{"title":"Microbial Keratitis Complicated by Endophthalmitis Hiding Acute Hydrops","authors":"A. E, H. T, Fatimazahra H, E. A, Amina B","doi":"10.26420/austinjclinopthalmol.2022.1124","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1124","url":null,"abstract":"Purpose: To report a case of acute hydrops in a 12-year-old child with advanced keratoconus. Case Presentation: A twelve-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was established one month prior to his presentation following an episode of acute corneal whitening, pain, and drop in visual acuity. Topical fortified antibiotics followed by topical antiviral therapy were used with no improvement. Slit lamp examination showed significant corneal protrusion with edema surrounding a rupture in Descemet’s membrane in the RE. The diagnosis of acute corneal hydrops from advanced keratoconus was highly suspected and confirmed with corneal topography ans OCT.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41597387","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":"Endogenous Endophthalmitis - A Rare Complication of Infective Endocarditis: A Case Report","authors":"A. E, Fatimaezahra H, H. T, E. A, B. A.","doi":"10.26420/austinjclinopthalmol.2022.1123","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1123","url":null,"abstract":"Endogenous endophthalmitis (EE) is a severe, acute and diffuse uveitis caused by intraocular haematogenic infection. It affects vulnerable subjects. We report a case of a 42-year-old male with a history of endocarditis. he developed endogenous endophthalmitis in her left eye due to acute endocarditis. Owing to deterioration of the general status, intravitreal injections couldn’t be practiced and therapy consisted only in intravenous antibiotic therapy. We highlight the severity of this disease, associated with unfortunate visual and vital prognosis.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42587748","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":"Laser Asymmetric Keratectomy Using a Semi-Cylindrical Ablation Pattern to Avoid Adverse Effects of Laser Refractive Surgery","authors":"Ji Sang Min, B. Min, Dong Cho Lee","doi":"10.26420/austinjclinopthalmol.2021.1120","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2021.1120","url":null,"abstract":"Purpose: This study aimed to present a novel technique for Laser Epithelial Keratomileusis (LASEK)-Linked Laser Asymmetric Keratectomy using a Semi- Cylindrical Ablation Pattern (L-LAK-SCAP) that can prevent adverse effects following LASEK and simultaneously improve refractive errors and corneal symmetry. Design: This is a single-center retrospective study. Methods: We retrospectively compared the postoperative 1-year clinical results after LASEK only or L-LAK-SCAP for each group of 42 eyes of 21 patients with myopia, with a sum of deviations in the corneal thickness in four directions (SUM) on the Orbscan map of >80multaneously corrected the refractivem. L-LAK-SCAP simultaneously corrected the refractive error (LASEK) and myopic shift by selectively ablating thicker cornea (by LAK), thereby improving corneal symmetry and visual acuity concomitantly. Results: The following measures were similar in both groups (p >0.05): preoperative age, Spherical Equivalent (SE), cylinder, Uncorrected Distance Visual Acuity (UDVA), pupil size, Intraocular Pressure (IOP), and corneal symmetry on Orbscan map. At 1-year postoperatively, the L-LAK-SCAP group showed better results, and the following measures differed significantly between the two groups: SE (p=0.024), UDVA (p=0.001), kappa angle (p=0.030), corneal irregularities in the 3.0mm and 5.0mm zones on the Orbscan map (p=0.033 and 0.034, respectively), SUM (p=0.000), the distance between the maximum posterior elevation (best-fit-sphere) and the visual axis (DISTANCE) (p=0.040), blurring scores (p=0.000), and myopic regression (p=0.004). Conclusion: L-LAK-SCAP improved corneal symmetry, was associated with excellent outcomes, and may prevent adverse events following LASEK.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45380524","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":"Macroscopic Pseudoexfoliation Material within the Iridocorneal Angle","authors":"Berry Ec, M. S, Siggs Om, Craige Je","doi":"10.26420/austinjclinopthalmol.2021.1119","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2021.1119","url":null,"abstract":"During routine follow-up of an 85-year-old man with bilateral pseudoexfoliative glaucoma, unusually large newly deposited macroscopic sheets of pseudoexfoliation material were observed in the right inferior iridocorneal angle (Panel A). These sheetlike accumulations were further characterized as hyper-reflective filamentous structures on anterior segment optical coherence tomography (Panel B). Pseudoexfoliative glaucoma had been diagnosed four years prior with intraocular pressures of 34 mmHg OD and 28 mmHg OS, and vertical cup-to-disc ratios of 0.9 OD and 0.85 OS. Intraocular pressure (IOP) was initially managed with topical latanoprost and timolol OU, followed by trabeculectomy OD. With continued topical therapy, his IOP remained well controlled for three years, after which selective laser trabeculoplasty OD was performed due to increasing IOP and severe visual field loss. Pseudoexfoliation syndrome is a systemic disease often associated with glaucoma due to accumulation of pseudoexfoliation material within the trabecular meshwork, and consequent impairment of aqueous outflow","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45057268","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}
Khanaouchi N, Khoyali A, Z. r., M. Y, Reda K, Oubaaz A
{"title":"Acute Retinal Necrosis a Potentially Visual Devastating Affection","authors":"Khanaouchi N, Khoyali A, Z. r., M. Y, Reda K, Oubaaz A","doi":"10.26420/austinjclinopthalmol.2021.1118","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2021.1118","url":null,"abstract":"Acute retinal necrosis syndrome (ARN syndrome) is a rare condition, caused by DNA viruses. The diagnosis of this condition is mainly based on the suggestive clinical appearance. Prompt diagnosis and treatment is crucial to prevent visual loss. We report the case of 56-year-old women, diabetic, who presented to the emergency room for rapid decrease of visual function of her left eye, which revealed granulomatous uveitis with retinal necrosis.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42951384","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":"When the Trauma Draws a Rose: Rosette Cataract","authors":"Madbouhi K, Cherkaoui O","doi":"10.26420/austinophthalmol.2021.1026","DOIUrl":"https://doi.org/10.26420/austinophthalmol.2021.1026","url":null,"abstract":"A 40-year-old male patient referred to the ophthalmologic emergency room for complaints of diminution of vision in the left eye since three months after a trauma. Examination of the left eye showed a corrected visual acuity of 20/70. Slit-lamp examination revealed a rosette cataract (Figure 1). The patient underwent phacoemulsification with implantation of an IOL in the bag. The rosette cataract is a posterior subcapsular cataract due to a violent contusion with a closed globe. It can develop in the hours that follow, or on the contrary several years later.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79120109","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":"Cerulean Cataract in a Person with Down s Syndrome","authors":"Madbouhi K, Cherkaoui O","doi":"10.26420/austinophthalmol.2021.1027","DOIUrl":"https://doi.org/10.26420/austinophthalmol.2021.1027","url":null,"abstract":"We report the case of an 18-year-old patient who consults for a loss of visual acuity in the right eye for 1 year. On clinical examination, visual acuity is 20/100. Eye tone is 12 mmhg. Examination of the anterior segment shows the existence of a cataract made up of whitish opacities corresponding to a congenital cerulean cataract (Figure 1). The treatment consisted of a cataract cure by phacoemulsification with good progress. Cerulean cataract is a rare congenital form of bluish tint, made up of whitish opacities in concentric layers with a radial arrangement at their center. Visual acuity is fairly good in childhood but may deteriorate later. In the literature, the incidence of cataracts in Down’s children ranges from 5% to 50%. In previous studies of congenital or infantile cataract, 3-5 % of cases were associated with Down’s syndrome [1].","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90517374","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}
N. Khanaouchi, Morocco Rabat, Y. Mouzarii, K. Reda, A. Oubaaz
{"title":"Hemi Retinal Vein Occlusion a Particular Form of Retinal Vein Occlusion","authors":"N. Khanaouchi, Morocco Rabat, Y. Mouzarii, K. Reda, A. Oubaaz","doi":"10.26420/austinjclinopthalmol.2021.1117","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2021.1117","url":null,"abstract":"We report a case of 55-year-old women, with a medical history of hypertension and diabetes, who complained of a sudden loss of vision of her left eye. Her VA was less than 20/200; slit lamp and gonioscopy were unremarkable. Dilated fundus examination had shown an Aspect of HRVO with a Thunder of flame shaped retinal hemorrhages covering the inferior half of the retina, tortuous veins and cotton-wool spots.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45317353","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}
K. Naya, I. Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
{"title":"Palpebral Capillary Hemangioma","authors":"K. Naya, I. Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho","doi":"10.26420/austinophthalmol.2021.1024","DOIUrl":"https://doi.org/10.26420/austinophthalmol.2021.1024","url":null,"abstract":"Palpebral capillary hemangioma is a benign tumor most often involving the skin of the eyelids. We report the case of a 15-year-old child with an isolated palpebral capillary hemangioma. Palpebral capillary hemangioma is a tumor that may require only surveillance with therapeutic abstention because in the majority of cases regression is spontaneous. Some authors recommend medical treatments such as systemic corticosteroids, beta-blockers and intra-tumoral corticosteroid injections.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82940334","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}
K. Naya, I. Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
{"title":"Valsalva Retinopathy and Pregnancy","authors":"K. Naya, I. Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho","doi":"10.26420/austinophthalmol.2021.1025","DOIUrl":"https://doi.org/10.26420/austinophthalmol.2021.1025","url":null,"abstract":"Pregnancy is a risk factor for Valsalva retinopathy. We report a case of a 33 year old pregnant woman, who presented Valsalva retinopathy after an effort of defecation followed by constipation. The diagnosis should be made after eliminating other causes of hemorrhage. The evolution is usually spontaneously favorable.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72771158","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}