Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_59_22
Pradeep K Panigrahi, Japesh Thareja, Suchismita Mishra, Anita Minj
A 35-year-old male presented with a sudden onset painless loss of vision in the left eye (LE). He was a known case of T-cell acute lymphoblastic leukaemia and had achieved complete remission following chemotherapy. The vision was reduced to absent light perception in LE. Fundus examination in LE revealed disc edema and retinal haemorrhages. Magnetic resonance imaging of the brain and orbits showed subtle enhancement of the left optic nerve. The cerebrospinal fluid study did not reveal any malignant cells. The patient was advised to undergo orbital radiotherapy, which he refused. There was further systemic and ocular worsening two months following the initial presentation. Early diagnosis and prompt intervention are crucial in salvaging eyes with leukemic optic nerve infiltration.
{"title":"Unilateral optic nerve leukemic infiltration due to relapse in a case of acute lymphoblastic leukaemia","authors":"Pradeep K Panigrahi, Japesh Thareja, Suchismita Mishra, Anita Minj","doi":"10.4103/tjosr.tjosr_59_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_59_22","url":null,"abstract":"A 35-year-old male presented with a sudden onset painless loss of vision in the left eye (LE). He was a known case of T-cell acute lymphoblastic leukaemia and had achieved complete remission following chemotherapy. The vision was reduced to absent light perception in LE. Fundus examination in LE revealed disc edema and retinal haemorrhages. Magnetic resonance imaging of the brain and orbits showed subtle enhancement of the left optic nerve. The cerebrospinal fluid study did not reveal any malignant cells. The patient was advised to undergo orbital radiotherapy, which he refused. There was further systemic and ocular worsening two months following the initial presentation. Early diagnosis and prompt intervention are crucial in salvaging eyes with leukemic optic nerve infiltration.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"231 - 233"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42625202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_118_22
Sujay Herekar, Sudipta Das, Amitabh A Kumar, J. Biswas
We report a case of a young male with IgA nephropathy and end-stage renal disease who presented to us with grade 1+ vitritis (SUN working group classification), bilateral optic disc oedema, retinal haemorrhages, macular exudates, cotton wool spots, exudative retinal detachment in both eyes, and a large macular placoid lesion in one eye. We report this case as it was an atypical presentation of a viral non-necrotising retinopathy occurring secondary to Herpes Simplex Virus type 2 (HSV-2) in a patient with IgA nephropathy.
{"title":"IgA nephropathy with end stage renal disease with superadded viral retinitis: A rare case report","authors":"Sujay Herekar, Sudipta Das, Amitabh A Kumar, J. Biswas","doi":"10.4103/tjosr.tjosr_118_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_118_22","url":null,"abstract":"We report a case of a young male with IgA nephropathy and end-stage renal disease who presented to us with grade 1+ vitritis (SUN working group classification), bilateral optic disc oedema, retinal haemorrhages, macular exudates, cotton wool spots, exudative retinal detachment in both eyes, and a large macular placoid lesion in one eye. We report this case as it was an atypical presentation of a viral non-necrotising retinopathy occurring secondary to Herpes Simplex Virus type 2 (HSV-2) in a patient with IgA nephropathy.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"248 - 250"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41701589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_102_22
A. Mohankumar, Sujitha Danasekar, Supriya Gautam, M. Khatri, M. Rajan
Paracentral acute middle maculopathy (PAMM) was originally described as a band-like hyperreflectivity of the inner nuclear layer in optical coherence tomography. In 2013, it has been documented to occur in association with a variety of systemic, retinal vascular and ocular diseases. Radiation retinopathy is a microangiopathy occurring in individuals receiving ionizing radiation above a dose range of 2500–3000 cGy presenting 6 months to 3-year post-exposure. Radiation-induced endothelial cell damage causes vascular occlusion and leakage, commonly presenting with microaneurysms, cotton wool spot, neovascularization and macular oedema. The incidence of radiation retinopathy has been documented from 3.1% to as high as 85.7% in literature following external beam radiotherapy (EBRT) to the head and neck region. In this case report, we present a case with PAMM as a manifestation of radiation retinopathy following external beam radiotherapy for carcinoma of tongue with metastasis.
{"title":"A rare manifestation of radiation retinopathy – Paracentral acute middle maculopathy","authors":"A. Mohankumar, Sujitha Danasekar, Supriya Gautam, M. Khatri, M. Rajan","doi":"10.4103/tjosr.tjosr_102_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_102_22","url":null,"abstract":"Paracentral acute middle maculopathy (PAMM) was originally described as a band-like hyperreflectivity of the inner nuclear layer in optical coherence tomography. In 2013, it has been documented to occur in association with a variety of systemic, retinal vascular and ocular diseases. Radiation retinopathy is a microangiopathy occurring in individuals receiving ionizing radiation above a dose range of 2500–3000 cGy presenting 6 months to 3-year post-exposure. Radiation-induced endothelial cell damage causes vascular occlusion and leakage, commonly presenting with microaneurysms, cotton wool spot, neovascularization and macular oedema. The incidence of radiation retinopathy has been documented from 3.1% to as high as 85.7% in literature following external beam radiotherapy (EBRT) to the head and neck region. In this case report, we present a case with PAMM as a manifestation of radiation retinopathy following external beam radiotherapy for carcinoma of tongue with metastasis.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"259 - 260"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47702697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_97_22
Kavitha Munuswamy, Shankar Chokkalingam, Muthusundari Arunachalam, L. Dodda, Vudi Srinija, Sheelapreya Rajan
Supernumerary lacrimal puncta is a rare entity and very few cases are reported. In this report, we are going to discuss a patient with unilateral three inferior lacrimal puncta who is asymptomatic.
{"title":"Triple lacrimal puncta: A case report","authors":"Kavitha Munuswamy, Shankar Chokkalingam, Muthusundari Arunachalam, L. Dodda, Vudi Srinija, Sheelapreya Rajan","doi":"10.4103/tjosr.tjosr_97_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_97_22","url":null,"abstract":"Supernumerary lacrimal puncta is a rare entity and very few cases are reported. In this report, we are going to discuss a patient with unilateral three inferior lacrimal puncta who is asymptomatic.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"223 - 224"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49432578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_36_23
S. Gopalakrishnan, S. Ramesh
{"title":"Three small steps, one giant leap to unravelling cyclovertical strabismus!","authors":"S. Gopalakrishnan, S. Ramesh","doi":"10.4103/tjosr.tjosr_36_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_36_23","url":null,"abstract":"","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"215 - 216"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47009779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_60_23
Jeyanthan Soundarapandian
{"title":"Persistence and perseverance in publishing","authors":"Jeyanthan Soundarapandian","doi":"10.4103/tjosr.tjosr_60_23","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_60_23","url":null,"abstract":"","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"151 - 153"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45908507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_110_22
V. Varsha, S. Ramesh, P. Ramesh, Prajnya Ray, A. Devadas, M. Ramesh, R. Rajasekaran
Marin–Amat syndrome is a rare acquired form of facial synkinesis seen after facial nerve paralysis. There is involuntary closure of the eye on the opening of the jaw and is associated with the orbicularis oculi muscle (OOM). This syndrome may be confused with inverse Marcus Gunn syndrome, a congenital condition involving levator palpebrae superioris, requiring a different management approach. Some treatment options are botulinum toxin injections and preseptal OOM resection. We report one such rare case of Marin–Amat syndrome. Careful examination is paramount in providing appropriate treatment to patients.
{"title":"A deceptive wink/Marin–s;Amat syndrome, a clever lookalike of inverse marcus gunn syndrome","authors":"V. Varsha, S. Ramesh, P. Ramesh, Prajnya Ray, A. Devadas, M. Ramesh, R. Rajasekaran","doi":"10.4103/tjosr.tjosr_110_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_110_22","url":null,"abstract":"Marin–Amat syndrome is a rare acquired form of facial synkinesis seen after facial nerve paralysis. There is involuntary closure of the eye on the opening of the jaw and is associated with the orbicularis oculi muscle (OOM). This syndrome may be confused with inverse Marcus Gunn syndrome, a congenital condition involving levator palpebrae superioris, requiring a different management approach. Some treatment options are botulinum toxin injections and preseptal OOM resection. We report one such rare case of Marin–Amat syndrome. Careful examination is paramount in providing appropriate treatment to patients.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"261 - 262"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70849190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_126_22
V. Senthilkumar, A. Mathews
We report an unusual case of simultaneous bilateral acute angle-closure glaucoma in a middle-aged female with nanophthalmos. The patient underwent sequential cataract surgery by phacoemulsification with intraocular lens implantation in both eyes, with complete relief of symptoms with a well-formed anterior chamber and normalisation of intraocular pressure postcataract extraction.
{"title":"Simultaneous bilateral acute angle closure glaucoma in a young middle-aged female with nanophthalmos: A rare case report","authors":"V. Senthilkumar, A. Mathews","doi":"10.4103/tjosr.tjosr_126_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_126_22","url":null,"abstract":"We report an unusual case of simultaneous bilateral acute angle-closure glaucoma in a middle-aged female with nanophthalmos. The patient underwent sequential cataract surgery by phacoemulsification with intraocular lens implantation in both eyes, with complete relief of symptoms with a well-formed anterior chamber and normalisation of intraocular pressure postcataract extraction.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"245 - 247"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46511279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_133_22
Veni Sigamani, Suriya Djeamoorthy, R. Srinivasan, Hannah Williams Prasanth
Ventriculo-peritoneal shunt (VPS) placement is a common neurosurgical procedure for hydrocephalous. VPS failure rates have been estimated at approximately 11%–25% within the first year especially in pediatric patients. Patients with shunt failure due to obstruction may present with headache, lethargy, nausea, vomiting, vision loss, and Papilloedema. A 7-year-old boy with Dandy Walker syndrome post VPS presented with complains of headache and progressive loss of vision for the past 10 days. Vision BE – 3/60. Fundus examination revealed normal fundus and no papilloedema. Computed tomography scan showed shunt tube was in-situ with arachnoid cyst. Lumbar puncture analysis was normal. Visual Evoked Potential showed prolonged P100 latency so a trial of Intravenous Methylprednisolone was given. But patient did not improve and there was deterioration of vision further to BE - PL + PR +. So exploration of VPS was made and found to be malfunctioning. Shunt revision was done. Two months after the procedure, vision in RE improved to 6/60 and LE HM. BE fundus showed pallor of the disc. Increased Intracranial Pressure after shunt failure can present without papilloedema. High index of suspicion for shunt failure should be there in cases presenting with other symptoms and signs of increased Intracranial Pressure even in the absence of papilloedema. Early diagnosis is very crucial to prevent visual morbidity and also mortality.
脑室-腹膜分流(VPS)放置是脑积水常见的神经外科手术。VPS在第一年的失败率估计约为11%-25%，特别是在儿科患者中。梗阻引起的分流管衰竭患者可表现为头痛、嗜睡、恶心、呕吐、视力下降和乳头水肿。一名患有Dandy Walker综合征的7岁男孩，在VPS后出现头痛和视力逐渐丧失的抱怨，过去10天。Vision BE - 3/60。眼底检查显示眼底正常，无乳头状水肿。计算机断层扫描显示分流管原位存在蛛网膜囊肿。腰椎穿刺分析正常。视觉诱发电位显示P100潜伏期延长，因此给予静脉注射甲基强的松龙的试验。但患者视力未见改善，进一步恶化至BE - PL + PR +。因此，对VPS进行了探索，发现它出现了故障。进行分流修正。术后2个月，RE视力改善至6/60,lehm。BE眼底显示椎间盘苍白。分流失败后颅内压升高可无乳头水肿。在没有乳头状水肿的情况下，如果出现颅内压升高的其他症状和体征，则应高度怀疑分流衰竭。早期诊断对于预防视力疾病和死亡率至关重要。
{"title":"Shunt failure in children: Is papilloedema a reliable indicator?","authors":"Veni Sigamani, Suriya Djeamoorthy, R. Srinivasan, Hannah Williams Prasanth","doi":"10.4103/tjosr.tjosr_133_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_133_22","url":null,"abstract":"Ventriculo-peritoneal shunt (VPS) placement is a common neurosurgical procedure for hydrocephalous. VPS failure rates have been estimated at approximately 11%–25% within the first year especially in pediatric patients. Patients with shunt failure due to obstruction may present with headache, lethargy, nausea, vomiting, vision loss, and Papilloedema. A 7-year-old boy with Dandy Walker syndrome post VPS presented with complains of headache and progressive loss of vision for the past 10 days. Vision BE – 3/60. Fundus examination revealed normal fundus and no papilloedema. Computed tomography scan showed shunt tube was in-situ with arachnoid cyst. Lumbar puncture analysis was normal. Visual Evoked Potential showed prolonged P100 latency so a trial of Intravenous Methylprednisolone was given. But patient did not improve and there was deterioration of vision further to BE - PL + PR +. So exploration of VPS was made and found to be malfunctioning. Shunt revision was done. Two months after the procedure, vision in RE improved to 6/60 and LE HM. BE fundus showed pallor of the disc. Increased Intracranial Pressure after shunt failure can present without papilloedema. High index of suspicion for shunt failure should be there in cases presenting with other symptoms and signs of increased Intracranial Pressure even in the absence of papilloedema. Early diagnosis is very crucial to prevent visual morbidity and also mortality.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"251 - 253"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42313145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.4103/tjosr.tjosr_104_22
S. Tejaswini, K. Srinivasan
A middle-aged female, three years post combined trabeculectomy and phacoemulsification, presented with sudden onset of pain and blurred vision with no apparent trigger. Possible complications of hyphema, wound leak, hypotony-related maculopathy or bleb-related endophthalmitis were ruled out. Gonioscopy revealed microhyphaema with tuft of vessels at the trabeculectomy ostium with which a diagnosis of Swan syndrome was made. Here we discuss this rare differential of delayed post-operative hyphema which has to be considered in any cases with a history of previous anterior segment surgery. Careful clinical examination is the key factor in arriving at the diagnosis after ruling out all other possible causes.
{"title":"Delayed spontaneous hyphema following filtering surgery – A case of swan syndrome","authors":"S. Tejaswini, K. Srinivasan","doi":"10.4103/tjosr.tjosr_104_22","DOIUrl":"https://doi.org/10.4103/tjosr.tjosr_104_22","url":null,"abstract":"A middle-aged female, three years post combined trabeculectomy and phacoemulsification, presented with sudden onset of pain and blurred vision with no apparent trigger. Possible complications of hyphema, wound leak, hypotony-related maculopathy or bleb-related endophthalmitis were ruled out. Gonioscopy revealed microhyphaema with tuft of vessels at the trabeculectomy ostium with which a diagnosis of Swan syndrome was made. Here we discuss this rare differential of delayed post-operative hyphema which has to be considered in any cases with a history of previous anterior segment surgery. Careful clinical examination is the key factor in arriving at the diagnosis after ruling out all other possible causes.","PeriodicalId":34180,"journal":{"name":"TNOA Journal of Ophthalmic Science and Research","volume":"61 1","pages":"234 - 235"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48832031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：