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Challenges in the Management of Upper Lid Keloid 上睑瘢痕疙瘩治疗的挑战
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-03-25 DOI: 10.1155/2022/3032246
R. Goel, S. Khanam, Shalin Shah, R. Saran
{"title":"Challenges in the Management of Upper Lid Keloid","authors":"R. Goel, S. Khanam, Shalin Shah, R. Saran","doi":"10.1155/2022/3032246","DOIUrl":"https://doi.org/10.1155/2022/3032246","url":null,"abstract":"A middle-aged lady presented with a firm, nontender mass on the left upper lid and area behind the left ear following lid reconstruction with postauricular graft for cicatricial ectropion 11 months prior. She had a similar mass on the right shin. She was diagnosed as a case of multiple keloids. Intralesional injection of triamcinolone acetonide suspension and 5-Fluorouracil (5-FU) in the upper lid keloid resulted in ulceration of its surface. Surgical excision, injection of 5-FU in the keloid bed with temporal forehead flap reconstruction, was performed. Occurrence of inadvertent postoperative wound infection with Acinetobacter baumannii was treated with local dressing with colistimethate sodium. Adjuvant therapy with topical imiquimod cream 5% was given subsequently for 24 weeks with no recurrence of the lid keloid after 16 months. The patient was managed using a combination of conservative and surgical therapy and multidisciplinary team work and kept on a long term follow-up.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82768253","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: 0
The Role of Early Vitrectomy in the Healing of Retinal Lesions in Progressive Outer Retinal Necrosis 早期玻璃体切除术在进行性视网膜外坏死视网膜病变愈合中的作用
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-02-27 DOI: 10.1155/2022/7636052
H. Riazi-Esfahani, A. Mirzaei, M. Mirghorbani, Fariba Ghassemi, M. Zarei, Elias Khalili Pour, Nazanin Ebrahimiadib
{"title":"The Role of Early Vitrectomy in the Healing of Retinal Lesions in Progressive Outer Retinal Necrosis","authors":"H. Riazi-Esfahani, A. Mirzaei, M. Mirghorbani, Fariba Ghassemi, M. Zarei, Elias Khalili Pour, Nazanin Ebrahimiadib","doi":"10.1155/2022/7636052","DOIUrl":"https://doi.org/10.1155/2022/7636052","url":null,"abstract":"Purpose To report on the efficacy of early pars plana vitrectomy (PPV), silicone oil (SO) tamponade, and intravitreal ganciclovir injection in the treatment of a case with progressive outer retinal necrosis (PORN). Case Presentation. A 33-year-old man with a history of shingles on the chest skin 2.5 months ago presented with progressive vision loss in both eyes over the past 20 days. Fundus examination revealed retinal necrosis with perivascular clearance. Human immunodeficiency virus (HIV) infection was confirmed by western blot analysis. Treatment with intravenous acyclovir and intravitreal ganciclovir injections was unable to stop the progression of retinitis. Along with highly active antiretroviral therapy, the patient underwent PPV with SO tamponade and intravitreal ganciclovir injection in both eyes. A few days after surgery, retinal lesions started to improve. Conclusion Early PPV, SO tamponade, and intravitreal ganciclovir injection may be considered an effective intervention in PORN patients with an unfavorable response to medical treatment.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90293097","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: 0
Merkel Cell Carcinoma of the Left Eyelid with Metastasis to the Left Submandibular Lymph Nodes: A Case Report and Brief Review 左眼睑默克尔细胞癌伴左侧下颌下淋巴结转移1例报告及简要回顾
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-02-24 DOI: 10.1155/2022/4712301
C. Casey, Nina Gallo, S. Gallo
{"title":"Merkel Cell Carcinoma of the Left Eyelid with Metastasis to the Left Submandibular Lymph Nodes: A Case Report and Brief Review","authors":"C. Casey, Nina Gallo, S. Gallo","doi":"10.1155/2022/4712301","DOIUrl":"https://doi.org/10.1155/2022/4712301","url":null,"abstract":"Merkel cell carcinoma (MCC) is a cutaneous cancer often found on sun-exposed areas. MCC is rare but very often lethal making early diagnosis challenging although critical. There are only a few cases that have reported MCC of the eyelid making it often hard to identify in clinic. A 52-year-old woman with a firm nodule on the left eyelid was diagnosed with MCC that had also metastasized to a left submandibular lymph node. She underwent surgical excision of the mass and lymph node as well as parotid gland and neck dissection to rule out other metastases and then underwent radiation therapy. The aim of this study is to report a case of eyelid MCC with metastasis to a local lymph node to provide another example of the rare cancer in hopes that diagnosis and treatment options for MCC are more thoroughly studied and understood.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82322505","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: 1
A Case Report of Purtscher-Like Retinopathy Secondary to Pneumocystis jirovecii Pneumonia in an Immunocompromised Patient. 免疫功能低下患者继发于肺囊虫肺炎的purtscher样视网膜病变1例报告。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/7870179
Alastair David Bezzina, Isaac Bertuello
{"title":"A Case Report of Purtscher-Like Retinopathy Secondary to <i>Pneumocystis jirovecii</i> Pneumonia in an Immunocompromised Patient.","authors":"Alastair David Bezzina,&nbsp;Isaac Bertuello","doi":"10.1155/2022/7870179","DOIUrl":"https://doi.org/10.1155/2022/7870179","url":null,"abstract":"<p><p>To the best of our knowledge, we present the first case of a young adult male, on long-term immunosuppressive therapy following a live-donor kidney transplant, with Purtscher-like retinopathy (PLR) secondary to <i>Pneumocystis jirovecii</i> pneumonia (PCP). The patient had presented to a routine medical follow-up and complained of a few weeks' history of dyspnoea and tachycardia after minimal exertion followed by acute bilateral blurring of vision. Unfortunately, the patient did not respond to a trial of corticosteroid treatment and subsequently became severely visually impaired. This case report expands the aetiological spectrum behind PLR and helps portray the disease process which, in some cases, leads to severe ischaemic sequelae.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"7870179"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10444604","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
Successful Management of Infectious Crystalline Keratopathy with Intrastromal Antibiotic Injections. 角膜上皮内注射抗生素成功治疗感染性结晶性角膜病变。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/5830617
Luis Martinez-Velazquez, Kevin K Ma, Neal S Patel, Zhonghui Katie Luo
{"title":"Successful Management of Infectious Crystalline Keratopathy with Intrastromal Antibiotic Injections.","authors":"Luis Martinez-Velazquez,&nbsp;Kevin K Ma,&nbsp;Neal S Patel,&nbsp;Zhonghui Katie Luo","doi":"10.1155/2022/5830617","DOIUrl":"https://doi.org/10.1155/2022/5830617","url":null,"abstract":"<p><p><i>Purpose.</i> To report the successful treatment of a case of presumed infectious crystalline keratopathy with repeated intrastromal antibiotic injections in a cornea graft in the setting of severe ocular graft-vs.-host-disease (GVHD). <i>Observations.</i> A 62-year-old man with a history of ocular GVHD and tectonic penetrating keratoplasty (PK) for corneal melt from herpes zoster keratopathy developed presumed infectious crystalline keratopathy (ICK) in the corneal graft. Given the patient's complicated ocular history, chronic immunosuppression and new cardiac comorbidities, a therapeutic PK would most likely fail. Efforts were then directed to rescue the graft with minimally invasive approaches. Two separate intrastromal injections of cefuroxime and moxifloxacin successfully treated his ICK. <i>Conclusions and Importance.</i> This case supports a role for repeated intrastromal antibiotic injections in patients with ICK refractory to topical antibiotic therapy, which might eliminate the need for therapeutic PK and preserve vision.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"5830617"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10323541","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
Button Battery-Induced Necrotizing Keratoconjunctivitis: Case Report. 纽扣电池致坏死性角膜结膜炎1例。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/7878031
Nima Koosha, Leila Babaei, Mohsen Pourazizi
{"title":"Button Battery-Induced Necrotizing Keratoconjunctivitis: Case Report.","authors":"Nima Koosha,&nbsp;Leila Babaei,&nbsp;Mohsen Pourazizi","doi":"10.1155/2022/7878031","DOIUrl":"https://doi.org/10.1155/2022/7878031","url":null,"abstract":"<p><p>We report a case of a 2-year-old girl who presented to the ocular emergency department with a button battery retained in the inferior fornix of the left eye for more than 48 hours. The child developed necrotizing keratoconjunctivitis, which was treated with antibiotics, amniotic membrane graft, prompt removal of button battery, and other supportive measures.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"7878031"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393647","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
Conjunctival Pigmentation at the Sclerotomy Site following 23 G Vitrectomy with Silicone Oil Injection. 注射硅油的23g玻璃体切除术后结膜部位的色素沉着。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/4978924
Nazimul Hussain
{"title":"Conjunctival Pigmentation at the Sclerotomy Site following 23 G Vitrectomy with Silicone Oil Injection.","authors":"Nazimul Hussain","doi":"10.1155/2022/4978924","DOIUrl":"https://doi.org/10.1155/2022/4978924","url":null,"abstract":"<p><p>54-year-old gentleman undergoing 23 Gauge vitrectomy with silicone oil injection developing conjunctival pigmentation at one of the entry sites of trocar and cannula 1 week postoperative. The conjunctival tissue was biopsied at the time of silicone oil removal and correlated histopathological. Biopsy of the conjunctival tissue showed intracellular and stromal melanin pigments. This report highlights conjunctival pigmentation in suture less entry site and silicone oil as intraocular tamponade than earlier published reports of with or without intraocular gas tamponade.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"4978924"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707242","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
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。
IF 0.9
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,&nbsp;Olufemi E Adams,&nbsp;Michael A Simmons,&nbsp;Justin Yamanuha,&nbsp;Dara D Koozekanani","doi":"10.1155/2022/3962221","DOIUrl":"https://doi.org/10.1155/2022/3962221","url":null,"abstract":"<p><strong>Purpose: </strong>To describe an alternative treatment for a patient with serpiginous choroiditis (SC) who was not tolerant to systemic therapies.</p><p><strong>Methods: </strong>Case report of a patient with serpiginous choroiditis with their clinical course followed with ophthalmic examinations and multimodal imaging overtime. <i>Patients and Results</i>. 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. <i>Discussion and Conclusions</i>. 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.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2022 ","pages":"3962221"},"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
Successful Photorefractive Keratectomy in a Case of Wilson's Disease 威尔森氏病成功的屈光性角膜切除术1例
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2021-03-16 DOI: 10.1155/2021/6174130
D. A. Weits
{"title":"Successful Photorefractive Keratectomy in a Case of Wilson's Disease","authors":"D. A. Weits","doi":"10.1155/2021/6174130","DOIUrl":"https://doi.org/10.1155/2021/6174130","url":null,"abstract":"Purpose To report a female with a history of Wilson's disease who underwent a successful photorefractive keratectomy (PRK) for myopic correction. Case Presentation. A twenty-year-old female with a history of Wilson's disease and D-penicillamine use was referred to our clinic for myopic refractive surgery. Her best-corrected visual acuity (BCVA) was 20/20 for both eyes with a refraction of ‐1.25‐0.5∗75° and ‐1.25‐0.25∗55° for the right and left eyes. The slit examination showed a prominent Kayser-Fleischer ring (K-F ring) in both eyes. She underwent a successful myopic PRK surgery, and her BCVA became 20/20 with no significant refraction. Conclusions In this report, we report a successful PRK surgery for myopic correction in a case of Wilson's disease with prominent K-F rings in both eyes.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"35 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74690159","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
Vogt-Koyanagi-Harada Disease: A Case Series in a Tertiary Eye Center. Vogt-Koyanagi-Harada病:三级眼科中心的病例系列。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2021-01-01 DOI: 10.1155/2021/8848659
Pranav Shrestha, Sadhana Sharma, Ranju Kharel
{"title":"Vogt-Koyanagi-Harada Disease: A Case Series in a Tertiary Eye Center.","authors":"Pranav Shrestha,&nbsp;Sadhana Sharma,&nbsp;Ranju Kharel","doi":"10.1155/2021/8848659","DOIUrl":"https://doi.org/10.1155/2021/8848659","url":null,"abstract":"<p><strong>Purpose: </strong>To study the clinical spectrum of Vogt-Koyanagi-Harada (VKH) disease in a tertiary eye center in Nepal.</p><p><strong>Methods: </strong>Baseline demographic details and clinical features of six patients diagnosed as VKH in a tertiary eye center were retrospectively reviewed. Examinations included best corrected visual acuity, intraocular pressure, and slit lamp examination of anterior and posterior segments. Baseline blood investigations, chest X-ray, fundus photography, and fundus fluorescent angiography (FFA) were performed on all the patients.</p><p><strong>Results: </strong>The mean age at presentation was 46 ± 8.43 years with female predominance (83.3%). The disease was complete in 16.7%, incomplete in 16.7%, and probable in 66.7% of the patients. Most cases presented in acute uveitis stage (66.7%). The most common finding in acute cases was serous retinal detachment (66.7%), followed by disc edema (58.3%), whereas in chronic cases, depigmented fundus was the most common. All cases had bilateral presentation.</p><p><strong>Conclusion: </strong>VKH is an important cause of bilateral loss of vision and has a good visual prognosis if aggressive treatment is initiated during the early stages.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2021 ","pages":"8848659"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10639278","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: 2
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