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Case reports in ophthalmological medicine 39건

  1. [해외논문]   Simultaneous Subconjunctival Triamcinolone and Bevacizumab Injections for Management of Blepharokeratoconjunctivitis in Children  

    Nguyen, Chu Luan (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Chen, Tony S. (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Tran, Khoi (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Smith, James E. H. (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Lewis, Noni (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . To report the efficacy of subconjunctival triamcinolone (Kenalog A-40, Alcon) and bevacizumab (Avastin, Genentech) injections in fraternal twins with blepharokeratoconjunctivitis (BKC) causing progressive, bilateral corneal neovascularization and scarring. Methods. In this retrospective observational case series, two three-year-old male twins with BKC had presented with bilateral red eyes, photophobia, and frequent blinking. Examination of each child showed bilateral deep stromal and superficial corneal neovascularization, corneal infiltrates, multiple follicles on the palpebral conjunctiva bilaterally with blepharitis, and thick turbid sebum expressed from the Meibomian glands. Their disease progressed despite conventional treatment. Both twins were managed with subconjunctival triamcinolone injection and subconjunctival bevacizumab injection of each eye. Results . The treatment resulted in improvement of symptoms, and examination over an 8-10-month period postinjections showed fading stromal corneal infiltrates, partially regressed corneal neovascularization, and reduced conjunctival injection without complications. Conclusion . This case series highlights the potential vision threatening complications of BKC. In addition to conventional management options, this report is the first published use of subconjunctival triamcinolone and bevacizumab injections for BKC in children in an attempt to minimize and improve corneal neovascularization and scarring and subsequently to retain useful vision.

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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.

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

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  2. [해외논문]   A Rare Case of Unilateral Morning Glory Disc Anomaly in a Patient with Turner Syndrome: Report and Review of Posterior Segment Associations  

    Sahni, Dev R. (Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Wallace, Michael (Department of Ophthalmology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Kanhere, Mansi (Department of Pediatrics, Division of Endocrinology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Al Saif, Hind (Department of Pediatrics, Division of Clinical Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Couser, Natario (Department of Ophthalmology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    Turner syndrome is a common sex chromosome disorder affecting females. The disorder is caused by a partial loss, complete absence, or structural abnormality of one X chromosome. The clinical presentation is broad and ranges from the classic phenotype to minimal clinical manifestations. Ocular abnormalities associated with the syndrome are common. Reports describing abnormal eye features in individuals with Turner syndrome generally involve refractive errors (myopia or hyperopia), strabismus, and external or anterior segment abnormalities including hypertelorism, epicanthal folds, and ptosis. Posterior ocular segment anomalies involving the optic nerve and retina in Turner syndrome have been rarely reported. We report a rare presentation of an 11-year-old female with Turner syndrome and unilateral morning glory disc anomaly.

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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.

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

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  3. [해외논문]   Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis  

    Saad, A. (James Cook University Hospital (JCUH), Middlesbrough, UK ) , Salceanu, S. O. (James Cook University Hospital (JCUH), Middlesbrough, UK ) , Oswal, K. (James Cook University Hospital (JCUH), Middlesbrough, UK ) , Aboushrkh, A. (Zagazig University, Zagazig, Egypt ) , Hamada, D. (Zagazig University, Zagazig, Egypt)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose. To demonstrate the importance of subretinal biopsy to reach a diagnosis when vitreous biopsy is negative or inconclusive. Methods. A 54-year-old Caucasian gentleman presented with bilateral anterior uveitis at JCUH. He initially responded to topical steroids and dilating agents. Subsequently he developed bilateral panuveitis and cataract with poor response to treatment. Detailed workup had been done to rule out infectious etiology. A suspicion of lymphoma was considered and vitreous biopsy sample was taken from one eye, which was inconclusive. Then, to help with definitive diagnosis vitreous sample, subretinal aspirate and retinal biopsy were taken. Results. Subretinal aspirate revealed Aspergillus niger . Treatment was initiated accordingly. Conclusions. Subretinal aspirate and retinal biopsy can help with diagnosis of unusual clinical panuveitis like presentation.

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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.

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

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  4. [해외논문]   Using Anterior Segment Optical Coherence Tomography to Monitor Disease Progression in Peripheral Ulcerative Keratitis  

    Garg, Aakriti (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , De Rojas, Joaquin (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , Mathews, Priya (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , Hazan, Albert (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , Lin, James (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , Trief, Danielle (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA ) , Suh, Leejee H. (Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    We report two cases of peripheral ulcerative keratitis (PUK) imaged with anterior segment optical coherence tomography (AS-OCT). The first patient had prolonged nonsteroidal anti-inflammatory drug use, while the second had inflammatory arthritis by laboratory findings without any systemic findings as well as possible concurrent tuberculosis. In both patients, AS-OCT demonstrated corneal thinning at the onset of the disease with improvement six months after initiation of intensive medical therapy. Our cases highlight the need for a multidisciplinary approach and careful monitoring in PUK cases, especially with objective measures such as corneal thickness assessed with AS-OCT.

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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.

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

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  5. [해외논문]   Topical Treatment with Cord Blood Serum in Glaucoma Patients: A Preliminary Report  

    Campos, Emilio (Ophthalmology Unit, DIMES, Alma Mater Studiorum, University of Bologna, Bologna, Italy ) , Versura, Piera (Ophthalmology Unit, DIMES, Alma Mater Studiorum, University of Bologna, Bologna, Italy ) , Giannaccare, Giuseppe (Ophthalmology Unit, DIMES, Alma Mater Studiorum, University of Bologna, Bologna, Italy ) , Terzi, Adriana (Emilia Romagna Cord Blood Bank-Transfusion Service, S.Orsola-Malpighi Teaching Hospital, Bologna, Italy ) , Bisti, Silvia (Vision Lab, DISCAB, University of L'Aquila, L'Aquila, Italy ) , Di Marco, Stefano (Vision Lab, DISCAB, University of L'Aquila, L'Aquila, Italy ) , Buzzi, Marina (Emilia Romagna Cord Blood Bank-Transfusion Service, S.Orsola-Malpighi Teaching Hospital, Bologna, Italy)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 6 , 2018 , 2090-6722 ,

    초록

    Purpose . To report data which happened to be observed in two glaucoma patients treated with Cord Blood Serum (CBS) eye drops. Design . A case report and retrospective data analysis. Methods . CBS topical eye drops, characterized in advance for growth factors (GFs) content, were administered for two months with the aim to relieve their subjective symptoms, in two patients who had referred ocular surface discomfort, although in absence of any sign of keratopathy. As patients were also affected by advanced glaucoma at risk of vision loss and under treatment with hypotensive drugs, they had been also monitored over the same period with IOP controls and visual field tests in our unit. Results . During subsequent visits, data from Mean Deviation and Pattern Standard Deviation in the visual fields were retrospectively collected and compared with before and after treatment with CBS, and an amelioration was observed. Conclusions . CBS contains a combination of GFs, which potentially exert a neuroprotective action and elect CBS as an interesting natural source to be delivered in neurodegenerative ocular disorders. The incidentally observed amelioration in these two patients deserves further investigation in this respect.

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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.

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

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  6. [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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    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.

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

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  7. [해외논문]   Acute Posterior Multifocal Placoid Pigment Epitheliopathy Associated with Gastrointestinal Stromal Tumor and Hurthle Cell Tumor  

    Kim, Daniel D. (Eye Institute, West Virginia University, Morgantown, WV, USA ) , Ghorayeb, Ghassan (Eye Institute, West Virginia University, Morgantown, WV, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Acute posterior multifocal placoid pigment epitheliopathy (APMPEE) is a chorioretinal inflammatory disease of unknown origin. Patients usually present with a rapid loss of central/paracentral vision over the course of a week in both eyes. The fundus exhibits rapid appearance of multiple deep subretinal yellow-white, flat lesions at the RPE/choriocapillaris level. This in turn causes changes of both the ellipsoid zone and RPE which can result in permanent central vision loss. The pathogenesis is controversial but is associated with a recent viral illness and can involve the central nervous system with concern for cerebral vasculitis. Rare reports of APMPEE associated with systemic vasculitis such as Wegener's granulomatosis and malignancy such as clear cell renal carcinoma have been reported. We report a case of APMPEE with concurrent diagnosis of gastrointestinal stromal tumor and Hurthle cell tumor. While such association may well be coincidental, the near simultaneous presentation raised our suspicion for potential association.

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

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  8. [해외논문]   Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus  

    Já (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , ñ (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , ez-Garcí (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , a, Lucí (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , a (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , Mencí (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain ) , a-Gutié (Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain) , rrez, Enrique , Gutié , rrez-Dí , az, Esperanza , Moreno-Garcí , a-Rubio, Luis F. , Zarratea-Herreros, Laura , Bengoa-Gonzá , lez, Á , lvaro , Pé , rez-Trigo, Silvia
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Penetrating injuries of the cranium are relatively uncommon, only 0.4% of all head injuries. In patients with disturbed conscious level, an extensive examination should be performed in the emergency unit to rule out transorbital penetrating brain injury. A 25-year-old male was attacked with a dagger. He presented with ethylic intoxication and the physical examination demonstrated a small skin injury on the lateral canthus of the left eye with a large periocular hematoma which prevented eyelid opening. Cranial CT scan showed a metallic intraorbital foreign body consisting of a fragment of a dagger which perforated the eyeball, and penetrated through the superomedial wall of the orbit into the anterior cranial fossa. Reconstruction of the eyeball was performed and the fragment was removed. Orbital injuries with a knife in situ are very unusual. Early identification and removal of retained foreign bodies are essential.

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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.

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

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

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  10. [해외논문]   Radiological-Pathological Correlation in Plasmablastic Lymphoma in an Immunocompromised Patient  

    Moramarco, A. (Department of Sense Organs, Sapienza University of Rome, Italy ) , Marenco, M. (Department of Sense Organs, Sapienza University of Rome, Italy ) , La Cava, M. (Department of Sense Organs, Sapienza University of Rome, Italy ) , Lambiase, A. (Department of Sense Organs, Sapienza University of Rome, Italy)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    Plasmablastic lymphoma (PBL) is a malignant, rare, and aggressive form of non-Hodgkin's lymphoma with poor response to treatment that most commonly involves the oral mucosa of immunodeficient patients. The orbit might be primarily or secondarily involved; on the other hand other pathological conditions, i.e., fungal infections, may localize in the orbit in both immunocompromised patients and drug user, which might have similar radiological features. We describe the clinical, radiological, and pathological features of an orbital plasmablastic lymphoma (PBL) in an immunocompromised HIV positive drug user patient.

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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.

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

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