Surgically induced diffuse scleritis associated with choroidal detachment following phacoemulsification surgery

2021 ◽  
pp. 112067212110261
Author(s):  
Diego Alejandro Valera-Cornejo ◽  
Marlon García-Roa ◽  
Verónica Romero-Morales
Keyword(s):  
Early Recognition ◽  
Oral Prednisone ◽  
Choroidal Detachment ◽  
Rare Presentation ◽  
Post Surgery ◽  
Corrected Visual Acuity ◽  
History Of ◽  
Pars Plana ◽  
The Right ◽  
Surgically Induced

Purpose: We present a case of a hemorrhagic choroidal detachment associated with a surgical induced diffuse scleritis (SIDS) following phacoemulsification surgery. Case report: A-49-year-old healthy male with history of high myopia and pars-plana vitrectomy associated with 360° encircling buckle surgery years ago, who underwent phacoemulsification surgery with in-the-bag intraocular lens implantation on the right eye and developed an important 360° hemorrhagic choroidal detachment on the first-day post-surgery, 10 days later, presented SIDS. First day after surgery, best-corrected visual acuity was hands movement in the affected eye. Ten days later, the patient presented with severe ocular pain and redness on the right eye, the right sclera showed active diffuse inflammation without thinning. A normal collagen vascular profile was found and systemic vasculitic disorders were discarded. The patient responded well to systemic therapy (oral prednisone, 0.5 mg/kg/day at the beginning and then 1 mg/kg/day when scleritis appeared) and 8 weeks later, fundus examination revealed complete resolution of the hemorrhagic choroidal detachment and inflammation. Conclusion: A rare presentation of a surgical induced diffuse scleritis associated with choroidal detachment as an acute complication due to phacoemulsification cataract surgery was presented. Early recognition and treatment led to visual improvement and resolution of the scleritis and choroidal detachment.

scholarly journals A rare presentation of eyelid tuberculosis

2020 ◽  
Vol 1 (4) ◽  
pp. 284-288
Author(s):  
Woon Tian Qing ◽  
Noorlaila Bt Baharuddin ◽  
Nor Fadzillah Bt Abd Jalil ◽  
Raja Norliza Raja Omar ◽  
Wan Haslina Wan Abdul Halim
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
Excision Biopsy ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Upper Eyelid ◽  
Corrected Visual Acuity ◽  
Insidious Onset ◽  
History Of ◽  
The Right ◽  
Suspicious Case

Mycobacterium tuberculosis is transmitted through aerosolization, hence commonly infects the lungs. The occurrence of extrapulmonary tuberculosis is rare. We report a case of eyelid tuberculosis in a 45-year-old gentleman with a history of treated testicular tuberculosis three years ago. He had insidious onset of painless swelling in the right upper eyelid associated with erythema for one month. He did not have other constitutional symptoms. Initially, he was treated as chalazion and given topical antibiotics. However, the swelling worsened despite medication. His best corrected visual acuity was 6/9 in both eyes. Examination showed an elevated ulcerative growth with broad base which bled easily upon touch. The clinical presentation varies from an eyelid infection as an eyelid tumour can be a diagnostic challenge. A slow response to oral and topical antibiotic warrants an excision biopsy. The results showed chronic granulomatous infection in acid-fast bacilli. An antituberculosis (anti-TB) therapy was started and the patient showed a positive clinical response. Althrough rare, tuberculosis of eyelid should be considered as differential diagnosis of chalazion. Any suspicious case should be confirmed by biopsy followed by anti-TB if indicated.          

Ocular non-teratoid medulloepithelioma with teratoid metastases in ipsilateral intraparotid lymph nodes

2019 ◽  
pp. 112067211987007
Author(s):  
Jayati Sarangi ◽  
Aanchal Kakkar ◽  
Diya Roy ◽  
Rishikesh Thakur ◽  
Chirom Amit Singh ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Histopathological Examination ◽  
Previous History ◽  
Rare Presentation ◽  
Cervical Lymph Nodes ◽  
Extranodal Extension ◽  
Positron Emission ◽  
Parotid Neoplasm ◽  
History Of ◽  
The Right

Purpose: To describe a rare presentation of a case of intraocular non-teratoid medulloepithelioma with teratoid metastases in ipsilateral intraparotid lymph nodes. Case description: A 9-year-old male child with previous history of ciliary body non-teratoid medulloepithelioma presented with a swelling in the right pre-auricular region for 1 month. Magnetic resonance imaging and positron emission tomography–computed tomography showed a right intraparotid mass with enlarged ipsilateral cervical lymph nodes. A core biopsy was taken from the lesion, which on microscopy showed a tumor composed of small round cells arranged in cords, tubules lined by multilayered cells, and in cribriform pattern. These cells were embedded in a hypocellular, loose myxoid matrix. Based on the histopathological characteristics and previous history, a diagnosis of medulloepithelioma metastastic to ipsilateral parotid gland was made. The patient underwent right total conservative parotidectomy and bilateral neck dissection. Histopathological examination revealed metastatic medulloepithelioma in five out of eight intraparotid lymph nodes, with extranodal extension into the adjacent parotid parenchyma. Foci of hyaline cartilage were identified within the tumor, leading to a diagnosis of metastatic teratoid medulloepithelioma. Conclusion: Intraparotid lymph node metastases from intraocular medulloepithelioma is a rare possibility and we recommend that the parotid should be evaluated in cases of intraocular medulloepithelioma at initial presentation as well as during the follow-up period. Also, metastasis should be considered in all pediatric patients with solitary mass lesions showing unconventional histology for a primary parotid neoplasm.

scholarly journals Isolated Pulmonary Hydatid Cyst: A Rare Presentation in a Young Maasai Boy from Northern Tanzania

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Jay Lodhia ◽  
Ayesiga Herman ◽  
Rune Philemon ◽  
Adnan Sadiq ◽  
Deborah Mchaile ◽  
...  
Keyword(s):  
Rare Presentation ◽  
Case Presentation ◽  
The Public ◽  
Post Procedure ◽  
Northern Tanzania ◽  
Typical History ◽  
History Of ◽  
One Year ◽  
The Right ◽  
Pulmonary Hydatid Cyst

Introduction. Hydatidosis is a parasitic manifestation caused by Echinococcus granulosus. It is characterized by cystic lesions in the liver and lungs. Diagnosis is based on typical history and radiological measures. Case presentation. A four-year-old boy presented with a one-year history of dry cough and difficulty in breathing which was of gradual progression. Computed tomography of the chest revealed a large 11.7 cm×8.6 cm×11.0 cm cyst in the right hemithorax. The patient underwent thoracotomy and recovered well post procedure. Conclusion. This case report highlights that large hydatid cysts can be surgically removed with good outcome and the importance of realizing that the disease is a burden to the public health and is much neglected.

scholarly journals Risk factors for the conversion of laparoscopic to open cholecystectomy

2018 ◽  
Vol 5 (7) ◽  
pp. 2470
Author(s):  
Kiran Kumar Paidipelly ◽  
Sangamitra .
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Open Surgery ◽  
Open Cholecystectomy ◽  
Previous History ◽  
Normal Activity ◽  
Post Surgery ◽  
History Of ◽  
The Right ◽  
Hospital Days ◽  
Lower Morbidity

Background: Gall stones is one of the most common diseases in man. Laparoscopic cholecystectomy is the preferred procedure, mainly due to lower morbidity and mortality, thus returning to the normal activity sooner, lesser number of hospital days and lesser pain post-surgery. However, around 2-15% of the patients need to convert from laparoscopic to open surgery due to different reasons.Methods: 357 patients who came in for laparoscopic cholecystectomy were included into the study. Details such as age, height, weight, BMI, mode of surgery i.e. emergency or elective, physical and clinical examination including Ultrasound, lab results, previous history of surgery and other co morbidities were noted.Results: Out of the 357 patients, 31(8.7%) were converted to open cholecystectomies, of which, 61.3% females and 38.7% males. 58% in the open cholecystectomy group were above 60 years. 67.7% of the patients who converted to open surgery had a BMI of over 25, while it was 39.6%   in case of laparoscopic surgery. 74.2% among the patients who had undergone conversion to the open surgery had pain in the right hypochondrium, 67.7% had increased WBC levels.Conclusions: Increased age, obesity, tenderness in the RHC, increased WBC levels, acute cholecystitis are the predisposing factors for the conversion of laparoscopic cholecystectomy to open cystectomy.

scholarly journals Purtscher’s retinopathy: a case report

2020 ◽  
Vol 10 (3) ◽  
pp. 103-105
Author(s):  
Sushma Chaudhary ◽  
Sharad Gupta ◽  
Reena Yadav ◽  
Vinit Kumar Kabmle ◽  
Satbodh Shrestha
Keyword(s):  
Systemic Disease ◽  
Fluorescence Angiography ◽  
Purtscher’S Retinopathy ◽  
Corrected Visual Acuity ◽  
History Of ◽  
Anterior Segments ◽  
The Right ◽  
Sudden Blindness ◽  
Time Of Presentation ◽  
Definite Treatment

Purtscher’s retinopathy is a rare haemorrhagic and vaso-occlusive vasculopathy following severe head trauma associated with sudden blindness. Here we report a case of 28 years old male pre­sented to out-patient department with history of sudden and painless loss of vision in his right eye for two days. He gave history of head injury following bike accident. At the time of presentation his best corrected visual acuity was 1/60 in the right eye and 6/6 in the left eye. On examina­tion, anterior segments of both eyes were normal. On fundus examination, right eye revealed retinal whitening in the peripapillary region (Purtscher’s flecken), an intraretinal hemorrhage and signs of macular edema whereas left eye was unremarkable. Findings were suggestive of right eye purtscher’s retinopathy. Optical coherence tomography and fundus fluorescence angiography was done to support the diagnosis. Purtscher’s retinopathy should not be neglected because it is associated with different systemic disease. Its pathophysiology remains unclear and there is no definite treatment but meticulous management is urgent to prevent from severe complications.

Early Recognition of the Effects of Publication Bias

1987 ◽  
Vol 5 (3) ◽  
pp. 516-516
Author(s):  
Daniel C. Ihde ◽  
Mary N. Ihde
Keyword(s):  
Publication Bias ◽  
Early Recognition ◽  
Federal Budget ◽  
Abraham Lincoln ◽  
Cancer Therapies ◽  
Fiscal Constraints ◽  
International Registry ◽  
History Of ◽  
Book Of Daniel ◽  
The Right

To the Editor: Dr Antman's editorial on Dr Simes' article on the potentially confounding effects of publication bias in evaluating the efficacy of various cancer therapies referred to what is probably the earliest published reference to a prospective clinical trial in the biblical book of Daniel. Some two millenia later, another outstanding individual, whose major contributions lie outside the area of clinical therapeutics, was also concerned with these issues. Abraham Lincoln recognized the value of disseminating the results of unsuccessful as well as successful experiments, as recounted in Sandberg's biography. Finding Herndon [Lincoln's law partner] reading a new book, "The Annual of Science," he glanced through it and commented that the book was on the right track because it took account of failures as well as successes in its field. "Too often we read only of successful experiments in science and philosophy, whereas if the history of failure and defeat was included there would be a saving of brain-work as well as time. The evidence of defeat, the recital of what was not as well as what cannot be done serves to put the scientist or philosopher on his guard—sets him to thinking on the right line." Given the fiscal constraints under which he operated, we do not know whether President Lincoln would have supported the funding of an international registry of clinical trials (as suggested by Dr Simes) from the federal budget. It is likely, however, that he would have been sympathetic to such a proposal.

scholarly journals To Amputate or Not to Amputate: Management of Iatrogenic LASIK Flap Dehiscence and Epithelial Ingrowth with Overlying Pseudopterygium

2021 ◽  
pp. 967-974
Author(s):  
Dean Ouano ◽  
Rachel Huynh ◽  
Alyson Nicole Tukan ◽  
Nour Bundogji ◽  
Majid Moshirfar
Keyword(s):  
Retinal Detachment ◽  
Pars Plana Vitrectomy ◽  
Surgical Trauma ◽  
Corneal Epithelial ◽  
Epithelial Ingrowth ◽  
History Of ◽  
Pars Plana ◽  
Contralateral Eye ◽  
The Right

A 73-year-old male with a history of myopic laser-assisted in situ keratomileusis (LASIK) 20 years earlier presented with a late LASIK flap dehiscence, epithelial ingrowth, conjunctivalization, and the development of a pseudopterygium in the right eye. The findings were consistent with surgical trauma, likely occurring after corneal epithelial debridement to improve visualization during pars plana vitrectomy for retinal detachment repair 3 months earlier. The patient underwent epithelial ingrowth debridement, LASIK flap reapproximation and suturing, and a conjunctival limbal autograft from the contralateral eye. The surgery was completed successfully without the need for flap amputation. Postoperatively, the patient had an uneventful course with a well-healing conjunctival graft and no interface opacity or evidence of recurrent pseudopterygium of the right eye. The graft and corneal topography remained stable after subsequent cataract surgery.

scholarly journals Medical Image of the Month: Buffalo Chest Identified at the Time of Lung Nodule Biopsy

2020 ◽  
Vol 21 (5) ◽  
pp. 121-123
Author(s):  
Phillip Belone ◽  
◽  
Jason Lee ◽  
Michael Larson
Keyword(s):  
New Left ◽  
Lung Nodule ◽  
Chest Ct ◽  
Tumor Board ◽  
Post Surgery ◽  
History Of ◽  
Lateral Decubitus ◽  
Touch Preparation ◽  
Intraprocedural Imaging ◽  
The Right

No abstract available. Manuscript truncated after 150 words. A gentleman in his late 50s with a past medical history of squamous cell carcinoma at the base of the tongue had numerous slowly-growing pneumocyst-like lesions despite clinical remission status post surgery and chemoradiation. Biopsy of one of these lesions was recommended by a multidisciplinary tumor board. An outpatient pre-procedural supine chest CT revealed a right pneumothorax above the lesion targeted for biopsy. A subsequent pre-procedural right lateral decubitus chest CT three weeks later demonstrated a left-sided pneumothorax, raising concern for buffalo chest. (A less likely possibility would be spontaneous resolution of the right pneumothorax and development of a new left pneumothorax in the less than 4-week interval.) Intraprocedural imaging continued to demonstrate the left-sided pneumothorax. A biopsy touch preparation of the first sample obtained did not demonstrate malignancy. Therefore, an attempt was made at obtaining another sample. However, the patient developed a brief but forceful coughing fit, resulting in …

scholarly journals Via pars plana anterior iris enclavation IOL fixation

2021 ◽  
Vol 14 (5) ◽  
pp. 774-776
Author(s):  
Tomaso Caporossi ◽  
◽  
Giancarlo Albani ◽  
Francesco Barca ◽  
Fabrizio Giansanti ◽  
...  
Keyword(s):  
Pars Plana Vitrectomy ◽  
Spherical Equivalent ◽  
Choroidal Detachment ◽  
Fixation Technique ◽  
Corrected Visual Acuity ◽  
Pars Plana ◽  
The Mean ◽  
A Prospective Study ◽  
Iol Fixation ◽  
Best Corrected Visual Acuity

AIM: To describe a via pars plana anterior iris enclavation intraocular lens (IOL) fixation technique METHODS: A total of 35 consecutive aphakic vitrectomised patients (average age 71.12±10.12y) underwent pars plana vitrectomy (PPV) and via pars plana anterior iris enclavation IOL fixation. RESULTS: The mean preoperative best corrected visual acuity (BCVA) was 0.11±0.14 logMAR, the mean postoperative BCVA was 0.07±0.11 logMAR. The preoperative mean spherical equivalent was 7.22±4.21 D. The final mean spherical equivalent was -0.25±0.15 D. No eyes had hypotony, retinal or choroidal detachment or endophthalmitis. CONCLUSION: This technique may be a safe and useful in the case of aphakia, and a prospective study would be useful to confirm this findings.

scholarly journals Combined Penetrating Keratoplasty Followed by Pars Plana Vitrectomy for Firecracker Induced Bilateral Corneal and Intraocular Foreign Body: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Lily Rajbanshi ◽  
Archana Kumari ◽  
Sanjay Singh
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Penetrating Keratoplasty ◽  
Hand Movement ◽  
Intraocular Foreign Body ◽  
Corrected Visual Acuity ◽  
Open Globe ◽  
Pars Plana ◽  
The Right ◽  
Open Globe Injuries

Firecracker induced open globe injury is a big challenge for ophthalmic surgeons. Its associationwith the intraocular foreign body makes the diagnosis and treatment even more difficult resultingin poor anatomical and visual outcomes. We report a case of a 35-year-old male who presented withbilateral, multiple corneal and intraocular foreign body due to firecracker explosion. His vision waslimited to hand movement in both eyes. Combined penetrating keratoplasty and cataract surgerywere done in both eyes followed by pars plana vitrectomy for intraocular foreign body removal.The final best-corrected visual acuity of the patient stood to be 6/6 and 6/9 in the right and left eyerespectively. The encouraging result in our case prompts ophthalmologists for a timely stepwisemultidisciplinary approach in all open globe injuries with intraocular foreign body cases havingpoor initial acuity.

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