Pub Date : 2024-01-09DOI: 10.26420/austinjclinopthalmol.2024.1173
Adam Cywiński, Paulina Bazgier
A retrospective analysis of visual function in patients with preoperatively diagnosed myopia, after implantation of Liberty® intraocular lens, including the influence of some factors like a kind of surgery, values of angle alpha and kappa, pupil size, values of higher order aberrations generated by the lens on visual acuity to far and near distances was done. Lens removal and Liberty® implantation was done 47 eyes, including in 13 patients in both eyes. In 7 eyes, it was a toric lens. A mean preoperative value of myopia was -6.72 Dsph. Cataract removal accounted for 55% of all procedures performed, the rest being Refractive Lens Exchange. Preoperative pupil size was between 3.6 and 6,4 mm. The average postoperative visual acuity to far distances was 0.13 (logMar), and to near distances was 0.51 (Snellen). Rare cases of insufficient quality of vision to intermediate distances, when the postoperative pupil size was greater than 4 mm, resolved after increasing light intensity in the room. A bigger values of higher order aberrations corresponded with lower values of preoperative visual acuity to far distances. A bigger values of angle alpha corresponded with lower values of postoperative visual acuity to far distances, which were significantly higher in cataract group. Visual acuity to far distances was also better in eye with bigger pupil size. A specific structure of the lens allows patients to see good to the near distances, even if the light intensity not perfect.
{"title":"Liberty® by Medicontur, a Complex in Structure, Hydrophilic Intraocular Lens in the Correction of Eyes with Preoperative Myopia","authors":"Adam Cywiński, Paulina Bazgier","doi":"10.26420/austinjclinopthalmol.2024.1173","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2024.1173","url":null,"abstract":"A retrospective analysis of visual function in patients with preoperatively diagnosed myopia, after implantation of Liberty® intraocular lens, including the influence of some factors like a kind of surgery, values of angle alpha and kappa, pupil size, values of higher order aberrations generated by the lens on visual acuity to far and near distances was done. Lens removal and Liberty® implantation was done 47 eyes, including in 13 patients in both eyes. In 7 eyes, it was a toric lens. A mean preoperative value of myopia was -6.72 Dsph. Cataract removal accounted for 55% of all procedures performed, the rest being Refractive Lens Exchange. Preoperative pupil size was between 3.6 and 6,4 mm. The average postoperative visual acuity to far distances was 0.13 (logMar), and to near distances was 0.51 (Snellen). Rare cases of insufficient quality of vision to intermediate distances, when the postoperative pupil size was greater than 4 mm, resolved after increasing light intensity in the room. A bigger values of higher order aberrations corresponded with lower values of preoperative visual acuity to far distances. A bigger values of angle alpha corresponded with lower values of postoperative visual acuity to far distances, which were significantly higher in cataract group. Visual acuity to far distances was also better in eye with bigger pupil size. A specific structure of the lens allows patients to see good to the near distances, even if the light intensity not perfect.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140511727","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 : 2022-11-16DOI: 10.26420/austinjclinopthalmol.2022.1132
Belidi He, Saoiabi Y, C. L.
24 years old patient, diagnosed 19 years ago with celiac disease, in whom we fortuitously find during a systematic ophthalmological examination in the right eye (Figure 1): a small bluish central crystalline opacification, bluish, whitish and yellowish punctiform peripheral opacifications, without any visual repercussion.
{"title":"Cataract and Celiac Disease","authors":"Belidi He, Saoiabi Y, C. L.","doi":"10.26420/austinjclinopthalmol.2022.1132","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1132","url":null,"abstract":"24 years old patient, diagnosed 19 years ago with celiac disease, in whom we fortuitously find during a systematic ophthalmological examination in the right eye (Figure 1): a small bluish central crystalline opacification, bluish, whitish and yellowish punctiform peripheral opacifications, without any visual repercussion.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45487416","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 : 2022-11-16DOI: 10.26420/austinjclinopthalmol.2022.1133
Belidi He, Saoiabi Y, Boumehdi I, Cherkaoui O
A 14-year-old girl presented with a two years history of gradual decrease of vision in both eyes. The best corrected visual acuity was 0, 3 LogMARin both eyes. The examination of the anterior segment on slit-lamp of both eyes releveled multiple tiny bluish-white opacities distributed in the lensnucleus and cortexin the form of concentric circles corresponding to a congenital cerulean cataract. No other abnormality was observed in the slit lamp in both eyes. Phacoemulsification surgery was planned for each eye with a good evolution.
{"title":"Cerulean Cataract","authors":"Belidi He, Saoiabi Y, Boumehdi I, Cherkaoui O","doi":"10.26420/austinjclinopthalmol.2022.1133","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1133","url":null,"abstract":"A 14-year-old girl presented with a two years history of gradual decrease of vision in both eyes. The best corrected visual acuity was 0, 3 LogMARin both eyes. The examination of the anterior segment on slit-lamp of both eyes releveled multiple tiny bluish-white opacities distributed in the lensnucleus and cortexin the form of concentric circles corresponding to a congenital cerulean cataract. No other abnormality was observed in the slit lamp in both eyes. Phacoemulsification surgery was planned for each eye with a good evolution.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46550283","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 : 2022-09-09DOI: 10.26420/austinjclinopthalmol.2022.1131
Boumehdi I, Bouirig K
We report the case of a 6-year-old patient with educational backwardness who presented to our hospital with a red, painful eye with decreased vision. Her best corrected visual acuity was 1/10 in both eyes. Slit-lamp examination of the right eye revealed anterior crystalline lens dislocation with central corneal oedema and high ocular pressure. The left eye had the same findings.
{"title":"Bilateral Anterior Crystalline Lens Dislocation Reveals Homocystinuria","authors":"Boumehdi I, Bouirig K","doi":"10.26420/austinjclinopthalmol.2022.1131","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1131","url":null,"abstract":"We report the case of a 6-year-old patient with educational backwardness who presented to our hospital with a red, painful eye with decreased vision. Her best corrected visual acuity was 1/10 in both eyes. Slit-lamp examination of the right eye revealed anterior crystalline lens dislocation with central corneal oedema and high ocular pressure. The left eye had the same findings.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48730497","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 : 2022-06-08DOI: 10.26420/austinjclinopthalmol.2022.1130
Aachak M, Brarou H, Jeddou I, B. H, A. T, E. F, M. Y, Reda K, Oubaaz A
A 50 YO female patient with no medical history presented to the ophthalmologic emergency department for an acute decreasing of visual acuity in the left eye without any redness nor ocular pain. Ophthalmic examination revealed a best corrected VA of ‘finger counting’ in the LE. The LE slit lamp examination was normal. Fundus evaluation showed a retinal white edema in the cilioretinal artery territory associated with pre retinal hemorrhage. The foveola was spared (Figure 1).
{"title":"Both Central Retinal Venous Occlusion and Cilioretinal Artery Occlusion Secondary to Hyperhomocysteinemia. A Case Report","authors":"Aachak M, Brarou H, Jeddou I, B. H, A. T, E. F, M. Y, Reda K, Oubaaz A","doi":"10.26420/austinjclinopthalmol.2022.1130","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1130","url":null,"abstract":"A 50 YO female patient with no medical history presented to the ophthalmologic emergency department for an acute decreasing of visual acuity in the left eye without any redness nor ocular pain. Ophthalmic examination revealed a best corrected VA of ‘finger counting’ in the LE. The LE slit lamp examination was normal. Fundus evaluation showed a retinal white edema in the cilioretinal artery territory associated with pre retinal hemorrhage. The foveola was spared (Figure 1).","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41246244","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 : 2022-05-04DOI: 10.26420/austinjclinopthalmol.2022.1129
Aachak M, Brarou H, B. H, A. T, E. F, M. Y, Reda K, Oubaaz A
A 35 years old patient presented with complaints of diminution of vision in the right eye with ocular pain without any redness nor other clinical signs. Ophthalmic examination revealed a best corrected VA of counting fingers in the right eye. Slit lamp examination of the RE was normal. Fundus evaluation revealed a grade II papillary edema with macular retinal folds (Figure 1).
{"title":"Posterior Scleritis Simulating a Vogt-Koyanagi-Harada Syndrome","authors":"Aachak M, Brarou H, B. H, A. T, E. F, M. Y, Reda K, Oubaaz A","doi":"10.26420/austinjclinopthalmol.2022.1129","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1129","url":null,"abstract":"A 35 years old patient presented with complaints of diminution of vision in the right eye with ocular pain without any redness nor other clinical signs. Ophthalmic examination revealed a best corrected VA of counting fingers in the right eye. Slit lamp examination of the RE was normal. Fundus evaluation revealed a grade II papillary edema with macular retinal folds (Figure 1).","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45564982","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 : 2022-05-04DOI: 10.26420/austinjclinopthalmol.2022.1128
Aachak M, Brarou H, B. H, Jeddou I, A. T, E. F, M. Y, Reda K, Oubaaz A
Leber Hereditary Optic Neuropathy (LHON) is a mitochondrial disease caused by mutations in mitochondrial DNA affecting the respiratory complex I and leading to the death of retinal ganglion cells (RGCs) [1]. It is characterized by sudden onset and usually severe bilateral loss of central vision, predominantly in young men [2]. The risk of vision loss is 50% among men and 10% among women who carry LHON primary mutations in the mitochondrial DNA [3]. We report an atypic case of LHON in a young 11 years old girl.
{"title":"A Case of Bilateral Pseudo Papilledema Revealing a Leber’s Hereditary Optic Neuropathy","authors":"Aachak M, Brarou H, B. H, Jeddou I, A. T, E. F, M. Y, Reda K, Oubaaz A","doi":"10.26420/austinjclinopthalmol.2022.1128","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1128","url":null,"abstract":"Leber Hereditary Optic Neuropathy (LHON) is a mitochondrial disease caused by mutations in mitochondrial DNA affecting the respiratory complex I and leading to the death of retinal ganglion cells (RGCs) [1]. It is characterized by sudden onset and usually severe bilateral loss of central vision, predominantly in young men [2]. The risk of vision loss is 50% among men and 10% among women who carry LHON primary mutations in the mitochondrial DNA [3]. We report an atypic case of LHON in a young 11 years old girl.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46298348","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 : 2022-04-05DOI: 10.26420/austinjclinopthalmol.2022.1127
Ezahra Hf, H. T, Afaf E-R, A. B, Louai S, E. A., Amina B
53-year-old man who had recurrent oral and genital aphthous, who consulted urgently for bilateral uveitis that is currently active on the right eye with central and peripheral occlusive vasculitis. The patient was diagnosed with behet’s disease in front of the inflammatory syndrome, ocular involvement and bipolar aphtosis. The management was early based on bolus of methylprednisolone and immunosuppressant, argon laser of ischemic areas. Unfortunately, the evolution was unfavorable with the appearance of prepapillary neovessels and persistence of the macular edema having required several intravitreal injections of anti-VEGF and urgent sessions of PRP with argon laser.
{"title":"Behçet’s Disease Occlusive Vasculitis Progressing to Prepapillary Neovascularization","authors":"Ezahra Hf, H. T, Afaf E-R, A. B, Louai S, E. A., Amina B","doi":"10.26420/austinjclinopthalmol.2022.1127","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1127","url":null,"abstract":"53-year-old man who had recurrent oral and genital aphthous, who consulted urgently for bilateral uveitis that is currently active on the right eye with central and peripheral occlusive vasculitis. The patient was diagnosed with behet’s disease in front of the inflammatory syndrome, ocular involvement and bipolar aphtosis. The management was early based on bolus of methylprednisolone and immunosuppressant, argon laser of ischemic areas. Unfortunately, the evolution was unfavorable with the appearance of prepapillary neovessels and persistence of the macular edema having required several intravitreal injections of anti-VEGF and urgent sessions of PRP with argon laser.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45541787","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 : 2022-03-30DOI: 10.26420/austinjclinopthalmol.2022.1126
Aachak M, Jeddou I, B. H, Brarou H, A. T, E. F, M. Y, Reda K, Oubaaz A
A 65-year-old patient with no notable history, from low socioeconomic status, presented to the ophthalmology clinic for visual impairment of the left eye three months after a traditional couching. Visual acuity was limited to light perception. Slit-lamp examination showed cells and flare in the anterior segment and the vitreous. Fundus examination showed a complete retinal detachment including the fovea with proliferative vitreoretinopathy stage B and two large peripheric retinal tears inferiorly contiguous to the crystalline lens. Surgical treatment was based on pars plana vitrectomy with phacofragmentation of the crystalline lens, pneumatic retinopexy and endophotocoagulation of the retinal tears. Clinical evolution was marked by the improvement of the visual acuity to 20/200 two months after surgery.
{"title":"Total Retinal Detachment Following Traditional Couching","authors":"Aachak M, Jeddou I, B. H, Brarou H, A. T, E. F, M. Y, Reda K, Oubaaz A","doi":"10.26420/austinjclinopthalmol.2022.1126","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1126","url":null,"abstract":"A 65-year-old patient with no notable history, from low socioeconomic status, presented to the ophthalmology clinic for visual impairment of the left eye three months after a traditional couching. Visual acuity was limited to light perception. Slit-lamp examination showed cells and flare in the anterior segment and the vitreous. Fundus examination showed a complete retinal detachment including the fovea with proliferative vitreoretinopathy stage B and two large peripheric retinal tears inferiorly contiguous to the crystalline lens. Surgical treatment was based on pars plana vitrectomy with phacofragmentation of the crystalline lens, pneumatic retinopexy and endophotocoagulation of the retinal tears. Clinical evolution was marked by the improvement of the visual acuity to 20/200 two months after surgery.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48429910","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 : 2022-03-15DOI: 10.26420/austinjclinopthalmol.2022.1125
K. R, Han M, Zhang C
Objective: Analysis of three cases in which the clinical diagnosis was ruptured sinus of Valsalva aneurysm (RSVA) from left coronary sinus, combined with similar cases in the literature, to summarize the etiology of RSVA. Methods: Retrospective analysis of three cases of RSVA diagnosed in our hospital from 2009 to 2021. Their general condition, examination and treatment were analyzed, and the etiology of the sinus of Valsalva aneurysm (SVA) was summarized in relation to similar cases reported in the literature. Results: All three cases were diagnosed as RSVA from left coronary sinus with a clear etiology of congenital SVA, Behcet’s disease and infective endocarditis, respectively. They all underwent successful surgical treatment. In the literature, there were 12 cases of SVA from left coronary sinus of definite etiology, 10 of which ruptured. Conclusions: SVA from left coronary sinus is a rare disease with a complex etiology, and RSVA is one of the most serious complications of SVA. Exploring the etiology of SVA will help to prevent the serious complications of RSVA by targeting the etiology for treatment and timely surgical intervention.
{"title":"Ruptured Sinus of Valsalva Aneurysm from Left Coronary Sinus with Different Causes","authors":"K. R, Han M, Zhang C","doi":"10.26420/austinjclinopthalmol.2022.1125","DOIUrl":"https://doi.org/10.26420/austinjclinopthalmol.2022.1125","url":null,"abstract":"Objective: Analysis of three cases in which the clinical diagnosis was ruptured sinus of Valsalva aneurysm (RSVA) from left coronary sinus, combined with similar cases in the literature, to summarize the etiology of RSVA. Methods: Retrospective analysis of three cases of RSVA diagnosed in our hospital from 2009 to 2021. Their general condition, examination and treatment were analyzed, and the etiology of the sinus of Valsalva aneurysm (SVA) was summarized in relation to similar cases reported in the literature. Results: All three cases were diagnosed as RSVA from left coronary sinus with a clear etiology of congenital SVA, Behcet’s disease and infective endocarditis, respectively. They all underwent successful surgical treatment. In the literature, there were 12 cases of SVA from left coronary sinus of definite etiology, 10 of which ruptured. Conclusions: SVA from left coronary sinus is a rare disease with a complex etiology, and RSVA is one of the most serious complications of SVA. Exploring the etiology of SVA will help to prevent the serious complications of RSVA by targeting the etiology for treatment and timely surgical intervention.","PeriodicalId":90447,"journal":{"name":"Austin journal of clinical ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47572786","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}
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