2,904 results match your criteria: "Retinal Detachment Exudative"

Purpose: To report a case of exudative retinal detachment (ERD) in a child with Acute retinal necrosis (ARN).

Method: Retrospective Chart Review.

Result: A six-year-old boy presented with anterior uveitis with hypopyon and exudative retinal detachment with peripheral confluent patches of retinitis in the left eye.

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Bartonella henselae is a Gram-negative bacillus, mainly parasitizing on cats. When a child is scratched by a cat, they may present with the disease symptoms including regional lymphadenopathy, malaise, fever, and splenomegaly, which is known as cat-scratch disease (CSD). Ocular manifestations occur in 5-10% of patients with CSD.

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In this case series of two patients, we discuss pachychoroid as a risk factor for predicting exudative retinal detachment (RD) after panretinal photocoagulation (PRP). The first patient was a 55-year-old diabetic male with unstable proliferative diabetic retinopathy (PDR), serous pigment epithelial detachment (PED), and pachychoroid confirmed via fluorescein angiography (FA) and optical coherence tomography (OCT), who underwent PRP. Post-PRP, the patient complained of visual loss in both eyes.

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Article Synopsis
  • The case report discusses a scuba diver who experienced ocular decompression sickness resulting in pigment epithelial detachment (PED) and visual disturbances immediately after a diving accident.
  • Multimodal imaging revealed specific changes in the retina and choroidal microvasculature, including serous PED and reduced blood flow, with resolution of the PED observed over three months and partial improvement in vision.
  • This case highlights a potential link between PED formation and choroidal ischemia due to gas emboli, and the successful use of optical coherence tomography angiography (OCT-A) to assess these changes, marking a novel approach in understanding ocular decompression sickness.
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Purpose: To describe vascular anomalies and nonperfusion areas (NPAs) of stage 4 familial exudative vitreoretinopathy (FEVR) with radial retinal folds (RFs) and analyze their potential clinical significance.

Methods: Retinal detachment (RD) could exceed the RFs due to exudative, rhegmatogenous, or tractional factors, which we could call secondary RD. Fluorescein fundus angiography (FFA) and risk factors for progression to secondary RD of pediatric stage 4 FEVR patients with radial RFs were respectively explored.

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To examine the trends and outcomes in the management of Coats disease and evaluate the effects of a staged therapeutic approach using transpupillary laser vascular ablation, intravitreal (IVT) bevacizumab, and adjunct as-needed posterior sub-Tenon triamcinolone acetonide (used only in cases with a persistent active exudation) on globe retention, anatomic status, and visual acuity (VA). An evaluation was performed from 2005 to 2023. Previous case series published in the literature were reviewed.

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Objective: To retrospectively analyze the etiology of non-diabetic retinopathy (DR) and non-traumatic vitreous haemorrhage (VH), and the effects of different anti-vascular endothelial growth factor (VEGF) drugs.

Methods: A retrospective analysis was conducted on VH patients diagnosed as non-diabetic retinopathy or trauma. Among 101 patients treated with anti-VEGF drugs, there were 48 cases in the Conbercept group and 53 cases in the Ranibizumab group.

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Clinical Profiles of Retinal Vasoproliferative Tumors.

J Vitreoretin Dis

November 2024

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Article Synopsis
  • * The average age of patients at diagnosis was around 37 years, with most tumors being secondary rather than primary, and they were primarily located in the inferior and inferotemporal quadrants of the retina.
  • * Treatment options such as cryotherapy and laser photocoagulation led to tumor regression in 18 out of the 19 eyes after a follow-up period of about 25 months, indicating these methods are generally effective but may require multiple sessions.
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Purpose: To describe the first reported instance of an acute chorioretinal inflammatory response to cabozantinib.

Methods: Case report.

Results: A 54-year-old Asian male presented with blurred vision 2 weeks following the commencement of cabozantinib for metastatic renal cell carcinoma.

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Acute infectious endophthalmitis after chandelier-assisted scleral buckling surgery.

Eur J Ophthalmol

November 2024

Department of Retina and Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India.

Article Synopsis
  • A case study reports a rare instance of acute bacterial endophthalmitis following scleral buckling surgery using a non-contact wide-angle viewing system (WAVS) and chandelier endoillumination in a 63-year-old man.
  • The patient experienced a significant decrease in vision and ocular pain a week after surgery, with examinations revealing severe vitreous haze and infection, confirmed through a vitreous biopsy.
  • Successful treatment involved a vitreous biopsy and intravitreal antibiotics, leading to recovery of vision over six weeks, highlighting the need for clinicians to be aware of infection risks associated with this surgical method.
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Vitrectomy Combined with Internal Limiting Membrane Peeling for the Treatment of Hemorrhagic Retinal Arterial Macroaneurysm with "Multilayered" Hemorrhages.

Semin Ophthalmol

November 2024

Department of Ophthalmology, Tianjin Medical University General Hospital, Ministry of Education International Joint Laboratory of Ocular Diseases, Tianjin Key Laboratory of Ocular Trauma, Tianjin Institute of Eye Health and Eye Diseases, Tianjin, China.

Aims: To report clinical outcomes of pars plana vitrectomy combined with internal limiting membrane (ILM) peeling in the treatment of "multilayered" hemorrhages caused by hemorrhagic retinal arterial microaneurysm (RAM) in three cases.

Methods: Three patients with hemorrhagic RAM were reviewed. All patients underwent vitrectomy combined with ILM peeling.

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Article Synopsis
  • The study investigates the intraretinal hyperreflective line (IHL), a new finding seen through optical coherence tomography (OCT) that suggests damage in the retina's layers due to various conditions.
  • Through a retrospective analysis of records from 2019 to 2023, researchers identified IHLs in 40 eyes of 38 participants, noting its connection to various retinal diseases and prior surgeries.
  • Key findings included the presence of IHL in 35% of eyes with prior vitreoretinal surgery, as well as associations with conditions like full-thickness macular holes, diabetic macular edema, and idiopathic macular telangiectasia.
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Background: Exudative retinal detachment in patients with multiple myeloma is exceedingly rare. Only two Cases are known to us. We successfully identified light-chain proteins in subretinal fluid, allowing for a more precise understanding of the pathogenesis of this complication.

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Article Synopsis
  • - This case report discusses a unique instance where a 58-year-old female with newly diagnosed systemic sclerosis experienced scleroderma renal crisis, leading to bilateral exudative retinal detachments and severe hypertension.
  • - The patient initially presented with vision issues and was found to have malignant hypertension and other symptoms like sclerodactyly, resulting in her diagnosis of diffuse systemic sclerosis and Sjogren's syndrome.
  • - After intensive care treatment for her hypertension, the patient's vision and ocular issues improved within three months, highlighting the importance of systemic screening for causes of malignant hypertension, particularly in the presence of systemic sclerosis.
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Purpose: Subretinal (SR) injection in porcine models is a promising avenue for preclinical evaluation of cell and gene therapies. Targeting of the subretinal fluid compartment (bleb) is critical to the procedure, especially if treatment of the cone-rich area centralis is required (i.e.

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A Brief Review on Adult-Onset Coats' Disease.

Rom J Ophthalmol

October 2024

Department of Ophthalmology, JIPMER, Puducherry, India.

Article Synopsis
  • * It occurs after age 30, and diagnosis is made through various eye examinations, including fundus photography and optical coherence tomography.
  • * Treatment options include laser therapy and injections to prevent complications like retinal detachment, but outcomes can vary, emphasizing the need for early detection and intervention.
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Advances in the Study of the Pathogenesis of Vogt-Koyanagi-Harada Syndrome.

Curr Mol Med

October 2024

Department of Ophthalmology, China-Japan Union Hospital, Jilin University, Changchun, Jilin 130033, P.R. China.

Article Synopsis
  • Vogt-Koyanagi-Harada syndrome (VKHS) is a prevalent uveitis that targets melanocyte-rich tissues, with increasing incidence and unclear pathogenesis.
  • The condition typically affects the posterior segment of the eye, causing serious issues like retinal detachment and chorioretinitis, potentially leading to vision loss if not treated promptly.
  • This study aims to explore the underlying mechanisms of VKHS and summarizes current research to enhance understanding and guide future studies in the field.
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Article Synopsis
  • A new positioning technique, known as the mini-steamroll maneuver, is introduced for patients with retinal detachment after a procedure called pneumatic retinopexy (PnR).
  • The study involved six patients and showed that the maneuver, which includes a face-down position for 10 minutes, significantly reduced subretinal fluid and aided in retinal reattachment.
  • The findings suggest that the mini-steamroll maneuver could be an effective and simpler alternative for patient positioning post-PnR in specific cases.
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Article Synopsis
  • The study compared clinical outcomes of rhegmatogenous retinal detachment (RRD) surgeries during COVID-related lockdowns (partial and complete) versus non-COVID periods in a tertiary ophthalmology clinic.
  • A total of 20 cases were analyzed for both partial and complete lockdowns, and 23 cases from non-COVID times, focusing on factors such as visual symptoms duration, lens status, and visual acuity.
  • Results showed no significant differences in surgical approaches or final visual acuity after two years across the different periods, suggesting that lockdowns did not impact the effectiveness of RRD surgeries.
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Article Synopsis
  • * Thirty-six patients with CSC who had not been treated before underwent various evaluations, including assessing the fluid in the eyes and changes in vision over 12 months.
  • * Results showed that a higher number of these swollen veins was linked to ongoing fluid issues and negative impacts on visual recovery, indicating that more veins might lead to worse outcomes after PDT treatment.
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Uveal Effusion Syndrome Due to WNT10A Mutation.

Ocul Immunol Inflamm

October 2024

Department of Uvea and Ocular Pathology, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, India.

Article Synopsis
  • * A 32-year-old man was misdiagnosed with Vogt-Koyanagi-Harada syndrome after experiencing vision problems and retinal detachment in both eyes, leading to inappropriate treatment with immunomodulatory therapy.
  • * This case highlights the diagnostic difficulties of UES; a thorough evaluation revealed a Wnt10A gene mutation, indicating a unique instance of UES resistant to typical corticosteroid treatment.
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