Case Reports in Ophthalmology最新文献_第4页

Visual Recovery and Endothelial Repopulation after DMEK Graft Removal and Vitrectomy for Late Endophthalmitis: A Case Report. 因晚期眼内炎而进行 DMEK 移植物摘除和玻璃体切割术后的视力恢复和内皮重植：病例报告。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1159/000541644

Eszter Szalai, Michael W Belin, Zsuzsanna Szijártó, Adrienne Csutak

引用次数: 0

A Successful Case of Intervention for Traumatic Central Retinal Artery Occlusion. 一个成功干预外伤性视网膜中央动脉闭塞的病例

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1159/000541498

Mohsen Pourazizi, Alireza Dehghani, Sepehr Karbasi, Elham Rahmanipour

{"title":"A Successful Case of Intervention for Traumatic Central Retinal Artery Occlusion.","authors":"Mohsen Pourazizi, Alireza Dehghani, Sepehr Karbasi, Elham Rahmanipour","doi":"10.1159/000541498","DOIUrl":"https://doi.org/10.1159/000541498","url":null,"abstract":"Introduction: Central retinal artery occlusion (CRAO) is a serious ophthalmic disease predominantly affecting older individuals with cardiovascular risk factors. While most cases are attributed to thrombus formation from atheromatous plaques or cardioembolic events, trauma-related CRAO, though rare, presents unique diagnostic and therapeutic challenges.Case presentation: A 47-year-old woman with multiple controlled comorbidities presented to the emergency department with right eye pain and erythema following a traumatic injury involving a knitting needle. Initial examinations revealed hand motion visual acuity in the right eye, a partial thickness scleral laceration, and conjunctival laceration, which were surgically repaired. Postoperatively, she developed blurred vision, hyphema, and signs of CRAO, prompting anterior chamber paracentesis. OCT imaging revealed marked hyperreflectivity and thickening of the inner retinal layers, indicating significant ischemic damage. Despite normal inflammatory markers, the patient's visual acuity gradually improved from 2/10 to 5/10 with intervention and eventually reached 10/10 with myopic correction after the hyphema resolved.Conclusion: The case emphasizes the necessity of early recognition and intervention in managing traumatic CRAO to mitigate irreversible retinal damage. It underscores the need for enhanced diagnostic and therapeutic strategies as understanding the condition's pathophysiology advances.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"730-735"},"PeriodicalIF":0.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543998","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

Retraction Statement. 撤回声明。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.1159/000541559

引用次数: 0

Wilson's Disease and Nevus of Ota in a Child: A Case Report. 一名儿童的威尔逊氏病和太田痣：病例报告

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 10.1159/000541119

Achia Nemet, Itai Hacker, Chani Topf-Olivestone, Ran Svirsky, Joseph Pikkel, Michael Kinori

引用次数: 0

Calciphylaxis Mimicking Giant Cell Arteritis: A Case Report. 模仿巨细胞动脉炎的钙化病：病例报告

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 10.1159/000541410

Nada Alyousef, Wael A Alsakran, Azza Maktabi

{"title":"Calciphylaxis Mimicking Giant Cell Arteritis: A Case Report.","authors":"Nada Alyousef, Wael A Alsakran, Azza Maktabi","doi":"10.1159/000541410","DOIUrl":"https://doi.org/10.1159/000541410","url":null,"abstract":"Introduction: Calciphylaxis is a condition that causes vascular calcification and intimal proliferation with thrombotic occlusion of small-to-medium-sized vessels.Case presentation: We describe a case of a 64-year-old woman who presented with a clinical picture that was suggestive of anterior arteritic ischemic optic neuropathy due to giant cell arteritis (GCA), but was found to have calciphylaxis confirmed by histologic examination. When calciphylaxis affects the blood supply to the eye, commonly it causes sudden vision loss, pallid optic disk edema, and a relative afferent pupillary defect, all of which were observed in our patient.Conclusion: There is no known cure for calciphylaxis, while in GCA, high-dose corticosteroid therapy is essential to prevent involvement of the contralateral eye. As the management approaches for these two diseases are different, it is important to have performed a thorough clinical examination along with detailed histopathological testing to rule out calciphylaxis of the temporal artery in patients suspected to have GCA.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"717-723"},"PeriodicalIF":0.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544001","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

Working under Pressure: Scleroderma Presenting with Bilateral Exudative Retinal Detachment in the Context of Scleroderma Renal Crisis: A Case Report. 在压力下工作：硬皮病肾危象中出现双侧渗出性视网膜脱离：病例报告。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.1159/000530973

Rem Aziz, Cody Lo, James T Denstedt, Bernard Hurley

{"title":"Working under Pressure: Scleroderma Presenting with Bilateral Exudative Retinal Detachment in the Context of Scleroderma Renal Crisis: A Case Report.","authors":"Rem Aziz, Cody Lo, James T Denstedt, Bernard Hurley","doi":"10.1159/000530973","DOIUrl":"https://doi.org/10.1159/000530973","url":null,"abstract":"This is an observational case report to detail a novel case of scleroderma renal crisis presenting as bilateral exudative retinal detachments in a patient with newly diagnosed systemic sclerosis. An otherwise healthy 58-year-old female presented primarily with vision complaints and was found to have malignant hypertension (230/120 mm Hg) and bilateral exudative retinal detachment on dilated fundus examination and macular OCT scan. Further history revealed sclerodactyly, mild dysphagia, and dyspnea. She was diagnosed with diffuse systemic sclerosis and Sjogren's syndrome complicated by an episode of scleroderma renal crisis based on initial medical workup. She was admitted to intensive care for management of refractory hypertension with IV antihypertensive therapy. Three months after treatment, her visual symptoms and ocular findings resolved. The presence of exudative retinal detachment among other signs of hypertensive retinopathy warrants thorough systemic screening for underlying causes of malignant hypertension, including systemic sclerosis. Treatment of the underlying disease with urgent antihypertensive therapy resolved the exudative retinal detachments and restored vision in the case of a scleroderma renal crisis.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"710-716"},"PeriodicalIF":0.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544008","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

Management of Painful Blind Eye with Bilateral Symblepharon: A Case Report. 疼痛性盲眼伴双侧眼球震颤的治疗：病例报告。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.1159/000541251

Octarina Ervianti, Sutjipto Sutjipto

{"title":"Management of Painful Blind Eye with Bilateral Symblepharon: A Case Report.","authors":"Octarina Ervianti, Sutjipto Sutjipto","doi":"10.1159/000541251","DOIUrl":"https://doi.org/10.1159/000541251","url":null,"abstract":"Introduction: Symblepharon is a challenging condition characterized by a painful blind eye. The main goal of treatment is to alleviate discomfort and improve the patient's physical and mental well-being.Case presentation: An Indonesian male, 38 years old, complained of vision loss and ocular pain in his right eye 1 month ago. The pain frequently manifests as a rapid, piercing, or scorching feeling that extends from the right eye to encompass the entire head. Both of his eyes exhibited symblepharon and xerophthalmia. At the age of 11, he experienced a previous occurrence of raised and blister-like skin lesions. Following his recovery, a gradual formation of membranes occurred, covering both of his eyes. His right eye had light perception for visual acuity, and the intraocular pressure was determined to be soft upon examination. The B-scan ultrasound revealed the presence of a long-term inflammatory or scarring process and a decrease in the length of the axis. The patient underwent surgery without experiencing any improvement. A psychological evaluation identified a headache caused by an eye condition, and we administered antipyretic, anticonvulsant, antidepressant, and multivitamin treatments. The patient saw a reduction in pain intensity from a level of 9 to 5 after undergoing treatment for a duration of 1 week. Patients who have previously undergone surgical treatment for symblepharon should have a comprehensive evaluation when they encounter symptoms of vision loss and ocular discomfort.Conclusion: The psychological factor is essential for the treatment's success. Treatment of the underlying cause is essential, and the patient must understand the irreversible loss of visual function. A management plan primarily aims to mitigate the adverse impact on the overall well-being and standard of living.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"703-709"},"PeriodicalIF":0.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544003","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 Severe Case of Infectious Necrotizing Anterior Scleritis Caused by Pseudomonas aeruginosa after Vitreoretinal Surgery. 玻璃体视网膜手术后铜绿假单胞菌引起的严重感染性坏死性前巩膜炎病例

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.1159/000541163

Mariko Kayazawa, Aya Kodama-Takahashi, Koji Sugioka, Mai Yunoki, Shunji Kusaka

{"title":"A Severe Case of Infectious Necrotizing Anterior Scleritis Caused by Pseudomonas aeruginosa after Vitreoretinal Surgery.","authors":"Mariko Kayazawa, Aya Kodama-Takahashi, Koji Sugioka, Mai Yunoki, Shunji Kusaka","doi":"10.1159/000541163","DOIUrl":"https://doi.org/10.1159/000541163","url":null,"abstract":"Introduction: This report describes a case of necrotizing scleritis caused by Pseudomonas aeruginosa infection soon after vitreous surgery, which caused severe scleral melting and rapidly progressive necrosis that led to scleral perforation and bacterial endophthalmitis.Case presentation: The patient was an 86-year-old man with a history of type 2 diabetes mellitus who underwent pars plana vitrectomy (PPV) for vitreous hemorrhage in his right eye. On postoperative day 10, he complained of severe ocular pain and was found to have conjunctival edema and eyelid swelling, which was treated by topical and general systemic antibiotics. His ocular symptoms improved but subsequently worsened. On postoperative day 25, hypopyon and a fibrinous exudative membrane were observed in the anterior chamber, and the fundus could not be visualized. PPV was repeated with addition of silicone oil tamponade. During the surgery, the retina was found to be completely detached with severe anterior scleral melting, perforation, and necrosis, as well as abscess formation. Culture of an eye discharge specimen detected P. aeruginosa. After surgery, antibiotics were administered and the eye was washed with polyvinyl alcohol-iodine solution daily. Ten days later, the eye pain and eyelid swelling were significantly improved. The scleral inflammation gradually resolved without recurrence.Conclusion: In this case, rapidly progressive necrotizing scleritis caused by P. aeruginosa infection was controlled by a combination of antibiotics, removal of necrotic tissue, and daily eye washing with polyvinyl alcohol-iodine solution.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"696-702"},"PeriodicalIF":0.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543997","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

Roller Coasters and Retinal Detachment: Case Series and Review of Acceleration-Deceleration Retinal Injury. 过山车与视网膜脱离：病例系列和加速-减速视网膜损伤回顾。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI: 10.1159/000540878

Lauren Pickel, Miguel Cruz Pimentel, Sumana Naidu, Robert G Devenyi, Efrem Mandelcorn, Peng Yan

{"title":"Roller Coasters and Retinal Detachment: Case Series and Review of Acceleration-Deceleration Retinal Injury.","authors":"Lauren Pickel, Miguel Cruz Pimentel, Sumana Naidu, Robert G Devenyi, Efrem Mandelcorn, Peng Yan","doi":"10.1159/000540878","DOIUrl":"https://doi.org/10.1159/000540878","url":null,"abstract":"Introduction: Anecdotal reports and limited reports suggest a possible link between activities involving rapid acceleration and retinal detachment. We present two novel such cases and review existing literature to investigate the plausibility of this association and delineate in what populations such an association may be more likely.Case presentation: We report 2 cases of retinal detachment following roller coaster riding. The first, a 24-year-old woman with a family history of retinal detachment, presented with floaters after consecutive rides and was found to have an inferior temporal macula-sparing retinal detachment with associated retinal breaks. The second case, a 25-year-old female with a history of high myopia, presented with visual field defect and was found to have a macula-on retinal detachment with an accompanying tear at the edge of an area of lattice degeneration. Both were successfully treated with pneumatic retinopexy followed by laser retinopexy.Conclusion: Rapid acceleration/deceleration forces, such as those experienced on roller coasters, could potentially lead to retinal detachment. Structural predisposition is likely necessary for acceleration/deceleration injury to lead to retinal detachment, with all known cases having risk factors, including high myopia and positive family history. These same forces in eyes without structural predisposition have resulted in hemorrhage, but not detachment.","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"15 1","pages":"689-695"},"PeriodicalIF":0.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544006","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 Pigment Epithelial Proliferation Secondary to Retinal Ischemia: A Case Report and Literature Review. 视网膜色素上皮增生继发于视网膜缺血：病例报告和文献综述。

IF 0.5

Case Reports in Ophthalmology Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI: 10.1159/000540771

Abdullah F Alnaim, Wael A Alsakran, Hammam A Alotaibi

引用次数: 0