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T : 목차정보

Case reports in ophthalmological medicine 39건

  1. [해외논문]   Bilateral Angle Narrowing and Acute Myopia Induced by Indapamide: A Case Report  

    Pedrosa, Ana Catarina (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Araú (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , jo, Joana Rodrigues (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Macedo, Joã (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , o Paulo (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Silva, Sé (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal) , rgio Estrela , Melo, Antó , nio , Falcã , o-Reis, Fernando
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . To describe a clinical case of indapamide induced bilateral angle narrowing and acute myopia. Materials and Methods . Clinical case report. Results . A 37-year-old Caucasian emmetropic man presented to the Emergency Department with complaints of acute-onset bilateral blurry vision, nine days after starting treatment for arterial hypertension with a combination of indapamide and amlodipine. Clinical examination revealed the presence of myopia and appositional closure of the anterior chamber angle. Ultrasound biomicroscopy and mode B ultrasonography disclosed bilateral ciliochoroidal effusion with anterior rotation of the ciliary body and iridocorneal angle narrowing. After intraocular pressure control with brimonidine and timolol, and replacement of indapamide/amlodipine by amlodipine only, the patient was discharged. Complete resolution of the clinical manifestations was observed after three weeks, with no sequelae. Conclusions . Indapamide may cause acute myopia and angle closure secondary to ciliochoroidal effusion that are fully reversible after drug withdrawal, as long as timely diagnosis is established. Therefore, indapamide, as well as other sulfonamide-derived drugs, must always be considered in the differential diagnosis of acute myopia and angle closure.

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  2. [해외논문]   A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole  

    Ch'ng, Soon Wai (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Elaraoud, Ibrahim (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Karl, David (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Kalogeropoulos, Dimitrios (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Lee, Rynn (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Carreras, Elisa (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    A 38-year-old man with a traumatic full-thickness macular hole (FTMH) presented to our eye casualty department with a sudden deterioration of his right eye vision to hand movements over the past one week. The suspected traumatic FTMH was present since he was 13 years old from a direct impact of a golf ball in his right eye and his best-corrected visual acuity (BCVA) has always remained at 1/60 Snellen vision. On examination, he had a very large FTMH measuring 1635 μ m with central foveal retinal detachment. Pars plana vitrectomy combined with large inverted internal limiting membrane (ILM) peel flap, 5000 Cs silicone oil tamponade, and autologous platelets implantation was performed. Follow-up visits revealed that the FTMH was closed under silicone oil. The silicone oil was removed six months after the surgery and the FTMH remained close with the retina remaining attached. His BCVA was restored to his previous baseline level of 1/60 Snellen vision. With the advent of multiple techniques to repair FTMH such as the ILM flaps, we have combined this technique with older proven techniques such as silicone oil tamponade and autologous platelets implantation to close the giant traumatic FTMH. This case study demonstrates that combining techniques can help close a FMTH that is otherwise deemed impossible in the past.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

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  3. [해외논문]   Cytomegalovirus Retinitis in Primary Immune Deficiency Disease  

    Ngai, Jia Jeane (Department of Ophthalmology, Hospital Bintulu, Sarawak, Malaysia ) , Chong, Ka Lung (Department of Ophthalmology, Hospital Bintulu, Sarawak, Malaysia ) , Oli Mohamed, Shelina (Department of Ophthalmology, Hospital Shah Alam, Selangor, Malaysia)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    Introduction . To report an unusual case of CMV retinitis in Primary Immune Deficiency Disease (PIDD). Case Report . 13-year-old child with combined T and B cell deficiencies was diagnosed of bilateral zone 1 CMV retinitis. Intravitreal injections were unable to be given in a regular and timely manner under general anaesthesia due to her underlying systemic disease. The child was treated with intravenous ganciclovir for 8 weeks until eventual resolution of the retinitis. However, visual acuity deteriorated due to progressive optic nerve involvement. Conclusion . Paediatric patients often do not notice subtle symptoms of CMV retinitis. Although ocular manifestations are uncommon in PIDD, recognition and high index of suspicion will allow for timely referral, diagnosis, and treatment to be instituted for better visual outcomes.

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  4. [해외논문]   Multiple Retinal Holes Secondary to Valsalva Retinopathy  

    Gurung, Rajya L. (Vitreo-Retina Department, Biratnagar Eye Hospital, Biratnagar, Nepal)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    Valsalva retinopathy is a common condition but retinal holes secondary to Valsalva retinopathy are rarely reported. The author believes this to be the first report to describe multiple retinal holes after hyaloidotomy for Valsalva retinopathy.

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  5. [해외논문]   Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography  

    Kovach, Jaclyn L. (Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 3880 Tamiami Trail N, Naples, FL 34103, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    This report describes the first case of extensive macular atrophy with pseudodrusen (EMAP) imaged with optical coherence tomography angiography (OCTA). A 58-year-old Caucasian man presented with decreased central vision in both eyes. Fundus examination showed large areas of macular atrophy centered on the fovea surrounded by diffuse reticular pseudodrusen. Spectral domain OCT (SDOCT) revealed outer retinal and choriocapillaris atrophy. OCTA demonstrated marked absence of choriocapillaris flow. Extensive macular atrophy with pseudodrusen is a rare clinical entity and a new extreme phenotype of macular degenerations that could shed more light on the role of pseudodrusen and choriocapillaris compromise in the pathogenesis of AMD.

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  6. [해외논문]   Management of Congenital Clinical Anophthalmos with Orbital Cyst: A Kinshasa Case Report  

    Stahnke, Thomas (Department of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, 18057 Rostock, Germany ) , Erbersdobler, Andreas (Institute of Pathology, Rostock University Medical Center, Strempelstr. 14, 18055 Rostock, Germany ) , Knappe, Steffi (Department of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, 18057 Rostock, Germany ) , Guthoff, Rudolf F. (Department of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, 18057 Rostock, Germany ) , Kilangalanga, Ngoy J. (Eye Department, Hospital Saint Joseph, 322 Limete/Kinshasa, Democratic Republic of the Congo)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 6 , 2018 , 2090-6722 ,

    초록

    An early developmental lack of the optic vesicle can result in congenital anophthalmia, defined as a complete absence of the eye, which can be distinguished from congenital microphthalmos, where ocular rudiments are present. Here, a rare pediatric case of congenital clinical anophthalmos with orbital cyst in the left orbit is reported. The patient was a 14-month-old girl with no other congenital defects who underwent surgical and prothetic management in St. Joseph's Hospital Kinshasa, Democratic Republic of the Congo (DRC). Surgery was carried out under general anesthesia. The cyst was punctured and its wall fully excised. Near the orbital apex pigmented elements representing iris, ciliary body, and choroidal or retinal remnants were found. The specimens were fixed in formalin for histological examination. Surgical cyst removal including socket deepening for an artificial eye was performed. Postoperative wound healing was uneventful and a satisfactory cosmetic outcome was achieved in all follow-up examinations. Histological examination revealed rudimentary ocular structures similar to degenerated lens tissue with a typical, PAS-positive capsule. Additionally, pigmented epithelial structures, which seem to be of ciliary body, iris, and choroidal or retinal-type epithelium origin, could be detected, prompting the final diagnosis, microphthalmia with dominant cyst formation.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia  

    Kodama-Takahashi, Aya (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Sugioka, Koji (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Sato, Tomoko (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Nishida, Koichi (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Aomatsu, Keiichi (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Fukuda, Masahiko (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan ) , Shimomura, Yoshikazu (Department of Ophthalmology, Kindai University Faculty of Medicine, Osaka-Sayama City, Japan)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    Purpose. To report a case of persistent corneal epithelial defect that had occurred after a trigeminal nerve block. Case Presentation. A 75-year-old female had suffered from postherpetic neuralgia for 8 years. She underwent Gasserian ganglion block surgery and noticed declining visual acuity in the right eye on the following day. She presented with severe hyperemia and corneal epithelial defects in the right eye and experienced remarkable reduction of sensitivity in the right cornea. She was diagnosed with neurotrophic keratopathy. Ofloxacin eye ointment and rebamipide ophthalmic suspension ameliorated the corneal epithelial defects but superficial punctate keratopathy, corneal superficial neovascularization, and Descemet's fold persisted. Although the epithelial defects occasionally recurred, the corneal sensation and epithelial defects, Descemet's fold, and corneal superficial neovascularization all improved around 5 months after trigeminal nerve block. The HRT II Rostock Cornea Module (RCM) could not detect any corneal subbasal nerve fibers at postoperative 4 months; however, it could detect them at postoperative 6 months. Conclusions. As the nerve block effect wore off, the corneal subbasal nerve fibers slowly regenerated. As the corneal sensation improved, the corneal epithelial defects and superficial neovascularization also improved. The HRT II RCM appeared useful for observing loss and regeneration of the corneal subbasal nerve fibers.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Acute Onset of Exogenous Endophthalmitis after Dexamethasone Implant Injection Treated without Implant Removal  

    Bastakis, George G. (Ophthalmology Clinic, Medical Retina & Vitreoretinal Surgery Department, Venizeleio Hospital of Crete, Knossos Avenue 44, Heraklion of Crete, Greece ) , Stavrakakis, Anastasios (Ophthalmology Clinic, Medical Retina & Vitreoretinal Surgery Department, Venizeleio Hospital of Crete, Knossos Avenue 44, Heraklion of Crete, Greece ) , Nikolaos, Avgoustinakis (Ophthalmology Clinic, Medical Retina & Vitreoretinal Surgery Department, Venizeleio Hospital of Crete, Knossos Avenue 44, Heraklion of Crete, Greece ) , Dimopoulos, Dimitris (Ophthalmology Clinic, Medical Retina & Vitreoretinal Surgery Department, Venizeleio Hospital of Crete, Knossos Avenue 44, Heraklion of Crete, Greece ) , Pappas, George (Ophthalmology Clinic, Medical Retina & Vitreoretinal Surgery Department, Venizeleio Hospital of Crete, Knossos Avenue 44, Heraklion of Crete, Greece)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    We present a case of acute endophthalmitis after intravitreal dexamethasone implant injection and discuss the management of this rare and challenging case in which the implant could not be removed. A 50-year-old woman with a history of branch retinal vein occlusion in the right eye was treated with intravitreal dexamethasone implant injection for macular oedema. Four days after injection, the patient was admitted to the department with acute pain, decreased vision, and redness. A diagnosis of acute post-intravitreal injection endophthalmitis was made. A 23-guage (23G) vitrectomy was performed immediately to remove the implant, and a vitreous tap for culture and polymerase chain reaction was acquired during the procedure. We were unable to remove the dexamethasone implant during the vitrectomy because of dense membrane formation. At the end of the procedure, we injected intravitreal antibiotics (vancomycin and amikacin), and the patient was treated with fortified topical antibiotics and steroids. At the time of writing, 5 years later, the patient retains a best corrected visual acuity of 10/10 (6/6) with dexamethasone implant therapy maintenance. Intravitreal dexamethasone implant-associated endophthalmitis is a rare and challenging condition. Immediate 23G pars plana vitrectomy, even without removal of the implant, can lead to favourable visual results.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Bilateral Iris Mammillations in Amblyopic Eyes without Oculodermal Melanocytosis or Neurofibromatosis  

    Yamamoto, Megumi (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Mimura, Tatsuya (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Matsumoto, Koichi (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Hamano, Shigeki (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Nanba, Hisataka (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Ubukata, Shoko (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Watanabe, Emiko (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan ) , Mizota, Atsushi (Department of Ophthalmology, Teikyo University School of Medicine, Tokyo 173-8605, Japan)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    Purpose . Iris mammillations are related to oculodermal melanosis and iris nevi. We report a rare case of bilateral simple iris mammillations without ocular melanosis or systemic neuronal disorders. Case Report . A healthy 10-year-old Japanese girl was found incidentally to have bilateral iris mammillations while being treated for amblyopia. The best-corrected visual acuity was 20/40 in both eyes. Ocular examination showed evenly spaced, uniform-size, iris protrusions completely covering the iris surface bilaterally. There were no other ocular or neurological abnormalities. Conclusion . To the best of our knowledge, this is the first report of bilateral iris mammillations in Japan. Our case emphasizes that iris mammillations can occur even without ocular melanocytosis or systemic diseases.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Spontaneous Macular Hole Closure after Valsalva Retinopathy and Nd:YAG Laser Treatment  

    Suren, Elcin (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey ) , Akidan, Melih (Kepez State Hospital, Ophthalmology Department, Antalya, Turkey ) , Erol, Muhammet Kazim (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey ) , Toslak, Devrim (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . The purpose of this report is to present a case who had spontaneous macular hole closure after Nd:YAG laser membranotomy applied to premacular haemorrhage associated with Valsalva retinopathy. Methods. Case report. Results. A 19-year-old young male patient presented to our clinic with sudden vision loss in his right eye, which had occurred 2 weeks before, following push-up and sit-up exercise. The patient was found to have premacular haemorrhage associated with Valsalva retinopathy. Nd:YAG laser membranotomy was performed. During his follow-up at week 1, full-thickness MH was observed and he was put under observation. At month 6, his vision acuity improved, laser coagulation sites in the fundus disappeared, and macular hole closed spontaneously. Conclusion. Macular hole that develops after Nd:YAG laser treatment of Valsalva retinopathy may spontaneously be closed like in our case. However, there is a need for further research to understand the mechanism of closure.

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    Fig. 1 이미지

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