-01 DOI: 10.3205/oc000173

Patricia C Nelson, Vamsi Kunam, Claudia Prospero Ponce

引用次数: 1

Multiple ocular manifestations in a case of cat scratch disease without systemic signs. 无全身体征的猫抓病多眼表现1例。

GMS ophthalmology cases Pub Date : 2020-12-15 eCollection Date: 2020-01-01 DOI: 10.3205/oc000172

Kanako Annoura, Ichiya Sano, Shinji Makino, Hidetoshi Kawashima

引用次数: 1

Management of 'double eyelid ectropion' using 5% hypertonic saline in an Indian newborn. 5%高渗盐水治疗印度新生儿“双眼皮外翻”。

GMS ophthalmology cases Pub Date : 2020-11-26 eCollection Date: 2020-01-01 DOI: 10.3205/oc000171

Priti Bhoutekar, Dilip Kumre, Bhushan Uplanchiwar

{"title":"Management of 'double eyelid ectropion' using 5% hypertonic saline in an Indian newborn.","authors":"Priti Bhoutekar, Dilip Kumre, Bhushan Uplanchiwar","doi":"10.3205/oc000171","DOIUrl":"https://doi.org/10.3205/oc000171","url":null,"abstract":"Objective: This report describes a clinically rare case of congenital ectropion involving both upper lids in a one-day-old Indian newborn. We emphasize the importance of non-invasive conservative management with 5% hypertonic saline. Method: Observational case report Result: A term newborn presented to us on day 1 with bilateral upper lid ectropion or 'double congenital ectropion' noted since birth following an uneventful vaginal delivery. Examination revealed severe chemosis and prolapse of upper palpebral conjunctiva bilaterally. The repeated attempts to manually revert the eyelids in position failed. Otherwise, the eyes were normal. We started to treat the baby with topical hypertonic saline (5% sodium chloride), topical antibiotic, and topical lubricant frequently. Eye pads soaked in 5% hypertonic saline were also used. Following five days of treatment, the chemosis and ectropion resolved completely without recurrence. Conclusion: We advocate non-invasive conservative management with 5% hypertonic saline soaked pads over the eyes along with topical antibiotic and lubricants. It should be the first line of treatment in all cases of congenital ectropion, before jumping to any aggressive invasive treatment like tarsorrhaphy, skin grafting etc., or unnecessary referral.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc44"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38769794","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

Surgical management of complicated inflammatory glaucoma. 并发炎性青光眼的手术治疗。

GMS ophthalmology cases Pub Date : 2020-11-10 eCollection Date: 2020-01-01 DOI: 10.3205/oc000170

Glenda Espinosa-Barberi, Francisco José Galván González, David Peláez Viera

引用次数: 1

Bilateral primary hyperplastic persistent vitreous: report of two cases. 双侧原发性持续性玻璃体增生2例报告。

GMS ophthalmology cases Pub Date : 2020-10-09 eCollection Date: 2020-01-01 DOI: 10.3205/oc000169

Neha Singh, Siddharth Agrawal, Pallavi Mishra

引用次数: 2

Multimodal imaging features of a spontaneously resolved unilateral congenital macrovessel-related macular edema in a 13-year-old boy. 13岁男童单侧先天性大血管相关性黄斑水肿的多模态影像特征。

GMS ophthalmology cases Pub Date : 2020-08-28 eCollection Date: 2020-01-01 DOI: 10.3205/oc000167

Sefik Can Ipek, Salih Kavukcu, Süleyman Men, Ali Osman Saatci

{"title":"Multimodal imaging features of a spontaneously resolved unilateral congenital macrovessel-related macular edema in a 13-year-old boy.","authors":"Sefik Can Ipek, Salih Kavukcu, Süleyman Men, Ali Osman Saatci","doi":"10.3205/oc000167","DOIUrl":"https://doi.org/10.3205/oc000167","url":null,"abstract":"Purpose: Congenital retinal macrovessels (CRM) are large aberrant blood vessels that cross the horizontal raphe. Visual acuity may be negatively affected in cases afflicted with CRM due to macular serous detachment, hemorrhage, exudation, foveolar cyst formation and retinal artery occlusion. Even the presence of an anomalous vessel itself running through the foveal avascular zone may compromise the visual acuity. In this case report, we discuss the multimodal imaging characteristics of a case of symptomatic unilateral CRM-related cystoid macular edema and serous macular detachment in a 13-year-old boy. Observations: Optical coherence tomography angiography (OCTA) imaging of the superficial retina revealed the aberrant vessel and anomalous arteriovenous communication between the aberrant vessel and the retinal artery. The foveal avascular zone also appeared partly distorted. Conclusions: The present case reports the second-youngest patient afflicted with unilateral CRM and associated macular edema. There was spontaneous resolution of macular edema within six weeks. In light of the observations in this case and the literature review, the need to refrain from rapid therapeutic intervention in the eyes of patients affected with CRM and macular edema must be emphasized.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc40"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408231","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

Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient - role of optical coherence tomography follow-up. 66岁外伤性黄斑裂孔延迟自发闭合:光学相干断层扫描随访的作用。

GMS ophthalmology cases Pub Date : 2020-08-28 eCollection Date: 2020-01-01 DOI: 10.3205/oc000168

Piergiacomo Grassi, Alberto Salicone

{"title":"Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient - role of optical coherence tomography follow-up.","authors":"Piergiacomo Grassi, Alberto Salicone","doi":"10.3205/oc000168","DOIUrl":"https://doi.org/10.3205/oc000168","url":null,"abstract":"Objective: To report a case of delayed spontaneous closure of traumatic macular hole at 5 months in a 66-year-old man. Traumatic macular holes generally do not close spontaneously after 4 months and over 30 years of age. Methods: A 66-year-old man presented with central blurred vision and metamorphopsia in his right eye for 3 weeks after previous ocular blunt trauma occurring 2 months earlier. Best corrected visual acuity was 6/36 in his right eye, fundus examination and OCT revealed right traumatic macular hole. Results: 4 weeks later, best corrected visual acuity was 6/18, OCT showed initial reattachment of traumatic macular hole margins. 8 weeks later, best corrected visual acuity improved to 6/9, OCT showed almost complete reattachment of the margins, residual outer retinal defect being still present. At 12 weeks after initial presentation, best corrected visual acuity was 6/6, OCT showed normal neuroretinal profile. Conclusion: Clinical monitoring of traumatic macular holes might be performed up to 5 months even in patients >30 years before considering surgery.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc41"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408232","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

Iridoschisis: visual outcome in treated versus untreated eye. 虹膜裂:治疗眼与未治疗眼的视力结果。

GMS ophthalmology cases Pub Date : 2020-08-26 eCollection Date: 2020-01-01 DOI: 10.3205/oc000166

Eric Ruff, Nataliya Pokeza, Inci Dersu

引用次数: 1