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Zosteric Kerato-Uveitis Revealing a Retroviral Infection (HIV) 带状疱疹性角膜-葡萄膜炎显示逆转录病毒感染(HIV)
Pub Date : 2021-06-12 DOI: 10.26420/austinophthalmol.2021.1023
K. Naya, I Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
Herpes zoster ophthalmic is a common condition in the elderly or in the immunocompromised people. We present the case of a 32-yearold female patient, without any particular history, who consulted the emergency room for a red right eye with major chemosis, palpebral edema, and decreased visual acuity. There was also a crusty rash in the V1 territory, suggesting herpes zoster. Visual acuity was 2/10 in the right eye and 10/10 left eye (Figure 1 and 2). Examination at the slit lamp revealed a non-hypertensive granulomatous anterior kerato-uveitis of the right eye. Given the severity of the lesion, an immunodepressive background was suspected, HIV serology came back positive.
眼部带状疱疹是老年人或免疫功能低下人群的常见病。我们报告一个32岁的女性患者,没有任何特殊的病史,谁咨询了急诊室的红色右眼,主要的化脓,眼睑水肿,和视力下降。V1区也有硬疹,可能是带状疱疹。右眼视力2/10,左眼视力10/10(图1和2)。裂隙灯检查显示右眼非高血压性肉芽肿性前角膜-葡萄膜炎。鉴于病变的严重程度,怀疑免疫抑制背景,HIV血清学结果呈阳性。
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引用次数: 0
Juvenile Ankylosing Spondylitis - Associated Uveitis 青少年强直性脊柱炎-相关性葡萄膜炎
Pub Date : 2021-06-12 DOI: 10.26420/austinophthalmol.2021.1022
K. Naya, I Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
Juvenile ankylosing spondylitis is a chronic arthropathy that predominantly affects boys after the age of 10 years. We report a clinical case of a 16 years old aged male, who presented in the emergency room with a painful red eye, severe photophobia, and tearing right eye. The slit lamp examination was showing unusual anterior uveitis with hypopyon. The visual acuity was 2/10 in the right eye. The slit lamp examination of the left eye was unremarkable. The clinical results were in favour of Juvenile ankylosing spondylitis (Figure 1).
青少年强直性脊柱炎是一种慢性关节病,主要影响10岁以后的男孩。我们报告一个16岁男性的临床病例,他在急诊室提出了一个痛苦的红眼睛,严重的畏光,和撕裂右眼。裂隙灯检查显示不寻常的前葡萄膜炎伴垂体功能减退。右眼视力为2/10。左眼裂隙灯检查无明显异常。临床结果支持青少年强直性脊柱炎(图1)。
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引用次数: 0
Best Disease in 13 Years Old Female 13岁女性的最佳疾病
Pub Date : 2021-06-12 DOI: 10.26420/austinophthalmol.2021.1020
K. Naya, I Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
Best disease is a hereditary-degenerative macular dystrophy. Described for the first time by Friedrich Best, It is due to the accumulation of lipofuscin in the macular pigment epithelium. We report a case of a 13 years old female with no medical history. Slit lamp examination revealed unremarkable findings in the anterior segment of both eyes. Posterior segment exam, at the macula, showed a well circumscribed yellow material similar to the egg yolk structure, in both eyes (Figure 1). Figure 1: Retinography with bilateral egg yolk-like image on macula. The Optical Coherence Tomography (OCT) macula revealed Pigmentary Epithelial Detachment (PED) and LE atrophic scar. The systemic examination had no remarkable findings. The patient was diagnosed Best Vitelliform macula.
最佳疾病是遗传性退行性黄斑营养不良。由弗里德里希·贝斯特首次描述,这是由于脂褐素在黄斑色素上皮的积累。我们报告一例13岁女性无病史。裂隙灯检查显示双眼前段无明显病变。黄斑后节段检查显示,双眼均可见边界清晰的类似蛋黄结构的黄色物质(图1)。图1:黄斑视网膜造影显示双侧蛋黄样图像。光学相干断层扫描(OCT)黄斑显示色素上皮脱离(PED)和LE萎缩性瘢痕。全身检查未见明显异常。患者诊断为最佳卵黄样黄斑。
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引用次数: 0
Non-Traumatic Corneal Perforation 非创伤性角膜穿孔
Pub Date : 2021-06-12 DOI: 10.26420/austinophthalmol.2021.1021
K. Naya, I Lidya, I. Hasnaoui, H. Tazi, A. Erradi, C. Bardi, E. Abdallah, A. Berraho
Corneal perforation is a potentially devastating complication that can result from numerous conditions that precipitate corneal melting. We report a clinical of a 65 years old woman who has presented in the emergency room with a non traumatic corneal perforation, with expulsion of the lens. Complicated by the presence of a chronic antecedent of corneal ulcer (Figure 1).
角膜穿孔是一种潜在的破坏性并发症,它可以由多种情况导致角膜融化。我们报告一个临床65岁的妇女谁提出了在急诊室与非创伤性角膜穿孔,与晶状体排出。并发慢性角膜溃疡的存在(图1)。
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引用次数: 0
Conservative Management of Persistent Pupillary Membranes in Young Adult 青少年持续性瞳孔膜的保守治疗
Pub Date : 2021-06-04 DOI: 10.26420/austinophthalmol.2021.1019
Khanaouchi N, A. T, bougguar M, M. Y, Reda K, Oubaaz A
Pupillary membranes are mostly encountered in infant. They present the remnants of anterior tonica vasculosa lentis which nourishes the lens during fetal life, their regression generally begins from the sixth month of gestation. However in some cases they may persist and cause a visual impairment .the management of PPM depends on the size of pupillary aperture, the extent of the membrane, and its visual impact.
瞳孔膜多见于婴幼儿。在胎儿时期,他们呈现出滋养晶状体的前张力血管晶状体的残余,它们的退化通常从妊娠第六个月开始。然而,在某些情况下,它们可能持续存在并导致视力损害。PPM的管理取决于瞳孔孔径的大小,膜的范围及其视觉影响。
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引用次数: 0
Adeno Squamous Palpebral Carcinome with Orbitary Extension: Case Report 伴眼眶扩张的腺鳞状脑癌1例报告
Pub Date : 2021-05-08 DOI: 10.26420/austinjclinopthalmol.2021.1116
L. Imad, K. Naya, I. Hasnaoui, E. Abdellah, A. Berraho
Adeno-Squamous Carcinoma (ASC) is a neoplastic variety characterized histologically by the presence of 2 distinct carcinomatous contingents, adenomatous and squamous. This tumor form is extremely rare, and even more so in its palpebral localization. In the light of this observation, we will expose the anatomo-clinical and evolutionary peculiarities of this uncommon variant.
腺鳞状细胞癌(ASC)是一种肿瘤类型,其组织学特征是存在两种不同的癌特遣队,腺瘤性和鳞状。这种肿瘤非常罕见,在眼睑部位更是如此。根据这一观察结果,我们将揭示这种罕见变体的anatomo临床和进化特征。
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引用次数: 0
Terminological and Metrological Aspects in Siepser-Type Iris Suture Procedures siepser型虹膜缝合程序的术语和计量方面
Pub Date : 2021-04-21 DOI: 10.26420/AUSTINJCLINOPTHALMOL.2021.1115
Bordeianu Cd
Instead of contemporary plethora, with tenths of different terms for only 7 elements, I suggest a system in which the main criterion is the length of the 2 filament ends just before the loop is externalized: L: long end, and S: short end. The name of the 2 corneal pathways, and 2 iris bites will rely on the name of the corresponding filament end that passes through, just before the loop is externalized: Sp/SP: short-end puncture/paracentesis, Lp/LP: long-end puncture/paracentesis, SIB: short-end iris bite, LIB: long-end iris bite. When the loop is externalized, the “intermediary segment”: (I) is created from L. The limits of (I) have been adjusted: instead of generally admitted limits from the middistance between SIB and LIB, to the middle of the externalized loop, I suggest that the S/(I) limit be situated at 1mm after the exit point of the loop from SP, and the (I)/L limit be situated at the re-entry point of the loop in SP. The suggested terminology and limits of (I) allow a clear and unequivocal description of techniques, simplify the repartition of functions per filament segment, avoid misunderstanding as cause of failure, facilitate the establishment of rules for success valid in any Siepser-type suture, and allow a new systematization of all iris suture procedures in a structure with a common stem, 2 branches (McCannel, Siepser) and leaves represented by technical variants.
我建议一个系统,在这个系统中,主要标准是在环路外化之前的两个灯丝末端的长度:L:长端,S:短端,而不是当代的过多,只有7个元素有十分之一的不同术语。2条角膜通道和2条虹膜咬伤的名称将取决于在环路外化之前通过的相应细丝末端的名称:Sp/ Sp:短端穿刺/穿刺,Lp/ Lp:长端穿刺/穿刺,SIB:短端虹膜咬伤,LIB:长端虹膜咬伤。当循环外部化时,“中间段”:(I)由l创建。(I)的限制已被调整:而不是通常承认限制从middistance SIB和自由之间,外部化循环的中间,我建议S / (I)限制是位于1毫米从SP的出口点循环后,(我)/ L限制是位于循环的返回点建议术语和限制的SP。(我)允许的清晰和明确的描述技术,每丝段简化功能的重新分配,避免误解的失败原因,有助于建立适用于任何Siepser型缝合的成功规则,并允许所有虹膜缝合程序在一个具有共同干,两个分支(McCannel, Siepser)和由技术变体代表的叶子的结构中进行新的系统化。
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引用次数: 0
Stellar Neuroretinitis as Presenting Sign of Behcet’s Disease 星状神经视网膜炎是白塞氏病的表现
Pub Date : 2021-01-19 DOI: 10.26420/austinophthalmol.2021.1018
Jouidi W, Moutarajji Kl, Abdellah E, B. A.
A 40-year-old One-eyed patient (right eye) acuity history of post-traumatic burst in his left eye at the age of 6 years. Consult for a decrease of vision on his right eye that has progressed for 3 weeks. Ophthalmic examination found visual acuity: 2/10 P10 in the right eye, the left eye presents enophthalmos with an opacified cornea; the anterior segment was normal in the right eye, fundus examination shows hyalitis graded 1+, papillary edema, peripapillary hemorrhages and stellar macular exudates, cottony nodules, copper arteries with vascular sheathing of the superior temporal branch and areas of retinal ischemia (Figure 1). The inflammatory and serological assessment is negative. Fluorescein retinal angiography shows papillary diffusion of fluorescein and vasculitis (Figure 2). We find serous retinal detachment on OCT (Figure 3). The general examination found bipolar aphthosis. The diagnosis of Behçet’s disease is retained. Treatment with immunosuppressants allowed the regression of papillary edema with persistence of some macular exudates and great improvingin visual acuity.
一例40岁独眼患者(右眼)6岁时左眼外伤后破裂视力史。他的右眼视力下降已经3周了。眼科检查视力:右眼2/10 P10,左眼内陷伴角膜混浊;右眼前段正常,眼底检查显示1+级玻璃体炎,乳头状水肿,乳头周围出血及星形黄斑渗出,棉状结节,颞上支铜动脉伴血管鞘,视网膜缺血(图1)。炎症及血清学检查均阴性。荧光素视网膜血管造影显示荧光素乳头状扩散和血管炎(图2)。我们在OCT上发现浆液性视网膜脱离(图3)。一般检查发现双相aphaphsis。保留behaperet病的诊断。用免疫抑制剂治疗后,乳头状水肿消退,一些黄斑渗出物持续存在,视力有很大改善。
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引用次数: 0
Topical Ketolorac is Effective and Safe for Post- Vitrectomy Surgery Treatment 外用酮洛酸治疗玻璃体切除术后有效且安全
Pub Date : 2019-01-30 DOI: 10.26420/austinjclinopthalmol.2019.1100
S. Saidkasimova
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引用次数: 1
Pneumatic Displacement with Intravitreal Plasminogen Activator (PA) versus Vitrectomy with Subretinal PA for Submacular Haemorrhage 玻璃体内纤溶酶原激活剂(PA)气动置换与视网膜下PA玻璃体切除术治疗黄斑下出血
Pub Date : 2019-01-30 DOI: 10.26420/austinjclinopthalmol.2019.1099
A. Chandra
Introduction: To compare the efficacy of pneumatic displacement with intravitreal recombinant tissue plasminogen activator (rTPA) [Group 1] versus vitrectomy with subretinal injection of rTPA with/without anti-VEGF [Group 2] for submacular haemorrhage (SMH) in patients with neovascular age-related macular degeneration (nAMD) in two tertiary referral centres. Methods: Retrospective analysis of thirty consecutive patients presenting with SMH and treated with the aforementioned regimens in two surgical units between 2012 to 2016. Primary outcome measure was SMH displacement. Secondary outcomes included best-corrected visual acuity (BCVA) change post-operatively, SMH height, SMH area, and surgical complications. Optical coherence tomography (OCT) images and clinical data used to analyse outcomes. Results: Eleven patients included in Group 1 and 19 in Group 2. Haemorrhagic displacement was complete in 9 (82.8%) out of 11 and 18 (94.7%) out of 19 patients in Groups 1 and 2, demonstrating no difference between them (p=0.536). BCVA improved by -0.50±0.74 (p=0.045) and -0.72±0.93 (p=0.004) compared to baseline at 6 months in Groups 1 and 2, with no difference between groups (p=0.155). Subfoveal haemorrhage height reduced (Group 1:-900.57μm, p=0.007; Group 2:-607.27μm, p<0.001), without difference between groups (p=0.582). SMH area reduced significantly in Group 2 but not 1 (Group 1:-44.18μm, p=0.078; Group 2:-30.28μm, p<0.001), without difference between groups (p=0.913). Conclusion: Intravitreal treatment and vitrectomy were equally effective at subfoveal haemorrhagic displacement. BCVA gains did not differ significantly between techniques. OCT data demonstrated similar efficacy in both techniques. This data supports the use of either intravitreal or vitrectomy treatment as a first line therapy for SMH.
前言:比较两家三级转诊中心的玻璃体切除联合玻璃体下注射重组组织型纤溶酶原激活剂(rTPA)治疗新生血管性年龄相关性黄斑变性(nAMD)患者黄斑下出血(SMH)的疗效[1组]与玻璃体下注射rTPA加/不加抗vegf[2组]。方法:回顾性分析2012年至2016年在两个外科单位连续30例接受上述方案治疗的SMH患者。主要结局指标是SMH位移。次要结果包括术后最佳矫正视力(BCVA)变化、SMH高度、SMH面积和手术并发症。光学相干断层扫描(OCT)图像和临床数据用于分析结果。结果:1组11例,2组19例。1组和2组11例患者中有9例(82.8%)完成出血移位,19例患者中有18例(94.7%)完成出血移位,两组间无差异(p=0.536)。与6个月时基线相比,第1组和第2组的BCVA分别改善了-0.50±0.74 (p=0.045)和-0.72±0.93 (p=0.004),组间无差异(p=0.155)。中央凹下出血高度降低(第一组:-900.57μm, p=0.007;组2:-607.27μm, p<0.001),组间差异无统计学意义(p=0.582)。组2 SMH面积明显减小,组1无明显差异(组1:-44.18μm, p=0.078;组2:-30.28μm, p<0.001),组间差异无统计学意义(p=0.913)。结论:玻璃体内治疗与玻璃体切除术治疗中央凹下出血性移位效果相同。不同技术间的BCVA增益无显著差异。OCT数据显示两种技术的疗效相似。这些数据支持玻璃体内或玻璃体切除治疗作为SMH的一线治疗方法。
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引用次数: 1
期刊
Austin journal of clinical ophthalmology
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