Severe persistent placoid maculopathy: Atypical presentation in a young male

2020 ◽  
pp. 112067212097782
Author(s):  
Maria Luisa Gois da Fonsêca ◽  
Vivian Afonso ◽  
Arnaldo Furman Bordon ◽  
Raul Nunes Galvarro Vianna
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Anterior Segment ◽  
Young Male ◽  
Young Age ◽  
Unusual Presentation ◽  
Atypical Presentation ◽  
Rare Entity ◽  
Initial Symptoms ◽  
Age Range

Introduction: Persistent placoid maculopathy (PPM) is a rare entity that preferably affects males in the age range between 50 and 60 years, but cases at a young age have already been reported. In the latter, the initial symptoms are usually unilateral, without severely decreased visual acuity and anterior segment inflammation. Case report: We report a case of PPM with anterior segment inflammation in a young male. Discussion: Considering the rarity of this illness, the report of an unusual presentation in a young male can aid in the recognition of future cases of PPM.

scholarly journals Case Report of Myopia Correction by ReLEx SMILE in a Patient with Superficial Corneal Opacity

2020 ◽  
Vol 17 (2) ◽  
pp. 295-299
Author(s):  
N. V. Maychuk ◽  
I. A. Mushkova ◽  
A. M. Mayorova ◽  
A. A. Shpak
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Anterior Segment ◽  
Corneal Opacity ◽  
Optical Center ◽  
Interface Zone ◽  
Uncorrected Visual Acuity ◽  
Corneal Opacities ◽  
Different Depths ◽  
The Right

Introduction. Reduced corneal transparency leads to dissipation of energy of the femtosecond laser (FSL), which may complicate the formation of the intrastromal incision and limits the use of FSL in eyes with corneal opacities and scars. The purpose of this work is to demonstrate the possibility of successful ReLEx SMILE in a patient with superficial corneal opacity located in the paracentral zone. Case report. Patient R., 29 years old, complained of decreased vision in both eyes since childhood. Visual acuity OD = 0.1 sph –2.75D = 1.0; OS = 0.1 sph –3.50 D cyl –0.75D ax 165° = 1.0. Biomicroscopy of the right eye visualized a superficial semi-transparent corneal opacity of 5 x 3 mm located at 5.30–6 hours at a distance of 1.3 mm from the optical center. According to the anterior segment optical coherence tomography (AS-OCT) the depth of the opacity was 73–78 microns and was limited by the Bowman’s membrane. ReLEx SMILE for myopia correction was performed on both eyes with 6.7 mm lenticule diameter at a depth of 120 µm, which covered the opacity area by 1.1 mm. The surgery was standard and uncomplicated. Seven days postoperatively the patient did not complain. Uncorrected visual acuity (UCVA) was 1.0 for both eyes (and binocularly it was 1.2). According to the AS-OCT data, a hyperreflective line of the interface zone was visualized on the right eye at the depth of 141–147 µm; the opacified superficial corneal layers were detected in the lower paracental zone over the interface line. In one month after the surgery the visual acuity did not change: UCVA = 1.0 in both eyes (binocularly 1.2). Conclusion. ReLEx SMILE technology can be considered as one of the options for myopia correction in patients with superficial corneal opacity located in the paracental zone. More observations are required to evaluate the effectiveness of this technology on corneas with paracentral opacities different in sizes and located at different depths.

scholarly journals Atypical Presentation of Glioblastoma Multiforme

2018 ◽  
Author(s):  
Wissam Al-Janabi ◽  
Renee Krabs ◽  
Ximena Arcila-Londono ◽  
Iram Zaman ◽  
Bashiruddin K Hamad
Keyword(s):  
Case Report ◽  
Glioblastoma Multiforme ◽  
Intracranial Pressure ◽  
Brain Mri ◽  
Stage Iv ◽  
Signs And Symptoms ◽  
Careful Analysis ◽  
World Health ◽  
Atypical Presentation ◽  
Initial Symptoms

Background: Glioblastoma multiforme (GBM) is a highly malignant glial tumour classified by the World Health Organization (WHO) as a stage IV astrocytoma. It varies in shape and size and can be cystic, vascular and necrotic. It often appears as a ring-enhancing lesion on magnetic resonance imaging (MRI). The most common symptoms of GBM, such as headache, vomiting and seizures, are due to increased intracranial pressure. The objective of this case report is to describe an atypical presentation of GBM. Case Report: A 53-year-old woman of Italian origin presented with a 2-week history of lack of coordination in her hands and some difficulty in speech. Electromyography for assessment of her arms and cranial bulbar function was normal. However, 2 days later, the patient presented to the emergency department with progressive weakness in her left arm and leg as well as difficulty in speech. Mild left facial asymmetry was noted. A brain MRI revealed a right frontal mass. Stereotactic surgical resection was performed 2 days later, and biopsy confirmed the diagnosis of GBM. Although headache and other features of raised intracranial pressure are the most common initial symptoms of GBM, any atypical neurological or psychiatric presentation in an adult patient should raise suspicion for this tumour. Conclusion: Careful analysis of an adult with atypical signs and symptoms along with thorough review of radiological tests will facilitate early diagnosis of dangerous tumours such as GBM.

An Atypical Presentation of Propionibacterium Acnes Endophthalmitis Following Cataract Surgery

2020 ◽  
Vol 4 (4) ◽  
pp. 332-336
Author(s):  
Itamar Livnat ◽  
Jay Daniels ◽  
Leanne T. Labriola ◽  
Michael S. Tsipursky
Keyword(s):  
Visual Acuity ◽  
Pars Plana Vitrectomy ◽  
Complete Resolution ◽  
Propionibacterium Acnes ◽  
Visual Outcome ◽  
Unusual Presentation ◽  
Atypical Presentation ◽  
Good Visual Outcome ◽  
Pars Plana

Purpose: To describe a case with an unusual presentation of Propionibacterium acnes ( P acnes) with ultimately a good visual outcome. Methods: A case report with review of approaches to P acnes endophthalmitis. Results: We describe a patient with an unusual presentation of P acnes of panuveitis with white, circular preretinal lesions without intracapsular deposits. Diagnosis was made from cultures from pars plana vitrectomy. Eventually, she was definitively managed with capsulectomy, repositioning of her intraocular lens via sutureless intrascleral fixation, and intravitreal vancomycin injection. Conclusion: This is a report of P acnes endophthalmitis presenting with discrete preretinal lesions where surgical and medical management lead to a complete resolution of uveitis and symptoms after a 3-year follow up where the patient’s final visual acuity was Snellen 20/20 OU.

scholarly journals Ultrabiomicroscopy Anterior Segment Evaluation of Ocular Contusive Trauma Caused by Pressurized Bottled Drink Caps: A Case Report

2018 ◽  
Vol 9 (2) ◽  
pp. 365-368
Author(s):  
Raffaele Antonio Esposito ◽  
Alessandra Rosati ◽  
Giuseppe Mannino ◽  
Gianluca Scuderi
Keyword(s):  
Emergency Department ◽  
Visual Acuity ◽  
Case Report ◽  
Anterior Segment ◽  
Endothelial Damage ◽  
Sparkling Wine ◽  
Descemet's Membrane ◽  
Descemet’S Membrane ◽  
Wine Bottle

We report the case of a patient presented to the emergency department because of a contusive trauma from a pressurized bottled drink cap. During the visit, the patient indicated that he had been hit in his left eye by a cork while he was opening a sparkling wine bottle. He underwent a total ophthalmology examination. He had an important reduction of visual acuity, corneal swelling, Descemet’s folds, and hyphema. Therefore, we decided to perform ultrabiomicroscopy (UBM) of the anterior segment to study the endothelial damage and Descemet’s membrane. UBM images confirmed the direct biomicroscopy, highlighting the damaged location.

scholarly journals Isolated Sacrococcygeal Tuberculosis, A Case Report Of A Rare Atypical Presentation

2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Daksh Gadi ◽  
Saket Nigam ◽  
Deepti Gupta ◽  
Akanksha Sinha
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Clinical Suspicion ◽  
Atypical Presentation ◽  
Rare Entity ◽  
Hematogenous Spread ◽  
Major Health Problem ◽  
Major Health ◽  
Rare Case Report ◽  
Atypical Presentations

Tuberculosis is a major health problem in India and in view of rise in the MDR tuberculosis atypical presentations are getting commoner these days and are difficult to diagnose. Musculoskeletal tuberculosis is very common among the  hematogenous spread cases of pulmonary tuberculosis involving thoracic spine the most. Involvement of sacrum and coccyx is rarest of  the possibility and isolated sacrococcygeal tuberculosis thus is very rare. Being a rare entity a high index of clinical suspicion is required to diagnose it. We hereby report a very rare case report of sacrococcygeal tuberculosis.

1. Unusual Presentation of Colloid Cyst of the Third Ventricle

1997 ◽  
Vol 37 (3) ◽  
pp. 254-256 ◽  
Author(s):  
David J Williams ◽  
Anthony E G Tannenberg
Keyword(s):  
Case Report ◽  
Third Ventricle ◽  
Young Male ◽  
Colloid Cyst ◽  
Unusual Presentation ◽  
The Third ◽  
The Brain

This case report describes a death in a young male, six months after an assault. The death was caused by a colloid cyst, a rare but important malformation in the brain. The possible relationship between the assault and the cyst is discussed.

scholarly journals Unusual Presentation of Systemic Lupus Erythematosus in a Young Male: A Case Report

2020 ◽  
Author(s):  
Dibya L. Praharaj ◽  
Bipadabhanjan Mallick ◽  
Preetam Nath ◽  
Sarat C. Panigrahi ◽  
Prasanta Padhan ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Case Report ◽  
Lupus Erythematosus ◽  
Young Male ◽  
Unusual Presentation ◽  
Systemic Lupus

scholarly journals The electrophysiological features of X-linked juvenile retinoschisis in a young male: a case report

2022 ◽  
Vol 50 (1) ◽  
pp. 030006052110395
Author(s):  
Weiming Yan ◽  
Yunpeng Wang ◽  
Qian Ye ◽  
Xiaohong Chen ◽  
Yanjin Chen ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Visual Evoked Potential ◽  
Structural Changes ◽  
Young Male ◽  
Corrected Visual Acuity ◽  
Medical Observation ◽  
Juvenile Retinoschisis ◽  
History Of ◽  
Delayed Phase

This case report describes the detailed electrophysiological features and the corresponding relationship with the structural changes in a case of X-linked juvenile retinoschisis (XLRS). A 25-year-old male presented with a history of several years of decreased visual acuity in both eyes. The best corrected visual acuity was 20/200 in oculus dexter (OD) and 20/80 in oculus sinister. Retinoschisis was found in the macula by optical coherence tomography, which was more severe in OD. Electroretinogram revealed a similar electronegative waveform in both eyes. Visual evoked potential detected a reduced amplitude and delayed phase in P100-wave, which was worse in OD. The patient was diagnosed as XLRS and advised to undergo continuous medical observation. He was followed up for the next year, with no significant change in retinal function and structure being observed. These current findings suggest that electrophysiology permits the detailed analysis of the clinical picture of XLRS and helps to gain a deeper understanding of the pathogenesis.

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