Publications by authors named "S S Wickremasinghe"

Purpose: To determine the effectiveness of anti-vascular endothelial growth factor (VEGF) therapy in the setting of optic disc edema secondary to hematologic malignancies.

Observations: The report features two patients (one male, one female) in their 70's with biopsy proven hematologic malignancies who subsequently developed optic disc edema. The patients were commenced on a trial of successive intravitreal Aflibercept 2mg/0.

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Background: Intravitreal ranibizumab for diabetic macular oedema (DMO) has been recently shown to modulate levels of aqueous cytokines. This study investigates the associations between changes in aqueous cytokine levels following intravitreal ranibizumab therapy and the corresponding anatomical and functional changes in the eye.

Methods: Twenty-five patients comprising 30 eyes diagnosed with DMO were prospectively recruited.

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Introduction: Fluorescein angiography (FA) is a useful investigation in the diagnosis and treatment of retinal and choroidal disease. FA has well-reported adverse effects, most being mild. Very few cases have reported cutaneous venous staining following FA.

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Background: To examine whether the clinical performance of predicting late age-related macular degeneration (AMD) development is improved through using multimodal imaging (MMI) compared to using colour fundus photography (CFP) alone, and how this compares with a basic prediction model using well-established AMD risk factors.

Methods: Individuals with AMD in this study underwent MMI, including optical coherence tomography (OCT), fundus autofluorescence, near-infrared reflectance and CFP at baseline, and then at 6-monthly intervals for 3-years to determine MMI-defined late AMD development. Four retinal specialists independently assessed the likelihood that each eye at baseline would progress to MMI-defined late AMD over 3-years with CFP, and then with MMI.

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Article Synopsis
  • Myiasis is when fly larvae invade mammalian tissues, with cutaneous myiasis being the most common type; in this case, oro-nasopharyngeal myiasis was reported in Sri Lanka for the first time.
  • A 71-year-old woman presented with nasal bleeding and neck discomfort, where doctors discovered maggots in her throat and evidence of severe inflammation via CT scans.
  • Treatment involved removing the larvae, conducting surgery, and administering antiparasitic and antibiotic medications; the patient recovered and was discharged after 15 days with a follow-up showing improvement at 2 months.
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