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Unilateral blepharoconjunctivitis due to
#monkeypox
virus infection. Exam revealed multiple (> 10) umbilicated papules on the tarsal and bulbar conjunctiva and lesions elsewhere on the body. Ocular papules resolved after treatment with IV cidofovir.
Hollow globe after traumatic cornea transplant dehiscence. Blunt trauma resulted in total PK dehiscence w/ assoc loss of IOL and vitreous. Amazingly, no suprachoroidal hemorrhage. Click to see where the graft was found:
Case of conjunctivitis associated with
#monkeypox
virus (PCR positive conjunctival swabs). This raises the possibility of transmission via contact during eye exams. Healthcare professionals should be aware of this and employ adequate protection.
CBT-001, a multi-target tyrosine kinase inhibitor, 0.2% significantly decreased pterygium vascularity and lesion length after 4 weeks of dosing with a prolonged effect after dosing. The drug was well tolerated:
#ophthalmology
#cornea
Retinal artery occlusion after self-injected petroleum jelly lip filler. Occlusion of the ophthalmic artery and its distal branches is a rare complication of facial dermal fillers resulting from retrograde flow.
Vision loss 1 hour after facial injection of hyaluronic acid. Findings were attributed to retrograde embolization of hyaluronic acid gel into the left ophthalmic artery.
Severe manifestation of Terson syndrome with multilayered hemorrhage and outer retinal atrophy in a patient with acute myeloid leukemia that suffered head trauma and intracranial hemorrhage. Image by Dr. Yousef Fouad, Ain Shams University, Egypt.
Intravenous fluorescein angiography is the gold standard for diagnosis and management of retinal vascular pathology. But some patients have poor vascular access. Could sublingual (transmucosal) delivery of fluorescein be an option? New report finds promise
Can you diagnose this?
Photophobia, bilateral corneal neovascularization, SPK, meibomian gland drop-out w thickened meibum, eyelid hyperkeratosis, non-scarring atrichia of scalp, hyperkeratotic follicles, and hair loss in a 5yo girl.
#ophthalmology
Study proposes a new and reproducible classification system of visual field abnormalities for non-pathological high
#myopia
. Applying a comprehensive classification system could facilitate communication and comparison of findings among studies.
Double take - Is that a double disc? In this unique situation, a subluxed IOL leads to this diagnosis of a pseudo-doubling of the optic disc.
#ophthalmology
6-year-old girl with the triad of Straatsma syndrome including amblyopia, high axial myopia, and unilateral extensive myelinated retinal nerve fibers in the right eye. From Mohcine El mhadi & Aziz El ouafi, at the Moulay Ismail Military Hospital, Ophthalmology Department, Morocco
A woman in her 80s noted gradually reduced central vision bilaterally. Her medical history included breast cancer managed with 2 cycles of tamoxifen (20 mg/day) spanning 8 years.
Filiform persistent pupillary membrane mimicking posterior synechiae by Pradeep Venkatesh, Mousumi Banerjee, Nidhi Chauhan from the Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi.
New study demonstrates that tumor pigmentation is associated with poor prognosis in uveal
#melanoma
and is associated with eye color and chromosome 3 and 8q status.
Using whole genome sequencing, authors found eight novel genes harboring rare variants associated with
#myopia
and observed different contributions of common and rare variants in high myopia.
Updated international consensus for diagnosis of polypoidal choroidal vasculopathy based on combination of OCT signs, which can differentiate PCV from typical neovascular AMD without relying on ICGA
#OpenAccess
Novel eye drop aid prevents eye trauma & med waste while placing drops. 47 of 50 subjects preferred the aid over their traditional drop delivery. 98% would recommend it.
#ophthalmology
#glaucoma
Case of a young woman with a 1-month history of eye strain with a suspicious choroidal mass in the left eye. She was found to have a juxtapapillary choroidal melanoma overhanging the optic disc.
@JenniferSachs14
Precocious white cataracts in 26yo w untreated atopic dermatitis x 19 yrs support inflammatory mediators & free radicals as independent risk factors for
#cataract
, even without topical/systemic corticosteroid tx. 📷: Hou-Ren Tsai & Ming-Shan He, Hualien, Taiwan
#ophthalmology
38yo woman with branch retinal artery occlusion with vision loss was treated w/timolol 0.5%, brimonidine 0.2%, acetazolamide 500 mg PO, intravenous mannitol 20%. She was instructed to hyperventilate into brown bag & perform ocular massage with her finger.
Pre-operative examination of cerulean
#cataract
. Examination shows multiple white & bluish punctuate opacities in the cortical layer of the lens as well as mild nuclear cataract. Peripheral opacities were also visible in a Scheimpflug image taken before surgery.
@TelAvivUni
A case of subfoveal focal choroidal excavation (FCE) with macular vortex vein (MVV). The outlet of the MVV on the sclera may weaken scleral support and cause FCE.
Case of lipemia retinalis in a baby with hyperlipoproteinemia. Examination of the fundi showed creamy arterioles and veins consistent with a diagnosis of lipemia retinalis.
Repeated intravitreal injections with anti-VEGF with preoperative povidone-iodine application is associated with reduced meibomian gland loss and reduced signs of ocular surface inflammation in patients with wet age-related macular degeneration.
Eyes that underwent scleral buckling (SB) alone for retinal detachment with retinal dialysis had better visual outcomes & reduced rates of cataract formation vs eyes that underwent combined SB with pars plana vitrectomy.
@LandonRohowetz
@BascomPalmerEye
Ophthalmology's July issue is now online with a cover image of a “Choroidal Metastasis from Cutaneous Melanoma". Issue features
#machinelearning
in glaucoma, inflammation assoc w/ brolucizumab, single cell analyses in vitreoretinal
#lymphoma
& more!
Vision-threatening retinal astrocytic hamartoma shows promising response to oral mTOR inhibitors (sirolimus and everolimus). These agents should be considered in the management of rapidly growing and exudative retinal astrocytic hamartoma.
Ophthalmology's May issue is now online with a cover image of a "Subluxated Lens". Issue features
#deeplearning
for
#cataract
grading, X-linked retinoschisis phenotyping,
#myopia
control in children, central visual function in
#glaucoma
& more!
In acute syphilitic posterior placoid chorioretinopathy, visual acuity improves from 20/70 to 20/25 within a median of 45 days after standard antibiotic treatment.
@D_Mirzania
and
@UMKelloggEye
Did you know: RNFL defects can be seen in conditions other than
#glaucoma
?. Check out this new P&P as an example of hypertensive retinopathy causing RNFL defects.
#retina
#ophthalmology
#HTN
A rolling ball in the eye: primary cysts of the iris pigment epithelium are uncommon, and stationary lesions rarely progress, which require no treatment.
We are proud to announce the 2022 Impact Factors for our journals!! First year for both Ophthalmology Retina and Ophthalmology Glaucoma!
Ophthalmology: 13.7
Ophthalmology Retina: 4.5
Ophthalmology Glaucoma: 2.9
#ophthalmology
#retina
#glaucoma
#impactfactor
We are proud to announce the launch of Ophthalmology Science, a new online
#OpenAccess
journal focused on pre-clinical development, phase 1 & 2 clinical trials, laboratory-based work,
#ophthalmology
informatics, & clinical science. Find out more at
A 69-year-old man presented with unilateral sudden vision loss (20/80) in the right eye. Multilayer intraretinal hemorrhages were found at the posterior pole, with radial and petaloid patterns of blood within the fovea. No history of trauma or Valsalva
Two types of retinal implants, bioelectronic implants, and
#stemcell
based implants, have shown promising results in restoring some level of vision to patients with inherited retinal degenerations and geographic atrophy.
This systematic review and meta-analysis evaluates the association of preoperative findings in optical coherence tomography imaging with postoperative visual outcomes in rhegmatogenous retinal detachments.
@TinaFelfeli
Snowflake degeneration of PMMA IOL occurs due to inadvertent use of excess initiator substance during manufacturing process and prolonged exposure to UV light causing crystalline deposits within the substance of lens requiring IOL exchange. Sarvesswaran
@sarv_mmcian
@AravindEye
Retinal manifestations of idiopathic intracranial hypertension (N=142) are rare but can cause visual acuity or field defects unrelated to papilledema, emphasizing the importance of a detailed dilated fundus examination and adjunctive imaging
Case of bilateral macular
#toxoplasmosis
in a pt w/ rheumatoid arthritis on rituximab, illustrates the complexity of serologic testing in primary toxoplasmosis retinitis & importance of its consideration in immunocompromised patients despite normal IgM.
This study provides a novel morphological feature on OCT, called 'the Fuji sign', which can be helpful to discern cCSC patients with a higher change of spontaneous SRF resolution without treatment.