Purpose: To report two cases of idiopathic intraocular cilia presenting as sectoral scleritis with progressive intraocular inflammation.
Methods: Both patients were treated with intravitreal antibiotics and underwent pars plana vitrectomy where the cilia were removed and identified on histopathology.
Results: One patient developed a retinal detachment while being treated for presumed endophthalmitis. The intraocular cilium was discovered during pars plana vitrectomy. In the second case, the cilium was detected on dilated fundus exam and was believed to be the cause of the patient's scleritis and vitritis. Therapeutic vitrectomy was performed. In both cases, the cilia were positively identified on histopathology.
Conclusion: Idiopathic intraocular penetration of cilia should be considered in the differential diagnosis of sectoral scleritis with progressive intraocular inflammation.
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http://dx.doi.org/10.1097/ICB.0000000000001006 | DOI Listing |
Cureus
June 2024
Department of Ophthalmology, Hospital Canselor Tuanku Muhriz Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Rhegmatogenous retinal detachment (RRD) is an ocular emergency as it is sight-threatening and requires urgent surgical intervention. Ulcerative colitis (UC) is an immune-mediated inflammatory bowel disease that can present with ocular manifestations. The objective of this case report is to share the rare presentation of RRD associated with UC leading to diagnosis and management dilemmas.
View Article and Find Full Text PDFOrbit
August 2024
Department of Ophthalmology, Division of Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia.
We describe the first reported case of granulomatosis polyangiitis (GPA)-associated sclerokeratitis in a patient with treated ocular adnexal lymphoma (OAL). The patient presented with pain and decreased vision in the left eye over several weeks. Past medical history was significant for recent bilateral relapsing OAL that was treated successfully with radiotherapy.
View Article and Find Full Text PDFAnn Med Surg (Lond)
December 2022
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Introduction: Ocular and orbital involvement in Granulomatosis with polyangiitis (GPA) is common. GPA can lead to life and sight threatening complications due to necrosis and tissue melting.
Cases: We report four cases presenting with ocular pain and redness for varied durations.
Cornea
September 2021
Department of Ophthalmology, Olmsted Medical Center, Rochester, MN.
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