Cases reported "Eye Diseases"

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1/14. Ultrasound biomicroscopy in a case of anterior hyaloidal fibrovascular proliferation.

    The authors describe the use of ultrasound biomicroscopy for the diagnosis and preoperative evaluation of anterior hyaloidal fibrovascular proliferation (AHFVP). Ultrasound biomicroscopy was performed on a 62-year-old man who presented after diabetic vitrectomy with a hyphema, vitreous hemorrhage, and hypotony. Images in the temporal and nasal meridians revealed thickened tissue bands extending from the peripheral retina to the ciliary body, and from the pars plicata to the posterior surface of the iris. A ciliary body epithelium detachment was seen in the nasal meridian. Ultrasound biomicroscopy demonstrated to be a potential tool in the diagnosis and surgical management of AHFVP.
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ranking = 1
keywords = hyphema
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2/14. Juvenile xanthogranuloma: concurrent involvement of skin and eye.

    PURPOSE: To report a novel presentation of ocular involvement in juvenile xanthogranuloma (JXG). CASE REPORT: A 1-year-old boy with the concurrent skin and eye involvement of JXG is presented. The ocular problems included spontaneous hyphema, secondary glaucoma, and 360-degree involvement of the limbus, iris, and angle. RESULTS: To reduce the intraocular pressure (IOP), treatment was started with drops of timolol, betamethasone, and atropine and acetazolamide suspension. After 6 months of medical treatment, the skin lesions did not change, but the iris lesion enlarged without hyphema. The IOP in the right eye was controlled by the medications. CONCLUSION: Although JXG is an uncommon disease, it is one of the most important causes of spontaneous hyphema in children. iris involvement, spontaneous hyphema, and secondary glaucoma are the most common ocular problems. Corneal involvement often is characterized by a yellowish protrusion of the limbus along with blood staining of recurrent hyphema and elevated IOP. In this report, we describe an unusual case of JXG with 360-degree limbus, iris, and angle involvement. To our knowledge, this is the first report in the medical literature of 360-degree limbus involvement in JXG.
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ranking = 5
keywords = hyphema
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3/14. Hemorrhage into the lens as a complication of glaucoma surgery.

    Intralenticular hemorrhage is a rare complication of glaucoma surgery. In a 45-year-old man, the intralenticular blood caused loss of the red reflex from the fundus postoperatively. Clinically, hemorrhage into the lens has usually been misdiagnosed initially as a hyphema.
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ranking = 1
keywords = hyphema
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4/14. Relative afferent pupillary defect in the "better" eye.

    A relative afferent pupillary defect usually occurs in an eye with unilateral or asymmetric optic nerve or extensive retinal disease. In general, the eye with poorer visual acuity has the afferent pupillary defect. Twenty-five patients are reported, however, in whom an afferent pupillary defect occurred in the eye with better visual acuity. These eyes had optic nerve or retinal dysfunction. The eyes with worse visual acuity but no afferent pupillary defect had an abnormality of the ocular media (corneal opacity, hyphema, anterior segment membrane, cataract, or vitreous opacity), amblyopia, refractive error, age-related macular degeneration, or cystoid macular edema. An afferent pupillary defect does not necessarily occur in the eye with poorer visual acuity.
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ranking = 1
keywords = hyphema
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5/14. Staphyloma: a complication of surgery for hyphema.

    Anterior staphylomas developed in two young patients as a postoperative complication of hyphema extractions through corneoscleral sections. The patients, aged five and nine years, underwent evacuation of the hyphemas after rebleeding caused medically unmanageable intraocular pressure elevations. Postoperatively, both patients received corticosteroids and had elevation of intraocular pressure. To repair the staphyloma, a scleral overlay patch graft was performed in one patient, but the intraocular pressure remained elevated and the staphyloma gradually recurred. Enucleation of the eye was eventually required. Resection of the staphylomatous area with lensectomy and complete vitrectomy was performed in the second patient. After four years of follow-up this patient continues to do well.
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ranking = 6
keywords = hyphema
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6/14. herpes zoster ophthalmicus complicated by hyphema and hemorrhagic glaucoma.

    We treated two patients with herpes zoster ophthalmicus in whom hyphema and hemorrhagic glaucoma occurred. Case 1 complained of facial skin eruption, and was given intravenous acyclovir for 7 days. hyphema and high intraocular pressure occurred in the left eye 10 days after the onset of the skin eruption. Case 2 had severe pain and blisters on her face, and was given intravenous acyclovir for 7 days. An intracameral hemorrhage and glaucoma developed in the right eye 15 days after the onset of the skin lesion. Intravenous acyclovir may be necessary for longer than 7-day periods if the iridocyclitis remains.
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ranking = 5
keywords = hyphema
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7/14. Pneumatosis oculi and spontaneous hyphema in association with pneumatosis intestinalis.

    A premature infant with acute necrotizing enterocolitis, escherichia coli sepsis, and disseminated intravascular coagulation developed spontaneous bilateral hyphemas at 3 days of age. The necrotizing enterocolitis was associated with gas bubbles in the intestinal walls. The anterior chambers of both eyes also contained bubbles of gas, formed possibly by a mechanism similar to those in the intestine.
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ranking = 5
keywords = hyphema
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8/14. Corneal blood staining at low pressures.

    After sustaining blunt ocular trauma and total hyphemas, two patients quickly developed corneal blood staining in the absence of elevated intraocular pressure. Corneal blood staining has previously been reported to occur in association with hyphema and raised intraocular pressures. Although several bibliographic references acknowledge that corneal blood staining may occur without raised pressure, a careful review of the literature failed to reveal any well-documented cases.
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ranking = 2
keywords = hyphema
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9/14. hyphema in the newborn: report of a case.

    This is a case report of an anterior chamber hemorrhage noted two days after spontaneous delivery in a full-term infant with perinatal asphyxia. There was probably vitreous hemorrhage in the same eye and extensive retinal hemorrhages in both eyes. By two weeks, the hyphema and vitreous hemorrhage had resolved and the retinal hemorrhages largely cleared.
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ranking = 1
keywords = hyphema
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10/14. Ghost cell glaucoma following trauma.

    Ghost cell glaucoma was described in 1975. The details of this glaucoma as it occurred following vitrectomy and following cataract extraction have been reported. This glaucoma occurred following trauma as well, and this report describes the clinical and pathologic characteristics. Fourteen patients, five with positive anterior chamber aspirate examinations, were studied. All had in common: (1) severe trauma to the eye, either blunt or penetrating, with hyphema and vitreous hemorrhage; (2) gradual clearing of the anterior chamber hemorrhage and conversion of fresh red blood cells to ghost cells in the vitreous cavity; (3) forward passage of ghost cells into the anterior chamber through a traumatic opening in the anterior hyaloid face; and (4) elevation of intraocular pressure caused by these cells approximately two weeks to three months following the trauma. The glaucoma required medical and often surgical therapy. The surgical procedure of choice was anterior chamber irrigation, which was often effective and is advised before proceeding to vitrectomy. The vitreous findings of an enucleated eye with ghost cell glaucoma are presented.
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ranking = 1
keywords = hyphema
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