Coincidental retinal dysplasia in patients presenting with pseudohypopyon: a series of two cases

2020 ◽  
Vol 13 (4) ◽  
pp. e233922 ◽  
Author(s):  
Saumya Jakati ◽  
Anamika Patel ◽  
Avinash Pathengay ◽  
Swathi Kaliki
Keyword(s):  
Anterior Chamber ◽  
Ocular Infection ◽  
Atypical Presentation ◽  
Fundus Examination ◽  
Corneal Perforation ◽  
Cell Reaction ◽  
Midline Shift ◽  
Multinucleate Giant Cell ◽  
Retinal Dysplasia ◽  
Vitreous Haze

Clinical diagnosis is always challenging in cases with atypical presentation. Herein, we present two cases which masqueraded as ocular infection/inflammation on presentation, were clinically suspicious for retinoblastoma, and histopathology revealed the diagnosis of retinal dysplasia. Case 1 had left corneal perforation with anterior chamber exudates on presentation. On ultrasound B-scan, ill-defined mass was noted, raising a suspicion of malignancy. MRI showed dilated ventricles with midline shift. Vitreous cytology was inconclusive. Enucleation was performed as malignancy could not be ruled out. Histopathology revealed detached retina with dysplastic rosettes in addition to inflammation and multinucleate giant cell reaction. Case 2 presented with right eye anterior chamber pseudohypopyon. Fundus examination revealed diffuse vitreous haze and a suspicious mass in the retinal periphery raising suspicion for retinoblastoma. Histopathology revealed the diagnosis of retinal dysplasia.

scholarly journals First Report of a Case of Ocular Infection Caused by Purpureocillium lilacinum in Poland

Pathogens ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1046
Author(s):  
Robert Kuthan ◽  
Anna K. Kurowska ◽  
Justyna Izdebska ◽  
Jacek P. Szaflik ◽  
Anna Lutyńska ◽  
...  
Keyword(s):  
Contact Lens ◽  
Pars Plana Vitrectomy ◽  
Penetrating Keratoplasty ◽  
Visual Outcome ◽  
Ocular Infection ◽  
Corneal Perforation ◽  
Purpureocillium Lilacinum ◽  
First Case ◽  
Pars Plana ◽  
Tof Ms

This report describes the first case of an ocular infection induced by Purpureocillium lilacinum in Poland. The patient was a 51-year-old immunocompetent contact lens user who suffered from subacute keratitis and progressive granulomatous uveitis. He underwent penetrating keratoplasty for corneal perforation, followed by cataract surgery due to rapid uveitic cataract. A few weeks later, intraocular lens removal and pars plana vitrectomy were necessary due to endophthalmitis. The patient was treated with topical, systemic, and intravitreal voriconazole with improvement; however, the visual outcome was poor. The pathogen was identified by MALDI-TOF MS.

scholarly journals Massive Demodicosis of the Eyes in a Patient with Sjögren Syndrome: A Case Report

2020 ◽  
Author(s):  
Marta Ziaja-Sołtys ◽  
Magdalena Kołodziejczyk ◽  
Beata Rymgayłło-Jankowska ◽  
Dominika Wróbel-Dudzińska ◽  
Ewa Suchodoła-Ratajewicz ◽  
...  
Keyword(s):  
Dry Eye ◽  
Meibomian Gland ◽  
Sjögren Syndrome ◽  
Dry Eye Syndrome ◽  
Ocular Infection ◽  
Sjogren Syndrome ◽  
Corneal Perforation ◽  
Therapeutic Success ◽  
Immune Systems

Abstract Purpose Demodex mites infestation, typically asymptomatic, is a problem for patients with weakened immune systems because it often takes the form of symptomatic, massive infection. The Demodex mites play an important role in the occurrence of a range of eye surface diseases such as Demodex blepharitis, Meibomian gland dysfunctions, conjunctivitis and corneal changes. The ocular infection is closely related to the systemic invasion. Our goal was to minimize infestation and alleviate the symptoms of massive demodicosis so as to prevent further damage to the cornea. Methods Our research note involves a 61-year old woman diagnosed with secondary Sjögren syndrome due to rheumatoid arthritis. On the background of the autoimmune disease, corneal perforation of the left eye occurred that was cured by surgery. Then during the follow-up visit the patient was found (microscopically) massively infected with Demodex mites and the developed symptoms were particularly severe. Results Adequate dry eye syndrome and massive demodicosis therapy significantly reduced the number of Demodex mites and improved the patient’s condition. Conclusion We would like to draw the attention of the physicians of different specialties that special care should be taken with respect to the therapy of dry eye syndrome and ocular demodicosis in patients with immunological disorders to achieve therapeutic success and avoid particularly dangerous consequences of these diseases.

Transvaginal Sonographic Diagnosis of Cataract in a Fetus

1996 ◽  
Vol 6 (1) ◽  
pp. 90-93 ◽  
Author(s):  
M. Rosner ◽  
M. Bronshtein ◽  
P. Leikomovitz ◽  
M. Berkenstat ◽  
G. Barkai ◽  
...  
Keyword(s):  
Light Microscopy ◽  
Anterior Chamber ◽  
Histopathological Examination ◽  
Anterior Segment ◽  
New Technique ◽  
Transvaginal Sonography ◽  
Serial Sections ◽  
Sonographic Diagnosis ◽  
Normal Gestation ◽  
Retinal Dysplasia

Transvaginal ultrasonography is a relatively new technique for visualizing the orbits in a fetus of 4 to 5 cm. At fifteen weeks of gestation it is possible to recognize the lenses and the hyaloid arteries in the eyes, to diagnose structural malformations such as anophthalmos, microphthalmos, buphthalmos and moderate to severe cataract. In most cases cataracts were associated with intracranial defects. We describe a case where the sonographic diagnosis of fetal cataract was confirmed by histopathological examination. A 27-year-old woman had a routine transvaginal sonography at 15 weeks’ normal gestation. Microphthalmos without a hyaloid artery and disorganization of the anterior chamber and lens consistent with cataract were demonstrated in the fetal left eye. In accordance with the parents’ decision, the pregnancy was terminated a week later. Autopsy of the fetus was done and serial sections of the left eye were studied by light microscopy. Histopathological examination verified the sonographic diagnosis of fetal cataract in a microphthalmic eye. Associated findings included malformation of the anterior segment and retinal dysplasia.

scholarly journals Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Naruka Mitsui ◽  
Kae Sugihara ◽  
Jiro Seguchi ◽  
Etsuo Chihara ◽  
Yuki Morizane ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Vitreous Body ◽  
Tube Placement ◽  
Glaucoma Drainage Device ◽  
Ocular Infection ◽  
Implant Surgery ◽  
Drainage Device ◽  
Old Japanese ◽  
Patch Graft ◽  
Baerveldt Glaucoma Implant

Abstract Background We report a case of Corynebacterium endophthalmitis secondary to tube exposure following Baerveldt glaucoma implant surgery that was successfully treated with prompt tube withdrawal and temporary subconjunctival tube placement without removing the glaucoma drainage device. Case presentation A 65-year-old Japanese man with secondary glaucoma underwent glaucoma drainage device surgery with a donor scleral patch graft in the inferonasal quadrant of his right eye. Ten months after surgery, he presented with tube exposure due to dehiscence of the overlying conjunctiva and erosion of the scleral patch graft. Eleven days later, mild inflammation was found in the anterior chamber and anterior vitreous body, with the root of the tube surrounded by a plaque at the site of insertion in the anterior chamber. He was diagnosed with infectious endophthalmitis secondary to tube exposure. Two days later, since medical therapy was ineffective, the tube was withdrawn from the anterior chamber and irrigated with a polyvinyl alcohol-iodine solution, and the tube was tucked into the subconjunctival space. Complete resolution of the infection was achieved 1.5 months later. The tube was reinserted nasally into the anterior chamber and covered with a scleral patch graft and a free limbal conjunctival autograft. Thereafter, there has been no recurrence of infection or tube exposure. Twenty eight months after tube reinsertion, his right best-corrected visual acuity was 20/50 and intraocular pressure was 12 mmHg. Conclusion Prompt tube withdrawal and temporary subconjunctival tube placement followed by tube reinsertion may be effective for endophthalmitis associated with tube exposure after glaucoma drainage device surgery.

scholarly journals Letter to the Editor: Corneoscleral Melt 50 Years after Excision of Pterygium

2017 ◽  
Vol 11 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Aki Kondo ◽  
Tatsuya Mimura ◽  
Mari Goto ◽  
Yuko Kamei ◽  
Saito Yusuke ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Mitomycin C ◽  
Corneal Perforation ◽  
Corrected Visual Acuity ◽  
Pterygium Surgery ◽  
Postoperative Administration ◽  
Best Corrected Visual Acuity ◽  
Limbal Transplantation

Purpose: To report a case of corneoscleral melt that occurred 50 years after resection of pterygium with postoperative administration of mitomycin C (MMC). Results: A 93-year-old woman developed acute corneal perforation and scleral melt in her left eye at 50 years after pterygium surgery with postoperative topical MMC. She underwent limbal transplantation. The anterior chamber reformed postoperatively and her intraocular pressure was normal. At 12 months after transplantation, best-corrected visual acuity was 20/500 and the graft-host junction was well apposed. Conclusion: This case shows that corneoscleral melt can occur even 50 years after resection of pterygium combined with postoperative topical MMC.

Epithelial Downgrowth after Cataract Surgery: An Atypical Presentation with Scleral Thinning and Massive Seeding in Anterior Chamber

2016 ◽  
Vol 26 (2) ◽  
pp. e27-e29 ◽  
Author(s):  
Giuseppe Scarpa ◽  
Alvise La Gloria Valerio ◽  
Francesca Urban ◽  
Licia Laurino
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Atypical Presentation

scholarly journals A Case of Idiopathic Orbital Inflammation with Shallow Anterior Chamber and Choroidal Detachment

2020 ◽  
Vol 11 (1) ◽  
pp. 8-15
Author(s):  
Yohei Sato ◽  
Natsuko Mano ◽  
Hiroko Watanabe ◽  
Makiko Miyamoto ◽  
Kazuhiro Shimizu ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anterior Chamber ◽  
Fundus Examination ◽  
Choroidal Detachment ◽  
Resonance Imaging ◽  
Choroidal Circulation ◽  
Orbital Inflammation ◽  
Idiopathic Orbital Inflammation ◽  
Shallow Anterior Chamber ◽  
The Right

We report a case of idiopathic orbital inflammation with a shallow anterior chamber and choroidal detachments. This study involved an 87-year-old female patient who presented at our department after becoming aware of the progression of diplopia. Examination of the patient’s right eye revealed proptosis, as well as conjunctival edema with dilated and tortuous blood vessels. The right-eye anterior chamber was shallow, and fundus examination revealed marked choroidal detachments. Magnetic resonance imaging revealed enlargement of the right-orbit extraocular muscles and a suspected compression of the right-orbit superior and inferior ophthalmic veins, yet no expansion of the cavernous sinus. We diagnosed the patient as having idiopathic orbital inflammation in her right orbit, and subsequently started corticosteroid therapy. One week after initiating treatment, the anterior chamber was found to be nearing a normal depth, and the choroidal detachments were found to have disappeared. Our findings revealed that the inflammatory swelling of the extraocular muscle due to idiopathic orbital inflammation resulted in compression of the right-orbit superior and inferior ophthalmic veins, thus leading to an apparent choroidal circulation disorder that presented with a shallow anterior chamber and marked choroidal detachments.

scholarly journals Spontaneous levitation of dropped nucleus on first post-operative day

2017 ◽  
Vol 5 ◽  
pp. 2050313X1770871
Author(s):  
Mayuresh P Naik ◽  
Harindersingh Sethi ◽  
Anuj Mehta ◽  
Abhinav Bhalla ◽  
Komal Saluja
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Posterior Segment ◽  
Vitreous Cavity ◽  
Fundus Examination ◽  
Anterior Vitrectomy ◽  
Retinal Tear ◽  
Corrected Visual Acuity ◽  
Grade Iii ◽  
Best Corrected Visual Acuity

A 60-year-old male patient presenting with gradual painless progressive diminution of vision was diagnosed with nuclear sclerosis grade III (LOCS). Intra-operatively, there was a nuclear drop into the vitreous cavity. The patient was left aphakic and was deferred for further vitreoretinal procedure the next day. On first post-op day, the nucleus fragment (of roughly the same size that had dropped into the vitreous) was seen in the anterior chamber. A gentle ultrasonography B-Scan done for posterior segment evaluation was anechoic. Incision was enlarged and viscoexpression of the nucleus fragment was done followed by thorough anterior vitrectomy. Post-operatively, dilated full fundus examination showed clear vitreous cavity without any evidence of retinal tear or detachment. This was later confirmed by an anechoic ultrasonography B-Scan. After 2 weeks, three-piece foldable IOL was placed in the sulcus with posterior optic capture and the patient attained a best-corrected visual acuity of 6/9P.

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