{"title":"Idiopathic juvenile macular sub-retinal neovascularization: to treat or not to treat","authors":"David M Krumholz , Jacob D Rosenbaum","doi":"10.1016/S0953-4431(98)00008-3","DOIUrl":"10.1016/S0953-4431(98)00008-3","url":null,"abstract":"<div><p><span>Juvenile macular sub-retinal neovascularization is an exceedingly rare condition. It occurs in patients under the age of 20. Subretinal neovascularization is so rare in patients less than twenty years of age, that the macular photocoagulation study presents data only for patients 18 years of age or older. This poster describes a 17-year-old female with a foveal hemorrhage secondary to idiopathic juvenile macular sub-retinal neovascularization in one eye. Although the patient was given the treatment option of laser, she refused, and opted for close observation instead. In this case the hemorrhage resolved spontaneously and left the patient with 20/80 vision. The rationale for and against </span>laser treatment is discussed. The significance of the Macular Photocoagulation Study is reviewed with respect to this case.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 2","pages":"Pages 95-98"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00008-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468065","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}
{"title":"Renal cell carcinoma metastatic to the orbit","authors":"Ellen Schaefer-Hirschkind , Richard J Madonna","doi":"10.1016/S0953-4431(98)00009-5","DOIUrl":"10.1016/S0953-4431(98)00009-5","url":null,"abstract":"<div><p>Metastatic lesions to the orbit, although rare, appear to be increasing in frequency. In a significant number of these patients, ocular signs and symptoms are the first indicators of their disease. Optometrists need to be aware of the clinical presentation, differential diagnosis, and indicated medical work-up in order to properly diagnose and manage this challenging group of patients.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 2","pages":"Pages 99-101"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00009-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468373","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}
{"title":"Maculopathy induced by nicotinic acid","authors":"Dawn M. Devaney O.D.","doi":"10.1016/S0953-4431(98)00003-4","DOIUrl":"10.1016/S0953-4431(98)00003-4","url":null,"abstract":"<div><p><span>Nicotinic acid is a commonly used oral medication for the treatment of </span>hyperlipidemia<span><span>. Numerous systemic and ocular adverse effects have been reported. Cystoid macular edema, although uncommon, has been reported and resolves upon cessation of the medication. What makes this </span>maculopathy<span> unusual is the absence of leakage on fluorescein angiography. A 47-year-old white male presented with the complaint of blurred vision OU for several months. The patient had an extensive medical history, including hyperlipidemia, for which he was taking nicotinic acid. Bilateral cystoid macular edema was diagnosed. Nicotinic acid was discontinued and the patient's vision returned to 20/20 after 2 months.</span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 2","pages":"Pages 67-71"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00003-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467773","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}
{"title":"Chlorpromazine: Case report and review of its ocular side-effects","authors":"Elizabeth Grenier, Jennine Kirby","doi":"10.1016/S0953-4431(98)00004-6","DOIUrl":"10.1016/S0953-4431(98)00004-6","url":null,"abstract":"<div><p>Chlorpromazine has been an effective anti-psychotic medication in the treatment of schizophrenia since the 1960s. However, the long-term dermatological and ocular complications have been well documented. This article reviews a case in which a patient had been treated with chlorpromazine for schizophrenia for 30 years and displayed the characteristic ocular side-effects. The ocular and dermatological side-effects of chlorpromazine are reviewed.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 2","pages":"Pages 73-79"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00004-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467808","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}
{"title":"Progressive chorioretinal degeneration in a female carrier of the choroideremia gene: A case report","authors":"Corey G. Persons, O.D","doi":"10.1016/S0953-4431(97)10026-1","DOIUrl":"10.1016/S0953-4431(97)10026-1","url":null,"abstract":"<div><p><span>Choroideremia is a generalized hereditary degeneration following an X-linked recessive trait. Its pathogenesis is related to an early atrophy of the choroidal circulation at the choriocapillaris and at the </span>retinal pigment epithelium<span>. Because it is inherited as an X-linked trait, it affects males most severely with female carriers generally being relatively asymptomatic. A report of an extremely rare case of a presumed female carrier with male-like visual symptoms and clinical signs is presented. In addition to a discussion of this atypical case of a female carrier with progressive degeneration, an overview of the disease is presented, including clinical features, pathophysiology, differential diagnoses and management.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 35-39"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10026-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467419","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}
{"title":"Choroidal nevus transformation to malignant melanoma","authors":"Sherry J. Bass, O.D, Jerome Sherman, O.D","doi":"10.1016/S0953-4431(97)10025-X","DOIUrl":"10.1016/S0953-4431(97)10025-X","url":null,"abstract":"<div><p><span>A 63-year-old white male presented in 1986 for a routine eye exam. He was without visual complaints. A slightly elevated choroidal nevus was discovered in his left eye superior to and contiguous with the optic nerve. All other findings were unremarkable. Follow-up visits over the next 4 years included photo documentation and did not reveal any growth of the nevus. In 1990, the lesion appeared to increase in elevation and size. </span>Visual acuity<span> was reduced secondary to an overlying serous detachment. The detachment was confirmed on fluorescein angiography<span>. Subsequent follow-up revealed continued growth until an enucleation<span> was performed. This case documents the rare transformation of a benign choroidal nevus into a malignant choroidal melanoma<span>. It also illustrates the importance of fluorescein angiography and ultrasonography<span>, in addition to fundus photography, in the management and follow-up of certain choroidal nevi.</span></span></span></span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 41-43"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10025-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467413","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}
{"title":"The choroid and glaucoma","authors":"Richard J. Madonna, O.D","doi":"10.1016/S0953-4431(97)10029-7","DOIUrl":"10.1016/S0953-4431(97)10029-7","url":null,"abstract":"<div><p>The recent literature describing the relationship between the choroidal blood flow and glaucoma is reviewed. Color Doppler<span> imaging, fundus pulsation amplitudes, videoangiographic studies and scanning laser Doppler flowmetry are examined.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 17-20"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10029-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467459","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}
{"title":"Choroidal folds: A case report","authors":"Brad M. Sutton, O.D","doi":"10.1016/S0953-4431(97)10030-3","DOIUrl":"10.1016/S0953-4431(97)10030-3","url":null,"abstract":"<div><p><span><span>Choroidal folds, also known as chorioretinal folds, can be associated with a wide variety of ocular conditions. These range from relatively severe entities, such as orbital tumors, posterior scleritis, </span>choroidal neovascularization and </span>increased intracranial pressure<span> to more benign including hyperopia<span> and idiopathic causes. Two cases of asymptomatic, bilateral choroidal folds and one case of folds secondary to hypotony are discussed along with a complete outline of the clinical appearance, etiology, pathophysiology, differential diagnoses and management of this condition.</span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 11-16"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10030-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467608","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}
{"title":"Special articleCiliochoroidal effusion","authors":"O. D. J. Torbit","doi":"10.1016/S0953-4431(97)10031-5","DOIUrl":"https://doi.org/10.1016/S0953-4431(97)10031-5","url":null,"abstract":"","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10031-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467620","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}
{"title":"Central areolar choroidal dystrophy: A case report","authors":"Claire Angel Moody, O.D","doi":"10.1016/S0953-4431(97)10028-5","DOIUrl":"10.1016/S0953-4431(97)10028-5","url":null,"abstract":"<div><p>Central Areolar Choroidal Dystrophy<span> (CACD) is a rare, bilateral disorder often challenging to diagnose because of the many chorioretinal conditions with similar funduscopic findings. It is characterized by a circumscribed area of atrophy in the macular region. Fluorescein angiography<span> reveals normal choroidal filling with obvious hyperfluorescence in the areas of RPE atrophy. Visual field defects<span><span> are evidenced by a well-demarcated area of central loss. Autosomal dominant, </span>autosomal recessive<span> and sporadic cases have been reported. An 81-year-old white female presented to our clinic with a chief complaint of gradual vision loss over the past 3 decades. After ophthalmoscopic examination and visual field testing, a diagnosis of CACD was made. In addition to a discussion of this case, an outline of the characteristics, inheritance patterns, differential diagnoses and management of CACD is included.</span></span></span></span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10028-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467438","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}