A 43-year-old man with reduced visual acuity and normal fundus: occult macular dystrophy—case report

2007 ◽  
Vol 116 (2) ◽  
pp. 111-118 ◽  
Author(s):  
Wojciech Lubiński ◽  
Wojciech Gosławski ◽  
Krzysztof Penkala ◽  
Monika Drobek-Słowik ◽  
Danuta Karczewicz
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Macular Dystrophy ◽  
Occult Macular Dystrophy

scholarly journals Adult-onset vitelliform macular dystrophy: case report

2018 ◽  
Vol 58 (1) ◽  
pp. 62
Author(s):  
Ricardo Evangelista Marrocos de Aragao ◽  
Ieda Maria Alexandre Barreira ◽  
Gustavo Jose Arruda Mendes Carneiro ◽  
Nayara Queiroz Cardoso Pinto ◽  
Talles Peterson Cavalcante Oriá ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Rare Disease ◽  
Visual Function ◽  
Macular Dystrophy ◽  
Adult Onset ◽  
Routine Examination ◽  
Blurred Vision ◽  
Vitelliform Macular Dystrophy ◽  
Best Disease

Adult-onset foveomacular vitelliform dystrophy is a rare disease. It shares heritance features with Best disease. Its onset is in the 3rd and 5th decade, and it is characterized by subretinal deposition of yellowish material in the foveal area. Visual acuity ranges from 20/25 to 20/50, which can be seen in routine examination. Patient remains with good visual function throughout theirs lives. Typically the electro-oculogram may be normal or subnormal. We present a case of adult-onset vitelliform macular dystrophy, diagnosed in a patient with complaint of bilateral blurred vision.

Sorsby Pseudoinflammatory Fundus Dystrophy, North Carolina Macular Dystrophy, and Occult Macular Dystrophy; Pathophysiology, Findings, Diagnosis, and Treatment

2021 ◽  
pp. 252-255
Keyword(s):  
North Carolina ◽  
Visual Acuity ◽  
Diagnosis And Treatment ◽  
Macular Dystrophy ◽  
Occult Macular Dystrophy ◽  
Decrease In Visual Acuity

In this review, Sorsby's pseudoinflammatory fundus dystrophy, North Carolina macular dystrophy, and occult macular dystrophy, which can lead to a decrease in visual acuity in both eyes, are discussed. The current pathophysiology, findings, diagnosis, and treatment of these diseases, which are rarely seen in our country, are discussed.

scholarly journals Disseminated toxoplasmosis in an immunocompetent patient from Peruvian Amazon

2010 ◽  
Vol 52 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Juan Nunura ◽  
Tania Vásquez ◽  
Sergio Endo ◽  
Daniela Salazar ◽  
Alejandrina Rodriguez ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Muscle Biopsy ◽  
Blood Smear ◽  
Immunocompetent Patient ◽  
Peruvian Amazon ◽  
Thick Blood Smear ◽  
First Case ◽  
Hip Extension

We report a case of severe toxoplasmosis in an immunocompetent patient, characterized by pneumonia, retinochoroiditis, hepatitis and myositis. Diagnosis was confirmed by serology, T. gondii in thick blood smear and presence of bradyzoites in muscle biopsy. Treatment with pyrimethamine plus sulfadoxine was successful but visual acuity and hip extension were partially recovered. This is the first case report of severe toxoplasmosis in an immunocompetent patient from Peru.

Abstract 1122‐000097: Recurrent Carotid Cavernous Fistula Requiring Complex Repair of Ruptured Cavernous Carotid Aneurysm: A Case Report

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Rami Z. Morsi ◽  
Faten El Ammar ◽  
Sonam Thind ◽  
Scott J. Mendelson ◽  
Cedric McKoy ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Large Scale ◽  
Mechanical Valve ◽  
Covered Stent ◽  
Stent Grafts ◽  
Cerebral Angiogram ◽  
Safety And Efficacy ◽  
Third Nerve Palsy ◽  
History Of

Introduction : There are no studies investigating the safety and efficacy of covered stent grafts, particularly the newly developed stents such as the PK Papyrus stent, for endovascular treatment of direct carotid cavernous fistulas (CCFs). Methods : We present a case of a 75‐year‐old female who presented to the hospital with a three‐week history of worsening left eye vision, chemosis, proptosis, and partial third nerve palsy. Patient was found to have left direct Type A CCF secondary to ruptured cavernous segment carotid aneurysm. Results : The CCF was treated with coil embolization and pipeline Shield stent embolization devices with immediate stagnation and improvement of symptoms. Patient had history of an aortic mechanical valve and thus was started on warfarin and ASA. After achieving INR level of 2.5‐3.5, patient started to have recurrent swelling of the left eye associated and decreased visual acuity. Repeated diagnostic cerebral angiogram revealed residual CCF. Onyx liquid embolization and a Surpass Evolve Flow Diverter were attempted to slow the fistulization with no success. Multiple attempts for direct percutaneous superior ophthalmic vein cannulation were also unsuccessful. At this point, two coronary graft‐covered PK Papyrus stents were implanted across the fistula pouch, which resulted in immediate resolution of the CCF with evidence of persistent normal flow within left ophthalmic artery. Patient’s visual acuity and left eye movement improved. Conclusions : This case report highlights the effectiveness and safety of covered stent grafts, particularly more flexible stents such as the PK Papyrus stent, in navigating the carotid vasculature and closing direct CCFs and may be used as a first‐line technique. More large‐scale studies are warranted to investigate the safety and efficacy of using such stent grafts to treat direct CCFs in the setting of antithrombotic agents and anticoagulation.

scholarly journals SINDROM TOLOSA HUNT DENGAN KETERLIBATAN SARAF OPTIKUS

2019 ◽  
Vol 37 (1) ◽  
Author(s):  
Astra Dea Simanungkalit ◽  
Maria Larasati Susyono ◽  
Vivien Puspitasari
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Optic Nerve ◽  
Pain Relief ◽  
Clinical Syndrome ◽  
Orbital Apex ◽  
Corticosteroid Administration ◽  
Hunt Syndrome ◽  
Nerve Dysfunction ◽  
Optic Nerve Involvement

TOLOSA HUNT SYNDROME WITH OPTIC NERVE INVOLVEMENTABSTRACTTolosa Hunt syndrome (THS) is a very rare clinical syndrome, which is characterized by unilateral headaches accompanied by dysfunction and painful ophthalmic nerves. In some cases, optic nerve involvement can be found due to inflammation at the orbital apex. Corticosteroid administration is a management of THS with pain relief generally occurring in the first 72 hours. However, corticosteroid administration is not significantly associated with nerve dysfunction or visual acuity improvement.This article is a case report of women with STH and optic nerve involvement.Keywords: Tolosa Hunt syndrome, painful ophtalmoplegia, orbital apex, superior orbital fissureABSTRAKSindrom Tolosa Hunt (STH) adalah sindrom klinik yang sangat jarang, yang ditandai oleh nyeri kepala unilateral disertai disfungsi dan nyeri saraf penggerak bola mata (painful ophtamloplegia). Pada beberapa kasus, dapat ditemukan keterlibatan saraf optikus akibat inflamasi pada apeks orbita. Pemberian kortikosteroid merupakan tatalaksana STH dengan perbaikan nyeri umumnya terjadi pada 72 jam pertama. Meskipun demikian pemberian kortikosteroid tidak berhubungan secara signifikan dengan perbaikan disfungsi saraf penggerak bola mata maupun tajam penglihatan. Artikel ini merupakan laporan kasus perempuan dengan STH dan keterlibatan saraf optikus.Kata kunci: Sindrom Tolosa Hunt, painful ophtalmoplegia, apeksorbita, fisura orbitalis superior

ADULT VITELLIFORM MACULAR DYSTROPHY: A CASE REPORT.

2002 ◽  
Vol 79 (Supplement) ◽  
pp. 156
Author(s):  
Shmaila Tahir ◽  
Geri Nyboe
Keyword(s):  
Case Report ◽  
Macular Dystrophy ◽  
Vitelliform Macular Dystrophy

Stargardt and Fundus Flavimaculatus; Pathophysiology, Clinical Findings, Imaging Characteristics, and Diagnosis

2021 ◽  
pp. 185-189
Keyword(s):  
Visual Acuity ◽  
Fundus Autofluorescence ◽  
Age At Onset ◽  
Pattern Electroretinogram ◽  
Clinical Findings ◽  
Macular Dystrophy ◽  
Macular Lesion ◽  
Imaging Characteristics ◽  
Wide Variability ◽  
Severity Of The Disease

Stargardt disease (STGD) is the most common form of recessively inherited macular dystrophy. It is characterized by the presence of an atrophic macular lesion, which is surrounded by irregular, white-yellow, deep retinal lesions (flecks). There is wide variability in age at onset, visual acuity, fundus appearance, and severity of the disease. Fundus examination can be normal but visual acuity can be reduced early in the course of the disease. In these patients, pattern electroretinogram (PERG) and fundus autofluorescence (FAF) will be helped in establishing the diagnosis of STGD. The typical sign of “choroidal silence” or dark choroid on fluorescein angiography (FA) is not present in all patients with STGD and is not specific to this condition.

Diffuse Retinopathy Following Measles, Mumps, and Rubella Vaccination

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 989-991
Author(s):  
GARY S. MARSHALL ◽  
PETER F. WRIGHT ◽  
GERALD M. FENICHEL ◽  
DAVID T. KARZON
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Optic Neuritis ◽  
Adverse Reactions ◽  
Baby Girl ◽  
Loss Of Vision ◽  
Acute Complication ◽  
Rubella Vaccination ◽  
Loss Of Visual Acuity

Blindness due to optic neuritis or panretinopathy has been reported as an acute complication of natural measles infection.5 Recently, loss of visual acuity following measles, mumps, and rubella (MMR) vaccination with the fundoscopic changes of optic neuritis has been described.6 We have observed a child with blindness due to diffuse neuroretinitis temporally associated with measles, mumps, and rubella vaccination and the development of a postvaccination measles syndrome. CASE REPORT A 16-month-old baby girl presented with acute loss of vision 16 days after routine measles, mumps, and rubella vaccination. The infant had been previously healthy and developmentally normal. She had received three previous oral polio and diphtheria, tetanus, and pertussis vaccinations without adverse reactions.

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