Clinical eye and vision care最新文献

Varix of the vortex ampulla: a dynamic phenomenon 涡旋壶腹的曲张:一种动态现象

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00050-3

Dawn N. Tomasini

引用次数: 4

Chloroquine retinopathy and secondary trauma 氯喹视网膜病变和继发性创伤

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00044-8

Joan K. Portello

引用次数: 0

Progressive outer retinal necrosis syndrome: a comprehensive review of its clinical presentation, relationship to immune system status, and management 进行性视网膜外坏死综合征:其临床表现，与免疫系统状态的关系，和管理的全面审查

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00052-7

Robert B Austin

{"title":"Progressive outer retinal necrosis syndrome: a comprehensive review of its clinical presentation, relationship to immune system status, and management","authors":"Robert B Austin","doi":"10.1016/S0953-4431(00)00052-7","DOIUrl":"10.1016/S0953-4431(00)00052-7","url":null,"abstract":"<div>Progressive outer retinal necrosis (PORN) syndrome is a form of the Varicella zoster virus (VZV) chorioretinitis found almost exclusively in people with the acquired immunodeficiency syndrome (AIDS). This destructive infection has an extremely rapid course that may lead to no light perception in affected eyes within days or weeks. Attempts at its treatment have had limited success. Rhegmatogenous retinal detachments often occur after the development of atrophic retinal holes, and silicone oil temponade has been found to be the most successful reattachment procedure. Unfortunately, cataract formation is common after such surgery. PORN needs to be differentiated from acute retinal necrosis (ARN) syndrome, a necrotizing retinitis that can also be caused by VZV. PORN and ARN are found at opposite ends of the spectrum of necrotizing herpetic retinopathies (NHR), where its clinical presentation depends upon immune system status. After a brief case presentation, the distinguishing clinical characteristics of PORN, its differentiation from ARN, attempts at its treatment, the role of the immune system status on its clinical appearance and treatment, and management of complications such as retinal detachment and subsequent cataracts are discussed.</div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"12 3","pages":"Pages 119-129"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(00)00052-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21958688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 65

Ocular immune privilege: a review 眼免疫特权:综述

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00041-2

Steven B Koevary

引用次数: 29

Potentially life-threatening primary acquired melanosis 可能危及生命的原发性获得性黑色素病

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00048-5

Kevin T. Corcoran , Matthew M. Marsich , David C. Ward

{"title":"Potentially life-threatening primary acquired melanosis","authors":"Kevin T. Corcoran , Matthew M. Marsich , David C. Ward","doi":"10.1016/S0953-4431(00)00048-5","DOIUrl":"10.1016/S0953-4431(00)00048-5","url":null,"abstract":"<div>Primary acquired melanosis is an acquired conjunctival pigmentation seen in Caucasians. It presents as a diffuse, patchy, unilateral area of pigmentation that can be flat or nodular. Other melanotic lesions such as ocular melanosis, argyrosis, congenital conjunctival melanosis can be confused with primary acquired melanosis. Diagnosis and management of primary acquired melanosis is critical since it is potential life-threatening. A 51-year-old while male presented with unilateral, diffuse, patchy pigmentation first noted 10 years prior. Slit lamp examination revealed a 4 mm ×2 mm area of temporal bulbar conjunctival pigmentation extending to the limbus in the right eye. A biopsy was performed and pathologic examination disclosed primary acquired melanosis with atypia. Topical mitomycin-C therapy was initiated. Because of the large size and diffuse nature of the pigmentation, mitomycin-C was preferred since surgical excision would be destructive and has related risks of scarring, goblet cell loss, and associated side effects such as dry eye and ulceration. Two months, following treatment with mitomycin-C, significant clinical improvement was observed. A careful patient history is key in diagnosis primary acquired melanosis including a detailed history including onset, duration, stability, and progression of the pigmentation. All cases of primary acquired melanosis should be referred for biopsy. If atypia is found, traditional treatment includes surgical removal or cryotherapy. However, if the area is large side effects can occur. Mitomycin-C eliminates these potential side effects and can be used to successfully treat primary acquired melanosis.</div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"12 3","pages":"Pages 185-188"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(00)00048-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21958697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Neuroretinitis: a clinical syndrome of cat-scratch disease 神经视网膜炎:猫抓病的临床综合征

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00043-6

Susan Rost Monahan

引用次数: 12

Retinitis pigmentosa: distribution of inheritance patterns in a VA blind rehabilitation center population 色素性视网膜炎:VA盲人康复中心人群遗传模式的分布

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00051-5

Janis Ecklund Winters

{"title":"Retinitis pigmentosa: distribution of inheritance patterns in a VA blind rehabilitation center population","authors":"Janis Ecklund Winters","doi":"10.1016/S0953-4431(00)00051-5","DOIUrl":"10.1016/S0953-4431(00)00051-5","url":null,"abstract":"<div>Objectives: This purpose of this study was to characterize retinitis pigmentosa (RP) patients at the Southeastern Blind Rehabilitation Center (SBRC) by inheritance pattern, and compare the results with similar studies. Study Design: Records of all RP patients who were in the blind rehabilitation program at the SBRC between 1989 and 1993 were reviewed (n=50). Patients were included in the study who could be personally contacted and whose records were complete (n=43). Pedigrees were obtained through review of records and patient interviews. Results: The analysis showed 24 patients (55.8%) were simplex (no family history of RP), 8 patients (18.6%) were autosomal dominant, 4 patients (9.3%) were probable autosomal dominant, 4 patients (9.3%) were autosomal recessive, 2 patients (4.7%) were probable autosomal recessive and 1 patient (2.3%) was X-linked recessive. Conclusions: Unique trends were apparent in the distribution of inheritance patterns. Clinicians should be aware of the large number of simplex patients found in this and the majority of similar studies.</div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"12 3","pages":"Pages 107-112"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(00)00051-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21959354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Side effects of chemotherapeutic oculo-toxic agents: a review 化疗眼毒性药物的副作用:综述

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00053-9

Dominick M. Maino, Saly Tran, Faresh Mehta

{"title":"Side effects of chemotherapeutic oculo-toxic agents: a review","authors":"Dominick M. Maino, Saly Tran, Faresh Mehta","doi":"10.1016/S0953-4431(00)00053-9","DOIUrl":"10.1016/S0953-4431(00)00053-9","url":null,"abstract":"<div>Patients with cancer are often prescribed chemotherapeutic substances that can be extremely oculo-visual-toxic in nature. Over the past several years, advances in cancer treatment have resulted in increased survival rates and patient longevity. Unfortunately, greater survival rates and longevity mean increased exposure to potentially harmful oculo-toxic substances and a higher incidence of oculo-visual side effects. Patients receiving chemotherapy may complain of symptoms that can imitate functional disorders such as blurred vision and photophobia (i.e. disorders of accommodation) and also include dry eyes or other symptomology commonly associated with disorders of the primary eye care system. These deleterious side effects affect the patient's quality of life and warrant our attention. It is essential that eye and vision care professionals appropriately diagnose and manage these induced disorders. This review presents the oculo-visual side effects of commonly used chemotherapeutic agents, the available treatment options when these unwanted side effects occur, and when known, the mechanism by which these agents cause oculo-visual toxicity.</div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"12 3","pages":"Pages 113-117"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(00)00053-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21959355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Persistent hyperplastic primary vitreous 原发性玻璃体持续性增生

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00054-0

Mira Silbert, Andrew S. Gurwood

{"title":"Persistent hyperplastic primary vitreous","authors":"Mira Silbert, Andrew S. Gurwood","doi":"10.1016/S0953-4431(00)00054-0","DOIUrl":"10.1016/S0953-4431(00)00054-0","url":null,"abstract":"<div>Persistent hyperplastic primary vitreous (PHPV) is a common congenital developmental anomaly of the eye that results following failure of the embryological, primary vitreous and hyaloid vasculature to regress. It typically presents unilaterally without associated systemic findings. Although the etiology is assumed to be identical in each of its three variants, PHPV is still subclassified into three presentations. The purely anterior presentation of PHPV is also known as persistent tunica vasculosa lentis and persistent posterior fetal fibrovascular sheath of the lens. It occurs in eyes with pathology of the anterior segment. This form typically involves cataract, glaucoma and a retrolenticular membrane. The purely posterior presentation of PHPV is termed falciform retinal septum and ablatio falcicormis congentia. It occurs in eyes with abnormalities confined to the posterior segment such as retinal folds, vitreal stalk, vitreal membranes, macular abnormalities and optic disc abnormalities. A combination of anterior and posterior presentations is the most commonly seen clinical presentation. Case report. We present a case in which an 11-year old male was referred to our office for reevaluation of a large angle esotropia, strabismic and deprivational amblyopia and previously diagnosed PHPV, OD. Conclusion. Without treatment, PHPV can produce recurrent intraocular hemorrhage, secondary glaucoma and eventually require enucleation. Early surgical intervention is necessary to prevent progressive pathologic changes and to obtain the best visual results. Finally, while PHPV is a documented source of leukocoria, clinicians should be aware of differential diagnoses which involve the white pupil (congenital cataract, retinoblastoma, Norrie's disease, retinopathy of prematurity, retinal detachment and Coat's disease).</div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"12 3","pages":"Pages 131-137"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(00)00054-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21958689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 32

Corneal crystals 角膜晶体

Clinical eye and vision care Pub Date : 2000-12-01 Epub Date: 2000-12-21 DOI: 10.1016/S0953-4431(00)00045-X

Thu-Ha Dao Easter, Chung Yong Song

引用次数: 2