Silicone Oil–Associated Extensive Intraocular Ossification: A case report

2020 ◽  
pp. 112067212092578
Author(s):  
Yinhao Wang ◽  
Wei Cui ◽  
Rongjun Liu ◽  
Yanjie Tian ◽  
Wei Ni ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Silicone Oil ◽  
Deposition Process ◽  
Calcium Deposition ◽  
Histopathological Analysis ◽  
Case Presentation ◽  
Phthisis Bulbi ◽  
Computed Tomography Scanning ◽  
History Of ◽  
Tomography Scanning

Background: Intraocular ossification is an uncommon calcium deposition process associated with trauma, chronic inflammation, tumor, and long-standing retinal detachment. This is the first reported extensive intraocular bone formation associated with silicone oil. Case presentation: A 30-year-old Han Chinese man came to us with complaint of red, painful blind right eye. He had a history of ocular trauma, retinal detachment, and two failed retinal reattachment surgeries with silicone oil left in the eye. On examination, conjunctiva congestion, band keratopathy, silicone oil emulsification, and limbus neovascularization were found. B-scan ultrasound and computed tomography scanning demonstrated retinal detachment and calcification of the eyeball wall. Histopathological analysis indicated ossification overlying the choroid. Evisceration was finally operated to relieve the pain. Conclusion: The retention of silicone oil in the eye probably accelerates the ossification. Timely silicone oil removal and evisceration should be recommended if necessary for phthisis bulbi.

scholarly journals Intravitreal Silicone Oil Migration Into the Lateral Cerebral Ventricles

2019 ◽  
Vol 3 (6) ◽  
pp. 466-473
Author(s):  
Jessica L. Cao ◽  
Andrew W. Browne ◽  
Thomas Clifford ◽  
Sumit Sharma ◽  
Vivek Patel
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Literature Review ◽  
Current Literature ◽  
Symptom Management ◽  
Silicone Oil ◽  
Cerebral Ventricles ◽  
Oil Migration ◽  
Intraocular Tamponade ◽  
History Of

Purpose: Silicone oil (SO) is often used as an intraocular tamponade in repairs of retinal detachments. It may be associated with complications such as cataract, glaucoma, keratopathy, subretinal migration of oil, fibrous epiretinal and sub retinal proliferations, and oil emulsification. The purpose of this report is to describe a rare phenomenon of intraocular silicone oil migration into the cerebral ventricles, which may later be mistaken for intraventricular hemorrhages on neuroimaging. Methods: Case report with literature review. Results: A patient with a history of retinal detachment repair with intraocular SO presented with headaches. Neuroimaging revealed SO migration to the cerebral ventricles. The patient was treated conservatively with symptom management and headaches resolved. Conclusions: We present a case of intraocular SO migration to the cerebral ventricles and review the current literature. We also propose two mechanisms for this phenomenon.

Bilateral diffuse uveal melanocytic proliferation: A case report and literature review

2020 ◽  
Author(s):  
Nianting Tong ◽  
Liangyu Wang ◽  
Nan Wang ◽  
Zhanyu Zhou
Keyword(s):  
Retinal Detachment ◽  
Exudative Retinal Detachment ◽  
Histopathologic Examination ◽  
Cataract Formation ◽  
Case Presentation ◽  
Melanocytic Tumors ◽  
Ophthalmic Manifestations ◽  
Underlying Malignancy ◽  
History Of ◽  
Shallow Anterior Chamber

Abstract Background Bilateral diffuse uveal melanocytic proliferation (BDUMP) is a rare paraneoplastic intraocular disease that causes progressive visual loss in patients driven by an IgG factor associated with an underlying malignancy. Characteristic ocular findings include exudative retinal detachment, rapid cataract formation and uveal melanocytic tumors. Case presentation Here, we presented a patient, whose clinical manifestation was diffusely thickened choroid, shallow anterior chamber, cataract formation and exudative retinal detachment. Histopathologic examination for the biopsies from the choroid during the surgery showed the the tissue might be originated from melanocytes and with the benign biologic behavior. Therefore, the diagnosis for this patient was BDUMP, although there was no obvious history of malignancy until we prepared for this article. Conclusions This was a rare BDUMP clarified by ophthalmic manifestations and histopathologic examination, without clear history of systematic malignancy.

scholarly journals Petrous Apex Granulomas: CT and MR Imaging

2002 ◽  
Vol 29 (2) ◽  
pp. 169-170 ◽  
Author(s):  
Stephen Hentschel ◽  
Felix Durity
Keyword(s):  
Sphenoid Sinus ◽  
Internal Carotid ◽  
Lateral Wall ◽  
Petrous Apex ◽  
High Signal ◽  
Horizontal Canal ◽  
Computed Tomography Scanning ◽  
History Of ◽  
Tomography Scanning ◽  
Sixth Nerve

A 29-year-old male complained of a four month history of horizontal, spontaneous, and nonprogressive diplopia. On examination he had a mild left sixth nerve palsy. The rest of his general and neurologic examinations were normal.Computed tomography scanning demonstrated a nonenhancing, well-circumscribed, lesion in the left petrous apex (Figure 1). The opposite apex was well pneumatized. The lesion abutted the medial wall of the horizontal canal of the internal carotid artery and pointed towards the lateral wall of the sphenoid sinus. Unfortunately, CT bone windows were not available for this case but would have been helpful in terms of the differential diagnosis. An MRI demonstrated a predominantly high signal mass on T1 and T2 sequences (Figure 2). The diagnosis was a petrous apex granuloma.

scholarly journals A Conservative Surgical Approach Towards Central Giant Cell Granuloma: A Case Report

2018 ◽  
Vol 30 (3) ◽  
pp. 1-4
Author(s):  
Ahmed Al-Qattan
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Surgical Approach ◽  
Pyogenic Granuloma ◽  
Histopathological Analysis ◽  
Giant Cell Granuloma ◽  
Case Presentation ◽  
Central Giant Cell Granuloma ◽  
History Of ◽  
Bony Lesion

Central giant cell granuloma (CGCG) is an infrequent benign bony lesion of unpredictably aggressive behavior. The precise lesion character is debatable and remains inconclusive. However, three main theories were proposed: a sensitive lesion, a kind of neoplasm, or a developmental anomaly. This is a case presentation of a 16-year-old boy with a dental history of extraction of the lower right first molar, presented to hospital with two months history of swelling in the aforementioned area after the procedure. First biopsy of the swelling was performed outside the Kingdom of Bahrain. As per histopathological findings, the swelling was described as pyogenic granuloma. Second biopsy with necessary workup was conducted in the Kingdom of Bahrain and was confirmed as central giant cell granuloma through histopathological analysis; it was removed surgically.

Risk factors of tractional retinal detachment in non-silicone oil tamponade eyes after vitrectomy for proliferative diabetic retinopathy

2019 ◽  
Author(s):  
Qiulu Chen ◽  
Wenying Wang ◽  
Liting Hu ◽  
Lina Zhang ◽  
Yuna Ma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Diabetic Retinopathy ◽  
Retinal Detachment ◽  
Serum Albumin ◽  
Systemic Risk ◽  
Silicone Oil ◽  
Control Group ◽  
Tractional Retinal Detachment ◽  
History Of ◽  
Silicone Oil Tamponade

Abstract BackgroundTraction retinal detachment is one of the serious complications of proliferative diabetic retinopathy (PDR) and poses a serious threat to the visual acuity of patients.The purpose of this paper is to investigated the risk factors of tractional retinal detachment (TRD) in non-silicone oil tamponade eyes after vitrectomy for PDR.MethodsWe performed a retrospective review of patients with postoperative TRD who underwent vitrectomy with non -silicone oil tamponade (C3F8, sterilized air or BSS) for PDR. The clinical information, including laboratory tests and the history of ocular treatment, was determined and compared to the control group to analyze their significance.ResultsThe control group consisted of 28 patients who underwent vitrectomy with non-silicone oil tamponade for PDR immediately one proceeding and one following the surgery of each of the 14 patients (TRD group) with postoperative TRD. The history of photocoagulation, serum albumin, blood urea nitrogen and serum creatinine were significantly associated with TRD. The logistic regression analysis indicated that lower serum albumin concentration was the major systemic risk factor for the occurrence of TRD (P = 0.027).ConclusionThe main systemic risk factor related to TRD was serum albumin in patients with PDR who underwent vitrectomy with non-silicone oil tamponade. Preoperative albumin supplementation may reduce the risk of postoperative TRD.

Congenital Common Cavity Deformity of Frontal, Ethmoid, and Sphenoid Sinuses

2003 ◽  
Vol 40 (6) ◽  
pp. 639-641 ◽  
Author(s):  
Mustafa Tasar ◽  
Sertac Yetiser ◽  
Mutlu Saglam ◽  
Aysın Tasar
Keyword(s):  
Computed Tomography ◽  
Visual Field ◽  
English Literature ◽  
Adolescent Patient ◽  
Computed Tomography Scanning ◽  
History Of ◽  
The Right ◽  
Common Cavity ◽  
Tomography Scanning ◽  
Sphenoid Sinuses

Objective To present a 17-year-old adolescent patient with lost right eye visual field and intermittent headache since the age of 14 years. The cranium was prominent at the right frontal region. The patient had no history of head trauma or infection and his past medical story was unremarkable. His mental status was normal. Computed tomography scanning revealed an abnormal occurrence of a common cavity deformity of the frontal, ethmoid, and sphenoid sinuses. No other lesions or deformities were present. Such common cavity deformity of these paranasal sinuses has not previously been reported in the English literature.

scholarly journals CHARACTERISTICS OF RETINAL DETACHMENT PATIENTS WITH PROLIFERATIVE VITREORETINOPATHY AT Dr. SOETOMO GENERAL ACADEMIC HOSPITAL

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Ifan Romadhon Lukmana ◽  
Sauli Ari Widjaja ◽  
Wimbo Sasono ◽  
Muhammad Firmansjah ◽  
Ima Yustiarini ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Proliferative Vitreoretinopathy ◽  
High Myopia ◽  
Silicone Oil ◽  
Patient Characteristics ◽  
Academic Hospital ◽  
Counting Finger ◽  
Department Of Ophthalmology ◽  
History Of ◽  
Larger Sample

Introduction: The aim of this study is to evaluate the incidence and characteristics of retinal detachment patients with proliferative vitreoretinopathy. Methods: Retrospective review of medical record from primary retinal detachment (RD) patients with proliferative vitreoretinopathy (PVR) between 2013 and 2017 at Outpatient Department of Ophthalmology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Result: : The number of RD patients with PVR at Dr. Soetomo General Academic Hospital in 2013-2017 was 80 patients (21%), consisting of 59 men and 21 women with mean of  age was 47.5 ± 14.3 years. The characteristics of the subjects were phakic 72.5%, aphakic 1.25%, high myopia 23.75%, history of trauma 18.75% and affected to right eye 60%. Retinal characteristics were break conditions in the retina (located at superotemporal  (34%), horseshoe tear (56%), and single break (60%)), macula off (90%), area of detachments were 4 quadrants (43,75%),  PVR conditions were grade B PVR (45%), mean duration of RD was 156 days, mean  length of surgery waiting list was 61.1 days. The majority of treatment types were vitrectomy (70,4%), majority of tamponade using silicone oil (59.3%), majority of pre-operative and post-operative visual acuity were less than 3 meters counting finger, pre-operative (91.25%) , post-operative 1 month (76%) and 6 months (52.5%), and the majority of post-operative retinal reattachment were 77.3%. Conclusion: The results of this study indicate the number of RD patients with PVR was lower than previous studies. Various results of patient characteristics can be used as guidelines for ophthalmologists in determining actions and explaining the prognosis of the disease. Further research with a larger sample size and prospective methods will be better able to provide better results. Keywords: retinal detachment, proliferative vitreoretinopathy, characteristic pvr

scholarly journals Delayed-Onset Interface Fluid Syndrome After LASIK Following Phacotrabeculectomy

2019 ◽  
Author(s):  
Chung Young Kim ◽  
Young Ho Jung ◽  
Eun Ji Lee ◽  
Joon Young Hyon ◽  
Kyu Hyung Park ◽  
...  
Keyword(s):  
Corneal Edema ◽  
Unusual Complication ◽  
Scleral Flap ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Possible Cause ◽  
Slit Lamp Microscopy ◽  
Tomography Scanning

Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3mmHg on the first postoperative day, but again increased up to 21mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema.

scholarly journals Delayed-Onset Interface Fluid Syndrome After LASIK Following Phacotrabeculectomy

2019 ◽  
Author(s):  
Chung Young Kim ◽  
Young Ho Jung ◽  
Eun Ji Lee ◽  
Joon Young Hyon ◽  
Kyu Hyung Park ◽  
...  
Keyword(s):  
Corneal Edema ◽  
Unusual Complication ◽  
Scleral Flap ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Possible Cause ◽  
Slit Lamp Microscopy ◽  
Tomography Scanning

Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3mmHg on the first postoperative day, but again increased up to 21mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema.

scholarly journals Catastrophic Candida prosthetic valve endocarditis and COVID-19 comorbidity: A rare case

2021 ◽  
Author(s):  
Lotfollah Davoodi ◽  
Leila Faeli ◽  
Rogheye Mirzakhani ◽  
Rozita Jalalian ◽  
Tahereh Shokohi ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Prosthetic Valve Endocarditis ◽  
Past Medical History ◽  
Chain Reaction ◽  
Aortic Valves ◽  
Computed Tomography Scanning ◽  
History Of ◽  
Polymerase Chain ◽  
One Year ◽  
Tomography Scanning

Background and Purpose: Coronavirus disease 2019 (COVID-19) and Candida prostatic valve endocarditis present various clinical manifestations which may overlap;hence, discrimination between them is extremely difficult. Case report: The case was a 66-year-old man with a past medical history of mitral and aortic valves replacement one year before COVID-19 co-infection. He was admitted with fever (for 7 days), shortness of breath, cough, seizure, lethargy,headache, and 85% oxygen saturation. Transesophageal echocardiography revealed multiple large-sized, highly mobile masses on both sides of the mechanical mitral valve highly suggestive of vegetation. Chest computed tomography scanning showed simulating scattered COVID-19 peripheral ground-glass opacities confirmed by reverse-transcription polymerase chain reaction. The set of blood cultures yielded yeast colonies that were identified as Candida tropicalis. The patient died of septic shock shortly after receiving antifungal therapy. Conclusion: This case emphasized the importance of early diagnosis and implementation of antifungal treatment, particularly in patients with prosthetic cardiac valves, to reduce their unfavorable outcomes in COVID-19 patients. 

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