Profile of Patients with Floaters in Saiful Anwar Hospital Malang

Introduction: To report the profile of patients with floaters as a subjective complain in Saiful Anwar Hospital from July 2012 until June 2013. Methods: an observasional descriptive study was conducted, collecting data on gender, age, subjective complain (floaters, flashes and subjective vision reduction), best corrected visual acuity and diagnose from patient’s medical record. Result: 169 patients (215 eyes) were included in this study. Female patients contributed a higher percentage than male with mean of age was 49 years old. The subjective complain was floaters (67%), floater with blurred vision (22%), floater with flashes (6%) and patients with floaters, flashes, and blurred vision was 5%. Myopia was the most common refraction problem. Diagnose recorded from this study were posterior vitreous detachment (PVD) (34%), no abnormalities (13%), PDR (10%), RRD (9%), peripheral retinal degeneration (14%) retinal break (6%), corpus vitreous degeneration (3%), vitreous haemorhage (3%), posterior uveitis (2%) and others (6%). Conclusion: The most common cause of floaters is PVD. Even it is usually a save condition but there are some condition with floater as a subjective complain which is threatening vision, so accurate eye examination from anterior to posterior segment were needed.

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Euphorbia grandicornis Sap Keratouveitis: A Case Report

Case Reports in Ophthalmology ◽

10.1159/000444438 ◽

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.

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Pneumatic induction of the posterior vitreous detachment - a minimally invasive method of treating vitreomacular traction syndrome

Kazan medical journal ◽

10.17750/kmj2017-865 ◽

2017 ◽

Vol 98 (5) ◽

pp. 865-868

Author(s):

D V Petrachkov ◽

A V Zolotarev ◽

P A Zamytskiy ◽

E V Karlova ◽

T A Podsevakina

Keyword(s):

Visual Acuity ◽

Intraocular Pressure ◽

Posterior Vitreous Detachment ◽

Vitreomacular Traction ◽

Vitreous Detachment ◽

Vitreomacular Traction Syndrome ◽

Corrected Visual Acuity ◽

Age Related ◽

Best Corrected Visual Acuity

To study the efficacy of pneumatic induction of posterior vitreous detachment for the treatment of vitreomacular traction syndrome, the analysis of the results of surgical treatment of 10 patients (10 eyes) with vitreomacular traction syndrome was performed, among them 8 patients (8 eyes) had an accompanied immature age-related cataract and 2 patients (2 eyes) - pseudophakia. The average age of the patients was 64.1±4.6 years, among them 8 women and 2 men. The mean best corrected visual acuity on admission was 0.31±0.15, the average length of vitreomacular adhesion and retina thickness in the fovea by optical coherence tomography were 289.3±75.4 and 367.5±50.3 μm, respectively. Patients with pseudophakia underwent pneumatic induction of the posterior vitreous detachment, and patients with cataract underwent the same surgery in combination with phacoemulsification of the cataract and intraocular lens implantation. Within 1 month of follow-up, all patients had a complete posterior vitreous detachment and increased best corrected visual acuity. Intraocular pressure remained normal throughout the follow-up period in 9 out of 10 patients, 1 patient experienced hypertension on day 1 after the surgery, which required decompression during the gas expansion period. Further on, intraocular pressure was normalized and did not require therapy. Pneumatic induction of posterior vitreous detachment is an effective method of treatment of vitreomacular traction syndrome, which allows eliminating vitreomacular traction; the combination of pneumatic induction of the posterior vitreous detachment with phacoemulsification of cataract allows avoiding hypertension during and after operation and avoiding performing vitrectomy.

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Ocular ultrasonography for detection of posterior segment pathology in adult patients presenting with blurred vision

Zanco Journal of Medical Sciences ◽

10.15218/zjms.2021.026 ◽

2021 ◽

Vol 25 (3) ◽

pp. 610-618

Author(s):

Suaad Musa ◽

Medya Sedeq

Keyword(s):

Retinal Detachment ◽

Posterior Vitreous Detachment ◽

Vitreous Hemorrhage ◽

Retinal Hemorrhage ◽

Cross Sectional Study ◽

Posterior Segment ◽

Radiology Department ◽

Medical Conditions ◽

Blurred Vision ◽

Cross Sectional

Background and objective: Ocular posterior segment lesions can affect individuals of both sexes at all ages. Such lesions can lead to serious manifestations such as retinal detachment and retinal hemorrhage, leading to permanent loss of eyesight. This study aimed to determine the association between age and gender and changes in ocular posterior segment based on ultrasonography findings. Methods: This prospective cross-sectional study included 50 patients with blurry vision who had been referred from ophthalmology outpatient clinics to the radiology department of Rizgary Teaching Hospital in Erbil, Kurdistan region in Iraq. Required data were collected using a researcher-designed questionnaire, and the patients were examined using a high resolution 7.5-10 MHz linear array ultrasound transducer. Results: The most frequent complications associated with ocular posterior segment pathologies were old vitreous hemorrhage (72%), posterior vitreous detachment (36%), and retinal detachment (34%). Diabetes and hypertension were the most frequent diseases associated with ocular posterior segment pathology. A significant association was seen between the patients' age with old vitreous hemorrhage (P = 0.003). A significant association was seen between the patients’ medical conditions with old vitreous hemorrhage and retinal detachment. There was no significant correlation between the patients’ gender and the studied ocular posterior segment pathologies. Conclusion: Age has a strong correlation with old vitreous hemorrhage, chronic medical conditions such as diabetes, and hypertension correlated with old vitreous hemorrhage and retinal detachment. Keywords: Ocular ultrasonography; Posterior segment pathology; Blurred vision; Age; Gender.

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Corneal Toxicity Following Exposure to Asclepias Tuberosa

The Open Ophthalmology Journal ◽

10.2174/1874364101711010001 ◽

2017 ◽

Vol 11 (1) ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Lauge Hjorth Mikkelsen ◽

Hassan Hamoudi ◽

Cigdem Altuntas Gül ◽

Steffen Heegaard

Keyword(s):

Visual Acuity ◽

Differential Diagnosis ◽

Corneal Endothelium ◽

Rare Case ◽

Corneal Oedema ◽

Blurred Vision ◽

Corrected Visual Acuity ◽

Corneal Toxicity ◽

Best Corrected Visual Acuity ◽

Plant Latex

Purpose: To present a case of corneal toxicity following exposure to milky plant latex from Asclepias tuberosa. Methods: A 70-year-old female presented with blurred vision and pain in her left eye after handling an Ascepias tuberosa. Clinical examination revealed a corneal stromal oedema with small epithelial defects. The corneal endothelium was intact and folds in Descemets membrane were observed. The oedema was treated with chloramphenicol, dexamethasone and scopolamine. Results: The corneal oedema had appeared after corneal exposure to the plant, Asclepias tuberosa, whose latex contains cardenolides that inhibit the Na+/ K+-ATPase in the corneal endothelium. The oedema resolved after 96 hours. After nine months the best corrected visual acuity was 20/20. Conclusion: Corneal toxicity has previously been reported for plants of the Asclepias family. This is a rare case describing severe corneal toxicity caused by exposure to latex from Asclepias tuberosa. Handling of plants of the Asclepias family should be kept as a differential diagnosis in cases of acute corneal toxicity.

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Macular Hole Progression following Ocriplasmin Intravitreal Injection

Case Reports in Ophthalmological Medicine ◽

10.1155/2014/403461 ◽

2014 ◽

Vol 2014 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Edward Casswell ◽

Guillermo Fernandez-Sanz ◽

Danny Mitry ◽

Sheila Luk ◽

Rahila Zakir

Keyword(s):

Optical Coherence Tomography ◽

Visual Acuity ◽

Intravitreal Injection ◽

Macular Hole ◽

Optical Coherence ◽

Vitreomacular Adhesion ◽

Blurred Vision ◽

Corrected Visual Acuity ◽

Best Corrected Visual Acuity

Ocriplasmin is a protease which has been approved for the treatment of symptomatic vitreomacular adhesion (VMA). A 63-year-old presented with blurred vision in the left eye and a best corrected visual acuity of 6/18. Optical coherence tomography revealed VMA with an underlying macular hole and she subsequently underwent a left intravitreal ocriplasmin injection. One week after the injection, VMA had been released but with enlargement of the macular hole and a drop in her BCVA to 6/60. This persisted at 1 month after the injection. It is important to warn patients that ocriplasmin may lead to an enlargement of their macular hole with resultant loss in visual acuity.

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Spontaneous levitation of dropped nucleus on first post-operative day

SAGE Open Medical Case Reports ◽

10.1177/2050313x17708713 ◽

2017 ◽

Vol 5 ◽

pp. 2050313X1770871

Author(s):

Mayuresh P Naik ◽

Harindersingh Sethi ◽

Anuj Mehta ◽

Abhinav Bhalla ◽

Komal Saluja

Keyword(s):

Visual Acuity ◽

Anterior Chamber ◽

Posterior Segment ◽

Vitreous Cavity ◽

Fundus Examination ◽

Anterior Vitrectomy ◽

Retinal Tear ◽

Corrected Visual Acuity ◽

Grade Iii ◽

Best Corrected Visual Acuity

A 60-year-old male patient presenting with gradual painless progressive diminution of vision was diagnosed with nuclear sclerosis grade III (LOCS). Intra-operatively, there was a nuclear drop into the vitreous cavity. The patient was left aphakic and was deferred for further vitreoretinal procedure the next day. On first post-op day, the nucleus fragment (of roughly the same size that had dropped into the vitreous) was seen in the anterior chamber. A gentle ultrasonography B-Scan done for posterior segment evaluation was anechoic. Incision was enlarged and viscoexpression of the nucleus fragment was done followed by thorough anterior vitrectomy. Post-operatively, dilated full fundus examination showed clear vitreous cavity without any evidence of retinal tear or detachment. This was later confirmed by an anechoic ultrasonography B-Scan. After 2 weeks, three-piece foldable IOL was placed in the sulcus with posterior optic capture and the patient attained a best-corrected visual acuity of 6/9P.

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The Efficacy of a Posterior sub-Tenon’s Capsule Triamcinolone Injection in Patients with Non-infectious Intermediate Uveitis and Posterior Uveitis

Serbian Journal of Experimental and Clinical Research ◽

10.1515/sjecr-2016-0046 ◽

2017 ◽

Vol 18 (2) ◽

pp. 151-156 ◽

Cited By ~ 1

Author(s):

Gordana Andjelic ◽

Svetlana Jovanovic ◽

Snezana Pesic ◽

Milos Mitrasevic ◽

Jasmina Stojanovic ◽

...

Keyword(s):

Visual Acuity ◽

Intraocular Pressure ◽

Posterior Uveitis ◽

Intermediate Uveitis ◽

Foveal Thickness ◽

Central Foveal Thickness ◽

Corrected Visual Acuity ◽

Triamcinolone Injection ◽

The Mean ◽

Best Corrected Visual Acuity

AbstractTo investigate the efficacy of a posterior sub-Tenon’s capsule triamcinolone injection for treating eyes with non-infectious posterior and intermediate uveitis.A total of 31 eyes from 20 patients with non-infectious posterior uveitis and 18 eyes from 10 patients with non-infectious intermediate uveitis that inadequately responded to treatment with systemic corticosteroids and second-line immunosuppressive agents were enrolled in the study. All patients received a posterior sub-Tenon’s injection of 20 mg/ml triamcinolone. The parameters we examined included the following: best corrected visual acuity, central foveal thickness, fluorescein angiography score and intraocular pressure.The mean best corrected visual acuity was significantly improved from the control visit, 0.15±0.30 logMAR (Snellen equivalent 0.7), compared to the baseline measurements, 0.60±0.30 logMAR (Snellen equivalent 0.25; P<0.05). The mean central foveal thickness (CFT) and the mean score for fluorescein angiography (FA) were significantly decreased from the baseline (CFT: 320±34 μm; FA mean score: 5.9±1.9) compared to the twelve-week control visit (CFT: 235±30 μm; FA mean score: 1.2±1.1; P<0.001). Five eyes had intraocular pressure spikes that required a topical anti-glaucomatous treatment.A posterior sub-Tenon’s injection of triamcinolone can significantly improve visual acuity and decrease macular oedema in patients with non-infectious posterior and intermediate uveitis. Complications were minimal, and there were no eyes that required surgical treatment for elevated intraocular pressure. The results suggest that the posterior sub-Tenon’s injection of triamcinolone is an important form of therapy for non-infectious posterior and intermediate uveitis.

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Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA

Case Reports in Ophthalmological Medicine ◽

10.1155/2020/7049168 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Mariana A. Oliveira ◽

Jorge Simão ◽

Amélia Martins ◽

Cláudia Farinha

Keyword(s):

Visual Acuity ◽

Multimodal Imaging ◽

Indocyanine Green Angiography ◽

Optical Coherence Tomography Angiography ◽

Posterior Pole ◽

Blurred Vision ◽

Corrected Visual Acuity ◽

The Right ◽

Yellowish White ◽

Best Corrected Visual Acuity

A 28-year-old man presented to the emergency room with blurred vision in the right eye for two days. He reported a preceding flu-like illness one week earlier. His best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/25 in the left eye. There was no anterior chamber inflammation or vitritis in either eye. He presented multiple yellowish-white placoid lesions in the posterior pole, some involving the foveal area, bilaterally. General examination and systemic investigation were unremarkable. Multimodal evaluation with fluorescein angiography, indocyanine green angiography, and spectral domain and optical coherence tomography angiography (OCTA) were consistent with the diagnosis of acute posterior multifocal placoid pigment epitheliopathy. Due to centromacular involvement with decreased BCVA, treatment with oral methylprednisolone was started after infectious causes were ruled out. After two weeks, the patient presented functional and anatomical improvement. OCTA showed partial reperfusion of the choriocapillaris in the affected areas, in both eyes.

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Temporal macular thinning: a salient sign of Alport syndrome

Malaysian Journal of Ophthalmology ◽

10.35119/myjo.v3i3.218 ◽

2021 ◽

Vol 3 (3) ◽

pp. 169-174

Author(s):

Sharan Silvarajoo ◽

Wai Yong Zheng ◽

Jamalia Rahmat

Keyword(s):

Alport Syndrome ◽

Anterior Segment ◽

Posterior Segment ◽

End Stage Renal Failure ◽

Corrected Visual Acuity ◽

Bull’S Eye Maculopathy ◽

End Stage ◽

Bull's Eye ◽

Myopic Astigmatism ◽

Best Corrected Visual Acuity

Alport syndrome is a hereditary, multisystemic disorder that causes abnormalities of the ear, kidney, and eye. A teenager who was suffering from end-stage renal failure and hearing problems was referred to us suspected of Alport syndrome. He did not have any ocular complaints and wore glasses for myopic astigmatism. His best-corrected visual acuity was 6/7.5 bilaterally. Anterior segment examination was unremarkable. Posterior segment examination showed perimacular dot-andfleck retinopathy with bull’s eye maculopathy. Optical coherence tomography revealed temporal macular thinning. The findings were in keeping with the diagnosis of X-linked Alport syndrome. Ocular findings can help diagnose Alport syndrome. Early detection and treatment can help delay the progression of kidney failure.

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Long-Term Follow-Up Results of a Patient Undergoing Acute Retinal Necrosis: A Case Report and Literature Review

Case Reports in Ophthalmological Medicine ◽

10.1155/2021/9997155 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Büşra Köse ◽

Hidayet Erdöl ◽

Dilek Uzlu

Keyword(s):

Visual Acuity ◽

Case Report ◽

Acute Retinal Necrosis ◽

Vascular Involvement ◽

Systemic Steroid ◽

Fundus Fluorescein Angiography ◽

Blurred Vision ◽

Corrected Visual Acuity ◽

Best Corrected Visual Acuity

Purpose. To describe the follow-up and treatment approach of a patient with acute retinal necrosis. Case Report. A 44-year-old male patient, who had complaints of pain in the right eye and blurred vision, was referred to our clinic. Best-corrected visual acuity (BCVA) was 0.4. There was 2+ anterior chamber reaction and diffuse smooth-rounded keratic precipitates. Fundus examination revealed optic nerve and vascular involvement. Fundus fluorescein angiography revealed extensive ischemia in the periphery. Oral antiviral therapy was preferred. In addition, systemic steroid and laser photocoagulation were applied. Nonetheless, retinal detachment developed 2 months later. Detachment, silicon removal, and cataract surgery were performed sequentially. It was observed that the patient was followed for 4.5 years and did not have contralateral eye involvement. Best-corrected visual acuity remained stable at 0.3. Conclusion. Early diagnosis, appropriate treatment, accurate complication management, and frequent follow-up may provide useful vision in patients with acute retinal necrosis.

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