To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 weeks with visual recovery and complete resolution of serous choroidal detachment in 2 weeks. This is the first case of bilateral serous choroidal detachment in a case of systemic brucellosis. Immune-mediated complex and direct microbial invasion of uveal tissue leading to serous choroidal detachment is the proposed pathogenesis that responds well to topical corticosteroids.
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http://dx.doi.org/10.4103/ijo.IJO_1418_19 | DOI Listing |
Graefes Arch Clin Exp Ophthalmol
March 2025
Department of Ophthalmology, Bucheon St. Mary'S Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Gyeonggi-Do, Republic of Korea.
Purpose: To train generative adversarial network (GAN) models to generate predictive optical coherence tomography (OCT) images of central serous chorioretinopathy (CSC) at 3 months after observation using multi-modal OCT images.
Methods: Four hundred forty CSC eyes of 440 patients who underwent Cirrus OCT imaging were included. Baseline OCT B-scan images through the foveal center, en face choroid, and en face ellipsoid zone were collected from each patient.
Cureus
January 2025
Optometry, All India Institute of Medical Sciences, Vijaypur, Jammu, IND.
India, being an endemic country for tuberculosis, has a very high prevalence of pulmonary and extrapulmonary tuberculosis. Various manifestations of ocular tuberculosis have been described, including granulomatous anterior uveitis, serpiginous choroiditis, and retinal vasculitis. We hereby describe the case of a 39-year-old male patient who presented to our clinic with complaints of diminished vision in the right eye for five months.
View Article and Find Full Text PDFJ Curr Ophthalmol
January 2025
Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Science, Tehran, Iran.
Purpose: To investigate the effect of serous choroidal detachment (SCD) on the success of Ahmed glaucoma valve (AGV) implantation.
Methods: Patients who underwent AGV implantation and developed SCD were included in the case group. The control group was matched based on age, sex, baseline intraocular pressure (IOP), glaucoma type, and the number of glaucoma medications.
Doc Ophthalmol
February 2025
Department of Vitreoretinal Diseases, Sankara Nethralaya, 41/18, College Road, Chennai, Tamil Nadu, 600006, India.
Purpose: To report 2 cases with unilateral Best vitelliform macular dystrophy (VMD) and describe their multimodal investigations findings.
Methods: Two patients in their fifties who were misdiagnosed as central serous chorioretinopathy were carefully evaluated using multimodal imaging and electrooculography (EOG) investigations.
Results: Both patients showed neurosensory elevation at the macula in one eye only leading to reduced vision.
Int Med Case Rep J
February 2025
Department of Ophthalmology, Unidade Local de Saúde de São João, Porto, Portugal.
Purpose: Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare retinal disorder first described by Gass in 1988. Characterized by multifocal yellow-white lesions at the level of the retinal pigment epithelium (RPE) and associated with serous retinal detachments, AEPVM typically presents with acute visual disturbances and, in some cases, headaches. Despite its rarity, with fewer than 40 cases reported in the literature, its clinical course and etiology remain poorly understood.
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