1/14. telangiectasis as a cause of intra-schitic haemorrhage in optic disc pit maculopathy.PURPOSE: To present a patient with the novel finding of vascular telangiectasis as a cause of intra-schitic haemorrhage, occurring in optic disc pit-associated maculopathy. methods: A clinical history was detailed. Clinical examination included visual acuity assessment and slit-lamp microscopy. fluorescein angiography was performed. RESULTS: A temporal optic disc pit, macular retinoschisis and a circumscribed detachment of the outer retinal layer and inner leaf holes were noted. A retinal haemorrhage extending into the schitic cavity was present, along with an associated vitreous haemorrhage. fluorescein angiography showed telangiectatic vessels in association with the haemorrhage. CONCLUSION: This is the first reported case of vascular telangiectasis as a cause of intra-schitic haemorrhage occurring in optic disc pit-associated maculopathy.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/14. encephalitis and chorioretinitis associated with neurotropic African horsesickness virus infection in laboratory workers. Part II. Ophthalmological findings.Four laboratory workers developed uveitis-chorioretinitis, associated with encephalitis in 3 cases. The retinitis was characterised by haemorrhages and areas of retinal oedema, most marked over the posterior polar regions, and was associated with exudative retinal detachments. The lesions progressed over weeks and showed a severe retinal arterial vasculopathy with arteriolar narrowing, ghost vessel formation and the development of optic atrophy. The picture in 2 of the patients resembled that of the acute retinal necrosis syndrome (ARN). antibodies to African horsesickness (AHS) virus were detected. The serology for AHS virus was positive in all 4 patients as well as in 5 of 15 laboratory workers from the same facility who were clinically and ophthalmologically normal. This is to our knowledge the first description of subclinical and probable clinical neurotropic AHS virus infection in man. AHS is a hitherto-unrecognised possible cause of viral retinitis and the ARN syndrome.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
3/14. Severe ocular involvement in disseminated intravascular coagulation complicating meningococcaemia.BACKGROUND: disseminated intravascular coagulation (DIC) is characterized by inappropriate widespread activation of coagulation leading to extensive microvascular thrombosis and haemorrhage. Ocular involvement typically manifests as fibrin-platelet clots in the choroidal vessels of the posterior pole with overlying serous retinal detachment and sparing of the retinal vessels. methods: Case report. RESULTS: An 18-year-old female with meningococcal septicaemia and DIC developed bilateral dense vitreous haemorrhage. At vitrectomy multiple areas of sub-internal limiting membrane haemorrhage were evacuated and silicone oil injected. The patient developed bilateral large macular holes with inferior tractional retinal detachment. Two years later, final visual acuity was 6/36 OD and count fingers OS. CONCLUSION: Ocular involvement in DIC can be more extensive than choroidal vascular occlusion alone. Previous reports suggest that DIC associated with sepsis (especially meningococcaemia) may present with more severe manifestations. This may be due to sub-clinical endophthalmitis or haemorrhagic ischemia. Visual prognosis can be poor.- - - - - - - - - - ranking = 0.33333333333333keywords = haemorrhage (Clic here for more details about this article) |
4/14. Suprachoroidal haemorrhage following Nd:YAG laser posterior capsulotomy.Nd:YAG laser posterior capsulotomy is the commonest procedure for posterior capsule thickening following cataract surgery. Complications following this laser surgery are relatively few, and this is ordinarily a safe and effective procedure. Herein a case is described of suprachoroidal haemorrhage following Nd:YAG laser posterior capsulotomy. To the best of the authors' knowledge, this is the first report of this complication.patients undergoing this procedure should be warned of this rare but potentially devastating complication.- - - - - - - - - - ranking = 0.55555555555556keywords = haemorrhage (Clic here for more details about this article) |
5/14. An uncommonly serious case of an uncommon sport injury.BACKGROUND: A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet. methods: A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly. RESULTS: Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar. CONCLUSIONS: Helmets worn as protection when playing cricket need to be designed better and be of better material. eye protection should be worn at all levels of play.- - - - - - - - - - ranking = 0.22222222222222keywords = haemorrhage (Clic here for more details about this article) |
6/14. Systemic non-Hodgkin's lymphoma masquerading as Vogt-Koyanagi-Harada disease in an hiv-positive patient.A 29-year-old man presented with decreased visual acuity in both eyes secondary to exudative retinal detachment resembling Vogt-Koyanagi-Harada disease. Although fluorescein angiographic pictures supported the clinical findings, there was no choroidal thickening evident with ultrasonography. In 3 days he developed increased disc oedema with peripapillary haemorrhages in both eyes. Further evaluation revealed hiv-positive status and a systemic non-Hodgkin's lymphoma. The patient responded favourably to the treatment for systemic non-Hodgkin's lymphoma confirming our diagnosis of intraocular metastasis. In bilateral exudative detachment, an absence of choroidal thickening on ultrasonography and the presence of peripapillary haemorrhages should prompt a systemic evaluation for causes other than Vogt-Koyanagi-Harada disease, especially in hiv-positive patients.- - - - - - - - - - ranking = 0.22222222222222keywords = haemorrhage (Clic here for more details about this article) |
7/14. Angle-closure glaucoma in a patient with systemic lupus erythematosus.A patient is described known with ITP, who developed an attack of angle-closure glaucoma secondary to posterior scleritis. This condition reacted well to corticosteroid treatment and antiglaucomaleus therapy serologically SLE was highly probable. In fundo there was the picture of a central retinal vein occlusion. Later the patient developed neovascularisation of the optic disc, which did not diminish after panretinal photocoagulation. In spite of cryocoagulation, a vitreous haemorrhage resulted.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
8/14. Pars plana vitrectomy in eyes with malignant melanoma.Three patients underwent pars plana vitrectomy for vitreous hemorrhage secondary to an intraocular malignant melanoma. In all three cases the tumour was unsuspected and had been missed during pre-operative ultrasound examination. In each case vitreous haemorrhage was caused by invasion and perforation of the sensory retina and tumour growth into the vitreous cavity with bleeding from large vessels near the tumour surface (Knapp-Ronne growth pattern). One 75-year-old patient still has useful vision 3 years after surgery; in two patients the eyes were enucleated. histology revealed in one case a diffuse spreading of tumour cells covering all intraocular surfaces: the posterior and anterior surface of the iris, the angle structures, the posterior corneal surface, and most of the inner retinal surface--probably due to transformation of growth pattern following vitrectomy.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
9/14. vitrectomy in two cases of bilateral Terson syndrome.We report on two patients with bilateral vitreous haemorrhage after a subarachnoid haemorrhage (Terson syndrome). We performed vitrectomy in four eyes with complete recovery of vision in three eyes; one eye had visual acuity of 1/6 due to preretinal fibrosis. The patient who had 20/20 vision in both eyes had a retinal detachment in one eye two months after the vitrectomy; this was operated upon and vision did not deteriorate.- - - - - - - - - - ranking = 0.22222222222222keywords = haemorrhage (Clic here for more details about this article) |
10/14. Prophylactic circumferential cryopexy: a retrospective study of 106 eyes.A retrospective study of 106 eye which have undergone prophylactic circumferential cryopexy is presented. The complications involving the anterior segment were iritis, transient cycloplegia, as fixed dilated pupil, and cataract formation. Those involving the posterior segment were vitreous, subchoroidal and retinal haemorrhage, and preretinal fibrosis. The incidence of retinal detachment was 7.5% (8/106) after an average follow-up of 33 months. The importance of a confluent cryopexy choroidoretinal reaction is demonstrated. The indications are reviewed and a rationale for the technique of application is proposed.- - - - - - - - - - ranking = 0.11111111111111keywords = haemorrhage (Clic here for more details about this article) |
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