scholarly journals EFFECT OF SADYOVAMANA IN THE TREATMENT OF CENTRAL SEROUS CHORIORETINOPATHY: A CASE STUDY

AYUSHDHARA ◽  
2020 ◽  
pp. 2681-2684
Author(s):  
Sreekumar Karunakaran* ◽  
Jayalakshmi.S
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Laser Photocoagulation ◽  
Subretinal Fluid ◽  
Total Absorption ◽  
Serous Fluid ◽  
First Line ◽  
Treatment Procedure ◽  
Excessive Accumulation

CSR is a challenging disease to understand and treat, since its pathogenesis remains elusive and multifactorial. CSR is an idiopathic disorder characterised by a localised serous detachment of sensory retina at the macula secondary to leakage from the choriocapillaries through one or more hyperpermeable RPE sites. In Ayurvedic literature, all the conditions which cause impairment of vision are included under Timiraroga. The present case CSCR, can be included under Sannipathikatimira. The treatment procedure Vamana is contraindicated in Timira but CSR is a disease in which excessive accumulation of serous fluid. So, it can be considered as Ekamgajasopha. The first line of treatment of Sopha is Apatarpana. Vamana is one of the Apatarpana procedures. So, Vamana can be incorporated in CSR. Management of CSR usually involves the use of laser photocoagulation, photodynamic therapy with verteporfin and anti VEGF agents in case of choroidal neovascularization related to CSR. As per Ayurvedic classics this condition can be included under Timiraroga. This article describes a case report of 47 years old male patient presented with CSR. In present study, Sadyovamana is found very effective to improve his visual acuity. OCT studies showed almost total absorption of subretinal fluid after treatment.

Diffuse subretinal fibrosis syndrome: A rare entity

2018 ◽  
Vol 28 (6) ◽  
pp. NP1-NP6 ◽  
Author(s):  
Natacha D Stolowy ◽  
Benjamin P Donnadieu ◽  
Alban CM Comet ◽  
Sébastien Nadeau ◽  
Marie A-S Beylerian ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Subretinal Fluid ◽  
Retinal Hemorrhage ◽  
Functional Improvement ◽  
First Line ◽  
Viable Option ◽  
Systemic Corticosteroids ◽  
Subretinal Fibrosis ◽  
The Right ◽  
Fibrotic Lesion

Background/ purpose: Diffuse subretinal fibrosis and uveitis syndrome is an inflammatory disease rarely reported. The purpose of this article is to describe a rare case of diffuse subretinal fibrosis syndrome in an 8-year-old child. Methods and results: The patient initially presented with a loss of vision in his right eye, with a visual acuity of 20/200. The visual acuity of the left eye was normal. Clinical examination showed bilateral anterior and posterior inflammation while the fundus revealed on the right eye an inter maculopapillar fibrosed lesion with a discrete retinal hemorrhage and a similar but smaller lesion on the left eye. The optical coherence tomography showed hyper-reflective material compatible with pre-retinal and subretinal pigment epithelial fibrosis and associated subretinal fluid. The angiography facilitated the diagnosis of neovascularization that was associated with the fibrotic lesion. The rest of the clinical pediatric examination remained negative and a diagnosis of diffuse subretinal fibrosis syndrome complicated with neovascularization was made. Treatment with systemic corticosteroids at the dose of 1 mg/kg/day for 1 month with a progressive decrease of 5 mg per month allowed for both anatomical and functional improvement. The visual acuity of the right eye improved from 20/200 to 20/63 at 1 month, 20/32 at 2 months, and 20/20 at 4 months. Conclusion: To our knowledge, this is the first reported case of bilateral diffuse subretinal fibrosis complicated by neovascularization. General corticosteroid therapy proved to be effective in this case and appears to be a viable option in first-line treatment.

Active iris vascular tufts bleeding successfully treated with argon laser photocoagulation

2018 ◽  
Vol 28 (2) ◽  
pp. 241-242 ◽  
Author(s):  
Ambreen Sarmad ◽  
Fadi Alfaqawi ◽  
Monali Chakrabarti ◽  
Arijit Mitra ◽  
Bushra Mushtaq
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Case Report ◽  
Laser Photocoagulation ◽  
Argon Laser ◽  
Active Bleeding ◽  
Blurred Vision ◽  
Argon Laser Photocoagulation ◽  
The Right ◽  
Effective Use

Purpose: Iris vascular tufts (IVT) are rare biomicroscopic capillary outgrowths from the pupillary margins. Patients are usually asymptomatic until presenting with blurred vision due to spontaneous hyphema or with raised intraocular pressure. Case report: A 61-year-old woman presented to eye casualty with left eye (LE) blurred vision and discomfort for 1 day. Her external ocular examination was unremarkable and visual acuity was 6/6 in the right eye (RE) and 6/9 in the LE. Biomicroscopic examination revealed a 2-mm hyphema in her LE and bilateral multiple small IVT and active bleeding from IVT at the pupillary margin of the LE at the 5 o’clock position. Diagnosis of LE active bleeding from IVT was made and she underwent argon laser photocoagulation directed at the source of bleeding. The bleeding stopped immediately after the second burn. She was followed up for 3 months; her visual acuity was 6/5 and 6/6 in the RE and LE, respectively, with no further problems. Conclusions: Iris vascular tufts are benign and recurrent hemorrhages are unlikely. Therefore, definitive argon laser photocoagulation or surgical treatment are reserved to arrest further episodes of hyphema. Our case demonstrates the effective use of argon laser photocoagulation to completely arrest active bleeding from IVT and excellent recovery of hyphema with no further problems for 5 years.

scholarly journals Unilateral Vogt-Koyanagi-Harada Disease: A Clinical Case Report

2015 ◽  
Vol 6 (3) ◽  
pp. 361-365 ◽  
Author(s):  
Arminda Neves ◽  
Ana Cardoso ◽  
Mariana Almeida ◽  
Joana Campos ◽  
António Campos ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Retinal Detachment ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Posterior Pole ◽  
Exudative Retinal Detachment ◽  
The Right ◽  
Clinical Records ◽  
Vkh Disease

Purpose: To report a case of a 20-year-old female with decreased visual acuity (VA) in the left eye (LE). Methods: This is a retrospective and descriptive case report based on data from clinical records, patient observation and analysis of diagnostic tests. Results: A 20-year-old female presented with decreased VA in the LE for 3 days. Best-corrected visual acuity (BCVA) was 20/20 in the right eye (RE) and 20/40 in the LE. Pupillary function, intraocular pressure, results of external segment examinations and slit-lamp biomicroscopy were normal, bilaterally. RE fundoscopy was normal, and in the LE it revealed papillitis and posterior pole exudative retinal detachment. Optical coherence tomography (OCT) confirmed the macular serous retinal detachment and showed thickening of the posterior choroid also revealed by orbital ultrasound and magnetic resonance imaging (MRI). Fluorescein angiography showed angiographic features typical of Vogt-Koyanagi-Harada (VKH) disease: disseminated spotted choroidal hyperfluorescence and choroidal multifocal hypofluorescence, multifocal profuse leakage in the retina with pooling, serous retinal detachment and optic disc hyperfluorescence. Serological testing for the diagnosis of infectious pathologies was negative, and the review of systems was normal. The patient received systemic steroids and cyclosporine. LE BCVA improved up to 20/20 at 18 months after the diagnosis, with complete reabsorption of subretinal fluid and normal retinal and choroidal thickness by OCT. Conclusion: Despite the unilateral involvement, the clinical and angiographic features were typical of VKH disease, and ophthalmologists should be aware to recognize this rare clinical variant of the disease.

scholarly journals Wilson disease in a Bangladeshi child: A case report

2016 ◽  
Vol 45 (1) ◽  
pp. 54-56
Author(s):  
Shamima Akhter ◽  
Md Showkat Kabir ◽  
Shibendu Majumder ◽  
Sultana Amena Ferdousy ◽  
CAHM Enamullah ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Wilson Disease ◽  
Patient Needs ◽  
Hepatolenticular Degeneration ◽  
Low Level ◽  
Significant Damage ◽  
Excessive Accumulation

Wilson disease, also known as hepatolenticular degeneration results from improper metabolism of copper due to deficiency or low level of caeruloplasmin which causes excessive accumulation of copper in liver, brain, eyes and different organs. This is not a curable disease. The patient needs a lifelong treatment but early diagnosis can prevent significant damage to the critical organs. This article presents a case study on Wilson disease and the role of radiology in helping to diagnose the disease and monitor patients with this condition.Bangladesh Med J. 2016 Jan; 45 (1): 54-56

scholarly journals Central Serous Chorioretinopathy in a Case of Regressed Familial Retinoblastoma

2020 ◽  
Author(s):  
Saeed Karimi ◽  
Amir Arabi ◽  
Toktam Shahraki ◽  
Sare Safi
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Case Report ◽  
Fluorescein Angiography ◽  
Optic Disc ◽  
Central Serous Chorioretinopathy ◽  
Tumor Recurrence ◽  
Late Onset ◽  
Subretinal Fluid ◽  
Fluid Accumulation

Purpose: To present a case of central serous chorioretinopathy (CSC) in association with regressed familial retinoblastoma. Case Report: A 23-year-old man with regressed unilateral familial retinoblastoma in his left eye presented with decreased vision of the left eye since two months ago. The patient had undergone chemotherapy and cryotherapy for the treatment of retinoblastoma 20 years ago. In the left eye, funduscopy disclosed regressed mass of retinoblastoma, inferonasal to the optic disc, and focal subfoveal neurosensory detachment. Optical coherence tomography (OCT) and fluorescein angiography revealed CSC. As there was no sign of recurrence of retinoblastoma and retinal findings did not show late-onset chemotherapy-related retinopathy, the patient was diagnosed with CSC and followed up. After two months, visual acuity of the left eye improved, and repeated macular OCT revealed absorption of the subretinal fluid. Conclusion: Subretinal fluid accumulation in a patient with regressed retinoblastoma is not always a sign of tumor recurrence or a treatment-related retinopathy.

scholarly journals SERENDIPITY DOES HAPPENS - A CASE REPORT OF MYOPIA TREATED WITH AYURVEDIC MODALITY

2020 ◽  
Vol 8 (8) ◽  
pp. 4287-4290
Author(s):  
Nirupa D. Ainlod ◽  
Pravin M. Bhat
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Young Adult ◽  
Male Patient ◽  
Refractive Error ◽  
Allergic Conjunctivitis ◽  
Allergic Symptoms ◽  
Chief Complaints ◽  
Defective Vision

Myopia is the most common Refractive Error of the eye, seen in children, young adult & it has become more prevalent in recent years and is a cause of concern world over. On the basis of Symptoms, Myopia can be correlated with Vataja Timira w.r.t. Simple Myopia. Purpose: While performing research on Allergic Conjunctivitis it is observed that Allergic Symptoms are minimized and also there was vision improvement. Hence treated one patient of Simple Myopia for the purpose of case study for one month and reporting this case in detail. Materials & Methods: A 22years male patient came to OPD of Shalakyatantra with chief complaints of defective vision for distance in both eyes since 2 months treated with Kantakari Mula SiddhaKshira Ghrita Aschyotana. Results: At the end of study, improvement in visual acuity in both eyes were found. Conclusion: Thus, it can be concluded that Ayurvedic approaches are helpful to control Myopia.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

Hodgkin Disease and Pregnancy - A Case Report

2014 ◽  
Vol 68 (2) ◽  
pp. 104-106
Author(s):  
Aleksandra Pivkova Veljanovska ◽  
Sonja Genadieva Stavrik ◽  
Zlate Stojanoski ◽  
Lazar Cadievski ◽  
Adela Stefanija ◽  
...  
Keyword(s):  
Case Report ◽  
Pregnant Women ◽  
Hodgkin Disease ◽  
Morbidity And Mortality ◽  
Chemotherapy Treatment ◽  
Related Factors ◽  
Hematological Disorder

Abstract The article presents a case with diagnosed Hodgkin disease (HD) during pregnancy. The aim of this case study was to present diagnostic possibilities in determining HD stage during pregnancy and therapeutic dilemmas. The incidence of HD during pregnancy is 3.2% of all cases with this malignant hematological disorder. The treatment of this disease during pregnancy depends on disease-related factors, pregnancy-related factors, as well as possible implications for fetal morbidity and mortality. The need of analysis of the nature of the disease during pregnancy indicates examination of a larger series of pregnant women with HD and the drawn conclusions affect the decision whether chemotherapy treatment should start immediately or it should be postponed for after delivery.

Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ganapathi Rao ◽  
Vijay Kumar ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Success Rate ◽  
Spinal Anesthesia ◽  
Curcuma Longa ◽  
Weekly Interval ◽  
Butea Monosperma ◽  
Fistula In Ano

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

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