scholarly journals External ophthalmomyiasis by sheep botfly – a report from Sirmaur hills

2020 ◽  
Vol 18 (1) ◽  
pp. 64-66
Author(s):  
Anubhav Chauhan ◽  
◽  
Neha Gautam ◽  
Keyword(s):  
Foreign Body ◽  
Oestrus Ovis ◽  
Human Tissues ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Topical Antibiotics ◽  
Body Sensation ◽  
History Of ◽  
Conjunctival Inflammation ◽  
The Right

Introduction. Myiasis is caused by larvae of flies infesting animal or human tissues and organs. Aim. In this report we present 2 cases of external ophthalmomyiasis by sheep botfly. Description of the cases. We report a case of two patients who presented with a history of foreign body sensation in the left and the right eye respectively. Slit lamp examination revealed larvae of Oestrus ovis (sheep botfly). In both cases, there was no contact history with sheep or goats. Signs of conjunctival inflammation and corneal involvement were absent in both cases. In most of the previous reports, corneal and conjunctival inflammation was present. Conclusion. Treatment for external ophthalmomyiasis is based on larvae removal and application of topical antibiotics and steroids.

UNUSUAL OCULAR FOREIGN BODY: LEECH IN THE EYE

2021 ◽  
pp. 9-9
Author(s):  
Sanjeev Krishan ◽  
Deepak Kumar Sharma ◽  
Anubhav Chauhan
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Body Sensation ◽  
Topical Antibiotics ◽  
Body Sensation ◽  
History Of ◽  
The Right

A twenty-six year old male presented with a history of redness and foreign body sensation in the right eye for two days. He was diagnosed as acute infective conjunctivitis elsewhere the previous day and was given topical antibiotics, but his symptoms worsened. Ocular examination revealed a leech over the nasal sclera of the right eye being the culprit of his clinical features.

scholarly journals Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Caleb H. Creswell ◽  
Tony L. Kille ◽  
Matthew R. Hoffman ◽  
Tabassum Kennedy ◽  
Seth H. Dailey
Keyword(s):  
Foreign Body ◽  
Posterior Pharyngeal Wall ◽  
Psychiatric Disease ◽  
Delayed Presentation ◽  
Ct Reconstruction ◽  
Pharyngeal Wall ◽  
Retained Foreign Body ◽  
Body Sensation ◽  
History Of ◽  
The Right

Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease. We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea. Flexible laryngoscopy demonstrated fullness of the right posterior pharyngeal wall and computed tomography (CT) showed a linear opaque foreign body extending from the level of the oropharynx to the thyroid ala. Further history elicited that he stabbed himself in the pharynx two years prior with a toothbrush following a command hallucination. The toothbrush was removed uneventfully via an external approach. The patient was discharged with psychiatry follow-up. This case is unusual due to the submucosal location of the foreign body and the length of retention. It demonstrates the atypical nature which patients with comorbid psychiatric illness may present following foreign body injury and the use of an external surgical approach for the removal of a retained foreign body based on CT reconstruction.

scholarly journals Phthirus pubis Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Viola Andin Dohvoma ◽  
Steve Robert Ebana Mvogo ◽  
Paul Jean Adrien Atangana ◽  
Pamela Nyasse ◽  
Emilienne Epee ◽  
...  
Keyword(s):  
Case Report ◽  
Petroleum Jelly ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Topical Antibiotics ◽  
Parasitological Examination ◽  
Ocular Irritation ◽  
Mechanical Removal ◽  
History Of

Purpose: To report the case of Phthirus pubis infestation of the eyelashes presenting as chronic blepharoconjunctivitis. Case Report: A 6-year-old girl presented with a 2-month history of blepharoconjunctivitis unresponsive to topical antibiotics in the left eye. Slit-lamp examination revealed the presence of nits and adult parasites on the eyelashes. Parasitological examination confirmed adult forms and nits of Phthirus pubis. There was no evidence of infestation elsewhere. Outcome was favourable with mechanical removal and application of petroleum jelly. Conclusion: Careful slit-lamp examination of the eyelashes should be done in all patients presenting with ocular irritation symptoms.

scholarly journals Ophthalmomyiasis Externa Caused by Oestrus ovis

2012 ◽  
Vol 4 (01) ◽  
pp. 043-044 ◽  
Author(s):  
Mahesh Kumar Shankar ◽  
Seethalakshmi Krishnamurthy Diddapur ◽  
Shobha Dhruv Nadagir ◽  
Subramanya Giliyar Kota
Keyword(s):  
Foreign Body ◽  
Light Microscope ◽  
Topical Anesthesia ◽  
Foreign Body Sensation ◽  
Oestrus Ovis ◽  
Slit Lamp ◽  
Body Sensation ◽  
Slit Lamp Biomicroscopy

ABSTRACTA 50-year-old male presented with foreign body sensation, pain, and redness in left eye. Slit-lamp biomicroscopy revealed tiny larvae crawling around the conjunctival sac. The larvae, numbering 13, were mechanically removed under topical anesthesia and identified under light microscope as first-stage larvae of Oestrus ovis causing ophthalmomyiasis externa.

scholarly journals Partial and Total Descemet’s Detachments in a Patient with Severe Terrien’s Marginal Degeneration and Juvenile Idiopathic Arthritis

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Amir Hossein Vejdani ◽  
Hamid Khakshoor ◽  
Michael V. McCaughey ◽  
Majid Moshirfar
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Current Literature ◽  
Corneal Edema ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Intracameral Injection ◽  
History Of ◽  
Descemet’S Membrane ◽  
Complete Detachment ◽  
The Right

A 16-year-old female with juvenile idiopathic arthritis presented with a one-month history of decreasing vision and increasing corneal edema in her left eye. Slit-lamp examination, keratometric measurements, and OCT evaluation led to a diagnosis of Terrien’s marginal degeneration in both eyes along with a complete detachment of Descemet’s membrane in the left eye and partial detachment in the right eye. She was treated with an intracameral injection of air and then topical betamethasone and chloramphenicol which lead to the resolution of symptoms. We further examine the pathophysiology of this disease based on current literature.

scholarly journals Ring-Shaped Corneal Stromal Opacities after Corneal Cross-linking with Riboflavin and Ultraviolet A Irradiation for Keratoconus

2012 ◽  
Vol 1 (2) ◽  
pp. 140-143
Author(s):  
George D Kymionis ◽  
Aliki N Limnopoulou ◽  
Nela Stojanovic ◽  
Argyro D Plaka ◽  
Vardhaman P Kankariya
Keyword(s):  
Foreign Body ◽  
Cross Linking ◽  
Slit Lamp ◽  
Conjunctival Injection ◽  
Ultraviolet A ◽  
Slit Lamp Examination ◽  
Uva Irradiation ◽  
Body Sensation ◽  
Stiffening Effect ◽  
Stable Ring

ABSTRACT A 32-year-old female patient with progressive keratoconus in her right eye was treated with simultaneous customized photoreactive keratoctomy (PRK) and corneal cross-linking (CXL) with riboflavin and Ultraviolet A (UVA) irradiation. Ten days after the procedure, the patient was presented with foreign body sensation, mild ring-shaped corneal infiltration with vascularization at the limbus and Trantas dots at slit-lamp examination along with conjunctival injection and papillary reaction. One month postoperatively, the conjunctival injection decreased but the limbus vascularization and circular infiltration remained. Five months postoperatively, there were no subjective complains and slit-lamp examination revealed circular pseudogerontoxon more dense superiorly. Best corrected visual acuty (BCVA) remained 20/20 and corneal topography remained stable. Ring-shaped intrastromal corneal infiltrate could appear after simultaneous PRK-CXL for progressive keratoconus without interfering with the stiffening effect of the procedure. How to cite this article Kymionis GD, Limnopoulou AN, Stojanovic N, Plaka AD, Kankariya VP. Ring-Shaped Corneal Stromal Opacities after Corneal Cross-linking with Riboflavin and Ultraviolet A Irradiation for Keratoconus. Int J Kerat Ect Cor Dis 2012;1(2):140-143.

Late-onset malignant glaucoma

2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Ramiro José Daud ◽  
Horacio Freile ◽  
Mauricio Freile ◽  
Soledad Mariano
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Acute Pain ◽  
Late Onset ◽  
Slit Lamp ◽  
Normal Range ◽  
Slit Lamp Examination ◽  
Complete Occlusion ◽  
Malignant Glaucoma ◽  
The Right

A case report on a 49-year-old female with diagnoses of ocular hypertension in her left eye (LE) treated with 250 mg/day acetazolamide for 2 years. During the slit-lamp examination, complete occlusion of both iridocorneal angles was detected. Intraocular pressure (IOP) was 10 and 35 mmHg in the right eye and LE, respectively. Phacotrabeculectomy was performed in the LE. After 1 month of the procedure, the patient developed a slowly progressive miopization from −1 to −3 diopters (D) the following months. Approximately 3 months after surgery, the patient developed an episode of acute pain, athalamia, and IOP 45 mmHg in her LE. Late-onset malignant glaucoma was suspected and the patient was treated with topical hypotensive and cycloplegic agent until a prompt vitrectomy was performed. Deepening of the anterior chamber and restoration of IOP to normal range was obtained after surgery.

scholarly journals Identification of a Novel Missense KRT12 Mutation in a Vietnamese Family with Meesmann Corneal Dystrophy

2020 ◽  
Vol 11 (1) ◽  
pp. 120-126
Author(s):  
Pham Ngoc Dong ◽  
Le Xuan Cung ◽  
Tran Khanh Sam ◽  
Do Thi Thuy Hang ◽  
Doug D. Chung ◽  
...  
Keyword(s):  
Sanger Sequencing ◽  
Novel Mutation ◽  
Family Members ◽  
Corneal Dystrophy ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Corneal Epithelial ◽  
Epithelial Phenotype ◽  
History Of ◽  
Characteristic Features

Meesmann epithelial corneal dystrophy (MECD) is a rare dominantly inherited disorder that is characterized by corneal epithelial microcysts and is associated with mutations in the keratin 3 (KRT3) and keratin 12 (KRT12) genes. In this study, we report a novel mutation in the KRT12 gene in a Vietnamese pedigree with MECD. Slit-lamp examination was performed on each of the 7 recruited members of a Vietnamese family to identify characteristic features of MECD. After informed consent was obtained from each individual, genomic DNA was isolated from saliva samples and screening of KRT3and KRT12 genes was performed by Sanger sequencing. The proband, a 31-year-old man, complained of a 1-year history of eye irritation and photophobia. Slit-lamp examination revealed intraepithelial microcysts involving only the corneal periphery in each eye with clear central corneas and no stromal or endothelial involvement. Three family members demonstrated similar intraepithelial microcysts, but with diffuse involvement, extended from limbus to limbus. Sanger sequencing of KRT3 (exon 7) and KRT12 (exons 1 and 6) in the proband revealed a novel heterozygous KRT12 variant (c.1273G>A [p.Glu425Lys]) that was present in the three affected family members but was absent in the three family members with clear corneas. This study is the first report of a Vietnamese family affected with MECD, associated with an atypical peripheral corneal epithelial phenotype in the proband and a novel mutation in KRT12.

Progressive multifocal leukoencephalopathy in a patient with occult hypogammaglobulinemia experiencing bilateral visual impairment

2021 ◽  
pp. 112067212199053
Author(s):  
Sameera Hettipathirannahelage ◽  
Sidath Wijetilleka ◽  
Hugh Jewsbury
Keyword(s):  
Progressive Multifocal Leukoencephalopathy ◽  
Visual Impairment ◽  
Demyelinating Disease ◽  
Parietal Lobe ◽  
Previous History ◽  
White Matter Lesions ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
History Of ◽  
Ishihara Test

Introduction: Progressive multifocal leukoencephalopathy (PML) is a rare, lethal, demyelinating disease classically seen in profoundly immunosuppressed individuals. It is caused by intracerebral infection by John Cunningham polyomavirus (JCV). We report a rare case of PML in a man with presumed immunocompetence at presentation experiencing bilateral painless visual impairment. Case Description: A 60-year-old man with a 3-week history of bilateral painless visual impairment attended our ophthalmology department. Unusually, he navigated around the room well and was able to read 4 of 13 Ishihara test plates in spite of a best-corrected visual acuity of counting fingers at 1 m bilaterally. Slit lamp examination, routine blood tests and optical coherence tomography (OCT) of the maculae and discs were unremarkable. Diffuse hyperintense white matter lesions on T2-weighted magnetic resonance imaging of the brain and detection of JCV within the parietal lobe tissue obtained by biopsy confirmed PML. Additional investigations identified an underlying hypogammaglobulinaemia, which may have initiated PML. He received intravenous immunoglobulin but passed away 2 months after diagnosis. Conclusions: To our knowledge this case is one of only a handful worldwide to describe PML developing in a patient with presumed immunocompetence at presentation – there was no previous history of recurrent, chronic, or atypical infections. There has only been one other report of visual symptoms presenting as the primary complaint. The case illustrates the importance of ruling out organic, central nervous system pathology in patients presenting with visual loss and normal objective visual function tests such as slit lamp examination and OCT.

scholarly journals Keratitis Treatment by Removal of Concealed Retrocorneal Plant Foreign Body

2021 ◽  
Vol 62 (12) ◽  
pp. 1667-1671
Author(s):  
Seongmi Kim ◽  
Hye Jin Lee ◽  
Ahnul Ha ◽  
Jong Young Lee ◽  
Jinho Jeong
Keyword(s):  
Foreign Body ◽  
Conventional Treatment ◽  
Anterior Segment ◽  
Corneal Opacity ◽  
Posterior Surface ◽  
Slit Lamp ◽  
Corneal Epithelial ◽  
Topical Antibiotics ◽  
Hand Motion ◽  
Hourly Basis

Purpose: We report a case of keratitis that improved after removal of a causative plant foreign body from below the posterior surface of an opaque cornea. The foreign body was revealed by anterior segment optical coherence tomography (AS-OCT) and gonioscopy.Case summary: A 79-year-old woman was referred with an impression of left-eye keratitis; the eye had been injured by a branch of a tangerine tree 1 month prior. She had been given the usual topical antibiotics by a local clinic, but they were ineffective. At her initial visit, her visual acuity was only hand motion in the left eye; slit-lamp examination revealed a 3 × 3-mm corneal infiltration with a hypopyon in the anterior chamber. Despite administration of strong topical antibiotics on an hourly basis, the corneal lesion worsened. AS-OCT and gonioscopy revealed a small foreign body below the posterior surface of the cornea; this was surgically removed. The corneal opacity and corneal epithelial defects dramatically improved, and the hypopyon disappeared.Conclusions: The possibility of a residual foreign body should be considered if trauma precedes infectious keratitis that does not improve with conventional treatment and the posterior surface of the cornea is not visible because of corneal opacity. In such a case, AS-OCT and gonioscopy can be useful.

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