A 46-year-old gentleman referred for opinion about an orbital mass discovered on imaging for left eye blunt trauma. On examination, an orbital cystic lesion along with an optic nerve pit was found, which has been rarely reported. In this present case, we will describe some investigational findings of such a rarely described anomaly and emphasizing the role of optic nerve imaging in each case of optic disc pit and other malformations of optic nerve.
{"title":"An incidental finding of a rare anomaly: Intraorbital cyst with coexisting optic disc pit","authors":"N. Das, Joyeeta Das, Kalyan Baidya","doi":"10.4103/ijo.ijo_1121_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_1121_23","url":null,"abstract":"A 46-year-old gentleman referred for opinion about an orbital mass discovered on imaging for left eye blunt trauma. On examination, an orbital cystic lesion along with an optic nerve pit was found, which has been rarely reported. In this present case, we will describe some investigational findings of such a rarely described anomaly and emphasizing the role of optic nerve imaging in each case of optic disc pit and other malformations of optic nerve.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"82 1","pages":"817 - 820"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76047473","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}
A 59 year old diabetic and hypertensive lady with primary open angle glaucoma and past history of non ischemic central retinal vein occlusion presented with vitreous hemorrhage(VH). The VH did not resolve over a 2 month period and led to a sudden rise in intraocular pressure(IOP). Anterior chamber had 2+ khaki colored cells. Gonioscopic examination revealed open angles and no evidence of neovascularization. The IOP was controlled with medical management and vitrectomy was performed for non-resolving VH, which revealed a ruptured retinal artery macroaneurysm (RAM). Our case report contributes to the understanding of the diverse clinical spectrum of RAM.
{"title":"Ghost cell glaucoma secondary to vitreous hemorrhage caused due to ruptured retinal artery macroaneurysm","authors":"Girija Gurung, Anuj Sharma, Arpita Nayak","doi":"10.4103/ijo.ijo_2900_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_2900_22","url":null,"abstract":"A 59 year old diabetic and hypertensive lady with primary open angle glaucoma and past history of non ischemic central retinal vein occlusion presented with vitreous hemorrhage(VH). The VH did not resolve over a 2 month period and led to a sudden rise in intraocular pressure(IOP). Anterior chamber had 2+ khaki colored cells. Gonioscopic examination revealed open angles and no evidence of neovascularization. The IOP was controlled with medical management and vitrectomy was performed for non-resolving VH, which revealed a ruptured retinal artery macroaneurysm (RAM). Our case report contributes to the understanding of the diverse clinical spectrum of RAM.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"39 1","pages":"703 - 705"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82403925","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}
Combined hamartoma of retina and retinal pigment epithelium (CHRRPE) is a rare intraocular tumor of the posterior pole associated with multiple genetic syndromes. We report a late-presenting unilateral CHRRPE in a 58-year-old male with complains of gradual, painless, and progressive diminution of vision. Optical coherence tomography showed altered retinal architecture in the involved area. Furthermore, evaluation revealed vascular telangiectasia with abnormal ocular fluorescence on fundus fluorescein angiography. CHRRPE may lead to formation of epiretinal membranes, holes, and neovascular membranes in the retina. Therefore, early diagnosis and prompt management is essential. Through this case, we would like to emphasize the need of understanding the pathogenesis of CHRRPE and whether these isolated ocular lesions can be a diagnostic sign of associated genetic syndromes.
{"title":"Late presentation of combined hamartoma of retina and retinal pigment epithelium with a boxing glove pattern: A case report","authors":"I. Tilak, Karen Sharma, S. Thanikachalam","doi":"10.4103/ijo.ijo_919_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_919_23","url":null,"abstract":"Combined hamartoma of retina and retinal pigment epithelium (CHRRPE) is a rare intraocular tumor of the posterior pole associated with multiple genetic syndromes. We report a late-presenting unilateral CHRRPE in a 58-year-old male with complains of gradual, painless, and progressive diminution of vision. Optical coherence tomography showed altered retinal architecture in the involved area. Furthermore, evaluation revealed vascular telangiectasia with abnormal ocular fluorescence on fundus fluorescein angiography. CHRRPE may lead to formation of epiretinal membranes, holes, and neovascular membranes in the retina. Therefore, early diagnosis and prompt management is essential. Through this case, we would like to emphasize the need of understanding the pathogenesis of CHRRPE and whether these isolated ocular lesions can be a diagnostic sign of associated genetic syndromes.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"103 1","pages":"750 - 752"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85853069","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}
Abhishek Desai, S. S. Arora, Rushikesh Naigaonkar, Mahesh Sonpethkar
{"title":"Eyes: The windows to the detection of leukemia relapse","authors":"Abhishek Desai, S. S. Arora, Rushikesh Naigaonkar, Mahesh Sonpethkar","doi":"10.4103/ijo.ijo_3056_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3056_22","url":null,"abstract":"","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"137 1","pages":"967 - 967"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89143514","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}
J. Kumar, Ramakrishnan Ravindran, Kritika Singh, Naresh Babu
A 26-year-old male presented with decreased vision in left eye (OS) following an attack by a fish while swimming in a pond. His best corrected visual acuity (BCVA) was hand movements in OS and 20/20 in right eye (OD). Fundus examination and ultrasonography B-scan confirmed the presence of traumatic endophthalmitis in OS. Wound exploration confirmed the presence of a foreign body near limbus, which was removed and found to be a cartilaginous fish tissue measuring 4.5 millimeters in length. Pars plana vitrectomy was performed, and intravitreal antibiotics were administered. The case highlights a rare form of ocular injury and its management.
{"title":"Traumatic endophthalmitis following injury by a fish: A rare case report and review of literature","authors":"J. Kumar, Ramakrishnan Ravindran, Kritika Singh, Naresh Babu","doi":"10.4103/ijo.ijo_24_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_24_23","url":null,"abstract":"A 26-year-old male presented with decreased vision in left eye (OS) following an attack by a fish while swimming in a pond. His best corrected visual acuity (BCVA) was hand movements in OS and 20/20 in right eye (OD). Fundus examination and ultrasonography B-scan confirmed the presence of traumatic endophthalmitis in OS. Wound exploration confirmed the presence of a foreign body near limbus, which was removed and found to be a cartilaginous fish tissue measuring 4.5 millimeters in length. Pars plana vitrectomy was performed, and intravitreal antibiotics were administered. The case highlights a rare form of ocular injury and its management.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"1 1","pages":"847 - 849"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90251493","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}
P. Gupta, Manpreet Singh, Manu Saini, U. Nahar, Aditi Mehta, Urmila Kumari
Primary conjunctival basosquamous carcinoma is an extremely rare tumor. To our knowledge, the present article presents the first case of primary conjunctival basosquamous carcinoma presenting in the second decade of life. The presentation was also unique by virtue of masquerading as conjunctival nevus. An 11-year-old male patient presented with a gradually progressive pigmented lesion in the bulbar conjunctiva of the right eye that was present for the past 5 years. The patient was diagnosed with conjunctival nevus clinically and was operated on for the same. Histopathological examination of excised mass confirmed basosquamous carcinoma. We conclude that primary conjunctival basosquamous carcinoma may present clinically as a nevus in a child.
{"title":"Basosquamous carcinoma of conjunctiva masquerading as nevus","authors":"P. Gupta, Manpreet Singh, Manu Saini, U. Nahar, Aditi Mehta, Urmila Kumari","doi":"10.4103/ijo.ijo_3129_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3129_22","url":null,"abstract":"Primary conjunctival basosquamous carcinoma is an extremely rare tumor. To our knowledge, the present article presents the first case of primary conjunctival basosquamous carcinoma presenting in the second decade of life. The presentation was also unique by virtue of masquerading as conjunctival nevus. An 11-year-old male patient presented with a gradually progressive pigmented lesion in the bulbar conjunctiva of the right eye that was present for the past 5 years. The patient was diagnosed with conjunctival nevus clinically and was operated on for the same. Histopathological examination of excised mass confirmed basosquamous carcinoma. We conclude that primary conjunctival basosquamous carcinoma may present clinically as a nevus in a child.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"50 1","pages":"801 - 802"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90998296","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}
Orbital blow-in fractures encompass a distinctive clinical entity that is characterized by displacement of fracture fragments into the orbital cavity with a consequent diminution in orbital volume. We report a case of a 30-year-old male who presented with outward protrusion of the left eye ball following trauma by bike handle. While fracture of the orbital roof has been documented as a common cause of blow-in fracture, in our case, a fracture of the lateral wall and floor of the orbit led to blow-in fracture. Repositioning of luxated globe was done even in the absence of visual prognosis in view of psychological benefit and prosthetic rehabilitation.
{"title":"A rare case of lateral wall blow-in fracture of the orbit","authors":"S. Nayak, S. Misra, Manish J. Raghani, N. Misra","doi":"10.4103/ijo.ijo_3224_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3224_22","url":null,"abstract":"Orbital blow-in fractures encompass a distinctive clinical entity that is characterized by displacement of fracture fragments into the orbital cavity with a consequent diminution in orbital volume. We report a case of a 30-year-old male who presented with outward protrusion of the left eye ball following trauma by bike handle. While fracture of the orbital roof has been documented as a common cause of blow-in fracture, in our case, a fracture of the lateral wall and floor of the orbit led to blow-in fracture. Repositioning of luxated globe was done even in the absence of visual prognosis in view of psychological benefit and prosthetic rehabilitation.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"31 1","pages":"821 - 823"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86724022","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}
Castleman's disease (CD) is a rare lymphoproliferative disorder. Recently, we admitted a 68-year-old male with CD presenting as a retro-orbital mass, who had been treated with a surgical procedure. The pathology report was in favor of CD, plasma cell type, which is a rare pathologic type in this clinical entity. Space-occupying lesion of the orbit is an extremely unusual condition of CD. So, we consider that this case was a rare case of CD involving atypical location and atypical pathologic findings.
{"title":"Orbital unicentric Castleman's disease of plasma cell type: A rare case report","authors":"Yunru Lin, Y. Hui, Lixing Zhang, Jiuming Zhang","doi":"10.4103/ijo.ijo_2892_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_2892_22","url":null,"abstract":"Castleman's disease (CD) is a rare lymphoproliferative disorder. Recently, we admitted a 68-year-old male with CD presenting as a retro-orbital mass, who had been treated with a surgical procedure. The pathology report was in favor of CD, plasma cell type, which is a rare pathologic type in this clinical entity. Space-occupying lesion of the orbit is an extremely unusual condition of CD. So, we consider that this case was a rare case of CD involving atypical location and atypical pathologic findings.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"68 1","pages":"811 - 813"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83430854","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}
A 47-year-old female was a known case of acute myeloid leukemia (AML-M5) and presented with a diminution of vision in the right eye (OD) for two weeks. Examination revealed pigmented cells in the anterior vitreous of both eyes with vitritis OD. She was further treated with vitreous biopsy and diagnostic vitrectomy under air OD. The cytology examination of the vitreous biopsy revealed infiltration with myeloblasts confirming the diagnosis of extramedullary relapse of AML inside the vitreous. She was further treated with intrathecal chemotherapy. She did not have any further relapse till two years after her last follow-up. This case highlights a rare location of extramedullary relapse of AML inside the vitreous which has not been reported as per the literature search. Moreover, diagnostic vitrectomy under air helped in getting more undiluted vitreous fluid, which also helped in confirming the relapse with cytology examination.
{"title":"Acute myeloid leukemia relapsing in the vitreous","authors":"Kushal Agrawal, C. Bakshi, S. Dutta","doi":"10.4103/ijo.ijo_161_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_161_23","url":null,"abstract":"A 47-year-old female was a known case of acute myeloid leukemia (AML-M5) and presented with a diminution of vision in the right eye (OD) for two weeks. Examination revealed pigmented cells in the anterior vitreous of both eyes with vitritis OD. She was further treated with vitreous biopsy and diagnostic vitrectomy under air OD. The cytology examination of the vitreous biopsy revealed infiltration with myeloblasts confirming the diagnosis of extramedullary relapse of AML inside the vitreous. She was further treated with intrathecal chemotherapy. She did not have any further relapse till two years after her last follow-up. This case highlights a rare location of extramedullary relapse of AML inside the vitreous which has not been reported as per the literature search. Moreover, diagnostic vitrectomy under air helped in getting more undiluted vitreous fluid, which also helped in confirming the relapse with cytology examination.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"1063 1","pages":"781 - 783"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86472079","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}
{"title":"Prolonged retained granulomatous foreign body in the anterior chamber of eye","authors":"Harshal Sahare, V. Vidyashree, M. Nalinikanth","doi":"10.4103/ijo.ijo_474_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_474_23","url":null,"abstract":"","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"133 10 1","pages":"953 - 953"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86480477","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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