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

Button Battery-Induced Necrotizing Keratoconjunctivitis: Case Report. 纽扣电池致坏死性角膜结膜炎1例。

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Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/7878031

Nima Koosha, Leila Babaei, Mohsen Pourazizi

引用次数: 0

Sustained Control of Serpiginous Choroiditis with the Fluocinolone Acetonide 0.18 mg Intravitreal Implant. 0.18 mg醋酸氟西诺酮玻璃体内植入对蛇形脉络膜炎的持续控制。

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Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/3962221

Yousuf Siddiqui, Olufemi E Adams, Michael A Simmons, Justin Yamanuha, Dara D Koozekanani

{"title":"Sustained Control of Serpiginous Choroiditis with the Fluocinolone Acetonide 0.18 mg Intravitreal Implant.","authors":"Yousuf Siddiqui, Olufemi E Adams, Michael A Simmons, Justin Yamanuha, Dara D Koozekanani","doi":"10.1155/2022/3962221","DOIUrl":"https://doi.org/10.1155/2022/3962221","url":null,"abstract":"Purpose: To describe an alternative treatment for a patient with serpiginous choroiditis (SC) who was not tolerant to systemic therapies.Methods: Case report of a patient with serpiginous choroiditis with their clinical course followed with ophthalmic examinations and multimodal imaging overtime. Patients and Results. A 57-year-old female with serpiginous choroiditis was treated for seven years with numerous therapies including systemic steroids, immunosuppressive agents, and repeated dexamethasone intravitreal implants. The patient was intolerant of systemic therapies and would flare if dexamethasone injections were performed less frequently than every 8 weeks, making a viable long-term treatment plan problematic. Following one injection of the fluocinolone acetonide 0.18 mg intravitreal implant, she has experienced sustained control for 20 months. Discussion and Conclusions. Real-world treatment of SC is complex as long-term control is necessary, and associated side effects of the therapies provided may limit sustained use. The fluocinolone acetonide implant lasts 36 months and may be an alternative long-term management option, especially in the setting of systemic medication intolerance for some patients with SC.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10453736","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 Case of Chorioretinitis with Retinal Angiomatous Proliferation. 脉络膜视网膜炎合并视网膜血管瘤增生1例。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-12-26 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3564939

Yanru Chen, Mingyan Wei, Qian Chen, Minghan Li

{"title":"A Case of Chorioretinitis with Retinal Angiomatous Proliferation.","authors":"Yanru Chen, Mingyan Wei, Qian Chen, Minghan Li","doi":"10.1155/2021/3564939","DOIUrl":"https://doi.org/10.1155/2021/3564939","url":null,"abstract":"A 48-year-old woman had an acute blurred vision in the right eye immediately after drainage of liver abscess. Her best corrected visual acuity (BCVA) was 8/400; fundus photography suggested the diagnosis of endogenous endophthalmitis with chorioretinitis and vitritis. Due to the bad systemic condition, a systemic antibiotic combined with periocular triamcinolone (TA) was carried out first. Inflammatory cells in the vitreous cavity were decreased after treatment; however, fundus fluorescein angiography (FFA) showed abnormal dilation and leakage of the capillaries and retinal-choroidal anastomose, supporting that there was retinal angiomatous proliferation (RAP). Vitreous interleukin-6 (IL-6) was only slightly elevated; the ratio of interleukin-10 (IL-10) and IL-6 was less than 1, and the etiological test was negative. After receiving intravitreal vancomycin injection combined with periocular TA injection, the patient's BCVA was improved from 16/400 to 20/400 with a reduction in vitreous inflammatory cells. However, the patient's RAP was progressed and her BCVA was dramatically decreased to count finger/30 cm. After intravitreal injection of ranibizumab, the patient's BCVA was 5/400 with a significant shrink in lesions and absorption of hemorrhage, exudation, and fluid. Thus, we suggest that early anti-inflammatory treatment in conjunction with anti-VEGF may achieve a better prognosis in patients with inflammatory retinal angiomatous proliferation (RAP).","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39788036","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

Retinal Occlusive Vasculitis in a Patient with Hyperimmunoglobulin E Syndrome. 高免疫球蛋白E综合征患者视网膜闭塞性血管炎。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-12-23 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6317358

Mohsen Farvardin, Mohammad Hassan Jalalpour, Mohammad Reza Khalili, Golnoush Mahmoudinezhad, Fereshteh Mosavat, Soheila Aleyasin, Hamidreza Jahanbani-Ardakani

{"title":"Retinal Occlusive Vasculitis in a Patient with Hyperimmunoglobulin E Syndrome.","authors":"Mohsen Farvardin, Mohammad Hassan Jalalpour, Mohammad Reza Khalili, Golnoush Mahmoudinezhad, Fereshteh Mosavat, Soheila Aleyasin, Hamidreza Jahanbani-Ardakani","doi":"10.1155/2021/6317358","DOIUrl":"https://doi.org/10.1155/2021/6317358","url":null,"abstract":"Background: Hyperimmunoglobulin E syndrome (HIES), or Job's syndrome, is a primary immunodeficiency disorder that is characterized by an elevated level of IgE with values reaching over 2000 IU (normal < 200 IU), eczema, and recurrent staphylococcus infection. Affected individuals are predisposed to infection, autoimmunity, and inflammation. Herein, we report a case of HIES with clinical findings of retinal occlusive vasculitis. Case Presentation. A 10-year-old boy with a known case of hyperimmunoglobulin E syndrome had exhibited loss of vision and bilateral dilated fixed pupil. Fundoscopic examination revealed peripheral retinal hemorrhaging, vascular sheathing around the retinal arteries and veins, and vascular occlusion in both eyes. A fluorescein angiography of the right eye showed hyper- and hypofluorescence in the macula and hypofluorescence in the periphery of the retina, peripheral arterial narrowing, and arterial occlusion. A fluorescein angiography of the left eye showed hyper- and hypofluorescence in the supranasal area of the optic disc. Macular optical coherence tomography of the right eye showed inner and outer retinal layer distortion. A genetic study was performed that confirmed mutations of the dedicator of cytokinesis 8 (DOCK 8). HSV polymerase chain reaction testing on aqueous humor and vitreous was negative, and finally, the patient was diagnosed with retinal occlusive vasculitis.Conclusion: Occlusive retinal vasculitis should be considered as a differential diagnosis in patients with hyperimmunoglobulin E syndrome presenting with visual loss.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39640468","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

Multimodal Imaging of Waldenstrom Macroglobulinemia-Associated Hyperviscosity-Related Retinopathy Treated with Plasmapheresis. 血浆置换治疗Waldenstrom巨球蛋白血症相关性高粘相关视网膜病变的多模态成像

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Case Reports in Ophthalmological Medicine Pub Date : 2021-12-15 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6816195

Michael J Schatz, Carl S Wilkins, Oscar Otero-Marquez, Toco Y P Chui, Richard B Rosen, Meenakashi Gupta

引用次数: 3

Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman. 镰状细胞特征表现为孕妇单侧增生性视网膜病变和黄斑变薄。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-12-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5988889

Sepideh Ghods, Elias Khalili Pour, Hooshang Faghihi, Golnaz Gharehbaghi, Ahmad Mirshahi, Fariba Ghassemi, Bahman Inanloo, Hamid Riazi-Esfahani

{"title":"Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman.","authors":"Sepideh Ghods, Elias Khalili Pour, Hooshang Faghihi, Golnaz Gharehbaghi, Ahmad Mirshahi, Fariba Ghassemi, Bahman Inanloo, Hamid Riazi-Esfahani","doi":"10.1155/2021/5988889","DOIUrl":"https://doi.org/10.1155/2021/5988889","url":null,"abstract":"Background: To report a case of a pregnant woman with sickle cell trait (SCT) who presented with unilateral proliferative sickle cell retinopathy. Case Presentation. A 26-year-old otherwise healthy pregnant woman presented with the complaint of visual loss in her left eye. The funduscopic examination showed vitreous hemorrhage, sea fan neovascularization, and pale optic disc. Optical coherence tomography revealed macular inner retinal layer thinning and foveal splaying (saucerization of the foveal pit). The investigations, including hemoglobin electrophoresis, verified the diagnosis of sickle cell trait. Blood pressure, fasting blood glucose tests, and tuberculin skin tests were normal. We treated the patient by peripheral retinal photocoagulation over the area of nonperfusion.Conclusion: Even though the sickle cell trait is generally considered as a milder form of sickle cell disease without severe retinal manifestations, pregnancy should be considered as a trigger that can induce proliferative changes and foveal splaying in this group of patients.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39620444","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

Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient. 免疫功能低下患者角膜溃疡合并牙绿罗氏菌和翠绿链球菌。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-11-16 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9014667

Jamie Dietze, Thomas Mauger

{"title":"Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient.","authors":"Jamie Dietze, Thomas Mauger","doi":"10.1155/2021/9014667","DOIUrl":"https://doi.org/10.1155/2021/9014667","url":null,"abstract":"Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia dentocariosa. It also looks at the unique considerations in keratitis presentations for patients immunocompromised by chemotherapy agents. Our patient is a 58 yo female undergoing chemotherapy with folinic acid, fluorouracil, irinotecan, and panitumumab who presented with several days of a red, painful right eye with mucous discharge. Cultures were positive for Rothia dentocariosa and Streptococcus viridans. The patient ultimately underwent a conjunctival flap procedure as medical therapy with proper oral and topical antibiotics failed to resolve keratitis. This case is unique as previously, only a couple of cases of keratitis caused by Rothia dentocariosa have been reported and none of those patients were immunocompromised nor failed antibiotic therapy.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39660476","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

Progression of Subclinical Pachychoroid Neovasculopathy to an Active Neovascularization in the Presence of Acquired Vitelliform Lesions. 亚临床厚脉络膜新生血管病变在获得性卵黄状病变存在下向活动性新生血管的进展。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-11-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3098420

Manoj Soman, Sameer Iqbal, Jay U Sheth, Padmanaban Meleth, Unnikrishnan Nair

引用次数: 0

Temporal Approach, Digitally Assisted Phacovitrectomy in a Patient with Severe Kyphosis due to Axial Spondyloarthritis. 颞部入路:数字辅助下的白内障玻璃体切除术治疗严重脊柱后凸症1例。

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Case Reports in Ophthalmological Medicine Pub Date : 2021-11-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5582760

J Rios-Nequis Geovanni, J Abel Ramírez-Estudillo, L Daniel Gutiérrez-García, Martin Jiménez-Rodríguez, Arthur Levine-Berevichez

引用次数: 1

Sinoorbital Mucormycosis Associated with Corticosteroid Therapy in COVID-19 Infection. 与COVID-19感染中皮质类固醇治疗相关的眶颌黏液瘤病

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Case Reports in Ophthalmological Medicine Pub Date : 2021-10-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9745701

Zeinab Mehrabi, Maryam Salimi, Kianoush Niknam, Farzaneh Mohammadi, Hesan Jelodari Mamaghani, Mohammad Reza Sasani, Mohammad Javad Ashraf, Amirhossein Salimi, Mohammad Hassan Zahedroozegar, Zohreh Erfani

引用次数: 0