scholarly journals First Case of Coloboma, Lens Neovascularization, Traumatic Cataract and Retinal Detachment in a Young Asian Female

2021 ◽  
Author(s):  
Bharat Gurnani ◽  
Kirandeep Kaur ◽  
Subashini Sekaran
Keyword(s):  
Retinal Detachment ◽  
Young Girl ◽  
Traumatic Cataract ◽  
Visual Prognosis ◽  
First Case

A young girl post-stick injury presented with traumatic cataract and lens neovascularization in OS and iris coloboma, key whole pupil, and cataractous changes in OD. Fundoscopy revealed chorioretinal coloboma OD and retinal detachment on B scan OS. In view of guarded visual prognosis, the patient was advised observation in OU

scholarly journals A Rare Fungal Infiltration of Lungs in a Healthy Young Girl

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Rajesh Gupta ◽  
Nidhi Goel ◽  
Anupama Gupta ◽  
K. B. Gupta ◽  
Uma Chaudhary ◽  
...  
Keyword(s):  
Broad Spectrum ◽  
Human Disease ◽  
Young Girl ◽  
High Grade ◽  
Healthy Patient ◽  
High Grade Fever ◽  
Cunninghamella Bertholletiae ◽  
First Case ◽  
Pulmonary Infiltration

Cunninghamella bertholletiaeis an opportunistic fungal organism found in soil and is a rare cause of human disease. The few reported cases ofC. bertholletiaehave involved immune compromised hosts. We report a case ofC. bertholletiaein an otherwise healthy patient presenting with persistent high-grade fever and pulmonary infiltration resistant to antibiotics. The organism is isolated through bronchoscopy and responded to broad spectrum antifungal. This is the first case ofC. bertholletiaereported in the literature in an immune competent individual.

scholarly journals Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

2019 ◽  
Vol 16 (3) ◽  
pp. 393-398
Author(s):  
E. V. Chentsova ◽  
I. B. Alekseeva ◽  
E. N. Verigo ◽  
V. A. Vlasova ◽  
E. V. Fedoseeva ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Correct Diagnosis ◽  
Functional Results ◽  
Diagnostic Methods ◽  
High Tech ◽  
Eye Injury ◽  
Traumatic Cataract ◽  
Iol Implantation ◽  
First Case ◽  
Open Injury

Open eye injury (OTG), in the structure of eye damage is up to 35.0–85.0 %, the level of disability among the working part of the male population from 26 to 55 years ranges from 25.0–47.5 %, and the removal of the eyeball due to traumatic pathology is 6.5–26.3 % of cases. The aim of the work is to demonstrate the consequences of undiagnosed cases of open injury, successfully treated in the Department of traumatology and reconstructive surgery. Attention is focused on some diagnostic techniques that contribute to the correct diagnosis, especially in undiagnosed and unoperated timely sub — conjunctival sclera ruptures that occur in 1.0–2.6 % of cases of OTG. This pathology leads to the development of severe complications with a persistent decrease in visual functions, detachment of the inner shells, with the formation of staphylomatous, cystic changes, as a rule, along the upper limb in 0.5–1.0 mm from it. There are 3 clinical cases with the description of surgical restoration of the integrity of the scleral capsule in combination with intraocular surgery, which led to good anatomical, cosmetic and functional results. In the first case, the patient with the consequence of injury with wooden shavings 6 months ago was performed a delayed revision of vascular staphyloma after separation of the conjunctiva and plastic defect sclera cadaver scleral flap. Visual acuity of OD increased from 0.4 to 0.8. The second case is the consequences of an open eye injury, dislocation of the lens under the conjunctiva. The patient underwent a delayed revision of the scleral wound with removal of the lens, microinvasive vitrectomy with removal of hemophthalmos, iris plasty and secondary IOL implantation. Visual acuity improved with pr.l.certae up to 0.7. The third case is a patient with the consequences of open trauma, staphyloma vascular, complete coloboma of the iris, traumatic cataract. Were facoaspiration traumatic cataract with IOL implantation and plasticity of the iris, delayed revision of the scleral wound plasty of the defect cadaverous sclera. Visual acuity improved with pr.l.certae to 0.2 n/K. Conclusion. Thus, thanks to the use of clinical and diagnostic methods of research and high-tech surgical technique of treatment, it was possible to achieve optimal anatomical, cosmetic results in patients with long-term consequences of complicated open eye injury. Despite the severe anatomical consequences, good functional results were obtained in all cases. In our opinion, this can be explained by the absence of damage to the choroid during the injury, which, according to the literature, mainly leads to massive bleeding into the inner shells and cavities of the eye, the development of ischemia and is the trigger for the development of vitreoretinal proliferation.

scholarly journals Hyphema in Open-Globe Versus Closed-Globe Injuries in Operation Iraqi Freedom and Enduring Freedom: 2001–2011

2019 ◽  
Vol 185 (5-6) ◽  
pp. e768-e773 ◽  
Author(s):  
Natalie R Miller ◽  
Grant A Justin ◽  
Won I Kim ◽  
Daniel I Brooks ◽  
Denise S Ryan ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Medical Center ◽  
Visual Outcome ◽  
Walter Reed Army Medical ◽  
Cataract Formation ◽  
Traumatic Cataract ◽  
Open Globe ◽  
Ocular Injuries ◽  
Iraqi Freedom

Abstract Introduction The goal of this study is to update the incidence of hyphema in Operation Iraqi (OIF) and Enduring Freedom (OEF). We wanted to assess associated ocular injuries and final visual acuity (VA) in open-globe versus closed-globe injuries with a hyphema. Materials and Methods We performed a retrospective review of the Walter Reed Ocular Trauma Database (WRTOD) to identify U.S. Service members and DoD civilians with hyphema who were evacuated to Walter Reed Army Medical Center between 2001 and 2011. Primary outcome measures were the final VA and differences in concomitant ocular injuries in open-globe hyphema and closed-globe hyphema. Results 168 of 890 eyes (18.9%) in the WROTD had a hyphema. Closed-globe injuries were noted in 64 (38.1%) eyes and open-globe injuries in 104 (61.9%) eyes. A final VA of less than 20/200 was noted in 88 eyes (51.8%). Eyes with hyphema were more likely to have traumatic cataract formation (odds ratio (OR) 6.2, 95% confidence interval (CI) 4.2–9.2, P < 0.001), retinal detachment (OR 4.2, CI 2.8–6.4, P < 0.001), angle recession (OR 8.1, CI 2.9–24.3, P < 0.001), and final VA of less than 20/200 (OR 3.7, CI 2.6–5.4, P < 0.001). Traumatic cataract formation (OR 7.4, CI 2.9–18.7, P < 0.001), retinal detachment (OR 6.1, CI 2.1–17.5, P < 0.001), and a final VA less than 20/200 (OR 6.1, CI 2.4–15.4 P < 0.001) were statistically more likely to occur with an open-globe hyphema than with a closed-globe hyphema. Conclusions Close follow-up in patients with hyphema is important due to the associated development of traumatic cataract and retinal detachment and poor final visual outcome.

scholarly journals Prospects modern pharmacotherapy in postoperative rehabilitation of patients after endovitreal surgery of rhegmatogenous retinal detachment

2021 ◽  
pp. 19-24
Author(s):  
A.V. Egorov ◽  
◽  
O.V. Kolenko ◽  
V.V. Egorov ◽  
G.P. Smoliakova ◽  
...  
Keyword(s):  
Blood Flow ◽  
Retinal Detachment ◽  
Functional Outcome ◽  
Standard Therapy ◽  
Rhegmatogenous Retinal Detachment ◽  
Laser Doppler ◽  
Postoperative Treatment ◽  
Foveal Avascular Zone ◽  
Postoperative Rehabilitation ◽  
Visual Prognosis

Purpose. To assess increasing the functional effectiveness of the results of endovitreal surgery in patients with rhegmatogenous retinal detachment (RRD) by using modern pharmacotherapy drug in the postoperative rehabilitation. Materials and methods. 108 people (108 eyes) with RRD. All patients underwent standard three-port vitrectomy, after which tamponade of the vitreous cavity with silicone oil with its removal 3 months after operation was performed. Patients were divided into 2 groups: the first – 60 people who received Cytoflavin on the background of standard therapy, and the second – 48 people with postoperative treatment only with standard therapy. Depending on the visual prognosis calculated before the operation, both groups were represented patients with satisfactory (A subgroup) and low (B subgroup) visual prognosis. Laser Doppler fluometry (LDF) was used to study chorioretinal microcirculation: microcirculation index and microcirculation efficiency index were recorded. Using OCT angiography (OCT-A), signs of macular ischemia were investigated: choroidal thickness, area nonperfusion of foveal avascular zone, density in the superficial capillary plexuses and density in the deep capillary plexuses in the macular area. Results. The inclusion of Cytoflavin in the postoperative rehabilitation of patients with RRD increases the possibility of a favorable functional outcome of the operation, affects the positive dynamics in the state of the capillary plexus in the macula. In the aggregate of patients of the 1st group, the increase in visual acuity was 2 times higher than in patients of the 2nd group 6 months after surgery. Also, in patients of the 1st group there was a more significant activation of chorioretinal blood flow according to LDF and OCT-A. Conclusion. The prescription of Cytoflavin in the postoperative treatment of patients underwent endovitreal surgery of RRD, regardless of the visual prognosis, increases the functional outcome of the operation. Improvement in visual functions in patients receiving Cytoflavin therapy is directly related to improved intraocular blood flow and macular perfusion. Keywords: rhegmatogenous retinal detachment, chorioretinal microcirculation, ocular hemodynamics, Laser Doppler fluometry, optical coherence tomography angiography, Cytoflavin.

scholarly journals Big intraocular foreign body: Case report

2013 ◽  
Vol 141 (7-8) ◽  
pp. 516-518
Author(s):  
Aleksandar Gakovic ◽  
Igor Kovacevic ◽  
Jovana Bisevac ◽  
Bojana Radovic ◽  
Katarina Cubrilo ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Detailed Examination ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Normal Limits ◽  
The Right ◽  
Fitting In

Introduction. Penetrated injuries are most difficult injuries of the eye. Intraocular foreign body (IOFB) may lodge in any of the structures it encounters, from anterior chamber to the retina and choroid. Notable effects caused by foreign body injury include traumatic cataract, vitreous liquefaction, retinal and subretinal hemorrhages, retinal detachment and development of endophtalmitis. Case Outline. A 49?year?old man sustained injury of the right eye with a piece of metal wire. On admission visual acuity was VOD: 1.0 and lower intraocular tension TOD=6 mmHg (10?22 mmHg). Corneal entry wound was noticed near limb on 11h with a prominating foreign body of 18 mm in length that passed through the iris, lens and vitreous. X?ray findings confirmed existence of a large foreign body extending along the entire length of the globe. IOFB removal was done with anatomic forceps. On postoperative detailed clinical examination we observed retinal rupture in the upper temporal quadrant fitting in the area of the IOFB damaged retina. Laser photocoagulation of retinal tear (laser retinal barrage) was done. Visual acuity on discharge was the same (1.0) and intraocular tension was within normal limits (10 mmHg). Conclusion. Penetrated injury of eye requires detailed examination of all eye structures, beginning from the anterior to posterior segment. Timely diagnosed ruptures of the posterior segment of eye before the development of traumatic cataract, and adequate therapeutic procedures prevent serious complications of IOFB penetrated eye injury such as retinal detachment and permanent reduction of visual acuity.

scholarly journals Exhibiting Residual Subretinal Fluid after High Myopic Macular Hole Retinal Detachment Surgery

2021 ◽  
Vol 62 (12) ◽  
pp. 1672-1678
Author(s):  
Sung Joon Kim ◽  
Jae Jung Lee ◽  
Ik Soo Byon ◽  
Ji Eun Lee ◽  
Sung Who Park
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Silicone Oil ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Closure Rate ◽  
Visual Prognosis ◽  
Membrane Peeling ◽  
Macular Hole Retinal Detachment ◽  
The Right

Purpose: To report a case of poor visual prognosis complicated by residual subretinal fluid after use of the internal limiting membrane flap technique to treat macular hole retinal detachment in a patient with high myopia.Case summary: A 55-year-old male stated that he had experienced a transparent circle in the central visual field of the right eye for 1 month. His best-corrected visual acuity (BCVA) was 0.32 and the axial length of the right eye was 32.57 mm. Fundus examination revealed a macular hole with retinal detachment localized to the posterior pole. We performed vitrectomy, membrane peeling, internal limiting membrane peeling with inverted internal limiting membrane flap, and silicone oil injection. On day 1 after surgery, the macular hole was closed, but subretinal fluid was noticed in the macula. At 3 months after surgery, the BCVA was 0.16 and the silicone oil was removed. At 14 months after the first surgery, the subretinal fluid was completely absorbed, but leopard-pattern pigment degeneration became prominent and the macula exhibited ellipsoid zone disruption. The BCVA decreased to 0.1.Conclusions: In patients exhibiting macular hole retinal detachment in the context of high myopia, an inverted internal limiting membrane flap may increase the macular hole closure rate but disturb subretinal fluid drainage. As persistent subretinal fluid may cause permanent retinal damage with a poor visual prognosis, the surgical method must be carefully chosen.

scholarly journals Results of foreign bodies removal from the posterior eyeball segment by transvitreal approach

2016 ◽  
Vol 9 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Mariya V Kataeva ◽  
Vadim P Nikolaenko
Keyword(s):  
Foreign Body ◽  
Retinal Detachment ◽  
Foreign Bodies ◽  
Posterior Vitreous Detachment ◽  
Traumatic Cataract ◽  
Fluid Exchange ◽  
Eye Trauma ◽  
Post Operative Period ◽  
Pars Plana ◽  
Injured Patients

Purpose. To investigate transvitreal intraocular foreign body (IOFB) removal results, and to determine indications for this splinter removal approach. Materials and methods. A chart analysis of 35 cases with splinter eye trauma was carried out. In all patients, a pars plana vitreoretinal surgical procedure was performed to remove the IOFB. Results. The intraocular penetration of foreign body was accompanied by injuries of different eyeball structures, which presented as intravitreal hemorrhage, hyphema, subretinal bleeding, retinal detachment, traumatic cataract, iridocyclitis. Splitter removal was complemented by endolaser coagulation; scleroplastic component and gaz-fluid exchange. In 54.29% patients with trauma, a lensectomy had to be added to the vitrectomy with IOFB removal. As a result of treatment, visual acuity increased in 51.43% injured patients. In the late post-operative period, retinal detachment developed in 14.29% of cases. Conclusions. IOFB removal by transvitreal approach is recommended in intravitreal, pre- or intraretinal splitter position; in retro-equatorial foreign body localization; when intraoperative splitter visualization is possible; in posterior vitreous detachment formation.

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