Purpose: The purpose of this case report is to describe the obstruction of cilioretinal artery in a patient with acute focal retinitis occurring due to virus (CHIKV) fever.
Case Report: A 45-year-old female presented with sudden and unilateral visual impairment from 2 days, which was preceded by a flu-like syndrome 2 weeks before. Multimodal imaging revealed focal retinitis in both eyes, which was complicated by cilioretinal artery obstruction in the left eye.
Purpose: To describe clinical findings in patients with acute exudative polymorphous vitelliform maculopathy (AEPVM).
Design: Retrospective, observational, multicenter case series review.
Participants: Consecutive patients diagnosed with idiopathic AEPVM.
Purpose: To assess the progression of eye pain after scleral buckling surgery to treat rhegmatogenous retinal detachment and to investigate the occurrence and characteristics of chronic eye pain.
Methods: This was a longitudinal, prospective, and observational study. Eye pain was measured according to a numerical analog scale (range, 0-10) for 6 months after scleral buckling surgery.
Background/aims: The aim of this paper is to report the treatment of type 2 nonproliferative idiopathic macular telangiectasia (IMT) with intravitreal bevacizumab (IVB).
Methods: Retrospective case series of 10 eyes of 5 patients with type 2 IMT. All patients received 3 monthly IVB injections.
Purpose: To compare vertical lid fissure width before and after medial or lateral rectus muscle recessions for horizontal strabismus.
Methods: In this prospective, noninterventional case series, vertical eyelid fissure width measurements were compared before and after treatment in consecutive patients undergoing extraocular muscle recessions for esotropia or exotropia. Digital imaging analysis was used to measure vertical lid fissure width.
Purpose: To evaluate the short-term effect of a single intravitreal injection of commercially available ketorolac tromethamine (KT) in eyes with diabetic macular edema refractory to laser photocoagulation.
Methods: Prospective interventional case series. Twenty five patients with diabetic macular edema refractory to laser photocoagulation received a single intravitreal injection of commercially available KT (Toradol®), in a dose of 3000 µg.
Purpose: To evaluate the effect of a single dose of intravitreous injection of ketorolac tromethamine (500 µg/0.1 ml) in patients with diabetic macular edema refractory to retinal photocoagulation.
Methods: Prospective study.
Ophthalmic Surg Lasers Imaging
March 2010
The optical coherence tomography (OCT) findings of a 26-year-old HIV-positive male with acute exudative polymorphous vitelliform maculopathy were described. His with best-corrected visual acuity at the presentation of the disease was 20/25 in the right eye and 20/30 in the left eye. Fundus examination showed bilateral yellowish subretinal lesions arranged in a honeycombed pattern throughout the posterior pole in both eyes.
View Article and Find Full Text PDFBackground/aims: To evaluate and compare obtained mydriasis with phenylephrine 10% associated with tropicamide 1% in type 2 diabetics and non-diabetic patients.
Methods: A total of 50 patients (100 eyes) scheduled for fundoscopy were dilated with phenylephrine 10% and yropicamide 1% (group 0: n = 20 type 2 diabetic patients, 40 eyes, and group 1: n = 30 non-diabetic patients, 60 eyes). Only one drop per eye of each drug was administered.
We report on a patient with a past medical history of successfully treated systemic large-cell non-Hodgkin's lymphoma (SNHL), who presented with multifocal yellowish retinal infiltrates (flecked retina) involving the post-equatorial retina of one eye. Fluorescein angiography revealed that the retinal infiltrates were hypofluorescent throughout the examination. The correct diagnosis of this ocular picture was important because the retinal lesions indicated central nervous system recurrence of systemic large-cell non-Hodgkin's lymphoma.
View Article and Find Full Text PDFA 51-year-old black woman was referred to our Retina Clinic for evaluation of loss of vision in her left eye. She was previously diagnosed with a ruptured retinal arterial macroaneurism (RAM) in the same eye. The ophthalmoscopic examination of the affected eye disclosed a subretinal lesion with some hemorrhage and exudation in the same area previously diagnosed with ruptured RAM.
View Article and Find Full Text PDFPurpose: To report outcomes of cataract extraction by phacoemulsification in patients with uveitis.
Methods: We retrospectively reviewed the charts of 189 patients (242 eyes) with uveitis who underwent cataract extraction by phacoemulsification at the Uveitis and Ocular Immunology Unit of McGill University Health Centre, Montreal, Quebec, Canada.
Results: Average follow-up was 46 +/- 31.
Several entities must be considered when a patient presents with a white dot syndrome. In most cases these can be distinguished from one another based on the appearance or distribution of the lesions, the clinical course, or patient variables such as age, sex, laterality, and functional and image examinations. In this paper we review the distinctive and shared features of the white dot syndromes, highlighting the clinical findings, diagnostic test results, proposed etiologies, treatment, and prognosis.
View Article and Find Full Text PDFAim: Previous studies have shown that radiotherapy is a stimulus for cyclooxygenase-2 (COX-2) expression and that use of COX-2 inhibitors enhances the radio sensitivity of tumor cells. The objective of this study was to evaluate COX-2 expression, and its correlation with tumor regrowth after irradiation, in enucleated eyes with uveal melanomas.
Methods: Fifteen tissue samples from patients who underwent enucleation after radiotherapy between 1988 and 2001 were used.
Purpose: To provide insight into the relationship between cyclooxygenase-2 (COX-2) expression and histopathologic features of retinoblastoma specimens treated either by primary or secondary enucleation.
Design: Laboratory investigation.
Methods: Twenty-five retinoblastoma specimens received between 1994 and 2003 were retrieved for this study from the Ocular Pathology Registry, Federal University of São Paulo, Brazil and the Henry C.
Background And Objective: To evaluate the visual outcome following direct laser photocoagulation of the worm in patients with late-stage diffuse unilateral subacute neuroretinitis (DUSN).
Patients And Methods: The study reports on 22 DUSN patients diagnosed in its late stage, in whom the worm was identified and subsequently destroyed by laser photocoagulation. Information gathered included initial and final visual acuities and length of follow-up.
Background: Although therapy with immunosuppressive agents is currently accepted as the best option for treating active serpiginous choroiditis (SC), there is no consensus on the most effective immunosuppressive drug to use. In this paper, we describe the clinical course of patients with active SC treated with azathioprine (AZA) in combination with corticosteroids.
Methods: This retrospective study included 4 patients (5 eyes) with active, vision-threatening SC who received systemic immunosuppression with AZA at 1.
Background: Oncocytoma is an uncommon, relatively benign tumor, composed of transformed epithelial cells of the ducts. We report a case of oncocytoma of the caruncle.
Methods: Case report.
Ocul Immunol Inflamm
December 2005
Purpose: To compare the chemotactic activity induced by polymethyl methacrylate (PMMA), acrylic, and silicone intraocular lens (IOL) materials, regardless of the surgical and host factors.
Methods: The chemotactic effect of five different IOLs was studied using a modified multi-well Boyden chamber. Two different non-coated PMMA IOLs, a heparin-coated PMMA IOL, an acrylic IOL, and a silicone IOL were assessed.
A 7-year-old boy with sympathetic ophthalmia secondary to penetrating ocular trauma developed choroidal neovascularization in the macular region of the sympathizing eye. Posterior segment biomicroscopy disclosed a single, round, small, slightly elevated yellow-white lesion temporal to the fovea, linked to the temporal edge of the optic disc by a fibrotic band. On fluorescein angiography the round lesion showed a gradual hyperfluorescence, with late staining and leakage, and was interpreted as a fibrovascular scar from previous choroidal neovascularization.
View Article and Find Full Text PDFPurpose: To determine the prevalence of refractive errors in the public and private school system in the city of Natal, Northeastern Brazil.
Methods: Refractometry was performed on both eyes of 1,024 randomly selected students, enrolled in the 2001 school year and the data were evaluated by the SPSS Data Editor 10.0.