Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 5 Articles
Purpose: The purpose of this study is to assess the relationship between Clomifene\ncitrate and retinal detachment in particular. Methods: a 42-year-old\nwoman has developed bilateral retinal detachment after three courses of clomiphene\ncitrate. A literature research for bilateral retinal detachment does not\ninclude this severe ophthalmologic complication. Conclusion: This is the first\nreported case of bilateral retinal detachment after treatment with clomiphene\ncitrate. The caution is warranted in treating infertility patients with CC, and\npatient should be well informed of this side effect before prescribing this\ntherapy by gynecologist....
Purpose: A 40-year-old male with a severe corneal melting, peripheral infiltration\nand nasal perforation in the right eye after a not affiliated case of\nurethritis is reported. Methods: Retrospective case report. Results: A sample\nof conjunctival discharge was sent to culture, in where Gram-diplococci grew\nand therefore a systemic antibiotic treatment was initiated. Given the severity\nof the clinic, a penetrating keratoplasty is conducted two days after admission\nand the corneal button was sent to microbiology, which polymerase chain\nreaction was positive for Neisseria gonorrhoeae . Conclusion: Despite it being\na rare process in an adult, keratitis caused by Neisseria gonorrhoeae should\nbe suspected in all sexually active patients with conjunctivitis and with a\nclinic genitourinary medical history. The systemic therapy showed a superior\neffectiveness in combination with topical therapy than the last one on its\nown....
Purpose: Bone marrow transplantation (BMT) and pre-treatment conditioning\nincreases the risk of developing pediatric cataracts. We present the outcome\nof cataract surgery in children who have had BMT. Methods: We conducted\na retrospective chart study with 15 BMT patients (28 eyes) who underwent\ncataract extraction between 2002 and 2012. Outcome measures include\nchange in best corrected visual acuity (BCVA) and complications. Results:\n7 (47%) patients had acute lymphoid leukemia, 3 (20%) had acute myeloid\nleukemia, 2 (13%) had myelodysplastic syndrome, 1 (7%) had Fanconi\nanemia, 1 (7%) had juvenile myelomonocytic leukemia, and 1 (7%) had adrenoleukodystrophy.\nPatients received BMT at a mean age of 3.9 �± 1.6 years. 12\n(80%) patients received total body irradiation (TBI) and 3 of these 12 received\ncranial irradiation in addition to TBI; one (7%) received only cranial irradiation.\nTotal body irradiation included head and eye exposure. Mean age of cataract\nsurgery was 9.1 �± 2.3 years; mean follow-up was 55.9 �± 45.1 months. All\ncataracts were of posterior subcapsular subtype. Mean BCVA improved from\n0.7 �± 0.4 logMAR to 0.3 �± 0.5 logMAR (p < 0.001). 23/28 eyes (80%) had cataract\nextraction with intraocular lens placement; 5/28 (20%) of the eyes had\ncataract extraction with primary posterior capsulotomy and anterior vitrectomy\n(PC/AVx). 23/23 (100%) of the eyes without primary PC/AVx developed\nPCO an average of 2.3 �± 6.9 months after surgery. No eyes with primary\nPC/AVx eyes developed PCO. Conclusions: Children with history of BMT\nhave a predisposition of developing posterior subcapsular cataracts and have a\nhigh rate of visually significant PCO if the posterior capsule is left intact at the\ntime of cataract surgery....
Introduction: The conjunctiva is a thin, superficial mucosa that covers the\nanterior part of the eye lids and the anterior part of the sclera. The semi-lunar\nfold is located in the interior angle of the eye, and represents the third rudimentary\neyelid. In the histological aspect, conjunctiva is composed of the epithelium\nand stroma. Thestroma is divided into two parts: the superficial adenoid\npart and the inner fibrotic part. The accessory lacrimal glands are found\nin the stroma. Materials and methods: A case study of a 14 year-old male patient,\nwho came at our clinic as a result of a 5 - 6 mm tumefaction on the bulbar\nconjunctiva, on the nasal part of the bulbar conjunctiva, attached to the\nsemi-lunar fold. The patient referred that the cyst appeared 6 - 7 months ago\nand was constantly growing. In the beginning the patient has been treated\nwith antibiotic and corticosteroid eye drops. However, the cyst grew constantly\ntherefore the best solution was the surgical treatment. The surgery was\nperformed under local anesthesia. The total excision of the cyst was performed.\nThe removed tumefaction was then diagnosed as a cyst of the conjunctival\nstroma. Purpose: The purpose of this study is to show that the best\ntreatment of the conjunctival epithelium tumefaction, which is not reduced in\nsize by the local treatment with antibiotics and corticosteroids, is the surgical\ntreatment. Conclusion: Every change in the conjunctiva, causing functional\nand aesthetic problems, is an issue that should be directed to the ophthalmologist.\nSuch changes should be treated with medications or surgically, the patient\nshould be followed up, to see whether or not such changes will reappear....
Purpose/Aim: We aimed to investigate the effect of monocular blur on the binocular visual field. Materials and Methods: A total of 13 healthy young volunteers participated in this study. The mean subjective refractive error of the dominant eye (DE) was -3.33 Ã?± 1.65D, and the non-dominant eye (NDE) was -3.15 Ã?± 2.84D. The DE was determined by using the hole-in-the-card test. The visual field was examined by the Humphrey Visual Field Analyzer using the 30-2 SITA Standard program. The visual field was measured while wearing soft contact lens under three conditions; ââ?? both eyes: near vision correction; ââ??¡ DE: near vision correction +3.00D added, NDE: near vision correction; and ââ??¢ DE: near vision correction, NDE: near vision correction +3.00D added. The foveal threshold, mean deviation (MD), and pattern standard deviation (PSD) values were investigated. Results: The foveal threshold value (dB) at ââ?? , ââ??¡, and ââ??¢ was 41.2, 37.8, and 38.1, respectively. The values at ââ??¡ and ââ??¢ were both significantly lower than that at ââ?? (p < 0.0001; p = 0.0003). The MD value (dB) at ââ?? , ââ??¡, and ââ??¢ was 1.67, 0.19, and 0.51, respectively; the values at ââ??¡ and ââ??¢ were both significantly lower than that at ââ?? (p = 0.0012; p = 0.0118). The PSD value (dB) at ââ?? , ââ??¡, and ââ??¢ was 1.36, 1.55, and 1.47, respectively. A significant difference in ââ?? , ââ??¡, and ââ??¢ was not found. Conclusion: These results suggest that monocular blur reduced the sensitivity within the binocular visual field....
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