GMS ophthalmology cases最新文献

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Massive corneal-epibulbar dermoid managed with pre-descemetic DALK and SLET. 大面积角膜-球外皮样病变采用退行性DALK和SLET治疗。
GMS ophthalmology cases Pub Date : 2021-02-05 eCollection Date: 2021-01-01 DOI: 10.3205/oc000178
Dharamveer Singh Choudhary, Nikhil Agrawal, Maya Hada, Nidhi Paharia
{"title":"Massive corneal-epibulbar dermoid managed with pre-descemetic DALK and SLET.","authors":"Dharamveer Singh Choudhary,&nbsp;Nikhil Agrawal,&nbsp;Maya Hada,&nbsp;Nidhi Paharia","doi":"10.3205/oc000178","DOIUrl":"https://doi.org/10.3205/oc000178","url":null,"abstract":"<p><p>Management of large corneal-epibulbar dermoids always poses a challenge to the surgeons due to deeper corneal involvement. Also, there is a risk of limbal stem cell deficiency and formation of pseudopterygium with larger areas of limbal involvement. We report a novel surgical technique for the management of giant corneal-epibulbar dermoid with pre-descemetic deep anterior lamellar keratoplasty (DALK) and simple limbal epithelial transfer (SLET).</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"11 ","pages":"Doc05"},"PeriodicalIF":0.0,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424004","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: 3
Multilayered retinal pigment epithelial detachment: an optical coherence tomography angiography perspective. 多层视网膜色素上皮脱离:光学相干断层血管造影透视。
GMS ophthalmology cases Pub Date : 2021-02-02 eCollection Date: 2021-01-01 DOI: 10.3205/oc000177
Dhanashree Ratra, Samarth Mishra
{"title":"Multilayered retinal pigment epithelial detachment: an optical coherence tomography angiography perspective.","authors":"Dhanashree Ratra,&nbsp;Samarth Mishra","doi":"10.3205/oc000177","DOIUrl":"https://doi.org/10.3205/oc000177","url":null,"abstract":"<p><p>A new entity termed multilayered pigment epithelial detachment is seen to occur with the use of multiple intravitreal anti-VEGF agents. A distinct appearance of a spindle-shaped elevation with bands of hyporeflective and hyperreflective tissue is seen on optical coherence tomography. We describe a novel finding on optical coherence tomography angiography which includes a large type 1 choroidal neovascular membrane underlying this elevation. A large vascular network is seen. It is thought to be protective in nature and may prevent further degeneration.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"11 ","pages":"Doc04"},"PeriodicalIF":0.0,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424003","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
Post-traumatic endophthalmitis with Moraxella in a child. 儿童创伤后眼内炎伴莫拉菌。
GMS ophthalmology cases Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI: 10.3205/oc000174
Upma Awasthi, Rohini Grover, Chetan Videkar, Abhishek Varshney
{"title":"Post-traumatic endophthalmitis with Moraxella in a child.","authors":"Upma Awasthi,&nbsp;Rohini Grover,&nbsp;Chetan Videkar,&nbsp;Abhishek Varshney","doi":"10.3205/oc000174","DOIUrl":"https://doi.org/10.3205/oc000174","url":null,"abstract":"<p><p><b>Purpose:</b> To describe a case of post-traumatic endophthalmitis with <i>Moraxella</i> in a child. <b>Methods:</b> Case report of an 11-year-old boy who presented with redness and profound visual loss in his left eye for 3 days following trauma with a sewing needle. Detailed ophthalmic examination showed hand movement vision, corneal edema with mobile hypopyon, as well as dot and clump echoes in Ultrasound B-scan. The clinical diagnosis of acute post-traumatic endophthalmitis was made. <b>Result:</b> The patient underwent pars plana vitrectomy and vitreous biopsy, and was given intravitreal antibiotics (vancomycin 1 mg/0.1 ml, ceftazidime 2.25 mg/0.1 ml, voriconazole 0.1 mg/0.1 ml). Non-pigmented small colonies growth was observed on culture plates which were identified as <i>Moraxella</i>. <b>Conclusion:</b> To date, no case report has been published regarding post-traumatic endophthalmitis due to <i>Moraxella</i> species in the pediatric age group.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"11 ","pages":"Doc01"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424577","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
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,&nbsp;Tiago Rubim Caetano,&nbsp;Nairacyr Hans Pestana Gervasio,&nbsp;Rachel Camargo Carneiro","doi":"10.3205/oc000175","DOIUrl":"https://doi.org/10.3205/oc000175","url":null,"abstract":"<p><p>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 <i>Bartonella</i>. Serology was positive for <i>Sporothrix</i>. 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.</p>","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
{"title":"An unusual presentation of macular telangiectasia type 2 with a large pigment deposit.","authors":"Sugandha Goel,&nbsp;Purna Nangia,&nbsp;A Joash Rijey,&nbsp;Kumar Saurabh,&nbsp;Rupak Roy","doi":"10.3205/oc000176","DOIUrl":"https://doi.org/10.3205/oc000176","url":null,"abstract":"Macular telangiectasia type 2 (MacTel) is a bilateral retinal disease that seems to be limited to the juxtafoveal region of the macula. We herein report an unusual presentation of MacTel with a large pigment deposit at the macula. Fundus of the right eye showed a large pigment deposit at the macula and right-angled venule. The left eye fundus showed a grayish discoloration due to subretinal fibrosis, dark pigment clumps and right-angled venule in the macula. Lesions were highlighted on multicolor imaging and blue reflectance imaging. Spectral domain optical coherence tomography (SD-OCT) of both eyes showed hyperreflectivity on the inner aspect of the retina corresponding to the area of pigment clumping.","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"11 ","pages":"Doc03"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424579","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
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
{"title":"Atypical painless vision loss in a patient with granulomatosis with polyangiitis.","authors":"Patricia C Nelson,&nbsp;Vamsi Kunam,&nbsp;Claudia Prospero Ponce","doi":"10.3205/oc000173","DOIUrl":"https://doi.org/10.3205/oc000173","url":null,"abstract":"<p><p>Vasculitis is a common cause of vision loss, and typically painful. In giant cell arteritis, the most common primary vasculitis in adults, we see elevated inflammatory markers, granulomatous inflammation, and associated headache or scalp tenderness. Vision loss caused by granulomatous with polyangiitis (GPA) is rare and typically associated with pain and orbital findings. Our patient presented for shortness of breath and painless vision loss without orbital inflammation or neural enhancement and a normal fundus exam, suggesting posterior ischemic optic neuropathy. Collaboration amongst sub-specialties and obtaining tissue samples are key to diagnosing granulomatosis with polyangiitis to ensure timely treatment of this fatal and blinding disease.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc46"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38769796","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
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
{"title":"Multiple ocular manifestations in a case of cat scratch disease without systemic signs.","authors":"Kanako Annoura,&nbsp;Ichiya Sano,&nbsp;Shinji Makino,&nbsp;Hidetoshi Kawashima","doi":"10.3205/oc000172","DOIUrl":"https://doi.org/10.3205/oc000172","url":null,"abstract":"<p><p>A 43-year-old woman presented with impaired vision and redness in her left eye of 2 weeks duration. She had a pet cat that scratched her forehead 3 weeks before she presented to us. She had no systemic signs such as lymphadenopathy, fever, or fatigue. The respective right and left corrected visual acuities were 20/16 and 20/2000. The anterior chamber of the left eye exhibited inflammation; a fundus examination of that eye revealed optic disc swelling and a serous macular detachment with hard stellate exudates. Based on the recent cat scratch and the ocular findings, cat scratch disease (CSD) was suspected. The results of serologic testing showed elevated titres of IgM and IgG antibodies to <i>Bartonella henselae</i>. Administration of doxycycline and a steroid was initiated. This report describes the occurrence of multiple ocular manifestations of CSD in both the posterior and the anterior segment.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc45"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38769795","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
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,&nbsp;Dilip Kumre,&nbsp;Bhushan Uplanchiwar","doi":"10.3205/oc000171","DOIUrl":"https://doi.org/10.3205/oc000171","url":null,"abstract":"<p><p><b>Objective:</b> 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. <b>Method:</b> Observational case report <b>Result:</b> 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. <b>Conclusion:</b> 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.</p>","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
{"title":"Surgical management of complicated inflammatory glaucoma.","authors":"Glenda Espinosa-Barberi,&nbsp;Francisco José Galván González,&nbsp;David Peláez Viera","doi":"10.3205/oc000170","DOIUrl":"https://doi.org/10.3205/oc000170","url":null,"abstract":"<p><p><b>Case report:</b> We report a case of a 26-year-old woman with a previous history of complicated ulcerative colitis, as well as multiple episodes of recurrent anterior uveitis in control with adalimumab and methotrexate, who develops ocular hypertension refractory to topical treatment. The implant of an EXPRESS<sup>®</sup> is proposed, but in the immediate post-operative period, the implant causes atalamia and does not achieve the correct control of intraocular pressure. A XEN<sup>®</sup> stent was implanted. Due to failure, it was decided to remove the stent and to release a subconjunctival fibrosis that had formed at the subconjunctival portion of the XEN<sup>®</sup>, in association with coating by an Ologen<sup>®</sup> collagen matrix, which led to an improvement of the results. <b>Conclusions:</b> The surgical management of inflammatory glaucoma is complex in young patients with a scar component. The new minimally invasive techniques are effective in cases refractory to topical treatment, whose characteristics prevent the use of conventional ones.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc43"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38626433","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 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
{"title":"Bilateral primary hyperplastic persistent vitreous: report of two cases.","authors":"Neha Singh,&nbsp;Siddharth Agrawal,&nbsp;Pallavi Mishra","doi":"10.3205/oc000169","DOIUrl":"https://doi.org/10.3205/oc000169","url":null,"abstract":"<p><p>Primary hyperplastic persistent vitreous (PHPV) or persistent fetal vasculature is a rare clinical entity that presents with leucocoria, microphthalmos, and cataract. It is mostly unilateral. Here we present a report of two cases of bilateral PHPV. One of the patients had associated Peters' anomaly. The entity closely mimics retinoblastoma and should be kept as a differential diagnosis of bilateral leucocoria. Examination under anesthesia, ultrasound B-scan, and aqueous lactate dehydrogenase levels helped us reach the diagnosis and differentiate it from the more serious entity retinoblastoma.</p>","PeriodicalId":73178,"journal":{"name":"GMS ophthalmology cases","volume":"10 ","pages":"Doc42"},"PeriodicalIF":0.0,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38626432","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
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