Purpose: To describe a case of spontaneous anterior migration of intravitreal fluocinolone acetonide (Iluvien®) implant in a pseudophakic eye with intact posterior capsule.
Observation: A 60-year old woman with proliferative diabetic retinopathy underwent uneventful pars plana vitrectomy and phacoemulsification with posterior chamber intraocular lens (PCIOL) implants in both eyes. She developed diabetic macular edema (DME) in her right eye which failed to respond to repeated intravitreal injections of Aflibercept 2mg/0.
A 14-year-old male presented to the ophthalmology clinic with a history of asthenopia. Laboratory, radiological and histopathological studies confirmed the diagnosis of allergic fungal sinusitis resulting in lateral displacement of the medial rectus muscles. Symptoms improved and near point of convergence recovered after surgical endoscopic decompression of the ethmoidal and maxillary sinuses.
View Article and Find Full Text PDFPurpose: To examine the relationship between stress and anterior uveitis using the General Health Questionnaire (GHQ) and the Social Readjustment Rating Questionnaire (SRRQ).
Methods: Patients attending eye casualty with acute anterior uveitis (AAU) and suitable controls were asked to complete the GHQ and the SRRQ. A follow-up postal survey, using the same questionnaires, was repeated at least 3 months later amongst AAU patients only.
Three cases of severe capsular phimosis following augmented phacotrabeculectomy complicated by intense postoperative fibrinous uveitis are described. The marked inflammation was possibly related to the combined procedure itself, the excessive intraoperative manipulation to stretch the pupil, and the compromised blood-aqueous barrier after prolonged use of pilocarpine. The combination of fibrinous uveitis and the small size of capsulorhexis attained through a stretched pupil are possible risk factors for developing severe capsular phimosis in the absence of zonular weakness or preoperative uveitis.
View Article and Find Full Text PDFPurpose: To evaluate the sensitivity and specificity of the screening mode of the Humphrey-Welch Allyn frequency-doubling technology (FDT), Octopus tendency-oriented perimetry (TOP), and the Humphrey Swedish Interactive Threshold Algorithm (SITA)-fast (HSF) in patients with glaucoma.
Design: A comparative consecutive case series.
Methods: This was a prospective study which took place in the glaucoma unit of an academic department of ophthalmology.
Iris prolapse is a rare complication after small incision cataract surgery. We looked at the possible operative and perioperative factors that might have contributed to this complication in 2 of our patients and in another 10 patients identified through a national questionnaire survey. The details of 12 cases of iris prolapse following small incision cataract surgery are presented.
View Article and Find Full Text PDFPurpose: To report a case of delayed extrusion of primary ganciclovir implants in a patient with immune recovery vitritis syndrome.
Method: Interventional case report. A 54-year-old HIV positive male patient with immune recovery vitritis syndrome had spontaneous extrusion of bilateral ganciclovir devices 4 years after primary implantation.