Pub Date : 2018-10-01DOI: 10.33140/jocr/02/03/00001
Background: A case of acute onset bilateral iridocyclitis is reported in a previously undiagnosed and asymptomatic case of sarcoidosis. Case: A 39 years old male presented with pain and redness in the right eye for one day. Slit lamp examination revealed granulomatous iridocyclitis in the eye with three hundred sixty degree posterior synechiae. While under investigation for the cause, on fourth day of initial presentation, left eye also developed similar granulomatous iridocyclitis, being symptomatic only overnight. All laboratory investigations, radiological evaluation and biopsy led to the final diagnosis of sarcoidosis. Conclusion: Sarcoidosis is a multisystem granulomatous disorder of unknown etiology which may present as an acute uveitis or chronic form. As definite prevalence studies are not available, it should be considered in the differential diagnosis of all cases of uveitis in Nepal.
{"title":"Rare Case of Sarcoidosis Presenting As Bilateral Iridocyclitis","authors":"","doi":"10.33140/jocr/02/03/00001","DOIUrl":"https://doi.org/10.33140/jocr/02/03/00001","url":null,"abstract":"Background: A case of acute onset bilateral iridocyclitis is reported in a previously undiagnosed and asymptomatic case of sarcoidosis. Case: A 39 years old male presented with pain and redness in the right eye for one day. Slit lamp examination revealed granulomatous iridocyclitis in the eye with three hundred sixty degree posterior synechiae. While under investigation for the cause, on fourth day of initial presentation, left eye also developed similar granulomatous iridocyclitis, being symptomatic only overnight. All laboratory investigations, radiological evaluation and biopsy led to the final diagnosis of sarcoidosis. Conclusion: Sarcoidosis is a multisystem granulomatous disorder of unknown etiology which may present as an acute uveitis or chronic form. As definite prevalence studies are not available, it should be considered in the differential diagnosis of all cases of uveitis in Nepal.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42747724","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 : 2018-09-25DOI: 10.24966/ocr-8887/100046
C. Pedro-Egbe
{"title":"A 3-Year Review of Neuro-Ophthalmic Disorders Seen at the Eye Clinic of University of Port Harcourt Teaching Hospital, Nigeria","authors":"C. Pedro-Egbe","doi":"10.24966/ocr-8887/100046","DOIUrl":"https://doi.org/10.24966/ocr-8887/100046","url":null,"abstract":"","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45523304","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 : 2018-09-14DOI: 10.33140/jocr/02/02/00006
Purpose: Aim of the present study is to compare visual acuity in different amounts of deviation of Alternate Esotropia. Methods: Pilot, cross sectional, observational study was performed at tertiary eye care centers. Subjects with Ocular deviation between 10 to 40 prism diopters, Corrected distance Visual Acuity should be greater than 6/18 and Age should be between 10 to 40 years of age were included in the study. Visual Acuity was assessed with Log Mar chart. Results: 30 subjects were included in the study. Out of that, 16 subjects were in the age group of 11-20 years, 12 subjects were in the age group of 21-30 years and 2 subjects were in the age group of 31-40 years. 60% subjects were Female and 40% subjects were Male. The mean visual acuity was considered in each amount of deviation. It shows that maximum acuity is deteriorated in the ocular deviation of 31-40 prism diopters of Alternate Esotropia. Conclusion: As the amount of ocular deviation increases, visual acuity will be more deteriorated in cases of Alternate Esotropia.
{"title":"Visual Acuity Comparison of Alternate Esotropia for Different Amount of Deviation","authors":"","doi":"10.33140/jocr/02/02/00006","DOIUrl":"https://doi.org/10.33140/jocr/02/02/00006","url":null,"abstract":"Purpose: Aim of the present study is to compare visual acuity in different amounts of deviation of Alternate Esotropia.\u0000Methods: Pilot, cross sectional, observational study was performed at tertiary eye care centers. Subjects with Ocular\u0000deviation between 10 to 40 prism diopters, Corrected distance Visual Acuity should be greater than 6/18 and Age\u0000should be between 10 to 40 years of age were included in the study. Visual Acuity was assessed with Log Mar chart.\u0000Results: 30 subjects were included in the study. Out of that, 16 subjects were in the age group of 11-20 years, 12\u0000subjects were in the age group of 21-30 years and 2 subjects were in the age group of 31-40 years. 60% subjects were\u0000Female and 40% subjects were Male. The mean visual acuity was considered in each amount of deviation. It shows\u0000that maximum acuity is deteriorated in the ocular deviation of 31-40 prism diopters of Alternate Esotropia.\u0000Conclusion: As the amount of ocular deviation increases, visual acuity will be more deteriorated in cases of Alternate\u0000Esotropia.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49112551","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 : 2018-09-03DOI: 10.33140/jocr/02/02/00004
Grishina Elena
Introduction: Orbital metastases compose about 15% of all orbital malignant tumors. If a cancer patient has got some orbital lesion everyone thinks about orbital metastasis. But a cancer patient sometimes has other orbital tumors or inflammatory orbital lesions. The aim of the work is to identify distinctive features of the orbit metastatic tumor for differential diagnosis with other tumors and inflammatory lesions in the orbit. Material and Methods: Retrospective, non-comparative, chart review of 81cancer patients. 74 patients (10 men and 64 women aged 18 – 87 years old, median 45 years old) had orbital metastases, 5 patients had the second malignant orbital tumor - primarily multiple malignant tumors (1 man and 4 women aged 55 – 78 years old, median 61 years old), and 2 men (64, 66 years old accordingly) had inflammatory orbital lesions. All the patients underwent complete ophthalmological and general examination. The orbital lesions were studied morphologically. Results: Distinctive features of the orbit metastatic tumor are the following: not rapid but gradual development of symptoms. As a rule there is a single well-delimited tumor in the orbit. Metastatic tumor is mainly localized under the upper wall of the orbit in the anterior or middle part of the orbit. Due to the localization of the tumor, exophthalmoses develop with displacement of the eyeball (mechanical strabismus). The main symptom of the orbital metastases is the limitation of the eye movements. The symptoms of orbital non-Hodgkin’s lymphoma are identical to the symptoms of orbital metastases. Acute orbital Inflammation, simulating metastases, had atypical erased symptoms. Conclusion: Only a comprehensive assessment of anamnesis data, clinical symptoms and the results of morphological examination of biopsy sample allows establishing the correct diagnosis of the orbital metastatic tumor. Palliative treatment of orbital metastases improves the quality of life of cancer patients.
{"title":"Orbital Metastatic Tumors Difficult Diagnostic Situations","authors":"Grishina Elena","doi":"10.33140/jocr/02/02/00004","DOIUrl":"https://doi.org/10.33140/jocr/02/02/00004","url":null,"abstract":"Introduction: Orbital metastases compose about 15% of all orbital malignant tumors. If a cancer patient has got some orbital lesion everyone thinks about orbital metastasis. But a cancer patient sometimes has other orbital tumors or inflammatory orbital lesions. The aim of the work is to identify distinctive features of the orbit metastatic tumor for differential diagnosis with other tumors and inflammatory lesions in the orbit. Material and Methods: Retrospective, non-comparative, chart review of 81cancer patients. 74 patients (10 men and 64 women aged 18 – 87 years old, median 45 years old) had orbital metastases, 5 patients had the second malignant orbital tumor - primarily multiple malignant tumors (1 man and 4 women aged 55 – 78 years old, median 61 years old), and 2 men (64, 66 years old accordingly) had inflammatory orbital lesions. All the patients underwent complete ophthalmological and general examination. The orbital lesions were studied morphologically. Results: Distinctive features of the orbit metastatic tumor are the following: not rapid but gradual development of symptoms. As a rule there is a single well-delimited tumor in the orbit. Metastatic tumor is mainly localized under the upper wall of the orbit in the anterior or middle part of the orbit. Due to the localization of the tumor, exophthalmoses develop with displacement of the eyeball (mechanical strabismus). The main symptom of the orbital metastases is the limitation of the eye movements. The symptoms of orbital non-Hodgkin’s lymphoma are identical to the symptoms of orbital metastases. Acute orbital Inflammation, simulating metastases, had atypical erased symptoms. Conclusion: Only a comprehensive assessment of anamnesis data, clinical symptoms and the results of morphological examination of biopsy sample allows establishing the correct diagnosis of the orbital metastatic tumor. Palliative treatment of orbital metastases improves the quality of life of cancer patients.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45286857","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 : 2018-08-31DOI: 10.24966/ocr-8887/100042
Mohamed Abdallahi Ould Hamed
We report the case of a patient aged 47 who consult for a decrease in visual acuity. Examinations of the anterior segment spotting unilateral irrido-trabecular dysgenesis of the right eye with abnormal visibility of the Schwabe line corresponding to a posterior Embryotoxon and associated angular abnormalities. The eye tone measured with Goldman tonometer showed 14mmHg in the right eye and 15mmHg in the left eye. The examination of the fundus of the eye finds symmetrical morphology of the optic discs without pathological papillary excavation.
{"title":"Axenfeld-Rieger Syndrome: Photo Essay","authors":"Mohamed Abdallahi Ould Hamed","doi":"10.24966/ocr-8887/100042","DOIUrl":"https://doi.org/10.24966/ocr-8887/100042","url":null,"abstract":"We report the case of a patient aged 47 who consult for a decrease in visual acuity. Examinations of the anterior segment spotting unilateral irrido-trabecular dysgenesis of the right eye with abnormal visibility of the Schwabe line corresponding to a posterior Embryotoxon and associated angular abnormalities. The eye tone measured with Goldman tonometer showed 14mmHg in the right eye and 15mmHg in the left eye. The examination of the fundus of the eye finds symmetrical morphology of the optic discs without pathological papillary excavation.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44246016","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 : 2018-08-31DOI: 10.24966/ocr-8887/100045
H. Cavanagh
{"title":"A Comparison of Visual Outcomes of Deep Anterior Lamellar Keratoplasty versus Penetrating Keratoplasty in Patients with Keratoconus","authors":"H. Cavanagh","doi":"10.24966/ocr-8887/100045","DOIUrl":"https://doi.org/10.24966/ocr-8887/100045","url":null,"abstract":"","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44237487","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 : 2018-08-31DOI: 10.24966/ocr-8887/100044
Ian McWherter
Background: Glaucoma has been associated with low corneal hysteresis, a characteristic that may provide additional information in identifying those who are considered glaucoma suspects. The current study aimed to determine the relationship between corneal hysteresis, corneal compensated intraocular pressure, and GCC analysis in patients who are labeled clinically as open angle glaucoma suspects. Methods: Participants were categorized into 2 groups, control (n = 14) or suspect (n = 27), based on clinical examination. Corneal hysteresis and optical coherence tomography were performed and analyzed for any correlation between these two groups. Results: Correlations between corneal hysteresis and parapapillary retinal nerve fiber layer thickness or corneal hysteresis and ganglion cell complex thickness in the macula were weak to moderate and ranged from r = -0.340 to r = 0.316. The correlations between corneal compensated intraocular pressure and parapapillary retinal nerve fiber layer thickness or corneal compensated intraocular pressure and ganglion cell complex thickness were also weak to moderate and ranged from r = -0.489 to r = 0.396. Conclusion: In the current study, corneal hysteresis and corneal compensated intraocular pressure did not provide a definitive relationship when trying to identify patients as glaucoma suspects. The relationships between corneal hysteresis and retinal nerve fiber layer thickness or corneal hysteresis and ganglion cell complex thickness were weak to moderate. The weak to moderate correlation was consistent even when considering retinal nerve fiber layer and ganglion cell complex global indices as well as the individual clock hours for both measurements.
{"title":"A Prospective Trial Determining the Relationship between Corneal Hysteresis, Corneal Corrected Intraocular Pressure, and Optical Coherence Tomography Parameters in Open Angle Glaucoma Suspects","authors":"Ian McWherter","doi":"10.24966/ocr-8887/100044","DOIUrl":"https://doi.org/10.24966/ocr-8887/100044","url":null,"abstract":"Background: Glaucoma has been associated with low corneal hysteresis, a characteristic that may provide additional information in identifying those who are considered glaucoma suspects. The current study aimed to determine the relationship between corneal hysteresis, corneal compensated intraocular pressure, and GCC analysis in patients who are labeled clinically as open angle glaucoma suspects. Methods: Participants were categorized into 2 groups, control (n = 14) or suspect (n = 27), based on clinical examination. Corneal hysteresis and optical coherence tomography were performed and analyzed for any correlation between these two groups. Results: Correlations between corneal hysteresis and parapapillary retinal nerve fiber layer thickness or corneal hysteresis and ganglion cell complex thickness in the macula were weak to moderate and ranged from r = -0.340 to r = 0.316. The correlations between corneal compensated intraocular pressure and parapapillary retinal nerve fiber layer thickness or corneal compensated intraocular pressure and ganglion cell complex thickness were also weak to moderate and ranged from r = -0.489 to r = 0.396. Conclusion: In the current study, corneal hysteresis and corneal compensated intraocular pressure did not provide a definitive relationship when trying to identify patients as glaucoma suspects. The relationships between corneal hysteresis and retinal nerve fiber layer thickness or corneal hysteresis and ganglion cell complex thickness were weak to moderate. The weak to moderate correlation was consistent even when considering retinal nerve fiber layer and ganglion cell complex global indices as well as the individual clock hours for both measurements.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48878432","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 : 2018-08-09DOI: 10.33140/jocr/02/02/00003
Sumera Nisar, S. Alqahtani, Fatimah Fayez,, Hala Alqhtani, H. Alrowibah, A. Aldulhum
Background: Contact lenses are commonly worn by young population for many purposes such as vision correction, cosmetic causes and as a fashion trend. Although wearing contact lens is safe and does not require expertise but it can cause serious eye infections and corneal ulcers, sometimes resulting into loss of vision. The study is designed to com-pare and observe the contact lens hygiene compliance and self-management behavior with a focus on the contact lens wearing habits, cleaning and maintenance of contact lens by different methods and self-prescription between the medical and non-medical students of the Saudi Arabia. Methods: Five hundred young contact lens wearers with an average age of 18-22 years were selected conveniently from the student population of Princess Nourah Bint Abdulrahman University, Riyadh. After taking informed consent from the participants, their level of contact lens hygiene compliance and self-management was assessed by using a peer-reviewed questionnaire. Results: The mean (±SD) age of the participants was 20.87± 1.696 years. Out of 500 students 37.8% were medical and 62.2% were non-medical students. 56% students were wearing contact lens for the cosmetic reasons while 43.6% students were using it for the correction of their myopic refractive error. Most of the students were using daily wear soft contact lenses (96.6%) by self-prescription (51.4%) and majority of them were buying them from general retail store (83.6%) instead of some proper optician. The self-management behavior was statistically significant among nonmedical students (p=0.026). There was no significant difference between the two groups regarding the compliance of the contact lens hygiene but the knowledge and awareness about the risks and complications was statistically high in the medical students (p= 0.028). Most of the students in our study had rated them as an average wearer. Conclusion: This study concludes that self-management with the contact lens use is very common among the nonmedical students of Saudi Arabia. Although they are good in the lens hygiene compliance but their knowledge about the risks and complications of contact lens use and the lens care accessories was significantly low.
{"title":"Comparison of Contact Lens Hygiene Compliance and Self-Management Behaviors\u0000between Medical and Non-Medical Students in Saudi Arabia","authors":"Sumera Nisar, S. Alqahtani, Fatimah Fayez,, Hala Alqhtani, H. Alrowibah, A. Aldulhum","doi":"10.33140/jocr/02/02/00003","DOIUrl":"https://doi.org/10.33140/jocr/02/02/00003","url":null,"abstract":"Background: Contact lenses are commonly worn by young population for many purposes such as vision correction,\u0000cosmetic causes and as a fashion trend. Although wearing contact lens is safe and does not require expertise but it\u0000can cause serious eye infections and corneal ulcers, sometimes resulting into loss of vision. The study is designed to\u0000com-pare and observe the contact lens hygiene compliance and self-management behavior with a focus on the contact\u0000lens wearing habits, cleaning and maintenance of contact lens by different methods and self-prescription between the\u0000medical and non-medical students of the Saudi Arabia.\u0000Methods: Five hundred young contact lens wearers with an average age of 18-22 years were selected conveniently\u0000from the student population of Princess Nourah Bint Abdulrahman University, Riyadh. After taking informed consent\u0000from the participants, their level of contact lens hygiene compliance and self-management was assessed by using a\u0000peer-reviewed questionnaire.\u0000Results: The mean (±SD) age of the participants was 20.87± 1.696 years. Out of 500 students 37.8% were medical\u0000and 62.2% were non-medical students. 56% students were wearing contact lens for the cosmetic reasons while 43.6%\u0000students were using it for the correction of their myopic refractive error. Most of the students were using daily wear\u0000soft contact lenses (96.6%) by self-prescription (51.4%) and majority of them were buying them from general retail\u0000store (83.6%) instead of some proper optician. The self-management behavior was statistically significant among nonmedical students (p=0.026). There was no significant difference between the two groups regarding the compliance of\u0000the contact lens hygiene but the knowledge and awareness about the risks and complications was statistically high in\u0000the medical students (p= 0.028). Most of the students in our study had rated them as an average wearer.\u0000Conclusion: This study concludes that self-management with the contact lens use is very common among the nonmedical students of Saudi Arabia. Although they are good in the lens hygiene compliance but their knowledge about\u0000the risks and complications of contact lens use and the lens care accessories was significantly low.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42308813","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 : 2018-08-03DOI: 10.33140/jocr/02/02/00002
Acanthamoeba Keratitis (AK) is an infrequent corneal infection caused by free living amoeba, it is frequently misdiagnosed and medically/surgical treated with low or no response in advanced cases. In this paper we present five cases of AK with early diagnoses and good response to aminoglucoside/imidazole treatment and achieving acceptable final visual acuity in each case.
{"title":"Aminoglucoside/Imidazole in the Treatment of Acanthamoeba Keratitis","authors":"","doi":"10.33140/jocr/02/02/00002","DOIUrl":"https://doi.org/10.33140/jocr/02/02/00002","url":null,"abstract":"Acanthamoeba Keratitis (AK) is an infrequent corneal infection caused by free living amoeba, it is frequently\u0000misdiagnosed and medically/surgical treated with low or no response in advanced cases. In this paper we present five\u0000cases of AK with early diagnoses and good response to aminoglucoside/imidazole treatment and achieving acceptable\u0000final visual acuity in each case.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44733718","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 : 2018-07-02DOI: 10.33140/jocr/02/02/00001
Purpose: We report a case of a patient with bilateral papilledema and Benign Intracranial Hypertension caused by uncontrolled use of drugs for self-treatment of obesity. Methods: A 36-year-old, mildly obese female with a 7-month history of visual changes with floaters, intermittent episodes of diplopia and blurred vision, intense, debilitating, daily headaches, pulsatile tinnitus, bilateral maxillary pressure and pain. Fundus examination revealed papilledema, visual field test detects blind spot enlargement, generalized constriction, and loss of the nasal visual fields, optical coherence tomography (OCT) - increased RNFL thickness in all four quadrants, Lumbar puncture- Increased Intracranial Pressure. Results: The diagnosis of IIH we made according modified Dandy criteria. Conclusion: To our knowledge, this is the first report in literature of BIH caused after self-medication of overweight. Patient during a year lose 40 kg, and she manage it by uncontrolled use of drugs for weight loss.
{"title":"Idiopathic Intracranial Hypertension Associated with Uncontrolled Use of WeightLoss Drugs","authors":"","doi":"10.33140/jocr/02/02/00001","DOIUrl":"https://doi.org/10.33140/jocr/02/02/00001","url":null,"abstract":"Purpose: We report a case of a patient with bilateral papilledema and Benign Intracranial Hypertension caused by uncontrolled use of drugs for self-treatment of obesity. Methods: A 36-year-old, mildly obese female with a 7-month history of visual changes with floaters, intermittent episodes of diplopia and blurred vision, intense, debilitating, daily headaches, pulsatile tinnitus, bilateral maxillary pressure and pain. Fundus examination revealed papilledema, visual field test detects blind spot enlargement, generalized constriction, and loss of the nasal visual fields, optical coherence tomography (OCT) - increased RNFL thickness in all four quadrants, Lumbar puncture- Increased Intracranial Pressure. Results: The diagnosis of IIH we made according modified Dandy criteria. Conclusion: To our knowledge, this is the first report in literature of BIH caused after self-medication of overweight. Patient during a year lose 40 kg, and she manage it by uncontrolled use of drugs for weight loss.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44883756","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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