Detection of < b > < i > Candida < /i > < /b > Endophthalmitis in a Newborn Using Handheld Spectral-Domain Optical Coherence Tomography
In a newborn with candidemia, two retinal lesions were seen without external inflammatory signs or reaction in the anterior chamber or vitreous. However, handheld spectral domain-optical coherence tomography (HH SD-OCT) images show that one of the retinal lesions had a “firework display” projecting to the vitreous that was not identified in indirect ophthalmoscopy. This finding suggested aCandida endophthalmitis. HH SD-OCT findings allowed us to make an accurate diagnosis and, therefore, modified the decision-making process in the treatment of the pathology.Case Rep Ophthalmol 2018;9:439 –443 (Source: Cas...
Source: Case Reports in Ophthalmology - October 18, 2018 Category: Opthalmology Source Type: research

Bilateral Spontaneous Hyphemas in a Patient with Aplastic Anemia
We present a patient with aplastic anemia without obvious risk factors for hyphema who developed bilateral spontaneous hyphemas. To our knowledge, this is the first reported case of bilateral spontaneous hyphemas in a patient with aplastic anemia.Case Rep Ophthalmol 2018;9:444 –448 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - October 18, 2018 Category: Opthalmology Source Type: research

Development of a Donor Tissue Holding Technique for Descemet ’s Membrane Endothelial Keratoplasty Using a 25-Gauge Graft Manipulator
Conclusions: This donor tissue holding technique enabled rapid and safe DMEK in a reproducible manner, even in Asian eyes with shallow anterior chambers with high vitreous pressure.Case Rep Ophthalmol 2018;9:431 –438 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - October 11, 2018 Category: Opthalmology Source Type: research

Lipemia Retinalis, Macular Edema, and Vision Loss in a Diabetic Patient with a History of Type IV Hypertriglyceridemia and Pancreatitis
Conclusions: In the setting of lipemia retinalis and hypertriglyceridemia, the current patient developed macular edema and vision loss. The macular edema was treated with intravitreal injections of bevacizumab, and the patient experienced a rapid recovery of visual acuity.Case Rep Ophthalmol 2018;9:425 –430 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - October 5, 2018 Category: Opthalmology Source Type: research

Development of Central Serous Chorioretinopathy following Chalazion Removal with Intralesional Triamcinolone Injection: A Case Report
We report a case of central serous chorioretinopathy (CSC) that developed 1 month after an intralesional injection of triamcinolone acetonide that was administered during removal of a chalazion. The subretinal fluid and ipsilateral visual acuity (VA) worsened with initial observation. The edema resolved with verteporfin photodynamic therapy (PDT) 1 month after diagnosis, but VA did not improve during short-term follow-up. We conclude that CSC can occur as a complication of low-dose intrapalpebral corticosteroid administration and provide another example of the therapeutic role of PDT in the management of this disease.Case ...
Source: Case Reports in Ophthalmology - September 7, 2018 Category: Opthalmology Source Type: research

Corneal Blood Staining after Complicated Cataract Surgery
Conclusions and Importance: In case of hyphema induced by cataract surgery, performance of early anterior chamber washout should be considered to prevent corneal blood staining and poor visual outcome.Case Rep Ophthalmol 2018;9:421 –424 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - September 7, 2018 Category: Opthalmology Source Type: research

A Case of Focal Choroidal Excavation Development Associated with Multiple Evanescent White Dot Syndrome
We present a case of FCE development that was detected by spectral domain OCT (SD-OCT) and found to be associated with multiple evanescent white dot syndrome (MEWDS). A 40-year-old Japanese woman was diagnosed with MEWDS based on multiple white dots observed from the posterior pole to the midperiphery, along with yellow granularity in the fovea. SD-OCT revealed separation between the retinal pigment epithelium (RPE) and Bruch ’s membrane (BM) and discontinuations of the ellipsoid zone, RPE, and BM. At 4 weeks after onset, several of the white dots disappeared, the yellow granularity in the fovea became small, and we ...
Source: Case Reports in Ophthalmology - September 2, 2018 Category: Opthalmology Source Type: research

BrightOcular ® Cosmetic Iris Implant: A Spectrum from Tolerability to Severe Morbidity
Conclusions: These two cases attest to the unpredictability of the results of these cosmetic surgeries. Patients should be counseled about the vision-threatening complications of iris implants.Case Rep Ophthalmol 2018;9:395 –400 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - September 2, 2018 Category: Opthalmology Source Type: research

A Case Report of Intravitreal Bevacizumab for Iris Metastasis of Small Cell Lung Carcinoma with Neovascular Glaucoma
A 79-year-old man who had been diagnosed with small cell lung carcinoma (SCLC) complained of right ocular pain and blurred vision. His right intraocular pressure (IOP) was 30 mm Hg, and anterior chamber cells and multiple grayish white iris masses associated with peripheral anterior synechia (PAS) and neovascularization of the right iris were observed. We presumed that the iris masses were iris metastasis of SCLC. Despite therapy with topical eye drops and oral acetazolamide, the IOP was poorly controlled, so we injected intravitreal bevacizumab into his right eye for neovascular glaucoma. Neovascular glaucoma disappeared ...
Source: Case Reports in Ophthalmology - September 2, 2018 Category: Opthalmology Source Type: research

Case Series of Inappropriate Concentration of Intraocular Sulfur Hexafluoride
Due to high complexity, vitreoretinal surgery presents a higher number of patient safety incidents compared with other ophthalmic procedures. Intraocular gases are one of the most useful adjuncts to vitrectomy and surprisingly, surgeons commonly admit to having occasional problems with incorrect gas concentration. The aim of this study is to present a consecutive case series of patients with improper concentration of sulfur hexafluoride (SF6) applied during vitrectomy. Three patients underwent 27-gauge vitrectomy and at the end of surgery inappropriate dilution of 100% SF6 was administered. It was attributed to a calculati...
Source: Case Reports in Ophthalmology - September 2, 2018 Category: Opthalmology Source Type: research

Blood in a Haab Stria
We describe a case of an asymptomatic and spontaneous intracorneal hemorrhage in an adult with congenital glaucoma and blood collected in a Haab stria.Case Rep Ophthalmol 2018;9:411 –415 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - September 2, 2018 Category: Opthalmology Source Type: research

An Unusual Case of DMEK Graft Loss into the Vitreous and Its Successful Retrieval and Survival
Conclusions: This case demonstrates the possibility of graft recovery from the vitreous after DMEK and subsequent corneal clearing despite unstable iris-lens diaphragm and vitrectomized eye.Case Rep Ophthalmol 2018;9:381 –387 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - August 22, 2018 Category: Opthalmology Source Type: research

Unilateral Multifocal Intraocular Lens Implantation in a Patient with Adie ’s Pupil
Conclusion: Optimizing success for MfIOL implantation is a multifactorial process. Large pupils preoperatively are of particular concern, as this may lead to increased dysphotopsia with pupil-dependent MfIOLs. Thus, patients with unilateral mydriasis, such as Aide ’s pupil, may have a beneficial outcome combining multifocal-monofocal implantation after bilateral cataract extraction, especially if they are not a candidate for monovision but desire spectacle independence.Case Rep Ophthalmol 2018;9:369 –374 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - August 9, 2018 Category: Opthalmology Source Type: research

A 12-Year-Old Girl with Bilateral Coats Disease and ABCA4 Gene Mutation
A 12-year-old girl with bilateral stage 2B Coats disease was screened meticulously for a possible underlying systemic disease as she was female and the disease was bilateral. Full systemic workout turned out to be unremarkable. However, an ABCA4 gene mutation was found in the genetic analysis. NDP and TINF2 gene mutations were not present. She was successfully treated with a bilateral, single intravitreal injection of dexamethasone implant and a single session of indirect laser photocoagulation with a relatively good anatomic and functional result. To the best of our knowledge, the present case is the only reported case of...
Source: Case Reports in Ophthalmology - August 9, 2018 Category: Opthalmology Source Type: research

Ultrabiomicroscopy Anterior Segment Evaluation of Ocular Contusive Trauma Caused by Pressurized Bottled Drink Caps: A Case Report
We report the case of a patient presented to the emergency department because of a contusive trauma from a pressurized bottled drink cap. During the visit, the patient indicated that he had been hit in his left eye by a cork while he was opening a sparkling wine bottle. He underwent a total ophthalmology examination. He had an important reduction of visual acuity, corneal swelling, Descemet ’s folds, and hyphema. Therefore, we decided to perform ultrabiomicroscopy (UBM) of the anterior segment to study the endothelial damage and Descemet’s membrane. UBM images confirmed the direct biomicroscopy, highlighting th...
Source: Case Reports in Ophthalmology - August 3, 2018 Category: Opthalmology Source Type: research

Ocriplasmin in the Treatment of Vitreomacular Traction in a Patient with Central Retinal Vein Occlusion: A Case Report
Conclusions: The use of ocriplasmin was effective in the treatment of VMT. Ocriplasmin represents a valid alternative to conventional pars plana vitrectomy.Case Rep Ophthalmol 2018;9:357 –364 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - July 25, 2018 Category: Opthalmology Source Type: research

Optic Neuritis Possibly Induced by Anti-PD-L1 Antibody Treatment in a Patient with Non-Small Cell Lung Carcinoma
Conclusions: The patient presented with optic neuritis and hypopituitarism, possibly due to irAEs of the anti-PD-L1 antibody treatment. Steroid pulse therapy was effective for optic neuritis, suggesting underlying immunological mechanisms. Neurological complications including optic neuritis should be considered when examining patients with cancer undergoing CPI treatment.Case Rep Ophthalmol 2018;9:348 –356 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - July 20, 2018 Category: Opthalmology Source Type: research

Traumatic Optic Neuropathy and Monocular Blindness following Transnasal Penetrating Optic Canal Injury by a Wooden Foreign Body
Conclusion: A nasally penetrating wooden foreign body can cause traumatic optic neuropathy and vision loss on the unaffected side and can be very difficult to locate and image without any clear external evidence as to its presence. This case highlights the importance of maintaining a high level of suspicion in these types of cases.Case Rep Ophthalmol 2018;9:341 –347 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - July 6, 2018 Category: Opthalmology Source Type: research

Remodeling of the Corneal Epithelial Scaffold for Treatment of Persistent Epithelial Defects in Diabetic Keratopathy
Conclusion: We propose a new strategy for treatment of diabetic PEDs based on surgical remodeling of the corneal epithelial scaffold for patients who respond to peptide eyedrops but fail to achieve wound closure.Case Rep Ophthalmol 2018;9:333 –340 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - June 29, 2018 Category: Opthalmology Source Type: research

Retinal Endovascular Surgery with Tissue Plasminogen Activator Injection for Central Retinal Artery Occlusion
Conclusions: Retinal endovascular surgery with injection of tPA into the retinal artery was feasible and may be a way to improve visual acuity and retinal circulation when performed in the acute phase of CRAO.Case Rep Ophthalmol 2018;9:327 –332 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - June 22, 2018 Category: Opthalmology Source Type: research

Acute Macular Neuroretinopathy following Oral Intake of Adrenergic Flu Treatments
Conclusion: Acute macular neuroretinopathy should be considered in any young patient with unexplained loss of vision and exposed to direct or indirect adrenergic stimulation.Case Rep Ophthalmol 2018;9:322 –326 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - June 15, 2018 Category: Opthalmology Source Type: research

Ocular Basidiobolomycosis: A Case Report
Conclusions:B. ranarum is a rare pathogen of ocular infection in which a definite diagnosis requires isolation of the causative organism. Delay in diagnosis and appropriate treatment can lead to extension of the infection and poor outcomes.Case Rep Ophthalmol 2018;9:315 –321 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - June 13, 2018 Category: Opthalmology Source Type: research

Massive Silicone Oil Migration into the Subconjunctival Space: A Leakage Mechanism Dilemma
Conclusions: We discuss the possible leakage mechanisms in this particular case.Case Rep Ophthalmol 2018;9:310 –314 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - May 31, 2018 Category: Opthalmology Source Type: research

Dexamethasone Implant as Sole Therapy in Sympathetic Ophthalmia
We present the case of a 46-year-old woman with sympathetic ophthalmia occurring 27 years after complicated juvenile cataract surgeries. The patient declined systemic immunosuppressive therapy. Dexamethasone implant in the sympathizing eye allowed good visual recovery up to 18 months of follow-up with a total of 6 implants. Intraocular pressure rise was controlled medically. This is a unique report of sympathetic ophthalmia treated solely with slow-release dexamethasone implant without systemic therapies.Case Rep Ophthalmol 2018;9:256 –262 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Cataract Surgery following Sequential Myopic and Hyperopic LASIK
We report a case of patient dissatisfaction after sequential myopic and hyperopic LASIK in the same eye. We discuss the course of management for this patient involving eventual cataract extraction and intraocular lens (IOL) implantation with attention to the IOL power calculation method used.Case Rep Ophthalmol 2018;9:264 –268 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Cerebral Functional Magnetic Resonance Imaging and Multifocal Visual Evoked Potentials in a Patient with Unexplained Impairment of Visual Function: A Case Report
We present a case of a young female with a slowly progressing visual impairment who was examined with multifocal visual evoked potentials and functional magnetic resonance imaging (fMRI) for underlying neuronal abnormality. The fMRI examination consisted of presenting black-and-white checkerboard stimuli, and her activation patterns were compared to the patterns from 4 normal-sighted subjects. The results showed clear differences in neuronal activation between the patient and the controls in the occipital and parietal lobes. Although we have shown neuronal correlates in a case of unexplained visual loss, it is still an ope...
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Clinicopathologic Correlation of a Subretinal Proliferative Vitreoretinopathy Band in a Patient with Chronic Recurrent Retinal Detachment
Conclusions and Importance: This case report presents further information on the structure and orientation of the cellular components of subretinal band proliferative vitreoretinopathy. Cells suggestive of M üller cell differentiation compose the central aspect of the band, alongside collagen fibers. RPE differentiation is variably present peripherally in the band, likely reflective of proliferating RPE encircling the subretinal fibrous tissue. A mild amount of myofibroblastic differentiation was prese nt within the band of tissue, correlating with the clinical findings of subretinal tissue contraction and localized r...
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Retained Herrick Plug
A 79-year-old female with a history of keratoconjunctivitis sicca presented with several years of epiphora of both eyes. Thirteen years earlier, intracanalicular Herrick lacrimal plugs (Lacrimedics, Eastsound, WA, USA) had been placed in both eyes to treat her dry eye syndrome. After 13 years the patient felt the epiphora was intolerable and underwent endoscopic dacryocystorhinostomy (DCR) of the left, then the right side. Intraoperatively, during the right endoscopic DCR, a Herrick lacrimal plug was found in the common canaliculus into the lacrimal sac. Postoperatively, the patient did well with improved epiphora. The Her...
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Use of Ozone-Based Eye Drops: A Series of Cases in Veterinary and Human Spontaneous Ocular Pathologies
Conjunctivitis, keratoconjunctivitis, and corneal ulcers are common eye disorders frequently diagnosed in both humans and animals, and are currently treated by topical administration of eye drops containing anti-inflammatory and antibacterial agents. The current molecules often lack efficacy because infections in hypoxic tissue contain methicillin-resistantStaphylococcus aureus andPseudomonas aeruginosa; thus, new products for the treatment of ocular pain and inflammation are needed. The use of ozone, a molecule stabilized for topical use as an ozonide, could be providential due to its anti-inflammatory and bactericidal ac...
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Periocular Necrotizing Fasciitis with Toxic Shock Syndrome
Conclusion: We reported a case of periocular necrotizing fasciitis with toxic shock syndrome that necessitated early aggressive medical treatment and adequate surgical intervention to decrease morbidity and mortality. A high level of suspicion of periocular necrotizing fasciitis is necessary to make a prompt diagnosis.Case Rep Ophthalmol 2018;9:299 –303 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Effects of Progressive Additional Lenses on Binocular Vision in Children with Pseudophakia
Binocular vision may be compromised in children after unilateral cataract surgery because the distances at which clear vision is present are different for the two eyes. We believe that wearing progressive additional lenses can be effective in improving the binocular vision in children with pseudophakia.Case Rep Ophthalmol 2018;9:304 –309 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - May 29, 2018 Category: Opthalmology Source Type: research

Corneal Epithelial Hyperplasia after 5-Fluorouracil Injection
Conclusion: Our case demonstrates an unusual consequence of corneal epithelial hyperplasia developed after 5-FU injection.Case Rep Ophthalmol 2018;9:254 –256 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - April 24, 2018 Category: Opthalmology Source Type: research

Genetic Background of a Recurrent Unusual Combined Form of Retinal Vein Occlusion: A Case Report
The authors report a rare case of nonischemic branch retinal vein occlusion and nonischemic hemiretinal vein occlusion in a patient with impaired fibrinolysis. A 61-year-old woman presented to the Department of Ophthalmology, Clinical Hospital Center Split, Croatia, with acute blurring of vision in the right eye (RE) due to branch retinal vein occlusion. Ophthalmologic evaluation revealed a best corrected visual acuity (BCVA) of 0.02 in the RE and of 1.0 in the left eye. Ophthalmoscopy and fluorescein angiography of the RE demonstrated signs of nonischemic branch retinal vein occlusion. She was otherwise healthy and had no...
Source: Case Reports in Ophthalmology - April 12, 2018 Category: Opthalmology Source Type: research

Unusual Case of Vogt-Koyanagi-Harada Disease Associated with SAPHO Syndrome: A Case Report
A 66-year-old Japanese woman who was diagnosed with synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO) syndrome presented with bilateral blurred vision 4 months prior to visiting our hospital. She had visited a local ophthalmology clinic first. She was diagnosed with conjunctivitis and was prescribed antibacterial eye drops. The symptoms persisted in spite of treatment. She was then referred to our hospital. At her initial visit, the visual acuities were 0.6 in both eyes. A slit-lamp examination revealed bilateral shallow anterior chamber, and intraocular pressures of 18 mm Hg in the right eye and 16 mm Hg in the left...
Source: Case Reports in Ophthalmology - March 29, 2018 Category: Opthalmology Source Type: research

Topical Corticosteroid-Resolved Rubeosis Iridis with Neovascular Glaucoma Caused by Noninfectious Granulomatous Uveitis
Conclusion: Topical corticosteroid could resolve rubeosis iridis and NVG in an eye with noninfectious anterior uveitis. The pathogenesis of NVG in eyes with uveitis is still unknown, but inflammation might have a part in angiogenesis. Anti-inflammatory treatment can be selected as the first choice for anterior uveitis-associated NVG.Case Rep Ophthalmol 2018;9:243 –247 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - March 28, 2018 Category: Opthalmology Source Type: research

Secondary Angle Closure due to Crystalline Lens Dislocation in a Patient with Atopic Dermatitis and Chronic Eye Rubbing
Conclusions: It is important for the provider to consider ectopia lentis in the differential for patients with pupillary block angle closure. For patients with atopic disease, one should be aware that eye rubbing may be a cause of zonular dehiscence, even in the absence of reported trauma or prior intraocular surgery.Case Rep Ophthalmol 2018;9:197 –201 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - March 23, 2018 Category: Opthalmology Source Type: research

Intraoperative Adjunctive Mitomycin C and Cryotherapy for Recurrent Conjunctival Papillary Sebaceous Carcinoma
Conclusion and Importance: Although sebaceous carcinoma usually originates from the meibomian gland cells or less frequently from the Zeis or Moll gland cells, it rarely occurs from bulbar or palpebral conjunctival cells. Because sebaceous carcinoma sometimes shows a pagetoid growth pattern, it can recur even after en bloc resection with a negative study for tumor cells at the surgical margins. The recurrent sebaceous carcinoma cells showed an intraepithelial growth pattern. Considering this superficial growth property, it may be effective to apply intraoperative mitomycin C and cryotherapy treatment combined with surgical...
Source: Case Reports in Ophthalmology - March 23, 2018 Category: Opthalmology Source Type: research

Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
We present a case of decreased vision due to the presence of retained Descemet membrane (DM) following Descemet stripping automated endothelial keratoplasty (DSAEK) and penetrating keratoplasty (PKP). A 78-year-old male presented postoperatively from PKP after previous failed DSAEK with retained DM. We present a unique technique for combined surgical resection using bimanual vitrectomy and forceps excision assisted by triamcinolone acetonide for membrane visualization. Histopathological evaluation confirmed incomplete DM removal during the PKP. With surgical excision, there was an improvement in best spectacle-corrected vi...
Source: Case Reports in Ophthalmology - March 23, 2018 Category: Opthalmology Source Type: research

Adult Coats Disease Presenting as Subfoveal Nodule
A 21-year-old female presented with decreased vision in the right eye. Best corrected visual acuity was 6/60 in the right eye and 6/6 in the left eye. Funduscopy of the right eye revealed a subfoveal nodule with surrounding exudates and temporal peripheral retinal vessel telangiectasia with exudation. The patient underwent retinal laser in the areas of telangiectatic vessels and capillary non-perfusion as seen on fundus fluorescein angiography. It was combined with an intravitreal injection of bevacizumab which was repeated twice at monthly intervals. The macular lesion and peripheral vessels along with subretinal exudates...
Source: Case Reports in Ophthalmology - March 23, 2018 Category: Opthalmology Source Type: research

Wheel Spokes Technique for Endothelial Keratoplasty for Extremely Mydriatic Bullous Keratopathy Eyes without Capsular Support
We describe a new technique to prevent an endothelial donor graft from dropping into the vitreous cavity during non-Descemet stripping automated endothelial keratoplasty (nDSAEK) for extremely mydriatic bullous keratopathy (BK) eyes without capsular support. The patient was a 79-year-old woman who underwent nDSAEK for an extremely mydriatic BK eye with an incomplete barrier between the anterior and posterior chambers. She had undergone argon laser iridotomy for acute glaucoma at the age of 59 years and cataract surgery 3 years later. The pupil was extremely mydriatic as a result of iris sphincter muscle damage associated w...
Source: Case Reports in Ophthalmology - March 23, 2018 Category: Opthalmology Source Type: research

Long-Term Follow-Up of Congenital Simple Hamartoma of the Retinal Pigment Epithelium: A Case Report
Conclusion: It is important to follow a CSHRPE carefully over the long term because visual acuity might decrease.Case Rep Ophthalmol 2018;9:215 –220 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - March 22, 2018 Category: Opthalmology Source Type: research

Unilateral Vision Loss after a Dental Visit
We describe the case of a 38-year-old young man who had reduced vision in the left eye 5 days after having received intraoral local anesthesia. A diagnosis of cilioretinal artery occlusion with optic disc swelling was made. Ten weeks later, the patient ’s visual acuity had increased to 20/20, and the swelling of the optic disc had subsided. Although various possible mechanisms for ocular complications after intraoral local anesthetic administration were suggested in the literature, the exact etiology remains unclear. In this case, inadvertent in travascular injection is believed to be the cause.Case Rep Ophthalmol 20...
Source: Case Reports in Ophthalmology - March 14, 2018 Category: Opthalmology Source Type: research

Erratum
Case Rep Ophthalmol 2018;9:166 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

Posterior Wall Collapse in High Myopia following Cataract Surgery
Conclusion: This case demonstrates postoperative hypotony in a patient with pathologic myopia, following cataract surgery. Pathologically myopic eyes may have greater propensity to collapse in the setting of reduced IOP.Case Rep Ophthalmol 2018;9:167 –171 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

One-Year Outcome of Aflibercept and Photodynamic Therapy in a Caucasian Patient with Polypoidal Choroidal Vasculopathy Refractory to Ranibizumab and Photodynamic Therapy
Polypoidal choroidal vasculopathy (PCV) is a subtype of neovascular age-related macular degeneration characterised by an abnormal branching vascular network with aneurysmal polypoidal choroidal vascular lesions. PCV is more prevalent in Asian populations than in Caucasians, which may explain its underdiagnosis in Western countries. Evidence regarding the efficacy of different anti-vascular endothelial growth factor (anti-VEGF) agents on PCV is scarce, with most of these studies being conducted in Asian treatment-na ïve patients. Ranibizumab was the first anti-VEGF agent to demonstrate the superiority of a combination ...
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report
Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, bro...
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

Amnwiotic Membrane Transplantation as a Treatment for Sterile Infiltration and Corneal Melting after Corneal Crosslinking for Keratoconus
We report a case of corneal melting through sterile infiltration presumably due to excessive use of nonsteroidal anti-inflammatory eye drops after corneal crosslinking (CXL). It was treated using steroids combined with amniotic membrane transplantation (AMT). A 33-year-old man with progressing keratoconus underwent left eye CXL. We prescribed betamethasone and levofloxacin eye drops 5 times daily and diclofenac sodium eye drops 3 times daily for 3 days. Three days after CXL, there was a persistent epithelial defect and the left corneal stroma was clouded. His visual acuity remained unchanged. We prescribed betamethasone ho...
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

Diagnostic and Management Tool for Monitoring Patients Implanted with a Shape-Changing Corneal Inlay
We report two cases that underwent corneal inlay implantation under a femtosecond flap. The first case had no complications during the postoperative period. Pentacam maps remained stable over time: corneal densitometry (CD) values had less than 2 units of change across visits up to 3 years. Axial/sagittal topography maps showed a stable Kmax ( ∼47 D), i.e., less than 1 D change between visits. The second case developed haze at 8 months postoperatively. CD increased by more than 4 units from 3 to 8 M and Kmax increased by 2.6 D. The patient was prescribed steroids and 1 month later the haze regressed, resulting in pre-h...
Source: Case Reports in Ophthalmology - March 2, 2018 Category: Opthalmology Source Type: research

Post-Ocular Trauma Corneal Staphyloma in a Child Living in an Underdeveloped Region of Eastern Indonesia
We report a case of post-trauma corneal staphyloma in an underdeveloped region of eastern Indonesia to illustrate the importance of proper management of ocular trauma in areas lacking such expertise and where patients have difficulty accessing even basic health care. During a community health outreach in Southwest Sumba, eastern Indonesia in May 2017, a 7-year-old boy presented with white protrusion of the left eye of 3 years ’ duration following an event of sharp trauma. The patient lived in an inaccessible and impoverished area. Upon contemporary examination, visual acuity of the left eye was 1/300 while that of th...
Source: Case Reports in Ophthalmology - February 23, 2018 Category: Opthalmology Source Type: research

A Case of Neurotrophic Keratopathy Associated with Nasopharyngeal Carcinoma
Conclusion: Neurotrophic keratopathy secondary to NPC is thought to be rare. We presented a case of neurotrophic keratopathy associated with cavernous sinus metastasis of an NPC. The development of new and more effective treatments for this refractory disease is anticipated.Case Rep Ophthalmol 2018;9:114 –118 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - February 16, 2018 Category: Opthalmology Source Type: research