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Central Retinal Artery Occlusion after Rhinoplasty Surgery: A Case Report and Literature Review. 隆鼻手术后视网膜中央动脉闭塞：病例报告和文献综述。
IF 0.7
Case Reports in Ophthalmological Medicine Pub Date : 2022-03-16 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9997298
Mohammad-Reza Ansari-Astaneh, Fereshteh Raoufi, Saeed Shokoohirad, Naser Shoeibi, Mojtaba Abrishami
{"title":"Central Retinal Artery Occlusion after Rhinoplasty Surgery: A Case Report and Literature Review.","authors":"Mohammad-Reza Ansari-Astaneh, Fereshteh Raoufi, Saeed Shokoohirad, Naser Shoeibi, Mojtaba Abrishami","doi":"10.1155/2022/9997298","DOIUrl":"10.1155/2022/9997298","url":null,"abstract":"<p><strong>Aim: </strong>This study was aimed at reporting a case of central retinal artery occlusion (CRAO) after rhinoplasty. <i>Case Report</i>. Unilateral blindness occurred in a 22-year-old woman after rhinoplasty with a history of transient visual loss due to migraine aura and vasospasm. The physical examination of the patient revealed a visual acuity of no light perception in the right eye, a 4<sup>+</sup> relative afferent pupillary defect, disc swelling, cherry-red spot in the macula, and ischemic retina in the right eye. Based on the diagnosis of CRAO, the patient underwent anterior chamber paracentesis (AC tap) along with treatment with mannitol and intravenous hydrocortisone. Visual acuity improved to 1/10 after a two-month follow-up.</p><p><strong>Conclusion: </strong>Taking history is very important in rhinoplasty surgery, and vasoconstrictors should be limited in the patients with a suspected history of vasospasm.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84701694","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
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":null,"pages":null},"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":null,"pages":null},"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
Primary Lymphoepithelioma-Like Carcinoma of the Conjunctiva Metastatic to Regional Lymph Nodes and Parotid Gland in a Mexican Patient. 原发性淋巴上皮瘤样结膜癌转移至局部淋巴结和腮腺一例墨西哥患者。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-02-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9265244
Ana Lía Díazceballos-García, Sebastian Diener-Kudisch, Abelardo A Rodriguez Reyes, Ángel Nava-Castañeda
{"title":"Primary Lymphoepithelioma-Like Carcinoma of the Conjunctiva Metastatic to Regional Lymph Nodes and Parotid Gland in a Mexican Patient.","authors":"Ana Lía Díazceballos-García,&nbsp;Sebastian Diener-Kudisch,&nbsp;Abelardo A Rodriguez Reyes,&nbsp;Ángel Nava-Castañeda","doi":"10.1155/2022/9265244","DOIUrl":"https://doi.org/10.1155/2022/9265244","url":null,"abstract":"<p><p>Lymphoepithelioma-like carcinoma (LELC) of the conjunctiva is a rare malignancy in the ocular adnexa. There are no prospective data regarding treatment methods. Complete surgical excision is sufficient in the majority of cases. Radiation therapy is sometimes used in case of recurrence or positive margins after surgery. This case describes an 89-year-old Hispanic female with a 7-month history tumor primarily located on the left lower palpebral conjunctiva. The patient underwent an excisional biopsy of the tumor, and histopathology exam reported an LELC with positive margins. She developed parotid and neck lymph node metastasis treated with concurrent radiotherapy. The patient had remained disease-free for 3 years. According to the available data, there are only five cases of LELC reported in conjunctiva worldwide, so this report increases the differential diagnoses of tumors in the ocular adnexa and supports the effectiveness of radiotherapy.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8860538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39659260","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
The New Face of the Switch Flap in the Reconstruction of a Large Upper Eyelid Defect. 开关皮瓣重建大上睑缺损的新面貌。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-02-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4159263
Biljana Kuzmanović Elabjer, Mladen Bušić, Daliborka Miletić, Andrej Pleše, Mirjana Bjeloš
{"title":"The New Face of the Switch Flap in the Reconstruction of a Large Upper Eyelid Defect.","authors":"Biljana Kuzmanović Elabjer,&nbsp;Mladen Bušić,&nbsp;Daliborka Miletić,&nbsp;Andrej Pleše,&nbsp;Mirjana Bjeloš","doi":"10.1155/2022/4159263","DOIUrl":"https://doi.org/10.1155/2022/4159263","url":null,"abstract":"<p><p>Reconstruction of a large defect after the removal of a massive malignant upper lid tumor is still a challenge in oculoplastic surgery. Our method of choice is Mustardé switch flap. Due to the lack of Mohs micrographic surgery and frozen section technique as well as waiting time of two weeks for histopathological results, we made modifications enabling us to reexcise in case of positive margins: the width of the pedicle of the flap was 7 mm allowing the length of the flap to be increased if needed, the lids were closed with temporary lateral tarsorrhaphy to protect the eye, and the lower lid is finally reconstructed in the second stage of the procedure. In three patients with malignant upper lid tumors, this method of reconstruction proved to be safe and effective with favorable long-term results.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39804545","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
Retinal Surface Macrophage Changes in Thyroid Eye Disease before and after Treatment with Teprotumumab. Teprotumumab治疗前后甲状腺眼病视网膜表面巨噬细胞的变化。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-02-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5275309
Oscar Otero-Marquez, Mona Fayad, Alexander Pinhas, Toco Y P Chui, Richard B Rosen, Harsha S Reddy
{"title":"Retinal Surface Macrophage Changes in Thyroid Eye Disease before and after Treatment with Teprotumumab.","authors":"Oscar Otero-Marquez,&nbsp;Mona Fayad,&nbsp;Alexander Pinhas,&nbsp;Toco Y P Chui,&nbsp;Richard B Rosen,&nbsp;Harsha S Reddy","doi":"10.1155/2022/5275309","DOIUrl":"https://doi.org/10.1155/2022/5275309","url":null,"abstract":"<p><p>Retinal surface macrophages play key roles in the regulation of immune response, maintenance of vitreous clarity, and tissue repair. We examined the variation of parafoveal surface macrophages in a thyroid eye disease (TED) patient before and after treatment with teprotumumab (Tepezza, Horizon therapeutics). Pre- and posttreatment parafoveal surface macrophages were imaged using clinical <i>en face</i> OCT, and their density was assessed using a novel cell density mapping technique. Pretreatment, surface macrophage cell density was high. Macrophages had a nonuniform spatial distribution, and their appearance was round with few protrusions, consistent with an \"activated\" state. Posttreatment, cell density decreased. The macrophages were regularly spaced and had a ramified appearance and filopodia-like processes, consistent with a \"quiescent\" state. Surface macrophage density decreased as the Clinical Activity Score (CAS) decreased with teprotumumab treatment, suggesting a potential association of these cells with an underlying intraocular and retinal inflammatory process previously not described in TED.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8844343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641775","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
Contralateral Effect following Intravitreal Brolucizumab Injection in Diabetic Macular Edema. 玻璃体内注射布卢珠单抗治疗糖尿病黄斑水肿的对侧效应。
IF 0.9
Case Reports in Ophthalmological Medicine Pub Date : 2022-01-28 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3755249
Somnath Chakraborty, Jay Umed Sheth
{"title":"Contralateral Effect following Intravitreal Brolucizumab Injection in Diabetic Macular Edema.","authors":"Somnath Chakraborty,&nbsp;Jay Umed Sheth","doi":"10.1155/2022/3755249","DOIUrl":"https://doi.org/10.1155/2022/3755249","url":null,"abstract":"<p><p>The authors describe a novel case of a 48-year-old male with bilateral diabetic macular edema (DME) who underwent intravitreal injection (IVI) of brolucizumab in the left eye. At four weeks, the patient demonstrated a bilateral response by way of improvement in the best-corrected visual acuity (BCVA) and reduction in the central macular thickness (CMT) in both eyes. Further studies on the ocular and systemic assays of the brolucizumab molecule are warranted to evaluate its systemic escape and to better understand the pharmacokinetics behind the bilateral effect.</p>","PeriodicalId":9603,"journal":{"name":"Case Reports in Ophthalmological Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8816604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39756926","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
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":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/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
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":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/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
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":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/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
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