scholarly journals Visual Acuity Approach to a Patient with a Rose-K Contact Lens - A Case Report

2021 ◽  
Vol 11 (7) ◽  
pp. 380-384
Author(s):  
Raisul Azam ◽  
Aysworya Mohapatra ◽  
Gaurav Dubey
Keyword(s):  
Visual Acuity ◽  
Contact Lens ◽  
Contact Lenses ◽  
Surface Irregularity ◽  
Corneal Surface ◽  
Visual Improvement ◽  
Effective Option ◽  
History Of ◽  
The Right

Objective- Providing a healthy satisfactory visual acuity approach to a patient of Keratoconus fitted with a Rose-K contact lens. Introduction- Rose K lens is an effective option for visual improvement in irregular cornea such as Keratoconus. Contact lenses are the mainstay therapy for Keratoconus and are the treatment modality of choice in 90% of patients due to corneal surface irregularity. Case History- A 32-year-old female patient visited at Ahooja Eye & Dental Institute, Gurugram, with the chief complaint of diminished vision in her left eye for the last one month. The patient did not complain about diminished vision in the right eye. Earlier, the patient had diagnosed with the case of Keratoconus somewhere else and suggested to be continued with the glasses. The patient had a history of spectacles in the last 7 years and using the current prescription for the last 4 months. Visual acuity for distance & near, with glass and the current prescription was recorded. Conclusion- In our case, after all the presented findings and trial, one pair of Rose K2 lenses of varying total diameter and optic zone diameter was ordered. The patient was asked to visit for lens collection and follow up after 6 months. Lastly, it is advised that all Rose k practitioners keep at least two to three trial lenses, assess the fit in each fit, and choose lenses based on corneal topography. Key words: Rose K Contact Lenses, Keratoconus, Visual Acuity, Topography.

Dematiaceous fungal invasion of a bandage contact lens

2021 ◽  
Vol 14 (2) ◽  
pp. e240029
Author(s):  
Anirban Dutta ◽  
Sujata Das ◽  
Himanshu Sekhara Behera ◽  
Ruchi Mittal
Keyword(s):  
Contact Lens ◽  
Periodic Acid ◽  
Significant Risk ◽  
Dematiaceous Fungi ◽  
Periodic Acid Schiff ◽  
Bandage Contact Lens ◽  
History Of ◽  
Eye Examination ◽  
The Right

A 61-year-old man presented with a 1-month history of reduced vision, redness and pain in the right eye. Examination revealed a bandage contact lens (BCL) in situ with diffuse, pigmented deposits. On removal, the underlying cornea was found to be clear. He had been prescribed the BCL 6 months ago following a deep-seated corneal foreign body removal and was unable to follow-up subsequently.The BCL was sent for microbiological and histopathological evaluation. The culture revealed growth of Cladosporium spp, a dematiaceous fungi. Periodic acid–Schiff staining revealed infiltration of pigmented fungal filaments into the substance of the BCL.While contact lens deposits are a frequent finding, fungal deposits are seldom noted. Irregular follow-up and improper lens maintenance are significant risk factors for the same. Early identification and subsequent removal of the lens is vital to prevent infection of the underlying ocular structures.

Macular Telangiectasia Type 2 With Spontaneous Resolution of Intraretinal/Sub-Internal Limiting Membrane Hemorrhage in the Absence of Neovascularization

2017 ◽  
Vol 1 (6) ◽  
pp. 415-419 ◽  
Author(s):  
Varun Chandra ◽  
Rohan Merani ◽  
Alex P. Hunyor ◽  
I-Van Ho ◽  
Mark Gillies
Keyword(s):  
Visual Acuity ◽  
Multimodal Imaging ◽  
Internal Limiting Membrane ◽  
Macular Telangiectasia ◽  
Corrected Visual Acuity ◽  
Visual Improvement ◽  
Macular Telangiectasia Type 2 ◽  
The Right

Purpose: To describe a case of macular telangiectasia type 2 (MacTel) presenting with decreased vision due to intraretinal/sub-internal limiting membrane (ILM) hemorrhage in the absence of neovascularization. Method: Clinical examination and multimodal imaging were performed. Results: A 65-year-old female presented with blurred left vision, recording 20/160 in that eye. There was intraretinal hemorrhage at the left macula centrally, with sub-ILM hemorrhage superiorly and inferiorly. Optical coherence tomography (OCT) showed no evidence of subretinal neovascularization. Imaging of the right macula was consistent with MacTel. The blood spontaneously cleared and the left visual acuity gradually improved to 20/25 by 4 months. Fluorescein angiography confirmed MacTel, and once the hemorrhage resolved, both inner and outer retinal cavitation was identified on OCT of the left macula. The left best-corrected visual acuity remained at 20/25 at 2-year follow-up. Conclusion: Spontaneous resorption of hemorrhage was accompanied by visual improvement.

scholarly journals Case Report: Phototherapeutic Keratectomy for Band Keratopathy Secondary to Chemo-Laser-Cryotherapy for Retinoblastoma

2021 ◽  
Vol 8 ◽  
Author(s):  
Ruoyan Wei ◽  
Meiyan Li ◽  
Weiming Yang ◽  
Haipeng Xu ◽  
Joanne Choi ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Corneal Thickness ◽  
Phototherapeutic Keratectomy ◽  
White Band ◽  
Corrected Distance Visual Acuity ◽  
Band Keratopathy ◽  
History Of ◽  
Distant Visual Acuity ◽  
The Right

Purpose: To report the clinical outcomes of phototherapeutic keratectomy (PTK) for pediatric band keratopathy after treatment for retinoblastoma.Methods: A 5-year-old boy presented with a 2-year history of poor visual acuity and a horizontal gray-white band across the central cornea in the right eye. He was diagnosed with band keratopathy after chemo-laser-cryotherapy for retinoblastoma. The band keratopathy was treated via PTK using the Mel-90 excimer laser with an optical treatment zone of 7.0 mm and ablation depth of 120 μm. The patient was followed at 1 week and 3 months postoperatively.Results: Surgery and postoperative follow-up were uneventful. At the 3-month follow-up, the uncorrected distant visual acuity of the right eye improved to 20/125, and the corrected distance visual acuity improved to 20/70 with a refraction of +10.00 D/−2.50 DC × 15. The clarity of the ablated area was evidently improved. The central corneal thickness decreases from 612 to 584 μm. The optical coherence tomography showed the thin band of hyperreflectivity in the ablated area disappeared, corneal transparency improved and the corneal surface smoothened.Conclusions: PTK is a safe and effective procedure to treat band keratopathy following treatment of retinoblastoma in children. Early intervention can reduce the risk of developing deprivation amblyopia.

scholarly journals Visual Outcomes with Contact Lenses Previous Keratoplasty

2012 ◽  
Vol 1 (3) ◽  
pp. 196-200
Author(s):  
Gonzalo Carracedo
Keyword(s):  
Contact Lens ◽  
Contact Lenses ◽  
Low Vision ◽  
Corneal Epithelial ◽  
Visual Outcomes ◽  
Quality Of Vision ◽  
The Right ◽  
Interim Period

ABSTRACT We describe a case of a 22-year-old patient, with severe keratoconus in both eyes. Penetrating keratoplasty in left eye was performed in August 2011. The patient was awaiting postoperative stabilization of this eye prior to surgery on the right eye. Therefore, a Clearkone® hybrid contact lens was fitted on the right eye to maintain corneal epithelial integrity, improve quality of vision and therefore qualify of life during this interim period. Visual acuity with the contact lens was +0.1 logMAR. Comfort was excellent and the patient was able to wear the Clearkone® lens up to 12 hours per day. Similar outcomes regarding vision and comfort were obtained at follow-up visits through 9 months. In conclusion, new hybrid contact lens designs for keratoconus are an excellent option for vision rehabilitation in severe cases of keratoconus which would otherwise be left with low vision for several months while waiting for keratoplasty. How to cite this article Carracedo G. Visual Outcomes with Contact Lenses Previous Keratoplasty. Int J Kerat Ect Cor Dis 2012;1(3):196-200.

Oral mucous membrane grafts for total symblepharon and lid margin keratinisation post Stevens-Johnson syndrome

2020 ◽  
Vol 13 (10) ◽  
pp. e239383 ◽  
Author(s):  
Priyanka Sudana ◽  
Sayan Basu ◽  
Swapna S Shanbhag
Keyword(s):  
Visual Acuity ◽  
Mucous Membrane ◽  
Surface Damage ◽  
Stevens Johnson Syndrome ◽  
Oral Ulcers ◽  
Johnson Syndrome ◽  
History Of ◽  
Limbal Stem Cell ◽  
The Right

A female patient in her late 40s presented with severe visual impairment and a history of oral ulcers, necrolysis of skin and hospitalisation after using gabapentin for neck pain 10 months ago. She was a diagnosed case of Stevens-Johnson syndrome (SJS) with chronic ocular sequelae—with total symblepharon and keratinised lid margins in the left eye and limbal stem cell deficiency and severe dryness in the right eye. Her visual acuity was perception of light in both eyes. She underwent left eye symblepharon release with autologous labial mucous membrane grafts (MMGs) for surface reconstruction and subsequent lid margin MMG for lid margin keratinisation. Best-corrected visual acuity improved to 20/25 with scleral lens in the left eye, which was sustained over 1 year of follow-up. Labial mucosa acts as a useful and easily accessible alternative to conjunctiva in eyes with bilateral severe ocular surface damage and total symblepharon secondary to SJS.

scholarly journals Foveal reorganization after treatment of acute foveal toxoplasmic retinochoroiditis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mojtaba Abrishami ◽  
Seyedeh Maryam Hosseini ◽  
Solmaz Momtahen ◽  
Ghodsieh Zamani
Keyword(s):  
Visual Acuity ◽  
Retinal Vasculitis ◽  
Case Presentation ◽  
Visual Improvement ◽  
Counting Finger ◽  
History Of ◽  
Toxoplasmic Retinochoroiditis ◽  
Optical Coherence Tomography Imaging ◽  
The Right ◽  
Timely Treatment

Abstract Purpose To report a patient with impaired vision due to foveal involvement of toxoplasmic retinochoroiditis, who was successfully treated with intravitreal clindamycin and dexamethasone and oral therapy with azithromycin, trimethoprim-sulfamethoxazole, and prednisolone and led to successful visual and anatomic recovery. Case presentation A 32-year-old man presented with three-day history of gradually decreasing visual acuity, redness, pain and photophobia of the right eye. Anterior chamber cellular reaction, vitritis and a white retinochoroiditis patch with adjacent retinal vasculitis in the fovea was suggestive of the toxoplasmic retinochoroiditis. He was treated with intravitreal clindamycin and dexamethasone injection followed by six-week regimen of azithromycin, trimethoprim-sulfamethoxazole, and prednisolone. In serial optical coherence tomography imaging, retinitis patch changed to cavitary foveal destruction. Fovea reorganized gradually, and visual acuity concurrently improved from counting finger 3 m to 20/25. Conclusion In foveal toxoplasmic retinochoroiditis lesions, timely treatment is associated with retinal reorganization and visual improvement.

scholarly journals Foveal Regeneration after Treatment of Acute Foveal Toxoplasmic Chorioretinitis

2021 ◽  
Author(s):  
Mojtaba Abrishami ◽  
Seyedeh Maryam Hosseini ◽  
Solmaz Momtahen ◽  
Ghodsieh Zamani
Keyword(s):  
Visual Acuity ◽  
Retinal Vasculitis ◽  
Case Presentation ◽  
Visual Improvement ◽  
Counting Finger ◽  
History Of ◽  
Optical Coherence Tomography Imaging ◽  
The Right ◽  
Toxoplasmic Chorioretinitis ◽  
Timely Treatment

Abstract Purpose: To report a patient with impaired vision due to foveal involvement of toxoplasmic chorioretinitis, who was successfully treated with intravitreal and oral therapy and led to successful visual and anatomic recovery.Case presentation: A thirty two-year-old man presented with three-day history of gradually decreasing visual acuity, redness, pain and photophobia of the right eye. Anterior chamber cellular reaction, vitritis and a white retinochoroiditis patch with adjacent retinal vasculitis in the fovea was suggestive of the toxoplasmic chorioretinitis. He was treated with intravitreal Clindamycin and Dexamethason injection followed by six-week regimen of Azithromycine, Trimethoprim-Sulfamethoxazole, and Prednisolone. In serial optical coherence tomography imaging, retinitis patch changed to cavitary foveal destruction. Fovea was regenerated gradually, and visual acuity was concurrently improved from counting finger 3m to 20/25. Conclusion: In foveal toxoplasmic chorioretinitis lesions, timely treatment is associated with retinal regeneration and visual improvement.

Isolated keratinising corneal ocular surface squamous neoplasia with multifocal recurrence

2021 ◽  
Vol 14 (7) ◽  
pp. e243925
Author(s):  
Swati Singh ◽  
Saumya Jakati ◽  
Anand Pasari ◽  
Sayan Basu
Keyword(s):  
Visual Acuity ◽  
Ocular Surface ◽  
Anterior Segment ◽  
Surgical Excision ◽  
Ocular Surface Squamous Neoplasia ◽  
Corneal Surface ◽  
Stratified Squamous Epithelium ◽  
The Right ◽  
Multifocal Recurrence

Corneal ocular surface squamous neoplasia usually begins at the limbus and presents as an avascular translucent sheet over the corneal surface. This case report describes a 67-year-old man with an unusual isolated, keratinous nodular corneal lesion. Slit-lamp examination showed an elevated, avascular, whitish plaque-like lesion at the central cornea surrounded by a normal corneal epithelium, with reduced visual acuity of 20/200 in the right eye. Anterior segment optical coherence tomography displayed a hyper-reflective, thickened epithelium with back shadowing. Histopathology showed keratinising hyperplastic stratified squamous epithelium with parakeratosis and moderate nuclear pleomorphism in lower second/third of epithelium suggestive of moderate dysplasia. His visual acuity returned to 20/20 after surgical excision but he developed multifocal corneal recurrences 6 weeks later, which were successfully managed with seven cycles of topical interferon immunotherapy. There are no recurrences observed at 6 months of follow-up.

scholarly journals Acute retinal necrosis.

1969 ◽  
Vol 40 (3) ◽  
pp. 323-326
Author(s):  
Hugo Hernán Ocampo ◽  
Alexánder Maximiliano Martínez
Keyword(s):  
Visual Acuity ◽  
Antiviral Agents ◽  
Clinical Findings ◽  
Posterior Pole ◽  
Acute Retinal Necrosis ◽  
History Of ◽  
Study Case ◽  
The Right ◽  
High Index Of Suspicion

Purpose: Clinical features in a case of acute retinal necrosis are described as well as its diagnostic approach and response to early treatment. Methods: This is a descriptive and retrospective study case report of a 26 year old male patient who arrived to the emergency room with a three day history of sudden visual loss in the right eye (RE). At initial evaluation a visual acuity of hand movements in the RE, 20/15 in the left eye (LE) and a right relative afferent pupillary defect were found. Fundoscopy revealed profuse soft exudates and hemorrhages involving posterior pole, inferior hemiretina and superotemporal periphery. Infectious workup and fluoresceinic angiography were made and positive serologies for herpes virus types 1 and 2, without HIV, were found. A diagnosis of acute retinal necrosis was made and treatment with intravenous valgancyclovir for two weeks and intra-vitreous triamcinolone for severe vasculitis, was given. Then a 3 months treatment with oral antiviral agents was prescribed. Results: Patient’s evolution showed improvement with treatment and at two and a half months of follow up, visual acuity was 20/50 in the right eye, normal slit lamp examination, tonometry of 12 mm Hg and fundoscopy improved when compared to initial pictures.Conclusions: A high index of suspicion is needed for diagnosing ARN taking into account clinical findings. Prompt intravenous and intra-vitreous treatments are needed to achieve good clinical and functional outcomes and to avoid central nervous system complications.

Adenoid cystic carcinoma of the labium oris with rare metastasis to the pleural cavity

2021 ◽  
Vol 14 (1) ◽  
pp. e237622
Author(s):  
Osama Mosalem ◽  
Anas Alsara ◽  
Fawzi Abu Rous ◽  
Borys Hrinczenko
Keyword(s):  
Side Effects ◽  
Adenoid Cystic Carcinoma ◽  
Pleural Cavity ◽  
Epigastric Pain ◽  
Asian Woman ◽  
Upper Lip ◽  
Adenoid Cystic ◽  
History Of ◽  
The Right

A 57-year-old Southeast Asian woman with a remote history of adenoid cystic carcinoma (ACC) of the right labium superius oris (upper lip) presented to the hospital with vague epigastric pain. On workup, she was found to have multiple pleural nodules. Histopathology confirmed the diagnosis of metastatic ACC. After 8 months of active surveillance, evidence of disease progression was found and the patient was started on pembrolizumab. Follow-up after starting pembrolizumab showed stable disease with no significant side effects.

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