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H : 소장처정보

T : 목차정보

Case reports in ophthalmological medicine 39건

  1. [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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    Fig. 1 이미지
  2. [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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    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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    Fig. 1 이미지
  3. [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.

    이미지

    Fig. 1 이미지
  4. [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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    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.

    이미지

    Fig. 1 이미지
  5. [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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    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.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis  

    Vasakos, D. (424 General Military Training Hospital of Thessaloniki, Thessaloniki, Greece ) , Nakos, E. (424 General Military Training Hospital of Thessaloniki, Thessaloniki, Greece ) , Sioulis, C. (424 General Military Training Hospital of Thessaloniki, Thessaloniki, Greece)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    Background. Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Case Report. We report the case of a 72 year old female patient, suffering from right eye involutional lower eyelid entropion and ptosis, who was treated synchronously for both conditions, by applying the lateral tarsal strip procedure and the levator resection technique. Conclusion. The synchronous treatment of involutional entropion and ptosis is an alternative treatment strategy, which could potentially improve surgical outcome, while reducing postoperative recovery time and treatment costs.

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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.

    이미지

    Fig. 1 이미지
  7. [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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    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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    Fig. 1 이미지
  8. [해외논문]   Retinal and Preretinal Hemorrhages in a Patient Receiving Hyper-CVAD Chemotherapy for T-Cell Acute Lymphoblastic Leukemia  

    Peddada, Krishi (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Weiss, Stephanie J. (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Kumar, Shaina (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Malik, Deepika (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Hyperfractionated cyclophosphamide, vincristine, adriamycin, and dexamethasone (Hyper-CVAD) is an important chemotherapeutic regimen for acute lymphoblastic leukemia (ALL) and non-Hodgkin's lymphoma. We present a case of a 23-year-old male with T-cell ALL and visual acuity of 20/20 in the right eye and 20/25 in the left eye who developed significant changes in his vision after starting Hyper-CVAD therapy. The patient initially presented with cotton wool spots in the fundus shortly after starting the regimen. After going through the induction phase of chemotherapy, he had a sudden decline in his vision to light perception in the left eye. Posterior segment exam revealed retinal ischemia and multilayered hemorrhages in both eyes as well as a large preretinal hemorrhage obscuring the fovea in the left eye. Labs associated the appearance of these hemorrhages with a significant decrease in hemoglobin and a platelet count of 5 K/ μ L. A Nd:YAG laser applied in the left eye at the posterior hyaloid face allowed blood to drain into the vitreous cavity and brought the patient's visual acuity back to baseline. Hyper-CVAD is an aggressive chemotherapy regimen that can cause severe thrombocytopenia secondary to myelosuppression. Frequent retinal evaluations and timely intervention is advisable in these cases as extensive intraretinal hemorrhages may cause irreversible damage.

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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]   Single-Stage Orbital Socket Reconstruction Using the Oversized Dermis Fat Graft and the 22 mm Silicone Orbital Implant after an Extended Enucleation  

    Kuzmanović (University Eye Clinic, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, University Hospital “Sveti Duh”, Zagreb, Croatia ) , Elabjer, Biljana (University Eye Clinic, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, University Hospital “Sveti Duh”, Zagreb, Croatia ) , Buš (University Eye Clinic, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, University Hospital “Sveti Duh”, Zagreb, Croatia ) , ić (University Eye Clinic, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, University Hospital “Sveti Duh”, Zagreb, Croatia ) , , Mladen (University Eye Clinic, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, University Josip Juraj Strossmayer in Osijek, University Hospital “Sveti Duh”, Zag) , Miletić , , Daliborka , Bjeloš , , Mirjana , Š , arić , , Borna , Bosnar, Damir
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    We would like to present a surgical technique of orbital socket reconstruction using oversized dermis fat graft and 22 mm silicone orbital implant in a single-stage after extended enucleation in two patients with massive local recurrence of anteriorly located choroidal melanoma previously treated with endoresection. Orbital tissues en bloc were removed leaving conjunctival lining only at the fornices. Simultaneously, the 22 mm silicone sphere was implanted deeply into the orbit and covered with the oversized dermis fat graft of 30 mm in height and 35 mm in length with 20 mm of the fat thickness. The graft was sutured to the residual forniceal conjunctiva with interrupted 6/0 absorbable sutures overlapping conjunctiva with the graft edge for 2 mm to facilitate the epithelization. Epithelization was completed in two months, leaving well-formed fornices with good fitting of the prosthesis. The key point of orbital socket reconstruction after extended enucleation is to restore conjunctival lining prior to volume. Thus, whenever facing a massive volume and conjunctival lining loss, simultaneous insertion of the 22 mm silicone sphere deep into the orbit combined with oversized dermis fat graft is, in our opinion, the method of choice. It proved to be safe and effective with favourable long-term results.

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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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  10. [해외논문]   Corneal Cross-Linking Window Absorption (CXL-WA) as an Adjuvant Therapy in the Management of Aspergillus niger Keratitis  

    Rosetta, Pietro (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Legrottaglie, Emanuela F. (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Pagano, Luca (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Vinciguerra, Paolo (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    Purpose . To evaluate the effectiveness of corneal cross-linking window absorption (CXL-WA) as an adjuvant therapy for Aspergillus keratitis. Methods . A 90-year-old male came to our clinic complaining of hyperemic conjunctivitis and progressive visual loss in the right eye. Slit-lamp examination showed keratic precipitates, severe corneal opacity, and stromal edema. Corneal scraping culture was positive for Aspergillus niger . Because the clinical condition did not sufficiently improve with antifungal therapy, the patient underwent CXL-WA as an adjuvant therapy. Results . During the first week after treatment, the Tyndall effect, corneal edema, and signs of ocular inflammation progressively lessened. At the third postoperative month, the cornea was stable without signs of fungal keratitis. However, after this period, a descemetocele appeared in the cornea (2 × 2 mm in diameter), so the patient underwent a corneal penetrating keratoplasty. Histological evaluation of the removed corneal tissue revealed the presence of hyphae and fungal infection. Conclusions . We reported a case of in vivo CXL-WA used as an adjuvant therapy for deep stromal Aspergillus keratitis. CXL did not completely eradicate the fungal infection which caused perforation 4 months after treatment and it still cannot be considered a definitive solution to mycotic keratitis, which maintains a poor long-term prognosis.

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    Fig. 1 이미지

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