scholarly journals Visual improvement following glaucoma surgery: a case report

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
William S Foulsham ◽  
Lanxing Fu ◽  
Andrew J Tatham
Keyword(s):  
Case Report ◽  
Glaucoma Surgery ◽  
Visual Improvement

scholarly journals Spontaneously Reattached Retinal Detachment With Macular Hole – a Case Report

2021 ◽  
Author(s):  
Debdulal Chakraborty ◽  
Dipankar Das ◽  
Begum Sabiha Mashuda Khanam
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment ◽  
Scientific Literature ◽  
Internal Limiting Membrane ◽  
Type I ◽  
Rare Presentation ◽  
Internal Limiting Membrane Peeling ◽  
Visual Improvement

Abstract Spontaneous reattachment of rhegmatogenous retinal detachment (SRRRD) is a rare presentation. A macular hole coexisting in a patient with a SRRRD is rarer still. The authors describe a case of SRRRD with a macular hole presenting with decreased vision which has never been described before in scientific literature. The patient underwent vitrectomy with internal limiting membrane peeling and gas tamponade, leading to type I closure of the macular hole and subsequent visual improvement.

scholarly journals Use of Autologous Platelets for Lamellar Macular Hole Repair

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Andres Gonzalez ◽  
Sarina Amin ◽  
Omar Iqbal ◽  
Stephen Myles Potter ◽  
Syed Gibran Khurshid
Keyword(s):  
Case Report ◽  
Macular Hole ◽  
Internal Limiting Membrane ◽  
Lamellar Macular Hole ◽  
Visual Improvement ◽  
Full Thickness Macular Hole ◽  
Pars Plana ◽  
Larger Sample ◽  
Autologous Platelet

The consensus of lamellar macular hole repair generally entails vitrectomy with internal limiting membrane with/without epiretinal membrane peeling with gas tamponade, although the risk of a full thickness macular hole remains. In this case report, we investigate the role of the regenerative properties of autologous platelets in the repair of a lamellar macular hole with pars plana vitrectomy, an autologous platelet plug, and 12% C3F8 without prone posturing. All three patients in this case report experienced visual improvement along with anatomic closure of the lamellar macular hole. Further randomized studies with larger sample sizes will contribute to the existing data regarding this procedure and its outcomes.

Ocular bleeding in an undiagnosed hemophiliac neonate causing irreversible loss of vision: A case report with review of the literature

2019 ◽  
Vol 30 (5) ◽  
pp. NP62-NP65
Author(s):  
Eman Al-Sharif ◽  
Saad H AlEnezi ◽  
Heba Al Sharif ◽  
Essam A Osman
Keyword(s):  
Case Report ◽  
Penetrating Keratoplasty ◽  
Glaucoma Surgery ◽  
Factor Ix ◽  
Appropriate Treatment ◽  
Suprachoroidal Hemorrhage ◽  
Corneal Opacities ◽  
Von Willebrand’S Factor ◽  
Factor Antigen

Introduction: Suprachoroidal hemorrhage is an unexpected complication after penetrating keratoplasty during childhood. We report the case of delayed suprachoroidal hemorrhage after penetrating keratoplasty in a neonate as the first manifestation of hemophilia. Case report: A 4-day-old neonate was referred to our hospital because of bilateral corneal opacities present since birth. A diagnosis of bilateral Peter’s anomaly type 2 with right eye corneal perforation was made after examination. Appropriate treatment was commenced, and later, right eye therapeutic penetrating keratoplasty combined with lensectomy, and anterior vitrectomy was performed. This was complicated postoperatively with suprachoroidal hemorrhage and retinal detachment. Conservative management was advised due to poor visual prognosis. Three months later, the patient was found to have high intraocular pressure in the left eye and glaucoma surgery was recommended. Proper hematological investigations before glaucoma surgery in the left eye revealed a low level of factor VIII with normal levels of factor IX and von Willebrand’s factor antigen. Therefore, a diagnosis of hemophilia type A was established. Conclusion: This case serves as a reminder that the occurrence of suprachoroidal hemorrhage, especially in the absence of other predisposing risk factors, should warrant detailed systemic assessment to exclude underlying bleeding disorders.

scholarly journals Managing Drawbacks in Unconventional Successful Glaucoma Surgery: A Case Report of Stent Exposure

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Antonio Fea ◽  
Paola Maria Loredana Cannizzo ◽  
Giulia Consolandi ◽  
Carlo Alessandro Lavia ◽  
Giulia Pignata ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Amniotic Membrane ◽  
Complication Rate ◽  
Glaucoma Surgery ◽  
Amniotic Membrane Transplantation ◽  
Exposed Area ◽  
Shunt Implantation

Traditional options in managing failed trabeculectomy (bleb needling, revision, additional incisional surgery and tube surgery) have a relatively high failure and complication rate. The use of microinvasive glaucoma surgery (MIGS) has generally been reserved to mild to moderate glaucoma cases, proving good safety profiles but significant limitations in terms of efficacy. We describe a patient who underwent MIGS (XEN Aquesys subconjunctival shunt implantation) after a prior failed trabeculectomy. After the surgery, the IOP was well controlled but as the stent was close to an area of scarred conjunctiva of the previous trabeculectomy, it became partially exposed. As a complete success was achieved, we decided to remove the conjunctiva over the exposed area and replace it by an amniotic membrane transplantation and a conjunctiva autograft. Six months after surgery, the unmedicated IOP is still well controlled with complete visual acuity recovery.

Effect of phacoemulsification on intraocular pressure and bleb function in eyes with previous trabeculectomy

2021 ◽  
Vol 2 (2) ◽  
pp. 88-94
Author(s):  
Jia Cherng Chong ◽  
◽  
Haireen Kamaruddin ◽  
Poh Yan Ong ◽  
Tajunisah Iqbal ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Previous History ◽  
Glaucoma Surgery ◽  
Study Data ◽  
Control Group ◽  
Corneal Incision ◽  
Clear Corneal Incision ◽  
Visual Improvement

AIM: To observe the intraocular pressure (IOP) control and bleb function after phacoemulsification in patients with previous history of successful/qualified success mitomycin-C augmented trabeculectomy. METHODS: This was a retrospective cohort study. Data of patients who had undergone trabeculectomy with subsequent cataract surgery were extracted from server. All patients had previous either success/qualified success trabeculectomy done. They went through uncomplicated phacoemulsification via clear corneal incision. Postoperative follow-up, review of bleb and IOP readings using Goldmann tonometer were taken. Details that were investigated include postoperative IOP control, visual improvement, number of anti-glaucoma medications, as well as the timing from trabeculectomy to phacoemulsification. Comparison with control group was made. RESULTS: Fifteen eyes from thirteen patients fulfilled the criteria for study and had undergone uncomplicated phacoemulsification between January 2014 to June 2016 on a post-trabeculectomy eye. Two of the eyes had secondary glaucoma while the other thirteen had primary glaucoma. All phacoemulsifications were done at least 6mo after trabeculectomy (mean 14.7±4.3mo). There was only 1 eye (6.7%) requiring anti-glaucoma medications before the cataract surgery. This number increased to 4 (26.7%) at 1-year post phacoemulsification. The number further increased to eight (53.3%) at 2y post-phacoemulsification. The number of anti-glaucoma drops needed after surgery at 2y ranged from 2-4. In all the 15 eyes, there was no statistically significant change in IOP control between pre-cataract surgery (mean 13.4±2.9 mm Hg) compared to 1y (mean 14.1±3.2 mm Hg, P=0.357) and 2y (mean 15.1±3.3 mm Hg, P=0.212) post phacoemulsification. Visual improvement after phacoemulsification however is significant, from a preoperative average visual acuity of logMAR 1.52±1.00 to a postoperative average visual acuity of 0.53±0.54 (P=0.000, paired t-test). CONCLUSION: This analysis shows significant visual improvement following cataract surgery in post-trabeculectomy patients without compromising IOP control. However, a reduced bleb function is noted following the surgery evidenced by the increase in number of anti-glaucoma drops used after surgery especially two years after the cataract surgery. Patients should be counselled regarding the possibility of restarting on anti-glaucoma medications post-phacoemulsification. The timing and sequence of cataract and glaucoma surgery should be optimized for best outcome.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

A Tape-Recorded Therapy Method for Stutterers: A Case Report

1970 ◽  
Vol 35 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Maryann Peins ◽  
Bernard S. Lee ◽  
W. Edward McGough
Keyword(s):  
Case Report
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