Case Reports in Ophthalmological Medicine最新文献_第10页

Image-Guided Intensity-Modulated Radiation Therapy for IgG4-Related Ophthalmic Disease. 图像引导调强放射治疗igg4相关眼病

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Case Reports in Ophthalmological Medicine Pub Date : 2020-09-05 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8873078

Rachel A Sabol, Virginia Bubenzer, Krzysztof Moroz, Shams Halat, Audrey Dang, Keith Ferdinand, Angela Traylor, Carol Boyd, Kendra Harris

{"title":"Image-Guided Intensity-Modulated Radiation Therapy for IgG4-Related Ophthalmic Disease.","authors":"Rachel A Sabol, Virginia Bubenzer, Krzysztof Moroz, Shams Halat, Audrey Dang, Keith Ferdinand, Angela Traylor, Carol Boyd, Kendra Harris","doi":"10.1155/2020/8873078","DOIUrl":"https://doi.org/10.1155/2020/8873078","url":null,"abstract":"Background: IgG4-related ophthalmic disease is a rare, newly recognized entity with high failure rates on first-line therapy of systemic corticosteroids and no other proven management options. Case Presentation. Here, we present the clinical course of a patient with IgG4 ophthalmic disease who achieved a favorable response from radiotherapy. Our patient initially presented with a history of recurrent painful flares of orbital inflammation, a pathologic diagnosis follicular lymphoid hyperplasia from a right lacrimal gland biopsy, and MRI imaging noting expansion of the lateral rectus muscle of the right eye. Initial treatment with dacryoadenectomy and multiple courses of corticosteroids failed to keep his symptoms at bay. Further evaluation revealed florid IgG4 staining. In this context, he was evaluated for image-guided intensity-modulated radiotherapy (IG-IMRT) to the orbit to 20 Gy in 10 fractions. His ophthalmic symptoms resolved.Conclusions: This treatment experience suggests radiotherapy may be a favorable option for symptom relief in patients with IgG4-related ophthalmic disease not controlled by corticosteroids.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"8873078"},"PeriodicalIF":0.9,"publicationDate":"2020-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8873078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408221","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

A Rare Coexistence of Isolated Unilateral Conjunctival Telangiectasia and Retinal Vascular Tortuosity. 罕见的单侧结膜毛细血管扩张和视网膜血管扭曲并存。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-08-24 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8814961

Hilal Kilinç Hekimsoy, Mehmet Ali Şekeroğlu

引用次数: 1

Phthisis Bulbi in a Retinitis Pigmentosa Patient after Argus II Implantation. 阿格斯II型视网膜植入术后视网膜色素变性患者的球芽炎。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-08-17 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5608058

Logan Vander Woude, Ramak Roohipour, Gibran Syed Khurshid

{"title":"Phthisis Bulbi in a Retinitis Pigmentosa Patient after Argus II Implantation.","authors":"Logan Vander Woude, Ramak Roohipour, Gibran Syed Khurshid","doi":"10.1155/2020/5608058","DOIUrl":"https://doi.org/10.1155/2020/5608058","url":null,"abstract":"Purpose: To report a previously unreported complication of phthisis after Argus II prosthesis implantation in a retinitis pigmentosa (RP) patient.Case: A 61-year-old male with advanced RP presented to the retina clinic. The patient had a history of vitrectomy in both eyes (OU) in Cuba in 1996. Pre-op visual acuity (VA) was no light perception (NLP) in the right eye and light perception (LP) in the left eye. The patient met the criteria for Argus II implantation and elected to proceed with surgery in his left eye in December 2017. The surgical implantation of the Argus II was successful without any complications. On postoperative day 1, his VA was stable at LP. He was satisfied with his ambulatory vision after the electrodes were turned on. Four months after surgery, the patient was complaining of aching pain; he was found to have preseptal cellulitis and was started on antibiotics. This swelling improved over two weeks, but when the patient returned, he had a two mm hyphema associated with mild ocular inflammation without an inciting event or reason on exam. The hyphema was treated and resolved after two weeks. However, one month after the hyphema resolved, at postoperative month six, the patient's vision in his left eye became NLP and began to demonstrate phthisical changes, including hypotony, Descemet membrane folds, and a vascular posterior capsular membrane. Discussion. The theoretical causes of phthisis bulbi after Argus II implantation include fibrous downgrowth, ciliary shut down due to immune reaction, inflammation, or trauma. While the cause of phthisis in this Argus patient is not certain and possibly multifactorial, it is important to note that phthisis is a possible complication of an Argus II implant, as this patient had no other obvious insult or reason for the phthisical change.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"5608058"},"PeriodicalIF":0.9,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5608058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38339331","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

A Female Case of X-Linked Retinoschisis with Macular Hole Bilaterally. 女性双侧黄斑裂孔伴x连锁视网膜裂1例。

IF 0.9

Case Reports in Ophthalmological Medicine Pub Date : 2020-08-15 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8824995

A Altun

引用次数: 5

Central Serous Chorioretinopathy: Multimodal Imaging and Management Options. 中枢性浆液性脉络膜视网膜病变:多模式成像和管理选择。

IF 0.9

Case Reports in Ophthalmological Medicine Pub Date : 2020-08-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8890404

Prashanth G Iyer, Stephen G Schwartz, Jonathan F Russell, Harry W Flynn

引用次数: 6

OCT Angiography and En Face OCT Reflectance Aid in Monitoring Subclinical Inflammation in Serpiginous Choroidopathy. OCT血管造影和面部OCT反射有助于监测蛇形脉络膜病的亚临床炎症。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-07-27 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8897394

Carl S Wilkins, Jorge S Andrade Romo, Toco Y P Chui, Richard B Rosen, Stephanie Llop

{"title":"OCT Angiography and En Face OCT Reflectance Aid in Monitoring Subclinical Inflammation in Serpiginous Choroidopathy.","authors":"Carl S Wilkins, Jorge S Andrade Romo, Toco Y P Chui, Richard B Rosen, Stephanie Llop","doi":"10.1155/2020/8897394","DOIUrl":"https://doi.org/10.1155/2020/8897394","url":null,"abstract":"Introduction. We present a case of serpiginous choroidopathy (SC) with novel OCTA and en face OCT reflectance findings which help identify subclinical disease progression. Case Presentation. En face OCT reflectance images demonstrated outer retinal tubules (ORT) at the serpiginous lesion margins of affected and unaffected retina on multimodal imaging. OCTA findings demonstrate variable dropout of choriocapillaris in \"normal\" retina beyond lesion borders which was not visible on standard imaging and which demonstrated a clear transition zone beyond the ORT. Discussion. This is the first report of choriocapillaris atrophy identified on OCTA not identified on traditional multimodal imaging in serpiginous choroidopathy. Damage to vasculature only visible with OCTA may help characterize the distribution of inflammation, aiding in monitoring of suppression not illustrated by traditional imaging and which may threaten the central macula. ORT in SC suggest death and reorganization of outer segments from dysfunction of the choriocapillaris and RPE, as well as serve to demarcate the area of chronic or old inflammation, supporting the hypothesis that the choriocapillaris is the primary site of inflammation in SC. Based on these findings, we recommend OCTA on all patients with serpiginous choroidopathy to monitor underlying state of inflammation and help determine immunosuppressive threshold.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"8897394"},"PeriodicalIF":0.9,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8897394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38279482","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

Cyphellophora sp. Isolated from a Corneal Ulcer in the Human Eye. 从人眼角膜溃疡中分离的黄柏属植物。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-07-22 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5861258

Satheitra Rajandran, Kursiah Mohd Razali, Mushawiahti Mustapha, Prem Ananth Palaniappan, Fairuz Amran

引用次数: 1

Keratoconus with Central Serous Chorioretinopathy: A Rare Combination. 圆锥角膜合并中心性浆液性脉络膜视网膜病变:一种罕见的组合。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-07-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8816449

Anastasia Tsiogka, Apostolos Gkartzonikas, Konstantinos Markopoulos, Iordanis Georgiou, George L Spaeth

引用次数: 6

Prenatal Exophthalmia Revealing a Postnatal Orbital Teratoma. 产前突出眼显示出生后眼眶畸胎瘤。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-07-13 eCollection Date: 2020-01-01 DOI: 10.1155/2020/1597353

Ahgbatouhabeba Ahnoux-Zabsonre, Jérôme Sanou, Yérénou Ferdinand Lankoandé, Chantal Bouda, Gertrude Méda, Assita Lamien-Sanou

引用次数: 2

Simultaneous Presentation of Uveitic Disc Edema and Papilledema in an Adult. 成人同时表现为葡萄膜性椎间盘水肿和乳头水肿。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-07-08 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8829124

Chase A Liaboe, Michael S Lee, Justin J Y Yamanuha

{"title":"Simultaneous Presentation of Uveitic Disc Edema and Papilledema in an Adult.","authors":"Chase A Liaboe, Michael S Lee, Justin J Y Yamanuha","doi":"10.1155/2020/8829124","DOIUrl":"https://doi.org/10.1155/2020/8829124","url":null,"abstract":"Purpose: To present a case of simultaneous uveitic disc edema and increased intracranial pressure (IICP) in an adult.Methods: Retrospective case report. Patients. A 29-year-old woman affected by bilateral optic disc edema from bilateral posterior uveitis complicated by IICP with papilledema.Results: Laboratory workup was negative for infectious and systemic inflammatory causes of uveitis. Computed Tomography scan of the chest was negative for Sarcoidosis. Magnetic Resonance Imaging of the brain and orbits revealed a partially empty sella, bilateral posterior globe flattening without optic nerve sheath enhancement, masses, white matter lesions, or meningeal enhancement. Cerebral Magnetic Resonance Venography showed narrowing of the right and left transverse sinuses without thromboses. Prednisone was initiated for the uveitis which improved the vision but caused weight gain. Neurology evaluation with a lumbar puncture in the lateral decubitus position revealed elevated opening pressure and otherwise normal cerebrospinal fluid. Ocular ultrasonography was considered but not available to measure optic nerve sheath diameter. Oral acetazolamide 1000 mg twice daily was started for papilledema as prednisone was tapered. Periocular steroid and intravitreal bevacizumab injections were used for sight threatening cystoid macular edema and choroidal neovascularization, respectively. Discussion. While previously described in children, we report the first known case of bilateral uveitic disc edema and papilledema in an adult. This report will discuss recommendations for evaluation of these rarely concurrent conditions and therapy for both uveitic disc edema and papilledema.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"8829124"},"PeriodicalIF":0.9,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8829124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38205530","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