scholarly journals Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature

2019 ◽  
Vol 147 (9-10) ◽  
pp. 636-638
Author(s):  
Dragan Vukovic ◽  
Antoaneta Adzic ◽  
Sanja Petrovic-Pajic
Keyword(s):  
Anterior Segment ◽  
Posterior Segment ◽  
Diagnostic Process ◽  
Partial Reduction ◽  
Review Of Literature ◽  
Scleral Buckle ◽  
Case Presentation ◽  
First Case ◽  
Anterior Segment Surgery ◽  
Iris Atrophy

Introduction. Urrets-Zavalia syndrome (UZS) has been defined as a fixed and dilated pupil accompanied by iris atrophy and occasionally secondary glaucoma. The precise cause of the syndrome is uncertain. Most often it has been described following anterior segment surgery. The objective of this article is to present how to successfully handle patients with UZS after posterior segment surgery. We present all the dilemmas and difficulties we encountered during the diagnostic process. Case outline. This is a case presentation of a patient with UZS following scleral buckle procedure. To our knowledge, this is the first case of UZS following this type of posterior segment surgery. The delay in treatment was mostly due to the lack of knowledge about the linkage of this syndrome with posterior segment surgery. Once the diagnosis was confirmed, parasympathomimetic drops were administered. The patient responded well to the therapy and partial reduction of mydriasis and restoration of pupillary kinetics was observed. Conclusion. Two months after surgery, the treatment of UZS resulted in slight residual anisocoria with signs of iris atrophy. This could indicate reversible mechanism of UZS after posterior segment surgery with iris atrophy as the only permanent consequence.

scholarly journals Complete reconstruction of anterior segment surgery for a patient with traumatic cataract and iris defects: a case report

2019 ◽  
Author(s):  
Zhenyu Wang ◽  
Xuemin Li
Keyword(s):  
Ocular Trauma ◽  
Anterior Segment ◽  
Posterior Segment ◽  
Traumatic Cataract ◽  
Case Presentation ◽  
Iris Defect ◽  
Uncorrected Visual Acuity ◽  
Posterior Synechia ◽  
Anterior Segment Surgery

Abstract Background: Ocular trauma has relationship with variable damage towards anterior segment or posterior segment. Among them, cornea, iris and lens are vulnerable to injury. For patients with traumatic cataract and other anterior segment trauma， complete reconstruction of anterior segment surgery can be a good option to restore patients’ anterior segment that helps them regain their vision. Case presentation: We presented a case of traumatic cataract with iris defects after explosive trauma. A surgery was done to fully reconstruct the anterior segment of the patient’s left eye including separating posterior synechia of iris, removing cataract and implantation of IOL. Postoperatively, the patient didn’t complain about photophobia anymore and the uncorrected visual acuity (UCVA) of the patient reached from counting fingers to 20/25 and remained stable on follow-up at 1 week and 1 month. Conclusion: Our case suggested the importance of completely reconstruct anterior segment for patients who have traumatic cataract with traumatic iris defects and its benefits for society. Keywords: Traumatic cataract; Traumatic iris defect; Surgery

scholarly journals Bilateral Iris Atrophy after the Femtosecond Assisted Laser In Situ Keratomileusis Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Kenan Olcay ◽  
Akin Cakir ◽  
Sercan Koray Sagdic ◽  
Eyup Duzgun ◽  
Yildiray Yildirim
Keyword(s):  
Anterior Segment ◽  
Laser In Situ Keratomileusis ◽  
Slit Lamp ◽  
Vascular Plexus ◽  
Case Presentation ◽  
Slit Lamp Examination ◽  
Corrected Visual Acuity ◽  
Direct Light ◽  
Iris Atrophy

Purpose. To report an unknown complication of laser in situ keratomileusis (LASIK) surgery.Case Presentation. A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination.Conclusion. We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

scholarly journals METHODS OF SURGICAL CORRECTION OF INTRAOCULAR LENS DISLOCATION AND APHACIA (review of literature)

2019 ◽  
Vol 26 (1) ◽  
pp. 20-28
Author(s):  
Vitaly V. Potemkin ◽  
Elena V. Goltsman
Keyword(s):  
Intraocular Lens ◽  
Intraoperative Complications ◽  
Anterior Segment ◽  
Review Of Literature ◽  
Safe Method ◽  
Lens Dislocation ◽  
Intraocular Lens Dislocation ◽  
Anterior Segment Surgery ◽  
Iol Fixation ◽  
Capsular Bag

Over the last several decades, there has been breakthrough in cataract surgery. The rate of intraoperative complications was minimized. One of the most common complications remained the intraocular lens (IOL) dislocations due to inadequate capsular bag support. Thus, the search for an effective and safe method of the IOL fixation in the absence of adequate support of the lens capsule continued to be one of the major problems in anterior segment surgery. This review was devoted to the main methods of correction of intraocular lens dislocation and aphacia.

scholarly journals Two cases of angular pregnancy with incomplete abortion treated with hysteroscopy: a case report and review of literature

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yin Meichen ◽  
Fei Jing ◽  
Zhai Lingyun ◽  
Zhou Jianwei
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Uterine Rupture ◽  
Uterine Cavity ◽  
Lateral Side ◽  
Review Of Literature ◽  
Case Presentation ◽  
Operative Hysteroscopy ◽  
Incomplete Abortion ◽  
First Case

Abstract Background Angular pregnancy is characterized as implant medial to the uterotubal junction in lateral angular of uterine. It was a rare obstetric complication with severe complications like uterine rupture and retained placenta. Case presentation We report a case of 2 incomplete aborted angular pregnancy that was diagnosed and treated with hysteroscopy. In this case, both of patient were performed operative hysteroscopy for incomplete abortion, and with the assistance of hysteroscopy, the angular pregnancy was detected. Conclusions Hysteroscopy can more intuitively display the conditions inside the uterine cavity, reduce the intraoperative and postoperative complications, and shorten the hospitalization time of patients. During hysteroscopy, angular pregnancy can be visualized in the upper lateral side of the uterine cavity. Based on the investigation results of clinical cases, this is the first case report of hysteroscopy in the treatment of incomplete aborted angular pregnancy.

Bilateral laser peripheral iridotomy in a co-occurrence of unilateral iridocorneal endothelial syndrome and chronic angle closure glaucoma

2021 ◽  
pp. 112067212110678
Author(s):  
Navjot Singh Ahluwalia ◽  
Rakesh Shakya ◽  
Dhairya Parikh ◽  
Devindra Sood
Keyword(s):  
Anterior Chamber ◽  
Anterior Segment ◽  
Anterior Chamber Depth ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Specular Microscopy ◽  
Laser Peripheral Iridotomy ◽  
First Case ◽  
Peripheral Iridotomy ◽  
Iris Atrophy

Purpose To report a case of unilateral Iridocorneal endothelial (ICE) syndrome- Progressive iris atrophy (PIA) with an overlapping chronic angle closure glaucoma (CACG) and to highlight the effect of bilateral Laser peripheral iridotomy (LPI) in such a co-occurrence. Case description A patient presented to us with bilateral gradual painless progressive diminution of vision. Both eyes (BE) had a clear cornea, shallow peripheral anterior chamber depth, grade 2 nuclear sclerosis, raised intraocular pressure and glaucomatous optic neuropathy. In addition, the Left eye (LE) had an irregular anterior chamber, peripheral anterior synechiae (PAS) extending to cornea, patchy iris atrophy, subtle corectopia and a low endothelial cell count on specular microscopy. Indentation gonioscopy led to the diagnoses of CACG BE with ICE syndrome- PIA LE. LPI was performed bilaterally. On Anterior Segment Optical Coherence Tomography (ASOCT), there was evident widening of the angle away from PAS in the Right eye as well as in the LE with PIA post LPI. Conclusion This is a unique case of unilateral PIA with an associated CACG in BE. It is the first case demonstrating the effect of bilateral LPI in such a case scenario. Though not indicated in ICE syndrome, LPI did show short term evidence of significant widening of the angle away from areas of PAS even in the eye with PIA having a limited high PAS and a concurrent primary (chronic) angle closure disease.

scholarly journals Endoscope-assisted scleral buckle procedure

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sean M. Platt ◽  
Andrew J. Barkmeier
Keyword(s):  
Retinal Detachment ◽  
Scleral Buckling ◽  
Posterior Segment ◽  
Scleral Buckle ◽  
Case Presentation ◽  
Optimal Outcomes ◽  
Peters Anomaly ◽  
Retinal Reattachment ◽  
Baseline Visual Acuity

Abstract Background Retinal reattachment surgery requires clear visualization of the posterior segment for optimal outcomes. Select patients may benefit most from primary scleral buckling without vitrectomy, but lack adequate posterior segment ophthalmoscopic visualization to use standard techniques. Case presentation The authors describe a retinal reattachment technique utilizing endoscope-assisted visualization to perform a primary scleral buckle procedure for a 34yo female with Peters’ Anomaly and a macula-sparing retinal detachment. Retinal reattachment was achieved with a single procedure and she remained stable with preservation of baseline visual acuity at 30 months follow-up. Conclusion In cases where a primary scleral buckle procedure is the preferred retinal detachment repair technique but posterior segment visualization is limited, intraoperative fundus examination, cryotherapy administration, and scleral buckle positioning can be facilitated with intraocular endoscopy.

scholarly journals Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Bitton ◽  
J.-L. Bacquet ◽  
F. Amoroso ◽  
S. Mrejen ◽  
M. Paques ◽  
...  
Keyword(s):  
Valsalva Maneuver ◽  
Post Partum ◽  
Pathologic Myopia ◽  
Pathological Myopia ◽  
Case Presentation ◽  
Sudden Loss ◽  
Corrected Visual Acuity ◽  
First Case ◽  
History Of ◽  
Macular Hemorrhage

Abstract Background Pathologic myopia is a major cause of visual impairment and blindness. Case presentation We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage. Conclusions This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum. Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

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