Case Reports in Ophthalmological Medicine最新文献_第8页

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。

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Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/7870179

Alastair David Bezzina, Isaac Bertuello

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。

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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, Kevin K Ma, Neal S Patel, Zhonghui Katie Luo","doi":"10.1155/2022/5830617","DOIUrl":"https://doi.org/10.1155/2022/5830617","url":null,"abstract":"Purpose. 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). Observations. 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. Conclusions and Importance. 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.","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。

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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

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。

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Case Reports in Ophthalmological Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/4978924

Nazimul Hussain

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":"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

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Case Reports in Ophthalmological Medicine Pub Date : 2021-03-16 DOI: 10.1155/2021/6174130

D. A. Weits

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。

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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, Sadhana Sharma, Ranju Kharel","doi":"10.1155/2021/8848659","DOIUrl":"https://doi.org/10.1155/2021/8848659","url":null,"abstract":"Purpose: To study the clinical spectrum of Vogt-Koyanagi-Harada (VKH) disease in a tertiary eye center in Nepal.Methods: 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.Results: 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.Conclusion: 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.","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

An Unusual Case of Perineural Infiltration and Orbital Invasion of Squamous Cell Carcinoma Associated with Actinic Keratosis. 鳞状细胞癌伴光化性角化病的神经周围浸润及眶部侵犯一例。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-12-30 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8831668

Edgard Farah, Marie Callet, Augustin Leclerc, Tryfon Rotsos, Chrysanthos Symeonidis, Pierre-Vincent Jacomet, Olivier Galatoire

{"title":"An Unusual Case of Perineural Infiltration and Orbital Invasion of Squamous Cell Carcinoma Associated with Actinic Keratosis.","authors":"Edgard Farah, Marie Callet, Augustin Leclerc, Tryfon Rotsos, Chrysanthos Symeonidis, Pierre-Vincent Jacomet, Olivier Galatoire","doi":"10.1155/2020/8831668","DOIUrl":"https://doi.org/10.1155/2020/8831668","url":null,"abstract":"Actinic keratosis is considered a precancerous lesion, constituting a precursor to squamous cell carcinoma (SCC) formation. Perineural invasion has been observed in patients with cutaneous carcinoma due to local subcutaneous tissue destruction and primarily involves the trigeminal nerve due to rich innervation provided by the supraorbital nerve in addition to the facial nerve. An unusual case of perineural infiltration and orbital invasion of squamous cell carcinoma associated with actinic keratosis is presented. A 70-year-old Caucasian woman presented with complete left eye ophthalmoplegia, total left upper-eyelid ptosis, and facial pain with paresthesia. Computed tomography revealed a process of the soft tissues in the left cheek infiltrating the infraorbital canal, pterygopalatine fossa, inferior orbital fissure, and left cavernous sinus with periosteal adherence. Magnetic resonance imaging revealed pathological extension via the left infraorbital canal with a considerable area of necrosis. Treatment of facial actinic keratosis may not prevent malignant transformation and can delay diagnosis and treatment of SCC. A deep biopsy appears to be essential for a correct diagnosis. Perineural spread of cutaneous SCC may be characterized by insidious progression in the cranial trigeminal nerve, abnormal ocular motility, diplopia, or external ophthalmoplegia.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"8831668"},"PeriodicalIF":0.9,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38855976","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

Recurrent Herpes Zoster Ophthalmicus Preceded by Anabolic Steroids and High-Dose L-Arginine. 蛋白同化类固醇和大剂量左旋精氨酸导致复发性带状疱疹眼炎。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-12-28 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8861892

Stephen A LoBue, Adam Goldman, Richard A Giovane, Stacy M Carlson, Michael Bivona, Sinan Albear, Thomas D LoBue

{"title":"Recurrent Herpes Zoster Ophthalmicus Preceded by Anabolic Steroids and High-Dose L-Arginine.","authors":"Stephen A LoBue, Adam Goldman, Richard A Giovane, Stacy M Carlson, Michael Bivona, Sinan Albear, Thomas D LoBue","doi":"10.1155/2020/8861892","DOIUrl":"10.1155/2020/8861892","url":null,"abstract":"Purpose: To report a case of a 34-year-old male with recurrent herpes zoster ophthalmicus (HZO) preceded by a 6-week cycle of anabolic steroids and high-dose amino acid supplementation. Case Presentation. A 34-year-old man presented to our institution for left eye pain for one week associated with a vesicular rash in the V1 dermatome, respecting the midline. The patient had no significant past medical or past ocular history, including systemic immunosuppressive agents or HIV. However, prior to the onset of his symptoms the patient had completed a 6-week course of anabolic steroids including trenbolone, deca-durabolin, and testosterone as well as high-dose arginine supplementation averaging more than 40 grams a day. The best-corrected vision was 20/25 OS with slit-lamp examination remarkable for punctate staining and pseudodendrites at 6 o'clock, outside the visual axis. The patient was treated with oral acyclovir 800 mg five times a day for seven days along with prednisolone QID and moxifloxacin QID which was tapered over a month. Four months after resolution, the patient developed a recurrent HZO keratitis preceded by another cycle of anabolic steroids and amino acid supplementation.Conclusion: In vitro L-arginine supplementation has been associated with the proliferation and virulence of a variety of herpes viruses. Anabolic steroids have also been demonstrated by various studies to negatively affect cell-mediated immunity necessary to prevent viral infection. Thus, it is possible that anabolic steroids in conjunction with increased L-arginine intake may have precipitated a recurrent HZO in a previously healthy, immunocompetent individual.","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":"2020 ","pages":"8861892"},"PeriodicalIF":0.9,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7785356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38749004","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

Endophthalmitis in Retinopathy of Prematurity after Intravitreal Aflibercept Injection. 玻璃体内注射阿非利西普后早产儿视网膜病变的眼内炎。

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Case Reports in Ophthalmological Medicine Pub Date : 2020-12-21 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8861435

Elcin Suren, Ersan Cetinkaya, Mustafa Kalayci, Sariye Elif Özyazıcı Özkan, Mehmet Fatih Kucuk, Muhammet Kazim Erol

引用次数: 4