13 research outputs found
Cytomegalovirus retinitis presenting as vasculitis in a patient with Wegener’s granulomatosis
Paris G Tranos1, Ilias Georgalas2, Panagiota Founti1, Ioannis Ladas21Papageorgiou University Hospital, Thessaloniki, Greece; 2Department of Ophthalmology, “G.Genimatas” Hospital, Athens, GreecePurpose: To present an unusual case of cytomegalovirus (CMV) retinitis in a patient with Wegener’s granulomatosis.Results: A 54-year-old lady with Wegener’s granulomatosis presented with decreased vision in her left eye. Wegener’s retinal vasculitis was diagnosed initially and the patient received treatment with oral steroids. Three days later the patient developed typical CMV retinitis.Conclusion: The likelihood of CMV retinitis in patients with Wegener’s granulomatosis should not be overlooked. Increased awareness in such cases is very important since CMV retinitis may present with less typical manifestations, which makes the correct diagnosis more challenging.Keywords: cytomegalovirus retinitis, Wegener’s granulomatosis, ganciclovi
Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation
PURPOSE: To investigate the long-term visual outcome and the complication rate following transscleral suture fixation of posterior chamber intraocular lenses (sutured PC-IOLs). DESIGN: A retrospective case-series descriptive study. METHODS: Records of patients who underwent combined pars plana vitrectomy and sutured PC-IOLs at Moorfields Eye Hospital and who had at least 12 months of follow-up were examined for recorded complications. RESULTS: Sixty-one eyes of 48 patients (33 males and 15 females) were identified and included in the analysis, with mean follow-up of 6 years. The mean final best-corrected visual acuity remained at preoperative levels (P=.211) and was largely determined by the underlying ocular pathology before sutured PC-IOL. Overall 30 of 61 (49%) eyes, two or more procedures were performed to reverse a significant peri- or postoperative complication. Breakage of polypropylene sutures was the main indication accounting for 17 of 30 (57%) of those reoperations. Subgroup analysis showed that younger patients were more likely to suffer the above complication (P=.009). The multivariate analysis also showed that longer follow-up was significantly associated with suture breakage (P=.014), with the mean time to breakage approximately 4 years after surgery. CONCLUSIONS: Long-term follow-up of patients undergoing sutured PC-IOLs appears to be associated with a high rate of postoperative complications and significant need for further surgery, which should be discussed during their informed consent process
Persistent Subretinal Fluid After Successful Full-Thickness Macular Hole Surgery: Prognostic Factors, Morphological Features and Implications on Functional Recovery
The present study aimed to identify preoperative factors that predispose
the development of subretinal fluid (SRF) following successful macular
hole (MH) surgery.
Thirty-four eyes of 33 consecutive patients that underwent pars plana
vitrectomy for idiopathic full-thickness MH surgery were included in
this retrospective study. Best corrected visual acuity (BCVA), and
spectral domain-optical coherence tomography (OCT) images were evaluated
pre- and postoperatively in all cases. Patientâs demographic
characteristics, stage of MH, measurements of base diameter and minimum
aperture diameter of the MH, preoperative foveal vitreomacular traction
and selected intra-operative parameters were correlated with the
development of postoperative SRF.
Postoperative SRF was observed in 15 cases (48%). Total absorption of
SRF was observed in 73% of affected eyes and was most commonly seen
between the third and the fifth postoperative month. One patient
developed lamellar hole leading to full-thickness MH. Postoperative BCVA
was similar between the eyes that did and the eyes that did not develop
postoperative SRF (0.31 +/- A 0.2 vs 0.35 +/- A 0.2; p a parts per
thousand yen 0.05). Development of postoperative SRF was significantly
associated with the presence of preoperative foveal vitreomacular
traction (p = 0.048), stage II MH (p = 0.017) and smaller size of the
closest distance between the MH edges (p = 0.046).
Postoperative SRF is a common occurrence following successful MH
surgery. Meticulous evaluation of preoperative clinical and OCT findings
may disclose risk factors associated with this condition. Based on our
observations, idiopathic holes of early stage appear to be at a higher
risk of developing postoperative SRF. This could be a point of interest
with the advancing use of enzymatic proteolysis
A Review of Minimally Invasive Strabismus Surgery (MISS): Is This the Way Forward?
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Current Perspectives of Prophylaxis and Management of Acute Infective Endophthalmitis
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additional features designed to increase visibility and readership. All
features will be thoroughly peer reviewed to ensure the content is of the
highest scientific standard and all features are marked as âpeer reviewedâ to
ensure readers are aware that the content has been reviewed to the same level
as the articles they are being presented alongside. Moreover, all sponsorship
and disclosure information is included to provide complete transparency and
adherence to good publication practices. This ensures that however the content
is reached the reader has a full understanding of its origin. No fees are
charged for hosting additional open access content.</p>
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but are not limited to:</p>
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