scholarly journals A case of subretinal hemorrhage due to choroidal tear in right eye following blunt trauma in a 35 years old female

2021 ◽  
Vol 9 (12) ◽  
pp. 3689
Author(s):  
Shrushti Doshi ◽  
Yamini B. Sangada ◽  
Stuti V. Juneja
Keyword(s):  
Asian Indian ◽  
Complete Resolution ◽  
Anterior Segment ◽  
Subretinal Hemorrhage ◽  
Fundus Examination ◽  
Corrected Visual Acuity ◽  
Oral Steroids ◽  
History Of ◽  
Choroidal Hemorrhage ◽  
Best Corrected Visual Acuity

A 35-year-old Asian Indian female presented to our institute with a history of fall on road and accidental hit by stone over her right eyebrow, grossly no anterior segment abnormality was noted. On dilated fundus examination, a superotemporal choroidal tear was noted which led to choroidal hemorrhage. Patient was managed conservatively by giving oral steroids and tablet vitamin C. After 2 months of treatment there was complete resolution of the lesion with a final best corrected visual acuity of 6/6.

Multimodal imaging of pigmented paravenous retinochoroidal atrophy

2020 ◽  
pp. 112067212096548
Author(s):  
Ratnesh Ranjan ◽  
Arvind Jain M ◽  
Shishir Verghese ◽  
George J Manayath ◽  
Venkatapathy Narendran
Keyword(s):  
Multimodal Imaging ◽  
Early Stage ◽  
Anterior Segment ◽  
Fundus Examination ◽  
Swept Source ◽  
Ocular Coherence Tomography ◽  
Corrected Visual Acuity ◽  
Pigmented Paravenous Retinochoroidal Atrophy ◽  
Best Corrected Visual Acuity ◽  
Ocular Coherence Tomography Angiography

Aim: To describe the multimodal imaging findings of pigmented paravenous retinochoroidal atrophy. Methods: A 23-year-old female presented to us for a routine ocular examination. She had a best-corrected visual acuity of 6/6 in both eyes. Anterior segment examination was unremarkable. Fundus examination showed pigmentary changes along the retinal vasculature extending from mid periphery to post-equatorial retina suggesting a diagnosis of pigmented paravenous retinochoroidal atrophy. Swept-source optical coherence tomography of the macula showed choriocapillaris thinning at the mid periphery whereas coherence tomography angiography at the mid periphery showed a relatively normal choriocapillaris vasculature in the early stage of the disease. Conclusion: A relatively normal choriocapillaris structure was seen on ocular coherence tomography angiography which could have been due to a milder form of the disease in a young patient.

scholarly journals Isolated bilateral optic neuritis revealing a Lyme Disease : case report

2020 ◽  
Vol 7 (3) ◽  
pp. 145-149
Author(s):  
MIRAY LOUIS DE GONZAGUE
Keyword(s):  
Visual Acuity ◽  
Lyme Disease ◽  
Optic Neuritis ◽  
Anterior Segment ◽  
Central Nervous System Involvement ◽  
Optic Disk ◽  
Fundus Examination ◽  
Corrected Visual Acuity ◽  
Disease Case ◽  
Best Corrected Visual Acuity

Optic neuritis (ON) is an inflammation of the optic nerve and one of the most common manifestations of central nervous system involvement caused by various etiologies. Lyme optic neuritis  is a rare ocular manifestation of Lyme Disease. We report a case of a 13-year-old male patient, previously healthy, with decreased central visual acuity on his both eyes . On examination, best-corrected visual acuity on both eyes was 0,3 LogMar. Anterior segment biomicroscopy showed no inflammatory signs and the intraocular pressure was normal. A fundus examination performed under mydriasis revealed a swollen optic disk on both eyes confirmed by fluorescein angiography. The cerebrospinal fluid examination and Lyme Disease blood findings were positive. The diagnosis of Lyme disease-related optic neuritis was made. Treated with Ceftriaxone and Doxicycline, there was a vision recovery. We can state that isolated bilateral optic neuritis is uncommon and exceptional especially in children during Lyme disease.

scholarly journals Descemet membrane suturing to manage recurrent graft detachment in a patient with Descemet membrane endothelial keratoplasty on failed penetrating keratoplasty

2021 ◽  
Vol 13 ◽  
pp. 251584142110277
Author(s):  
Zahra Ashena ◽  
Thomas Hickman-Casey ◽  
Mayank A. Nanavaty
Keyword(s):  
Visual Acuity ◽  
Penetrating Keratoplasty ◽  
Anterior Segment ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Ocular Coherence Tomography ◽  
Corrected Visual Acuity ◽  
Intracameral Injection ◽  
History Of

A 65-year-old patient with history of keratoconus, mild cataract and penetrating keratoplasty over 30 years ago developed corneal oedema subsequent of graft failure with best corrected visual acuity (BCVA) of counting fingers. He underwent a successful cataract surgery combined with a 7.25 mm Descemet’s Membrane Endothelial Keratoplasty (DMEK) with Sodium Hexafluoride (SF6) gas. His cornea remained oedematous inferiorly at 4 weeks, despite two subsequent re-bubbling due to persistent DMEK detachment inferiorly. This was managed by three radial full thickness 10-0 nylon sutures placed in the inferior cornea along with intracameral injection of air. Following this, his anterior segment ocular coherence tomography (OCT) confirmed complete attachment of the graft, and the sutures were removed 4 weeks later. Unaided visual acuity was 20/63 and BCVA was 20/32 after 8 months. DMEK suturing can be helpful in persistent DMEK detachments, which is refractory to repeated re-bubbling due to uneven posterior surface of previous PK.

scholarly journals Euphorbia grandicornis Sap Keratouveitis: A Case Report

2016 ◽  
Vol 7 (1) ◽  
pp. 125-129
Author(s):  
María Gómez-Valcárcel ◽  
Graciana Fuentes-Páez
Keyword(s):  
Complete Resolution ◽  
Sesquiterpene Lactones ◽  
Sodium Hyaluronate ◽  
Conjunctival Hyperemia ◽  
Blurred Vision ◽  
Case Presentation ◽  
Corrected Visual Acuity ◽  
Dexamethasone Phosphate ◽  
Best Corrected Visual Acuity ◽  
Extraction Spectrophotometry

Purpose: To describe a case of keratouveitis caused by Euphorbia grandicornis sap, that resolved with topic steroids. Methods: We report a case presentation of a patient with keratouveitis. Results: A 70-year-old woman suffered from accidental ocular contact with E. grandicornis sap in her left eye. Two hours after the contact, she attended the clinic due to conjunctival hyperemia and pain. Best-corrected visual acuity (BCVA) was 20/25. The toxic conjunctivitis was treated with topical lubricant and steroid. After 24 h, she presented blurred vision. BCVA was 20/80. Toxic keratouveitis was diagnosed. Topical treatment with 1% cyclopentolate t.i.d., 5% sodium chloride, 1.14% dexamethasone phosphate each hour, and 4% sodium hyaluronate each hour was continued. Complete resolution was obtained 1 week later. Euphorbia sap content analysis was performed using dissolvent extraction spectrophotometry. Its contents included flavonoids, alkaloids, phenols and sesquiterpene lactones. Conclusion: Corneal exposure to E. grandicornis sap is a cause of nonvisually threatening keratouveitis when adequately treated with corticosteroids.

Single-pass four-throw pupilloplasty for Urrets-Zavalia syndrome

2018 ◽  
Vol 28 (5) ◽  
pp. 552-558 ◽  
Author(s):  
Priya Narang ◽  
Amar Agarwal ◽  
Dhivya Ashok Kumar
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Intraocular Pressure ◽  
Anterior Segment ◽  
Anterior Chamber Angle ◽  
Single Pass ◽  
Corrected Visual Acuity ◽  
The Mean ◽  
Chamber Angle ◽  
Best Corrected Visual Acuity

Purpose: To demonstrate the efficacy and initial results of single-pass four-throw pupilloplasty in cases of Urrets-Zavalia syndrome. Methods: In this prospective interventional study, single-pass four-throw was performed to reconstruct the pupil in all symptomatic cases with Urrets-Zavalia syndrome. Applanation tonometry, indentation gonioscopy, and anterior segment optical coherence tomography for anterior chamber angle assessment were performed in all the cases. Results: Out of 10 cases that were identified with Urrets-Zavalia syndrome, the procedure was performed in 7 cases, whereas 3 cases were left untreated, as they did not have any visual complaints. Five out of seven eyes had preoperative raised intraocular pressure with appositional closure of the angle. Postoperatively, intraocular pressure was controlled in all the eyes, whereas one eye required antiglaucoma medications to control the intraocular pressure. The mean preoperative and postoperative best-corrected visual acuity was 1.1 ± 1.2 and 0.4 ± 0.4 LogMar, respectively. There was a significant improvement in the best-corrected visual acuity (p = 0.0169) in the postoperative period. The mean preoperative and postoperative intraocular pressure was 26.6 ± 11.23 and 16.3 ± 2.98 mm Hg, respectively (p = 0.0168). All the patients had a minimum of 6-month follow-up period (range = 6–8 months). Conclusion: Single-pass four-throw can be employed for cases with Urrets-Zavalia syndrome, and single-pass four-throw helps to prevent the postoperative glare and narrows down the pupil size effectively. Single-pass four-throw helps to alleviate the anterior chamber angle apposition in patients with Urrets-Zavalia syndrome by mechanically pulling the peripheral iris centrally as demonstrated on anterior segment optical coherence tomography. The study also reports the occurrence of Urrets-Zavalia syndrome after glued intraocular lens surgery.

Large choroidal excavation in pachychoroid disease: A case report

2019 ◽  
pp. 112067211989242 ◽  
Author(s):  
Pierluigi Iacono ◽  
Maurizio Battaglia Parodi ◽  
Sandro Saviano ◽  
Mariacristina Parravano ◽  
Monica Varano
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Indocyanine Green ◽  
Choroidal Neovascularization ◽  
Indocyanine Green Angiography ◽  
Fundus Examination ◽  
Corrected Visual Acuity ◽  
Focal Choroidal Excavation ◽  
The Right ◽  
Best Corrected Visual Acuity

Purpose: To report the morphological and clinical features of a case of pachychoroid disease with focal choroidal excavation and large choroidal excavation complicated by choroidal neovascularization. Methods: The patient underwent a complete ophthalmologic examination including best-corrected visual acuity assessment, anterior segment and dilated fundus examination, fluorescein and indocyanine green angiography, and spectral-domain optical coherence tomography. Results: During the previous follow-up, the 57-year-old man received a diagnosis of central serous chorioretinopathy in the right eye with a late appearance of a choroidal neovascularization. The best-corrected visual acuity was 20/125 and 20/20 in the right and left eye, respectively. Dilated fundus examination, fluorescein angiography, and indocyanine green angiography confirmed a large subretinal fibrosis corresponding to the evolution of the choroidal neovascularization in the right eye. Spectral-domain optical coherence tomography clearly demonstrated in the right eye a large choroidal excavation below the fibrotic neovascular lesion with multiple hyperreflective foci inside the cavity, and in the left eye, a conforming focal choroidal excavation, bowl-shape type, associated with increased choroidal thickness with pachyvessels. Conclusion: Large choroidal excavation has been rarely reported. Although the pathogenetic mechanisms leading to the formation of large choroidal excavation are still only hypotheses, a combination of primary degenerative inflammatory factors sustaining the focal choroidal excavation formation and disruptive process of the choroidal neovascularization could be retained responsible for the large choroidal excavation.

scholarly journals Transient choroidal detachment after ultrasonic circular cyclocoagulation

2019 ◽  
Vol 12 (10) ◽  
pp. e231677
Author(s):  
Tiago Morais Sarmento ◽  
Ricardo Figueiredo ◽  
João Garrido ◽  
Ana Luisa Rebelo
Keyword(s):  
Visual Acuity ◽  
Best Practice ◽  
Choroidal Detachment ◽  
Refractory Glaucoma ◽  
Corrected Visual Acuity ◽  
Retrobulbar Anaesthesia ◽  
Oral Steroids ◽  
Hypotensive Therapy ◽  
Best Corrected Visual Acuity

Two patients with refractory glaucoma followed in our ophthalmology department registered progression on left eyes (OS) despite best practice. Best corrected visual acuity (BCVA) was 9/10 and 8/10 and intraocular pressure (IOP) was above 20 mm Hg while under maximal hypotensive therapy. The procedure was performed under retrobulbar anaesthesia with second-generation EyeOp1probes. In follow-up, OS were hypotonic with registered IOP ≤5 mm Hg and revealed a 3/10 BCVA. The funduscopy showed one temporal and superior and another nasal and temporal choroidal detachments. The patients started oral steroids and interrupted all ocular hypotensive medication. After therapy, patients returned with normal rising OS IOPs and with totally reapplied choroids, accompanied by normalised BCVA. These two cases are proof of the possibility of transient choroidal detachment after a ultrasonic circular cyclocoagulation. While a very rare major vision-threatening complication, every ophthalmologist should remind it when sudden BCVA reductions occur after this procedure.

scholarly journals Decompression Retinopathy after ExPRESS Shunt Implantation for Steroid-Induced Ocular Hypertension: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Khawla Abu Samra ◽  
Sandra Fernando Sieminski ◽  
Vimal Sarup
Keyword(s):  
Ocular Hypertension ◽  
Fundus Examination ◽  
Filtration Surgery ◽  
Unique Case ◽  
Drainage Device ◽  
Corrected Visual Acuity ◽  
Shunt Implantation ◽  
Choroidal Effusion ◽  
Decompression Retinopathy ◽  
Best Corrected Visual Acuity

Purpose. To present a unique case of decompression retinopathy after the implantation of ExPRESS drainage device.Method. A 25-year-old female patient underwent implantation of ExPRESS drainage device in the left eye for the management of steroid-induced ocular hypertension.Results. On the postoperative day one, best-corrected visual acuity in the left eye was 20/50. Fundus examination revealed diffuse intraretinal hemorrhages, some white-centered, throughout the retina. There was also marked tortuosity to the retinal vasculature and no evidence of choroidal effusion. Intravenous fluorescein angiography and indocyanine green did not contribute to the aetiopathogenesis.Conclusion. Decompression retinopathy can occur following the implantation of ExPRESS drainage device. It is very important to be aware of this complication in patients with relatively high intraocular pressure who is planned for filtration surgery, including the ExPRESS implant.

scholarly journals A Case of Bilateral Optic Edema in a 71 Year Old Diabetic

2021 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Blood Pressure ◽  
Visual Acuity ◽  
Optic Disc ◽  
Corneal Thickness ◽  
Anterior Segment ◽  
Type Ii Diabetes Mellitus ◽  
Color Test ◽  
Corrected Visual Acuity ◽  
History Of ◽  
At Home

A 71 year old Hispanic male with a past medical history of hypertension, type II diabetes mellitus, and bilateral anatomically narrow angles status post bilateral peripheral iridotomies presented with the complaint of “looking through a film.” The patient could still drive, work as a cashier, see his computer and television, and read with his glasses. It was worse in the morning and resolved when he washed his face. The patient denied headaches, jaw claudication, weight loss, and anorexia. Pt had no neurologic deficits including diplopia. The patients hemoglobin A1c 4 months prior to being seen was 7. The patient endorsed checking his blood sugars at home and most are less than 200. The patient routinely checks his blood pressure at home and it is usually 130s/70s. The patient’s best corrected visual acuity was 20/20 in each eye at distance, intermediate, and near. His Ishihara color test was 11/11 in each eye as well. His intraocular pressure was 13 in each eye with corneal thickness of 642 OD and 626 OS. There was no relative afferent pupillary defect in each eye, extraocular muscle movements were full, and his confrontation fields were full as well. His anterior segment exam was unremarkable except for nuclear sclerosis of each lens. The fundus examination was remarkable for bilateral optic disc swelling with heme off both optic discs. Fluorescein angiography demonstrated bilateral optic disc leakage. OCT showed a flat sensory retina in each macula. The patient had an emergent MRI that demonstrated diffuse loss of normal high T2 signal, but no intracranial mass was present. CRP and ESR were both within normal limits when accounted for the patient’s age. The patient’s papilledema improved on one month follow-up exam without intervention. Due to the patient’s history of diabetes, normal corrected visual acuity, reportedly well controlled blood pressure, and essentially unremarkable work-up, the patient was diagnosed with diabetic papillopathy.

scholarly journals OCULAR DOPPLER IN BRAIN STROKE PATIENTS TO AID IN EARLY DIAGNOSIS OF EYE STROKE

2020 ◽  
pp. 61-62
Author(s):  
Reshma Ramakrishnan ◽  
Sayali Amberkar ◽  
Priyanka Gandhi
Keyword(s):  
Early Diagnosis ◽  
Emergency Room ◽  
Anterior Segment ◽  
Artery Occlusion ◽  
Fundus Examination ◽  
Stroke Patients ◽  
Echocardiographic Study ◽  
History Of ◽  
Carotid Doppler ◽  
Grade Iii

Ischemic stroke presents an exceptionally large medical burden given that it is one of the leading causes of morbidity and mortality and is associated with high healthcare expenditures. A 51 years old female, case of right MCA territory infarct was referred from Medicine department to ophthalmic OPD with transient loss of vision in right eye since 2 days after the episode of stroke. She was hypertensive since 4 years. On slit lamp evaluation, anterior segment revealed immature senile cataract in both the eyes. Grade II RAPD was seen in right eye. Right eye fundus examination revealed a inferior hemiretinal artery occlusion and grade III hypertensive retinopathic changes. Left eye fundus examination showed grade III hypertensive retinopathic changes. Two dimensional echocardiographic study of cardiac valves and aorta and carotid doppler assist in locating embolic sources of retinal occlusions along with ocular doppler. Therefore, it is necessary to screen all patients who present in the emergency room with stroke or history of stroke to provide early diagnosis and improve visual prognosis. We would also like to emphasise that there is a need to spread awareness among all physicians for the need of routine ophthalmic consult for all hypertensive patients. In stroke patients, an ophthalmic consult should be done on the day of stroke for better visual care and prognosis. If ocular doppler along with carotid doppler is introduced as primary investigation in emergency room, it might help in early diagnosis, early intervention and aid in prevention of visual loss.

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