Refractory iatrogenic pigmentary glaucoma secondary to cosmetic laser treatment: A case report

2021 ◽  
pp. 112067212110503
Author(s):  
Ariel Yuhan Ong ◽  
Gemma Ching-A-Sue ◽  
Matthew Krilis ◽  
Maria Concepion Guirao-Navarro ◽  
Stella Hornby ◽  
...  
Keyword(s):  
Case Report ◽  
Laser Treatment ◽  
Early Recognition ◽  
Pigmentary Glaucoma ◽  
Great Care ◽  
Clinical Investigations ◽  
Laser Treatments ◽  
Potential Risks ◽  
Term Data

Purpose To report a case of bilateral iatrogenic pigmentary glaucoma secondary to cosmetic iris-lightening laser treatment. Case report A 39-year-old patient presented with bilateral iatrogenic pigmentary glaucoma. She had elevated intraocular pressures (IOPs), scattered iris pitting, and intense angle pigmentation secondary to the cosmetic laser treatment she underwent 4 weeks prior to presentation. Her IOPs were refractory to maximal medical treatment and she subsequently underwent trabeculectomy. Conclusion The true scale of complications related to cosmetic laser treatments is as yet unknown. Robust clinical investigations into its safety profile, including long-term data, are required. Prospective patients should consider this with great care. Clinicians should be aware of the potential risks of this procedure, as early recognition of cosmetic laser-induced pigmentary glaucoma may avert further sequelae.

scholarly journals Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 67-68
Author(s):  
Abdul Nasser ◽  
Faheem Raja
Keyword(s):  
Case Report ◽  
Cataract Surgery ◽  
Local Anesthetic ◽  
Lipid Emulsion ◽  
Early Recognition ◽  
Systemic Toxicity ◽  
Peribulbar Block ◽  
Local Anesthetic Systemic Toxicity ◽  
Symptoms And Signs

ABSTRACT Cataract surgery is performed routinely under regional orbital blocks including retrobulbar and peribulbar blocks. Several complications have been reported while performing these blocks, the most significant of which is the local anesthetic systemic toxicity (LAST). The symptoms and signs present in a varied spectrum, but every such case requires early recognition and immediate resuscitation to avoid long-term morbidity and even death. Lipid emulsion therapy forms the mainstay of treatment. We present a case of a 49-year-old man who planned to undergo cataract surgery under the peribulbar block, who developed LAST and was successfully treated with 20% lipid emulsion without any adverse sequelae. How to cite this article Nasser A, Raja F. Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report. J Med Acad 2020;3(2):67–68.

scholarly journals HPV32‐related Heck’s disease in a chronic graft‐versus‐host disease patient with long‐term successful KTP laser treatment: A rare case report

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Joe Truong Nguyen ◽  
Clint T. Allen ◽  
Joshua T. Dodge ◽  
Koenraad Van Doorslaer ◽  
Alison A. McBride ◽  
...  
Keyword(s):  
Case Report ◽  
Laser Treatment ◽  
Graft Versus Host Disease ◽  
Rare Case ◽  
Disease Patient ◽  
Ktp Laser ◽  
Host Disease ◽  
Graft Versus Host ◽  
Rare Case Report

Isolated Dislocation of Fourth Carpometacarpal Joint: Case Report

2017 ◽  
Vol 22 (01) ◽  
pp. 118-121 ◽  
Author(s):  
K.P. Venkatesh ◽  
B. Sunil ◽  
N.V. Ankith ◽  
Anupama B.R.
Keyword(s):  
Case Report ◽  
Early Recognition ◽  
Lateral Radiograph ◽  
Carpometacarpal Joint ◽  
Long Term Outcomes ◽  
Anatomical Reduction ◽  
First Case ◽  
Precise Diagnosis

We present a case of dislocation of the fourth carpometacarpal joint without associated fractures. This is the first case to be reported in the literature. Carpal injuries are uncommon; it is even rare for isolated carpometacarpal dislocation to occur without associated fractures. The injury is difficult to diagnose because of the swelling of the hand and may be missed on several occasions. A lateral radiograph of the wrist has been found to be mandatory to its precise diagnosis if suspected. Early recognition and anatomical reduction are essential in achieving good long-term outcomes.

scholarly journals Super refractory seizures with autoimmune encephalitis and ventilator associated pneumonia: a case report

2021 ◽  
Vol 10 (3) ◽  
pp. 297
Author(s):  
A. Priya Shiva ◽  
Aswathy M. Shaji ◽  
Mohammed Fardan ◽  
K. Arun Chander Yadav
Keyword(s):  
Case Report ◽  
Early Recognition ◽  
Neuropsychiatric Symptoms ◽  
Autoimmune Encephalitis ◽  
Refractory Status Epilepticus ◽  
High Grade Fever ◽  
Altered Sensorium ◽  
Immune Mediated ◽  
Initiation Of Therapy

Autoimmune encephalitis is an immune-mediated syndrome with sub-acute to chronic presentations, such as memory impairment, altered sensorium, behavioral abnormality, psychosis, and seizures. Treatment as such must not be procrastinated due to pending laboratory workup, as early recognition and initiation of therapy prevents long term neurological sequelae. This is a case report of an 11-year-old male who presented with neuropsychiatric symptoms, altered sensorium and high-grade fever which evolved into refractory status epilepticus and autonomic dysfunction. While his MRI had positive findings of encephalitis, he tested negative for infectious diseases and antibody panels.  

Long-term side effects following pneumonectomy: A case report and review of the literature

2019 ◽  
Author(s):  
BA Högerle ◽  
EL Bulut ◽  
L Klotz ◽  
F Eichhorn ◽  
M Eichhorn ◽  
...  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Review Of The Literature

Long-term management of resistant, fistulazing Crohn's disease by ongoing 4-weekly infliximab therapy (a case report)

2005 ◽  
Vol 43 (05) ◽  
Author(s):  
R Schwab ◽  
P Lakatos ◽  
E Schäfer ◽  
J Weltner ◽  
A Sáfrány ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Infliximab Therapy ◽  
Term Management

Hydrogeological responses in tropical mountainous springs

2019 ◽  
Author(s):  
Ricardo Sánchez-Murillo
Keyword(s):  
Costa Rica ◽  
Isotope Composition ◽  
Central Valley ◽  
Distribution Functions ◽  
Geochemical Composition ◽  
Transit Times ◽  
Management Plans ◽  
Best Fit ◽  
Term Data

This study presents a hydrogeochemical analysis of spring responses (2013-2017) in the tropical mountainous region of the Central Valley of Costa Rica. The isotopic distribution of δ18O and δ2H in rainfall resulted in a highly significant meteoric water line: δ2H = 7.93×δ18O + 10.37 (r2=0.97). Rainfall isotope composition exhibited a strong dependent seasonality. The isotopic variation (δ18O) of two springs within the Barva aquifer was simulated using the FlowPC program to determine mean transit times (MTTs). Exponential-piston and dispersion distribution functions provided the best-fit to the observed isotopic composition at Flores and Sacramento springs, respectively. MTTs corresponded to 1.23±0.03 (Sacramento) and 1.42±0.04 (Flores) years. The greater MTT was represented by a homogeneous geochemical composition at Flores, whereas the smaller MTT at Sacramento is reflected in a more variable geochemical response. The results may be used to enhance modelling efforts in central Costa Rica, whereby scarcity of long-term data limits water resources management plans.

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