Zosteric Kerato-Uveitis Revealing a Retroviral Infection (HIV)

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Naya K ◽  
◽  
Lidya I ◽  
Hasnaoui I ◽  
Tazi H ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Herpes Zoster ◽  
Emergency Room ◽  
Female Patient ◽  
The Elderly ◽  
Common Condition ◽  
Slit Lamp ◽  
Retroviral Infection ◽  
The Right

Herpes zoster ophthalmic is a common condition in the elderly or in the immunocompromised people. We present the case of a 32-yearold female patient, without any particular history, who consulted the emergency room for a red right eye with major chemosis, palpebral edema, and decreased visual acuity. There was also a crusty rash in the V1 territory, suggesting herpes zoster. Visual acuity was 2/10 in the right eye and 10/10 left eye (Figure 1 and 2). Examination at the slit lamp revealed a non-hypertensive granulomatous anterior kerato-uveitis of the right eye. Given the severity of the lesion, an immunodepressive background was suspected, HIV serology came back positive.

When the Trauma Draws a Rose: Rosette Cataract

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Madbouhi K ◽  
◽  
Cherkaoui O ◽  
Keyword(s):  
Visual Acuity ◽  
Emergency Room ◽  
Male Patient ◽  
Slit Lamp ◽  
Posterior Subcapsular Cataract ◽  
Slit Lamp Examination ◽  
Corrected Visual Acuity ◽  
The Hours ◽  
Rose Rosette

A 40-year-old male patient referred to the ophthalmologic emergency room for complaints of diminution of vision in the left eye since three months after a trauma. Examination of the left eye showed a corrected visual acuity of 20/70. Slit-lamp examination revealed a rosette cataract (Figure 1). The patient underwent phacoemulsification with implantation of an IOL in the bag. The rosette cataract is a posterior subcapsular cataract due to a violent contusion with a closed globe. It can develop in the hours that follow, or on the contrary several years later.

De Garengeot’s Hernia; Acute Appendicitis In An Incarcerated Femoral Hernia

2015 ◽  
Vol 87 (7) ◽  
Author(s):  
Maciej Kokoszka ◽  
Jacek Wójtowicz
Keyword(s):  
Acute Appendicitis ◽  
Emergency Room ◽  
Female Patient ◽  
Femoral Hernia ◽  
Therapeutic Process ◽  
Diagnostic Difficulties ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
Painful Mass ◽  
The Right

AbstractAcute appendicitis and incarcerated femoral hernia belong to relatively well known surgical diseases with regard to diagnostic workup and treatment. de Garengeot’s hernia is an entity involving concurrent occurrence of both the above mentioned problems.This paper presents history of a 58-year old female patient who was diagnosed with this extremely rare syndrome. She presented to the Emergency Room of a hospital in Żyrardów due to painful mass in the right groin region, persisting for approximately 24 hours.De Garengeot’s hernia, through combination of two separate surgical entities, is associated with diagnostic difficulties and the therapeutic process occasionally requires unconventional decisions to be taken to improve prognosis.

scholarly journals Corneal crosslinking in a case with Axenfeld–Rieger syndrome and unilateral pellucid marginal degeneration

2019 ◽  
Vol 11 ◽  
pp. 251584141882228 ◽  
Author(s):  
Mustafa Koc ◽  
Pinar Kosekahya ◽  
Merve Inanc ◽  
Kemal Tekin
Keyword(s):  
Visual Acuity ◽  
Male Patient ◽  
Vision Loss ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Corneal Crosslinking ◽  
Rieger Syndrome ◽  
Corrected Distance Visual Acuity ◽  
The Right

A 31-year-old male patient presented with the complaint of progressive vision loss in his left eye. Slit-lamp examination showed posterior embryotoxon, iris hypoplasia, and iridocorneal adhesion in both eyes, corectopia in the right, and peripheral inferior thinning and ectasia in the left eye. Corneal topography showed slightly asymmetric bowtie pattern in the right eye and crab-claw pattern in the left eye. Topographic examination was compared with his previous topography. The comparison showed 1.6-D steepening of maximum keratometry ( Kmax) and 22-µm decrease of thinnest corneal pachymetry. Corneal crosslinking treatment was performed on the left eye. At the postoperative 28-month follow-up visit, Kmax decreased from 54.1 to 53.0 D and corrected distance visual acuity improved to 20/20 with scleral lens. This is the first reported a case with Axenfeld–Rieger syndrome and pellucid marginal degeneration association. We suggest that corneal crosslinking can be useful for management of pellucid marginal degeneration and longer follow-up might be needed in order to corroborate the effectiveness of the corneal crosslinking procedure.

scholarly journals Lateral Supraorbital Craniotomy for Tuberculum Sella Meningioma Resection

2018 ◽  
Vol 79 (S 03) ◽  
pp. S263-S264
Author(s):  
Georgios Klironomos ◽  
Neal Mehan ◽  
Amir Dehdashti
Keyword(s):  
Visual Acuity ◽  
Minimally Invasive ◽  
Female Patient ◽  
Gross Total Resection ◽  
Total Resection ◽  
Case Presentation ◽  
Postoperative Mri ◽  
The Right ◽  
Tuberculum Sella ◽  
Supraorbital Craniotomy

AbstractTuberculum sella meningioma can be approached by either open or endoscopic approaches. The aim of this video case presentation is to highlight the nuances of the lateral supraorbital craniotomy for tuberculum sella meningioma resection. The authors present a 34-year-old female patient who presented with decreased right eye visual acuity (20/60), afferent pupillary defect, and nasal field cut due to a tuberculum sella meningioma. The tumor was partially encasing the left A1 artery, severely displacing the optic apparatus, and minimally invading the right optic canal. The lateral supraorbital craniotomy was considered the most suitable approach to this tumor. The operative nuances and pitfalls of this approach are detailed in the video. Gross total resection of the tumor was achieved and confirmed with postoperative MRI. The patient's vision gradually improved and she was discharged on the fourth postoperative day. The minimally invasive lateral supraorbital craniotomy for tuberculum sella meningioma is a suitable approach in selected cases.The link to the video can be found at: https://youtu.be/yG8q6YH2D9k.

scholarly journals Foster Kennedy Syndrome: A Case Report

2021 ◽  
Vol 26 (4) ◽  
Author(s):  
Juan José Díaz-Vintimilla ◽  
Christian Méndez-González ◽  
Fabián Díaz-Heredia ◽  
Francisco Pérez-Allende ◽  
Diego Romero-Cano
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Female Patient ◽  
Clinical Features ◽  
Optic Atrophy ◽  
Common Condition ◽  
Intracranial Mass ◽  
Foster Kennedy Syndrome ◽  
Visual Disturbances ◽  
Sphenoid Wing Meningioma

Foster Kennedy Syndrome is a classic, yet rare, neuro-ophthalmologic syndrome due to an intracranial mass, most often a tumor, that consists of optic atrophy on the same side of the lesion and contralateral papilledema. We present the case of a 48-year-old female patient with decreased visual acuity and the typical clinical features described above due to a sphenoid wing meningioma. Although not a common condition, Foster Kennedy Syndrome should always be kept in mind in a patient with visual disturbances secondary to an intracranial mass.

scholarly journals Case of Macular Hole Secondary to Ocular Toxoplasmosis Treated Successfully by Vitrectomy with Inverted Internal Limiting Membrane Flap

2021 ◽  
pp. 363-368
Author(s):  
Mizuki Ikeda ◽  
Takayuki Baba ◽  
Yuri Aikawa ◽  
Jiro Yotsukura ◽  
Hirotaka Yokouchi ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Internal Limiting Membrane ◽  
Ocular Toxoplasmosis ◽  
Slit Lamp ◽  
Blurred Vision ◽  
Full Thickness Macular Hole ◽  
Old Japanese ◽  
Pars Plana ◽  
The Right

We report a case of ocular toxoplasmosis that developed a full-thickness macular hole (FTMH) which was successfully treated by pars plana vitrectomy combined with an inverted internal limiting membrane (ILM) flap. A 49-years-old Japanese man was aware of blurred vision in his right eye. Slit-lamp biomicroscopy, ophthalmoscopy, and optical coherence tomography (OCT) of the right eye showed that there was a grayish-white subretinal lesion at the macula accompanied by retinal exudation and mild vitreous flare and iritis. An increase in the level of serum IgM for toxoplasma led to a diagnosis of ocular toxoplasmosis. He developed a FTMH adjacent to the lesion 2 weeks after administering sulfamethoxazole/trimethoprim, and his decimal visual acuity was 0.15. Because the FTMH remained 3 months after the resolution of inflammation and his metamorphopsia persisted, vitrectomy with an inverted ILM flap was performed. After the surgery, the visual acuity improved to 0.2 with the closure of the FTMH confirmed by OCT. A FTMH in an eye with ocular toxoplasmosis was successfully closed by vitrectomy with an inverted ILM flap.

Iridocorneal endothelial syndrome: Short report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Benchakroun S ◽  
◽  
Taouri N ◽  
Tagmouti A ◽  
Cherkaoui LO ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Corneal Edema ◽  
Posterior Segment ◽  
Specular Microscopy ◽  
Short Report ◽  
Slit Lamp ◽  
Blurred Vision ◽  
Slit Lamp Examination ◽  
Iridocorneal Endothelial Syndrome ◽  
The Right

We report a case of a 42-year-old-woman, who presented to the ophthalmic consultation for decreased visual acuity complaints of blurred vision, altered pupillary shape since few months of her right eye. The clinical examination found a reduced visual acuity to counting fingers in the right eye and 20/20 in the left eye. intraocular pressures was 38 mm Hg OD and 14 mm Hg OS. Slit lamp examination of the right eye found: Corneal edema, iris atrophy with a deformation of the iris architecture and pupillary anomalies, with polycoria (Figure 1). The evaluation of the angle by gonioscopy found areas of broad synechiae anterior to Schwalbe’s line (Figure 2). While the examination of the left eye was normal (Figure 1B). The posterior segment examination was normal in both eyes. Specular microscopy confirmed the presence of unilateral endothelial pleomorphism and polymegathism. In our case of the retained diagnosis was iridocorneal endothelial syndrome

scholarly journals Intravenous Administration of Vitamin C in the Treatment of Herpes Zoster-Associated Pain: Two Case Reports and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yao Liu ◽  
Mi Wang ◽  
Miao-Miao Xiong ◽  
Xue-Guang Zhang ◽  
Ming Fang
Keyword(s):  
Herpes Zoster ◽  
Vitamin C ◽  
Antiviral Therapy ◽  
Female Patient ◽  
Male Patient ◽  
Postherpetic Neuralgia ◽  
Randomized Clinical Trials ◽  
Case Reports ◽  
Randomized Controlled Studies ◽  
The Right

Background. Herpes zoster (HZ) is an acute inflammatory neurocutaneous disease caused by the reactivation of varicella-zoster virus. It is estimated that the incidence of postherpetic neuralgia following HZ is 10–20%. The leading risk factors of the prognosis are aging and immunity dysfunction. Vitamin C plays a pivoted role in enhancing white blood cell function. Epidemiological evidence and clinical studies have indicated an association between pain and suboptimal vitamin C status. At present, vitamin C has been used as an additional option in the treatment of HZ-associated pain. Despite the current controversy, case reports and randomized controlled studies have indicated that both acute- and postherpetic neuralgia can be dramatically alleviated following intravenous vitamin C infusions. Case Presentation. Two patients (male aged 72 and female 78 years) with HZ did not respond well to antiviral therapy and analgesics. Skin lesions in the right groin and front thigh healed after early antiviral therapy, but the outbreak of pain persisted in the male patient. The female patient presented to our clinic with clusters of rashes in the right forehead with severe edema of her right upper eyelid. Because nerve blockade could not be conducted for both patients, intravenous infusion of vitamin C was applied and resulted in an immediate remission of the breakthrough pain in the male patient and cutaneous lesions in the female patient. Conclusions. The use of vitamin C appears to be an emerging treatment alternative for attenuating HZ and PHN pain. Hence, we recommend the addition of concomitant use of intravenously administered vitamin C into therapeutic strategies in the treatment of HZ-associated pain, especially for therapy-resistant cases. Furthermore, animal studies are required to determine analgesic mechanisms of vitamin C, and more randomized clinical trials are essential to further determine the optimal dose and timing of administration of vitamin C.

Juvenile Ankylosing Spondylitis - Associated Uveitis

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Naya K ◽  
◽  
Lidya I ◽  
Hasnaoui I ◽  
Tazi H ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ankylosing Spondylitis ◽  
Anterior Uveitis ◽  
Clinical Case ◽  
Clinical Results ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Chronic Arthropathy ◽  
The Right ◽  
Juvenile Ankylosing Spondylitis

Juvenile ankylosing spondylitis is a chronic arthropathy that predominantly affects boys after the age of 10 years. We report a clinical case of a 16 years old aged male, who presented in the emergency room with a painful red eye, severe photophobia, and tearing right eye. The slit lamp examination was showing unusual anterior uveitis with hypopyon. The visual acuity was 2/10 in the right eye. The slit lamp examination of the left eye was unremarkable. The clinical results were in favour of Juvenile ankylosing spondylitis (Figure 1).

scholarly journals Christmas Tree Cataract

2019 ◽  
Vol 2 (2) ◽  
pp. 1-2
Author(s):  
Nicoleta Popescu ◽  
Alina Gabriela Gheorghe ◽  
Roxana Chis
Keyword(s):  
Visual Acuity ◽  
Christmas Tree ◽  
Slit Lamp ◽  
Rare Type ◽  
Corrected Visual Acuity ◽  
Age Related ◽  
Snellen Chart ◽  
The Right ◽  
Colored Lights ◽  
Capsular Bag

Christmas tree cataract is a rare type of lens opacification which is usually age related, though several cases have been seen in patients with myotonic dystrophy. It consists of highly refractive multicolored needle-shaped opacities within the deep cortex of the lens (1). The exact mechanism of crystals is not exactly known, but different theories have been proposed. Shun-Shin et al. postulated that the crystals were most likely of cystine due to an age-related aberrant breakdown of lens induced by elevated Ca++ levels (1).  According to Anders and Wollensak, the crystals were cholesterol in nature and were the result of lens metabolism (2). A 64 years old female presented with reduced visual acuity in her right eye. Her best corrected visual acuity (BCVA) in right eye was 6/10 Snellen chart. Slit lamp examination after pupillary dilatation revealed highly reflective, polychromatic, needle-shaped crystals in the temporal and inferior cortex of the right lens with associated nuclear sclerosis. This aspect of glittering multi-colored opacities varying with the angle of light incidence resembles the colored lights decorating the Christmas tree(Fig.1). As the visual acuity was significantly reduced and there were no other associated ocular pathologies, we decided for a cataract surgery in the right eye. Since the crystals are highly refringent and change considerably the viewing of the surgeon during the procedure, an increased time of surgery should be avoided (3) (4). Uneventful extracapsular phacoemusification of the lens with monofocal artificial intraocular lens implantation within the capsular bag was performed with very good results. 

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