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Bevacizumab (Avastin) in treatment of maculopathy secondary to proliferative diabetic retinopathy (PDR) in Afghanistan 贝伐单抗(阿瓦斯汀)治疗阿富汗增殖性糖尿病视网膜病变(PDR)继发的黄斑病变
Pub Date : 2023-08-23 DOI: 10.46439/ophthalmology.5.031
M. Delsoz, S. H. Mousavi, P. Hollands
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引用次数: 0
Orbital Lymphoproliferative Disorders (OLPDs) in a 3-year-old Child: Case Report and Review of Literature 1例3岁儿童眼眶淋巴细胞增生性疾病(olpd):病例报告及文献复习
Pub Date : 2023-08-16 DOI: 10.33696/ophthalmology.3.011
Cai-ping Shi, Jia Feng, Sujuan Zhao, Jiao Zhan, Yanhong Ren, W. Gu, Xiaoyu Zheng
Background: Orbital lymphoproliferative disorders (OLPDs) consist of a spectrum of diseases ranging from benign to malignant lesions including reactive lymphoid hyperplasia, atypical lymphoid hyperplasia, and lymphoma. OLPDs rarely present as an orbital mass lesion in children. Accurate discrimination of OLPDs is crucial for treatment planning. We report a case to investigate the clinical and pathological features of OLPDs in children.Case presentation: A 3-year-old female with orbital mass was admitted to the hospital and proceeded to have a CT orbit which showed an orbital mass. The orbital mass was removed after operation and pathologic diagnosis was identified. Pathological diagnosis with histopathological features and immunohistochemical markers was lymphoproliferative lesion in the left orbit. The diagnosis was consistent with OLPDs. There was no recurrence after one-year follow-up.Conclusions: OLPDs are rare in children. The clinical manifestations and imaging have no specificity; pathological diagnosis with histopathological features and immunohistochemical markers is the main basis for the diagnosis and treatment.
背景:眼眶淋巴增生性疾病(olpd)包括一系列从良性到恶性病变的疾病,包括反应性淋巴样增生、非典型淋巴样增生和淋巴瘤。olpd在儿童中很少表现为眼眶肿块病变。准确识别olpd对于制定治疗计划至关重要。我们报告一个病例,探讨儿童olpd的临床和病理特征。病例介绍:一名3岁女性因眼眶肿块入院,行眼眶CT检查发现眼眶肿块。术后切除眼眶肿块,并进行病理诊断。病理诊断为左眼眶淋巴增生性病变,具有组织病理学特征和免疫组化标记。诊断符合olpd。随访1年无复发。结论:olpd在儿童中罕见。临床表现及影像学无特异性;结合组织病理学特征和免疫组织化学标志物的病理诊断是诊断和治疗的主要依据。
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引用次数: 0
A Rare Case of Vitreous Cyst 一例罕见的玻璃体囊肿
Pub Date : 2023-08-16 DOI: 10.33696/ophthalmology.3.012
Yogesh Kumar, J. Bhalla, Ridhima Sakhuja, Neha Yadav
A patient with a unilateral congenital vitreous cyst attached to the posterior lens capsule is now described, with its photographic appearance.
一例单侧先天性玻璃体囊肿附于晶状体后囊的病例,并附其摄影表现。
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引用次数: 0
Are Women with COVID-19 and Migraine Prone to AMN Type 2? 患有COVID-19和偏头痛的女性容易患AMN 2型吗?
Pub Date : 2023-05-11 DOI: 10.33696/ophthalmology.3.010
Maxime Depasse, M. T. ten Tusscher, Vincent M. De La Porte, R. Kuijpers
Purpose: To describe 3 cases of acute macular neuroretinopathy (AMN) type 2 associated with SARS-CoV-2 viral infection and migraine.Methods: Observational case series and literature review.Results: The three patients, which were all women in their reproductive years with a mean age of 31 (range, 22-43), were diagnosed with AMN type 2 after presenting with acute onset of uni- or bilateral persisting paracentral scotomata. On multi-modal imaging with near-infrared (NIR) reflectance imaging, wedge-shaped dark-gray lesions were discernable in a perifoveal petaloid configuration. SD-OCT through the lesions revealed initial hyperreflectivity at the level of the outer retina, beneath the OPL (outer plexiform layer) and comprising the ONL (outer nuclear layer), with disruption of the inner segment/outer segment (IS/OS) band, eventually evolving into thinning of the ONL with or without persisting disruption of the photoreceptor complex. Anterior segment, fundoscopic, angiographic and electrophysiologic examinations were unremarkable.Conclusion: All three cases were diagnosed with a concurrent viral upper respiratory tract infection caused by the SARS-CoV-2 virus. While AMN is considered to be a rare disease, a worldwide surge in the incidence of AMN has recently been reported and the largest case series to date have been described during the latest SARS-CoV-2 viral pandemic. Thus, COVID-19 could be considered a potential risk factor for the development of AMN type 2. Two of our cases were associated with migraine, one of which experienced the onset of AMN symptoms in the immediate setting of a migraine attack and the use of triptans. This association between migraine, triptans and AMN type 2 should be considered in the context of a seemingly persisting visual aura, particularly in the presence of additional risk factors, such as female gender and oral contraceptive use.Summary statement An increased incidence of acute macular neuroretinopathy (AMN) type 2 is observed in the context of SARS-CoV-2 viral infection. The presently described association between AMN, migraine, and triptans should be considered when examining a patient with seemingly persisting visual aura, in particular negative scotomata, in the context of migraine.
目的:描述3例急性黄斑神经视网膜病变(AMN) 2型与SARS-CoV-2病毒感染和偏头痛相关的病例。方法:观察性病例系列和文献复习。结果:3例患者均为育龄期女性,平均年龄31岁(范围22-43岁),在出现单侧或双侧持续性中枢旁黑点急性发作后被诊断为AMN 2型。在近红外(NIR)反射成像的多模态成像中,楔形深灰色病变在叶尖周围的花瓣状结构中可见。通过病变的SD-OCT显示,在OPL(外丛状层)下,包括ONL(外核层)的外层视网膜水平初始高反射率,内段/外段(IS/OS)带破坏,最终演变为ONL变薄,伴有或不伴有持续的光感受器复合物破坏。前段、眼底镜、血管造影及电生理检查无明显差异。结论:3例患者均为SARS-CoV-2病毒并发病毒性上呼吸道感染。虽然AMN被认为是一种罕见疾病,但最近有报道称,全球AMN发病率激增,并在最近的SARS-CoV-2病毒大流行期间描述了迄今为止最大的病例系列。因此,COVID-19可被视为2型AMN发展的潜在危险因素。我们的两个病例与偏头痛有关,其中一个在偏头痛发作和使用曲坦类药物的立即设置中经历了AMN症状的发作。偏头痛、曲坦类药物和AMN 2型之间的关联应该在一个看似持续的视觉先兆的背景下考虑,特别是在存在其他风险因素的情况下,如女性和口服避孕药的使用。在SARS-CoV-2病毒感染的背景下,观察到急性黄斑神经视网膜病变(AMN) 2型的发病率增加。目前所描述的AMN、偏头痛和曲坦类药物之间的关联,在偏头痛的背景下,当检查似乎持续的视觉先兆,特别是阴性暗斑的患者时,应该考虑。
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引用次数: 0
Assessment of Visual Function for Education: A Commentary on ‘VEP Visual Acuity in Children with Cortical Visual Impairment’ 视觉功能的教育评价:《皮质性视觉障碍儿童VEP视力》一文述评
Pub Date : 2023-04-25 DOI: 10.33696/ophthalmology.3.009
A. Mackay
Last year’s article In the International Journal of Clinical and Experimental Ophthalmology [1] highlighted that Cortical Visual Impairment (CVI) is now the leading cause of visual impairment in the developed world [2]. It also provided a definition of CVI [3,4], and summarized its functional deficits, and methods of assessment. Different sources report vastly different incidence of Visual Acuity (VA) reduction in CVI, ranging from 83% [5] to just a small minority [6]. However, the implication is the samescreening of many aspects of vision may be required in infancy, not just VA.
去年发表在《国际临床与实验眼科学杂志》上的一篇文章强调,皮质性视力障碍(CVI)现在是发达国家视力障碍的主要原因。文章还给出了CVI的定义[3,4],并总结了CVI的功能缺陷和评估方法。不同的资料来源报告的CVI患者的视力(VA)降低发生率差别很大,范围从83%[6]到只有少数[6]不等。然而,这意味着在婴儿期可能需要对视力的许多方面进行同样的筛查,而不仅仅是VA。
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引用次数: 1
Uhthoff ’s Phenomenon as Presentation of COVID-19 Infection 乌霍夫现象作为COVID-19感染的表现
Pub Date : 2023-04-25 DOI: 10.33696/ophthalmology.3.008
P. Gouws, Alexander Gouws
This is the first reported case of COVID-19 associated optic neuritis (ON) presenting with classic Uhtoff’s phenomenon typically associated with multiple sclerosis (MS). Uhthoff phenomenon, also known as Uhthoff sign or syndrome, is a transient worsening of neurological function lasting less than 24 hours that can occur in multiple sclerosis patients due to increases in core body temperature.There have been some case reports of ON associated with COVID-19 infection but no reports of ON mimicking MS.The patient’s symptoms resolved very slowly and was not affected by receiving a vaccination against COVID-19.
这是首例报道的COVID-19相关视神经炎(ON)病例,表现为典型的乌托夫现象,通常与多发性硬化症(MS)相关。乌霍夫现象,又称乌霍夫体征或综合征,是指多发性硬化症患者由于核心体温升高,导致神经功能持续不到24小时的短暂性恶化。有一些与COVID-19感染相关的ON病例报告,但没有模仿ms的报告。患者的症状消退非常缓慢,接种COVID-19疫苗对其没有影响。
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引用次数: 0
A case of trigeminal neuralgia after COVID-19 新冠肺炎后三叉神经痛1例
Pub Date : 2022-12-31 DOI: 10.46439/ophthalmology.4.030
Jeanie C Lucy
Background: The COVID-19 pandemic in the United States is a part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Symptoms can vary in COVID-19 among which central nervous system (CNS) involvement can be included. As this disease is studied locally, nationally and globally, attention to neurological manifestations presentations should be documented for better understanding.Methods: A clinical case of trigeminal neuralgia will be discussed along with presentation of signs, symptoms, differential diagnosis and the potential association of it with COVID-19.Results: A 41-year-old woman presented to the clinic for a routine eye examination which was prompted by chronic facial pain on one side described as constantly dull up to excruciatingly painful when brushing her teeth. No other neurological pain was reported. The patient was diagnosed with Sar-CoV-2 and subsequently trigeminal neuralgia two weeks after testing negative COVID-19.Conclusion: Trigeminal neuralgia may be triggered after testing positive for COVID-19, yet further investigations are needed.
背景:美国的COVID-19大流行是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的全球冠状病毒病2019 (COVID-19)大流行的一部分。COVID-19的症状各不相同,其中可包括中枢神经系统(CNS)受累。由于在地方、国家和全球范围内对这种疾病进行了研究,因此应将对神经系统表现的关注记录下来,以便更好地理解。方法:对1例三叉神经痛的临床表现、症状、鉴别诊断及其与COVID-19的潜在关联进行分析。结果:一名41岁的女性因一侧面部慢性疼痛而来到诊所进行常规眼科检查,该疼痛被描述为刷牙时持续迟钝到难以忍受的疼痛。没有其他神经性疼痛的报道。患者在COVID-19检测呈阴性两周后被诊断为sars - cov -2,随后被诊断为三叉神经痛。结论:三叉神经痛可能是新冠肺炎检测阳性后引发的,但需要进一步调查。
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引用次数: 0
“Poppers Maculopathy” is an Electrochemical Overload “Poppers黄斑病变”是一种电化学过载
Pub Date : 2022-12-31 DOI: 10.46439/ophthalmology.4.029
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引用次数: 0
Stroke and Visual Loss in a Young Girl with Dengue Fever – Report of a Case and a Mini Review 年轻女孩登革热中风及视力丧失1例报告及小型回顾
Pub Date : 2022-12-12 DOI: 10.33696/ophthalmology.2.006
Sweety Trivedi, A. Chakravarty
The case of a young girl with Dengue fever presenting with seizures and bilateral visual loss is presented. At the time of presentation, she had right hemiplegia and dysarthria but was not dysphasic. Fundoscopy revealed presence of macular and disc oedema in the right eye and vitreous haemorrhage in the left eye. Dengue IgM antibody was positive. Magnetic resonance imaging revealed a large intracerebral spontaneous haemorrhage. She had partial recovery of her hemiplegia and speech as well as of her vision on conservative treatment. The relevant literature relating to ocular involvement and strokes in association with Dengue fever has been reviewed.
病例的年轻女孩与登革热呈现癫痫发作和双侧视力丧失是提出。在提出时,她有右偏瘫和构音障碍,但没有语言障碍。眼底镜检查发现右眼黄斑及椎间盘水肿,左眼玻璃体出血。登革热IgM抗体阳性。磁共振成像显示脑内大量自发性出血。经过保守治疗,她的偏瘫、语言和视力部分恢复。有关眼部受累和中风与登革热相关的相关文献已被审查。
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引用次数: 0
Comment on “Retinitis Pigmentosa and Molar Tooth Sign Caused by Novel AHI1 Compound Heterozygote Pathogenic Variants: A Case Report” 《新型AHI1复合杂合子致病变异致视网膜色素变性及磨牙征1例》评论
Pub Date : 2022-10-01 DOI: 10.33696/ophthalmology.2.005
Qing Lv, Ailian Du
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引用次数: 0
期刊
Archives of clinical and experimental ophthalmology
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