{"title":"Curious case of vanishing cortex with speckled capsule in Morgagnian cataract","authors":"Swati Tyagi, S. Dadeya","doi":"10.4103/ijo.ijo_1036_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_1036_23","url":null,"abstract":"","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"8 1","pages":"900 - 900"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83190638","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}
Syed A Rizvi, I. Khan, Syed D Qaseem, Syed R Rizvi, M. Siddiqui, Pragya Ahuja
Blepharophimosis–ptosis–epicanthus inversus syndrome (BPES) is a rare genetic syndrome characterized by dysmorphism of ocular adnexa. We report a rare presentation of BPES and posterior persistent fetal vasculature (PFV) in a 10-year-old male child. A thorough evaluation showed all the classical features of BPES, calcified cataract in the left eye, and an echogenic mass arising from the optic disc with blood flow characteristic consistent with PFV. The coexistence of BPES and posterior PFV has never been reported in the literature before, and their co-occurrence poses a unique surgical challenge.
{"title":"A rare association of blepharophimosis–ptosis–epicanthus inversus syndrome with unilateral posterior persistent fetal vasculature","authors":"Syed A Rizvi, I. Khan, Syed D Qaseem, Syed R Rizvi, M. Siddiqui, Pragya Ahuja","doi":"10.4103/ijo.ijo_81_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_81_23","url":null,"abstract":"Blepharophimosis–ptosis–epicanthus inversus syndrome (BPES) is a rare genetic syndrome characterized by dysmorphism of ocular adnexa. We report a rare presentation of BPES and posterior persistent fetal vasculature (PFV) in a 10-year-old male child. A thorough evaluation showed all the classical features of BPES, calcified cataract in the left eye, and an echogenic mass arising from the optic disc with blood flow characteristic consistent with PFV. The coexistence of BPES and posterior PFV has never been reported in the literature before, and their co-occurrence poses a unique surgical challenge.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"30 1","pages":"795 - 797"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84648440","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":"Unilateral segmental accessory iris membrane coexisting with persistent pupillary membrane","authors":"Janani Rajagopal, R. Selvaraj, N. Ganesan","doi":"10.4103/ijo.ijo_3237_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3237_22","url":null,"abstract":"","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"23 1","pages":"954 - 954"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87238470","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}
The term hyperopia refers to a refractive condition of the eye where parallel light rays from infinity focus behind the neurosensory retina, after refraction through the ocular media when accommodation is at rest. Latent hyperopia remains hidden in non-cycloplegic conditions, but patients with latent hyperopia often complain about headache, eyestrain, and watering, especially in young children with high accommodation. The prevalence of refractive errors suggests that these symptoms generally occur more frequently with near work, leading patients to avoid such tasks and become lethargic. In case of isometropia, the Borish delayed fogging test can be used as an alternative to cycloplegic refraction, particularly when cycloplegic drops are contraindicated.
{"title":"Can we always rely on Borish delayed test for latent hypermetropia?","authors":"Devanshi M. Dalal, Shivani Mishra","doi":"10.4103/ijo.ijo_66_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_66_23","url":null,"abstract":"The term hyperopia refers to a refractive condition of the eye where parallel light rays from infinity focus behind the neurosensory retina, after refraction through the ocular media when accommodation is at rest. Latent hyperopia remains hidden in non-cycloplegic conditions, but patients with latent hyperopia often complain about headache, eyestrain, and watering, especially in young children with high accommodation. The prevalence of refractive errors suggests that these symptoms generally occur more frequently with near work, leading patients to avoid such tasks and become lethargic. In case of isometropia, the Borish delayed fogging test can be used as an alternative to cycloplegic refraction, particularly when cycloplegic drops are contraindicated.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"63 1","pages":"642 - 643"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88134639","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":"Rare case of Marcus Gunn jaw winking phenomenon without ptosis","authors":"Mallika O U, V. Binuja","doi":"10.4103/ijo.ijo_3045_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3045_22","url":null,"abstract":"","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"36 1","pages":"928 - 929"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89621923","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}
We report a unique presentation of anti-myelin oligodendrocyte (MOG) optic neuritis in a patient with AML in remission. An elderly man presented with diminished vision in the right eye associated with headache and jaw pain. Systemic investigations revealed no leukemic recurrence. The presence of anti-MOG antibodies and optic nerve enhancement suggested of unilateral optic neuritis. Steroid therapy resulted in the resolution of disc edema. We faced a diagnostic dilemma in a patient with unilateral disc edema in the background of multiple systemic diseases. A methodical approach to investigations helped us in accurate diagnosis, institution of prompt therapy, and minimizing visual morbidity. We present this case to highlight the importance of differentiating leukemic optic nerve infiltration from other causes of unilateral disc edema, as their therapeutic approaches are different.
{"title":"Anti-MOG antibody optic neuritis in AML – A case report","authors":"A. Barigali, Mithun Pai, S. Ganesh","doi":"10.4103/ijo.ijo_159_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_159_23","url":null,"abstract":"We report a unique presentation of anti-myelin oligodendrocyte (MOG) optic neuritis in a patient with AML in remission. An elderly man presented with diminished vision in the right eye associated with headache and jaw pain. Systemic investigations revealed no leukemic recurrence. The presence of anti-MOG antibodies and optic nerve enhancement suggested of unilateral optic neuritis. Steroid therapy resulted in the resolution of disc edema. We faced a diagnostic dilemma in a patient with unilateral disc edema in the background of multiple systemic diseases. A methodical approach to investigations helped us in accurate diagnosis, institution of prompt therapy, and minimizing visual morbidity. We present this case to highlight the importance of differentiating leukemic optic nerve infiltration from other causes of unilateral disc edema, as their therapeutic approaches are different.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"1 1","pages":"873 - 876"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90439177","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}
Tuberculosis is a multisystem infectious disease caused by Mycobacterium tuberculosis and a leading infectious cause of morbidity and mortality worldwide. Orbital tuberculosis is an uncommon form of extrapulmonary tuberculosis, even in endemic areas. It may involve the soft tissue, lacrimal gland, periosteum, or bones of the orbital wall and can extend to adjacent paranasal sinuses or intracranial cavities. The delay in diagnosis can be due to the fact that the clinical signs simulate any inflammatory disease. The diagnosis is usually based on tissue examination in histopathological evidence, presenting as a granulomatous lesion or the presence of acid-fast bacilli (AFB). Long-term anti-tuberculosis therapy is an effective treatment. Here, we present the case of orbital tuberculosis in a 7-year-old female child who had presented with swelling over the left upper eyelid.
{"title":"Orbital tuberculosis","authors":"Prajyoti Gaude, N. Potdar","doi":"10.4103/ijo.ijo_3072_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3072_22","url":null,"abstract":"Tuberculosis is a multisystem infectious disease caused by Mycobacterium tuberculosis and a leading infectious cause of morbidity and mortality worldwide. Orbital tuberculosis is an uncommon form of extrapulmonary tuberculosis, even in endemic areas. It may involve the soft tissue, lacrimal gland, periosteum, or bones of the orbital wall and can extend to adjacent paranasal sinuses or intracranial cavities. The delay in diagnosis can be due to the fact that the clinical signs simulate any inflammatory disease. The diagnosis is usually based on tissue examination in histopathological evidence, presenting as a granulomatous lesion or the presence of acid-fast bacilli (AFB). Long-term anti-tuberculosis therapy is an effective treatment. Here, we present the case of orbital tuberculosis in a 7-year-old female child who had presented with swelling over the left upper eyelid.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"16 1","pages":"808 - 810"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75046244","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}
Dhaivat S Shah, A. Singhal, Ananta Barvey, G. Passi
Rubinstein–Taybi syndrome (RTS) is an extremely rare congenital neurodevelopmental disorder caused by mutation in the CREBBP and EP300 genes. It is characterized by wide and angulated thumbs and toes, facial dysmorphism, intellectual disabilities, ocular abnormalities, and postnatal growth retardation. Ocular features of the syndrome are diverse, including nasolacrimal obstructions, downslanting palpebral fissures, telecanthus, high-arched eyebrows, strabismus, glaucoma, cataract, and refractive errors. This case report discusses the ocular findings in a 12-year-old patient with the disease.
{"title":"Ocular and systemic features of Rubinstein–Taybi syndrome in a 12-year-old female","authors":"Dhaivat S Shah, A. Singhal, Ananta Barvey, G. Passi","doi":"10.4103/ijo.ijo_616_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_616_23","url":null,"abstract":"Rubinstein–Taybi syndrome (RTS) is an extremely rare congenital neurodevelopmental disorder caused by mutation in the CREBBP and EP300 genes. It is characterized by wide and angulated thumbs and toes, facial dysmorphism, intellectual disabilities, ocular abnormalities, and postnatal growth retardation. Ocular features of the syndrome are diverse, including nasolacrimal obstructions, downslanting palpebral fissures, telecanthus, high-arched eyebrows, strabismus, glaucoma, cataract, and refractive errors. This case report discusses the ocular findings in a 12-year-old patient with the disease.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"133 1","pages":"859 - 860"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75140596","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}
An elderly male presented with complaints of decrease in vision in the left eye since 1 week. He had a recurrent submacular hemorrhage secondary to polypoidal choroidal vasculopathy (PCV) and was treated with intravitreal brolucizumab. There was complete resolution of subretinal fluid and improvement in visual acuity to 20/20 on follow-up. Indocyanine green angiography at 1 year showed complete regression of polypoidal lesions. This case report highlights the role of brolucizumab as an effective treatment option in resistant PCV and its role in regression of polypoidal lesions in PCV.
{"title":"Indocyanine green angiographic documentation of regression of polypoidal lesions after brolucizumab injection in polypoidal choroidal vasculopathy","authors":"K. K. Chandra, N. Reddy, R. Narayanan","doi":"10.4103/ijo.ijo_367_23","DOIUrl":"https://doi.org/10.4103/ijo.ijo_367_23","url":null,"abstract":"An elderly male presented with complaints of decrease in vision in the left eye since 1 week. He had a recurrent submacular hemorrhage secondary to polypoidal choroidal vasculopathy (PCV) and was treated with intravitreal brolucizumab. There was complete resolution of subretinal fluid and improvement in visual acuity to 20/20 on follow-up. Indocyanine green angiography at 1 year showed complete regression of polypoidal lesions. This case report highlights the role of brolucizumab as an effective treatment option in resistant PCV and its role in regression of polypoidal lesions in PCV.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"161 1","pages":"764 - 766"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72785175","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 woman in her thirties with no ophthalmic history presented two days of flashes and floaters. She had reduced right-eye visual acuity, bilateral retinal hemorrhages, and papilledema. She was diagnosed with polyneuropathy, organomegaly, endocrinopathy, myeloma protein, and skin changes (POEMS) syndrome with Castleman disease variant, with elevated systemic levels of vascular endothelial growth factor (VEGF). Three doses of aflibercept (VEGF blocker) were administered to the right eye. The right eye improved from 6/60 to 6/5 after treatment. We suggest that intravitreal VEGF blockade should be considered to preserve vision in patients with POEMS syndrome and high circulating VEGF.
{"title":"Improvement in visual acuity and retinal phenotype with intravitreal aflibercept (anti-VEGF) in POEMS syndrome with Castleman disease variant","authors":"Archith Kamath, Amit Dhalla, N. Acharya","doi":"10.4103/ijo.ijo_3246_22","DOIUrl":"https://doi.org/10.4103/ijo.ijo_3246_22","url":null,"abstract":"A woman in her thirties with no ophthalmic history presented two days of flashes and floaters. She had reduced right-eye visual acuity, bilateral retinal hemorrhages, and papilledema. She was diagnosed with polyneuropathy, organomegaly, endocrinopathy, myeloma protein, and skin changes (POEMS) syndrome with Castleman disease variant, with elevated systemic levels of vascular endothelial growth factor (VEGF). Three doses of aflibercept (VEGF blocker) were administered to the right eye. The right eye improved from 6/60 to 6/5 after treatment. We suggest that intravitreal VEGF blockade should be considered to preserve vision in patients with POEMS syndrome and high circulating VEGF.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"19 1","pages":"770 - 771"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84424766","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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