scholarly journals A clinical case of bilateral exudative retinal detachment against the background of severe preeclampsia

2021 ◽  
Vol 14 (2) ◽  
pp. 91-96
Author(s):  
Oleg V. Kolenko ◽  
Anastasia A. Fil ◽  
Evgenii L. Sorokin
Keyword(s):  
Retinal Detachment ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Bed Rest ◽  
Pressure Control ◽  
Severe Preeclampsia ◽  
Exudative Retinal Detachment ◽  
Ophthalmological Examination ◽  
Dynamic Observation

This article describes a clinical case of a bilateral exudative retinal detachment development in a young woman with severe preeclampsia. The data of the ophthalmological examination, as well as those of the dynamic observation of the patient, are presented. The possible mechanisms of the formation of exudative retinal detachment on the background of preeclampsia are considered in detail. The described clinical case is of great interest, since this condition is a rare complication in preeclampsia. Exudative retinal detachment against the background of preeclampsia requires adherence to bed rest, normalization of blood pressure, control of proteinuria and, as a rule, does not require surgical intervention.

scholarly journals Evolution of Needling: Preliminary Results of Microinvasive Antiglaucoma Reoperation

2021 ◽  
Vol 18 (1) ◽  
pp. 36-45
Author(s):  
I. B. Alekseev ◽  
A. K. Aylarova ◽  
G. Sh. Arzhimatova ◽  
A. V. Dobroserdov ◽  
A. I. Samoylenko
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Ultrasound Biomicroscopy ◽  
Main Group ◽  
Control Group ◽  
Ophthalmological Examination ◽  
Efficacy And Safety ◽  
Internal Fistula ◽  
Dynamic Observation ◽  
Experimental Group

Purpose: to assess the efficacy and safety of needling performed by the new scleroconjunctival dissector according to our specific technique.Patients and methods. The study included 60 patients diagnosed with operated subcompensated or decompensated glaucoma. Thirty patients underwent microinvasive reoperation with the help of a sclero-conjunctival dissector. The control group consisted of 30 patients; they underwent repeated sinustrabeculectomy with iridectomy. A standard ophthalmological examination and ultrasound biomicroscopy were performed before the operation and in dynamics (after 1, 3, 6, 9 months).Results: 76.7 % of the experimental group had IOP less than or equal to 15 mm Hg six months after microinvasive reoperation. In the control group, the same mark was 70 %. Hyphema occurred in 23.3 % of the main group, it was stopped by conservative treatment. 10 % of patient developed choroid detachment, it did not require surgical treatment. Hyphema was formed in 36.7 % in the control group and choroid detachment — in 53.3 % of patients. The complications were more manifested and required surgical treatment in the control group. According to the data of ultrasound biomicroscopy, the acoustic density in the control group steadily increased, while the height of the filtration bleb first increased and then decreased. This may indicate significant tissue induration, probably as a result of fibrosis after an operating injury. The intrascleral «lake» height does not differ between the groups when comparing dynamic observations, and the volume of the intrascleral cavity is significantly greater in the main group than in the control group (p < 0.0001) at admission and during dynamic observation. The text of the article describes a clinical case of a patient who underwent microinvasive reoperation.Conclusion. When there are indications for re-surgery, an adequate and thorough diagnosis of the preservation of the surgically created outflow tract, namely gonioscopy and ultrasound biomicroscopy, is important. In patients with intact internal fistula and without pronounced fibrosis of the intrascleral drainage pathways, it is possible to carry out microinvasive reoperation according to our technique using a scleroconjunctival dissector, this allows to reduce the risk of postoperative complications and achieve hypotensive efficacy comparable to repeated filtering surgery.

Bilateral exudative retinal detachment in a patient with early onset severe preeclampsia

2014 ◽  
Vol 4 (4) ◽  
pp. 253-254 ◽  
Author(s):  
Bindiya Gupta ◽  
Nilanchali Singh ◽  
Vinod Kumar ◽  
Shalini Rajaram ◽  
Neerja Goel
Keyword(s):  
Retinal Detachment ◽  
Early Onset ◽  
Severe Preeclampsia ◽  
Exudative Retinal Detachment

scholarly journals Exudative Retinal Detachment Treatment in a Patient with Thrombotic Thrombocytopenic Purpura

2016 ◽  
Vol 7 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Magali Sampo ◽  
Gaëlle Ho Wang Yin ◽  
Louis Hoffart ◽  
Danièle Denis ◽  
Vincent Soler ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Plasma Exchange ◽  
Thrombotic Thrombocytopenic Purpura ◽  
Rare Complication ◽  
Exudative Retinal Detachment ◽  
Radiological Assessment ◽  
Rapid Improvement ◽  
Thrombocytopenic Purpura ◽  
History Of ◽  
Total Disappearance

Purpose: We report a case of unilateral exudative retinal detachment in a patient with thrombotic thrombocytopenic purpura (TTP), without associated hypertension, successfully treated with plasmapheresis. Case Report: A 46-year-old woman with a medical history of TTP presented with unilateral exudative retinal detachment. Biological and radiological assessment eliminated other causes of exudative retinal detachment, including hypertension. Plasma exchange was performed, followed by a rapid improvement in visual acuity and total disappearance of serous detachment. Conclusion: Exudative unilateral retinal detachment is a rare complication of TTP and can be successfully treated by plasma exchange.

scholarly journals Posner – Schlossman Syndrome: case report

2021 ◽  
Vol 21 (4) ◽  
pp. 843-848
Author(s):  
Diego José Mamani Maquera ◽  
Nahuel Pantoja Dávalos
Keyword(s):  
Visual Acuity ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Anterior Segment ◽  
Ophthalmological Examination ◽  
Intense Pain ◽  
Ahmed Valve ◽  
Elevated Intraocular Pressure ◽  
Valve Implantation ◽  
Recurrent Nature

Introduction: Posner - Schlossman Syndrome (PSS) is a rare disease, more prevalent in men between 20 and 50 years old, characterized by recurrent attacks of anterior uveitis and ocular hypertension. Clinical case: We report the case of a 42-year-old patient with a single eye. He came to the consultation presenting decreased visual acuity, photobobia, halos around the lights, and intense pain in his left eye. The ophthalmological examination revealed inflammatory signs in the anterior segment, elevated intraocular pressure and damage to the optic nerve. Medical treatment was started with corticosteroids and topical antiglaucoma drugs, oral acetazolamide and intravenous mannitol, obtaining no response and it was decided to perform a surgical intervention (Ahmed valve implantation) in the left eye, subsequently achieving a good clinical evolution and resolution of the case. Conclusion: This report highlights that the episodic and recurrent nature of SPS requires strict monitoring.

scholarly journals Staged approach to treatment of combined hamartoma of the retina and retinal pigment epithelium

2020 ◽  
Author(s):  
KhP Takhchidi ◽  
NKh Takhchidi ◽  
TA Kasmynina ◽  
EP Tebina
Keyword(s):  
Optical Coherence Tomography ◽  
Retinal Pigment Epithelium ◽  
Retinal Detachment ◽  
Clinical Case ◽  
Rhegmatogenous Retinal Detachment ◽  
Pigment Epithelium ◽  
Benign Lesion ◽  
Retinal Pigment ◽  
Exudative Retinal Detachment ◽  
Staged Approach

Combined hamartoma of the retina and retinal pigment epithelium (RPE) is a rare congenital benign lesion. It is most often detected in young adults and adolescents. The disorder is mostly asymptomatic, however, in 24% of patients the loss of visual function results from complications, such as epiretinal fibrosis associated with tractional distortion of the fovea, hemophthalmos, choroidal neovascularization, exudative retinal detachment, macular edema, and combined tractional/rhegmatogenous retinal detachment. Currently, there is no consensus on the combined hamartoma complications management. The reported clinical case demonstrates the feasibility of staged approach to treatment of combined hamartoma of the retina and RPE complicated by epiretinal fibrosis and partial hemophthalmos using the advanced diagnosis (optical coherence tomography) and treatment methods.

Surgical resection of the sclera is a non-penetrating operation for the treatment of patients with primary open-angle and secondary glaucoma

GlaucomaNews ◽  
2020 ◽  
pp. 62-65
Author(s):  
А.Y. Kazantseva ◽  
◽  
O.A. Rumyantseva ◽  
Keyword(s):  
Surgical Resection ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Secondary Glaucoma ◽  
Ophthalmological Examination ◽  
Open Angle ◽  
Visual Functions ◽  
Dynamic Observation ◽  
Uveoscleral Outflow ◽  
Outflow Pathway

Purpose. To evaluate the effectiveness of surgical resection of the sclera in patients with primary open-angle and secondary glaucoma. Materials and methods. The study included 84 patients with POAG and SG stages III-IV and decompensated IOP level (not higher than 32 mm Hg). In order to normalize the increased ophthalmotonus, a non - penetrating operation was performed-surgical resection of the sclera (SRS). The patients underwent complex ophthalmological examination and dynamic observation. Result. In the studied groups of patients after surgical treatment there was a decrease in elevated IOP levels by 33.42%, an improvement in the coefficient of ease of outflow and a weakening of the hypotensive regime. Stabilization of visual functions was observed in all patients. Summary. The proposed new SRS technique provides a smooth decrease in IOP, preservation of visual functions and is not accompanied by intra-and postoperative complications. Key words: primary open-angle glaucoma, surgical resection of sclera, secondary glaucoma, uveoscleral outflow pathway (USPO), intraocular pressure, EO coefficient .

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