1/16. Phakic implantation of a black intraocular lens in a blind eye with leukocoria.A 54-year-old woman with leukocoria from a white cataract requested evaluation for the undesired cosmetic appearance of her blind right eye. The eye was hypotonous from chronic total retinal detachment, and the lens appeared loose and partially resorbed. A solid, black poly(methyl methacrylate) intraocular prosthesis was placed in the phakic posterior chamber and sutured into the ciliary sulcus, leaving the lens undisturbed. The patient achieved excellent cosmesis and a significant improvement in self-image.- - - - - - - - - - ranking = 1keywords = black (Clic here for more details about this article) |
2/16. Demographic-related variations in posterior segment ocular sarcoidosis.OBJECTIVE: To compare the frequency of posterior segment involvement (PSI), the prevalence of specific posterior segment signs, and visual acuity in ocular sarcoidosis by patient race, sex, and age. DESIGN: Retrospective, cross-sectional observational study. PARTICIPANTS: Seventy-six consecutive patients with biopsy-proven or presumed ocular sarcoidosis seen at the Duke University eye Center between 1989 and 2001. methods: Medical record review. MAIN OUTCOME MEASURES: Patient demographics, presence and laterality of specific posterior segment signs, and visual acuity at initial examination. RESULTS: Of the 76 patients, 68% were black (34 female and 18 male) and 32% were white (18 female and 6 male). A total of 68 patients (89%) had PSI: black patients had 85% and white patients had 100% (P = 0.05). For patients with PSI, white females had the highest mean age at initial examination (58 years compared with 37 years for all others; P = 0.005). The most common findings among the 68 patients with posterior segment disease were vitritis (69%); choroidal "punched-out" lesions (56%); "snowball" lesions (46%); cystoid macular edema (CME; 31%); and periphlebitis, vitreous opacity, and posterior vitreous detachment (29% each). There was a significantly higher prevalence of "punched-out" lesions and CME in whites (79% and 54%, respectively) compared with blacks (43% and 18%, respectively; P = 0.005 each). Additionally, the prevalence of CME was highest in white females (61%) compared with all others (20%; P = 0.002). patients with vitreous hemorrhage were more likely to be in the youngest age group (P = 0.02). female patients with posterior segment disease had a significantly lower visual acuity compared with males in both the better (P<0.001) and worse (P = 0.002) eye. CONCLUSIONS: We have identified variations based on patient race, sex, and age in PSI, specific posterior segment signs, and visual acuity in cases of ocular sarcoidosis.- - - - - - - - - - ranking = 0.6keywords = black (Clic here for more details about this article) |
3/16. Acute posterior multifocal placoid pigment epitheliopathy associated with an adenovirus type 5 infection.A 19-year-old black man with acute posterior multifocal placoid pigment epitheliopathy had concurrent positive viral cultures and rising antibodies to adenovirus type 5. This finding, considered together with earlier reports of viral-like syndromes accompanying the disease, supports the implication of a respiratory virus as a possible etiologic factor.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
4/16. Ocular rosacea in blacks.In three black men (57, 64, and 61 years old) with the ocular manifestations of rosacea, the diagnosis was not initially suspected because the pathognomonic skin changes of rosacea were obscured by the skin hyperpigmentation. Ocular involvement ranged from blepharitis and conjunctival hyperemia to sight-threatening problems such as corneal neovascularization, thinning, ulceration, and perforation. Treatment with oral tetracycline and topical corticosteroids appeared to be as effective in these patients as in previously described white patients.- - - - - - - - - - ranking = 1keywords = black (Clic here for more details about this article) |
5/16. Ocular findings in linear sebaceous naevus syndrome.The case of a 5-month-old black female child with a linear sebaceous naevus syndrome and multiple congenital anomalies is presented. Ocular malformations consisted of colobomatous changes of the lid and retina, dermoid of the conjunctiva, chorioretinal changes, and peripapillary atrophy of the optic nerve. Systemic findings included midline cleft of the secondary palate with involvement by the naevus, bilateral hearing loss, asymmetrical skull bones, ventricular septal defect, epidermal inclusion cyst, and developmental delay without seizures.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
6/16. Orbital proptosis caused by an ethmoidal mucocele.A case of a 66-year-old black female who was diagnosed and treated for a chronic ethmoidal sinus mucocele is reported. This case report covers the initial presentation, clinical progression, differential diagnosis, surgical excision, and repair of the lesion. It is significant that the presentation of this patient was mainly on the basis of the ophthalmic manifestations of this disorder.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
7/16. Eales' disease: a case of rapid progression.A case of bilateral vitreous hemorrhage is presented in a young black man. work-up showed the patient to have Hb AA with a markedly positive PPD and a negative chest roentgenogram. A diagnosis of periphlebitis retinae or so-called Eales' disease was made. This case was remarkable in its speed of progression and the severity of the disease process. This case calls attention to the importance of rapid diagnosis and evaluation for possible treatment.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
8/16. Staphyloma as a late complication of trabeculectomy.A clinicopathologic study was performed of a scleral staphyloma occurring two years after a trabeculectomy for neovascular glaucoma. In a series of thirteen cases with secondary glaucoma four developed staphylomas in the area of the excision of sclera and trabeculum. A young, black male with atypical pigmentary glaucoma also developed a staphyloma. The possibility of the development of a staphyloma should be considered when selecting an appropriate operative procedure for uncontrolled glaucoma.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
9/16. Macular lesions in blacks with the presumed ocular histoplasmosis syndrome.Six black patients had fundus lesions diagnostic of the presumed ocular histoplasmosis syndrome. All patients had peripapillary changes or peripheral punched-out chorioretinal lesions, or both. Five of the six had macular subretinal neovascularization, disciform scarring, or an atrophic macular lesion, and one patient had a macular hole; four of five patients tested had a positive histoplasmin skin test. The macular involvement was bilateral in three of the six cases. HLA B-7 was present in one of four patients who had HLA typing. Macular involvement can occur in blacks with the presumed ocular histoplasmosis syndrome.- - - - - - - - - - ranking = 1.2keywords = black (Clic here for more details about this article) |
10/16. Bilateral nodular sarcoid choroiditis with vitreous haemorrhage.A 21-year-old black man with presumed systemic sarcoidosis had bilateral choroidal nodules, unilateral retinal neovascularisation and vitreous haemorrhage, and non-caseating granulomas on percutaneous liver biopsy. The choroidal nodules were serially documented by fundus photography and fluorescein angiography over a 22-month period. fluorescein angiography was more accurate than ophthalmoscopy in demonstrating choroidal inflammation. The choroidal nodules resolved after systemic corticosteroid therapy. A vitreous haemorrhage occurred probably secondary to neovascularisation related to occlusion of an inferotemporal branch vein. The non-resolving vitreous haemorrhage and associated traction retinal detachment were treated with vitrectomy and membrane sectioning.- - - - - - - - - - ranking = 0.2keywords = black (Clic here for more details about this article) |
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