Monocular Visual Field Defect on Humphrey 24-2 SITA-Fast Testing Later Identified as a Highly Incongruous Homonymous Defect on Humphrey 30-2 SITA-Fast Testing
Monocular visual field defects generally localize at or anterior to the optic chiasm, while homonymous hemianopias localize to the retrochiasmal visual pathway. Highly incongruous visual field defects may be difficult to identify on 24-2 Humphrey visual field testing, and this case demonstrates the value of optical coherence tomography (OCT) ganglion cell-inner plexiform layer (GCIPL) in rapidly localizing the lesion. A 54-year-old woman was found on routine examination to have an isolated superonasal quadrant visual field defect respecting the vertical meridian in the left eye only on Humphrey 24-2 SITA-Fast testing. She ...
Source: Case Reports in Ophthalmology - June 11, 2021 Category: Opthalmology Source Type: research
Monocular Diplopia: An Optical Correction Modality
Post-surgical or traumatic corectopia is among the rare causes of monocular diplopia. A 26-years-old student presented to the Institute with a complaint of monocular double vision in the left eye. He had a penetrating ocular injury in the left eye and subsequently, undergone for multiple ocular surgeries. Following the final intraocular lens implantation, he experienced a monocular double vision in his left eye. Upon contact lens clinic presentation, visual acuities were 20/20 in the right and 20/320 in the left eye (improved to 20/25 with pinhole). Slit-lamp examination on the left eye revealed scarring in the superior na...
Source: Case Reports in Ophthalmology - June 11, 2021 Category: Opthalmology Source Type: research
Direct Ultrasonic Aspiration for Orbito-Temporal Neurofibromas
Ultrasonic surgical devices are powerful new tools that can debulk soft tissue tumors with little damage to surrounding blood vessels and nerve fibers. We used such a device to remove orbito-temporal neurofibromas, which are usually associated with a rich network of vessels and nerves. Three patients with masses in the upper and lower eyelids and the temporal area of the face were included in this study. The masses were debulked safely using an ultrasonic aspirator, resulting in satisfactory functional and cosmetic outcomes.Case Rep Ophthalmol 2021;12:497 –500 (Source: Case Reports in Ophthalmology)
Source: Case Reports in Ophthalmology - June 11, 2021 Category: Opthalmology Source Type: research
Severe Corneal Morphological Alterations after Excimer Laser Surface Ablation for a High Astigmatism
We report long-term alterations of anterior corneal stroma after excimer laser surface ablation for a high astigmatism. The patient claimed progressive visual loss in his right eye (RE) during the last 3 years after bilateral laser-assisted subepithelial keratectomy (LASEK) surgery. His examination comprised visual acuity (UDVA and CDVA), slit-lamp examination, corneal topography and tomography, AS-OCT, and confocal microscopy. The UDVA was 0.1 in his RE and 1.0 in the left eye. The CDVA in the RE was 0.8. The slit-lamp examination showed a stromal lesion in the inferior paracentral corneal zone, with multiple vertical tis...
Source: Case Reports in Ophthalmology - June 11, 2021 Category: Opthalmology Source Type: research
Multiple Intravitreal Liposomal Amphotericin B for a Case of < b > < i > Candida glabrata < /i > < /b > Endophthalmitis
We report a case ofCandida glabrata endophthalmitis which was effectively treated by intravitreal liposomal amphotericin B (L-AMB) injection. A 72-year-old man was referred to our department for positive blood culture ofCandida glabrata. First ophthalmologic examination revealed a chorioretinal lesion in left eye, and the patient was diagnosed as possible candida chorioretinitis. Despite systemic antifungal therapy, his chorioretinal lesion increased in both eyes and complicated by vitritis. Intravitreal administration of L-AMB was introduced for probable candida endophthalmitis. Finally, improvement of vitritis and regres...
Source: Case Reports in Ophthalmology - June 11, 2021 Category: Opthalmology Source Type: research
