Publications by authors named "A Kawali"

Purpose: We describe a rare complication of macular hole formation in rickettsia post-fever retinitis.

Patients And Methods: Retrospective observational case report of a patient who presented with post-fever retinitis and cystoid macular edema that later progressed to a macular hole. Clinical record and multimodal imaging including fundus photography, fundus fluorescein angiography (FFA), and spectral domain optical coherence tomography (SD-OCT) were analyzed.

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Purpose: To report the multimodal imaging findings in the case of unilateral acute idiopathic maculopathy (UAIM) associated with infection in a young girl with good clinical outcome.

Methods: Rare case report with multimodal imaging including fundus photography, optical coherence tomography (OCT), autofluorescence, multicolor imaging, OCT angiography, fluorescein angiography (FA), and polarization sensitive OCT (PS-OCT).

Results: A 13-year-old girl presented with blurring of vision in the left eye (OS).

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Article Synopsis
  • Acute retinal necrosis (ARN) is a severe eye condition that threatens vision and often requires urgent treatment to avoid lasting damage.
  • A study reviewed 35 cases of primary treatment failure (PTF) in ARN, identifying issues like drug resistance and exploring alternative and combination therapies.
  • The review also discusses potential new treatment approaches, including vaccines and monoclonal antibodies, which may offer better future management of ARN.
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This report describes a challenging case of refractory acute retinal necrosis (ARN) with peripapillary choroiditis as the initial presenting sign. Imaging studies confirmed multifocal choroidal lesions and noted the novel sign of vertical hyper-reflective strips (VHRS) in the outer nuclear layer. Initial treatment with acyclovir and valacyclovir failed, and involvement of the other eye suggested a resistant variant of varicella zoster virus.

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Article Synopsis
  • * The patient was diagnosed with CMV retinitis, a condition often linked with weakened immune systems in HIV patients, confirmed through PCR testing despite negative HIV serology.
  • * The case emphasizes the importance of using viral load and CD4 count tests to accurately diagnose HIV in cases where initial serological tests return negative results but clinical suspicion remains high.
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