Short break-up time type dry eye has potential ocular surface abnormalities
Conclusions In this study, we demonstrated that CFS could develop following a single eye opening. Based on our findings, CFS is a dynamic phenomenon rather than a stable indicator of ocular surface abnormalities. Moreover, s-BUT dry eye has the potential to show ocular surface abnormalities. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - May 5, 2015 Category: Opthalmology Source Type: research

Clinical characteristics and antivascular endothelial growth factor effect of choroidal neovascularization in younger patients in Taiwan
Conclusion In this study we found that pathologic myopia, punctate inner choroidopathy, and idiopathic and polypoidal choroidal vasculopathy comprised the four most common causes of CNV in patients ≤ 50 years of age in Taiwan. We also revealed that anti-VEGF treatment is highly effective in the treatment of CNV in this age group. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - April 24, 2015 Category: Opthalmology Source Type: research

Needle decompression in a patient with vision-threatening orbital emphysema
Publication date: Available online 15 April 2015 Source:Taiwan Journal of Ophthalmology Author(s): Che-Yu Lin , Chieh-Chih Tsai , Shu-Ching Kao , Hui-Chuan Kau , Fenq-Lih Lee Orbital emphysema is a condition resulting from trapping of air in loose subcutaneous or orbital tissues from the paranasal sinuses. This condition commonly seen in patients with a history of periorbital trauma or surgery, especially following sneezing or nose blowing. It usually has a benign and self-limited course. However, the entrapped orbital air can cause a substantial increase in pressure with restricted ocular motility or vascular com...
Source: Taiwan Journal of Ophthalmology - April 15, 2015 Category: Opthalmology Source Type: research

Low vision aid—A ray of hope for irreversible visual loss in the pediatric age group
Conclusion LVA is essential and effective in improving VA and QOL in children with LV. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - April 11, 2015 Category: Opthalmology Source Type: research

A rare manifestation of neuro-ophthalmic sarcoidosis: A case report
Conclusion Neuro-ophthalmic manifestations of sarcoidosis are rare but may be the only presenting sign of an otherwise occult disease. A high clinical suspicion for sarcoidosis and its inclusion as a differential diagnosis are key to establishing the diagnosis and proper treatment. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - April 3, 2015 Category: Opthalmology Source Type: research

Spectral-domain optical coherence tomography findings of subinternal limiting membrane hemorrhage in the macula before and after Nd:YAG laser treatment
We reported the spectral-domain optical coherence tomography (SD-OCT) findings of a subinternal limiting membrane hemorrhage in the macula in one patient with Valsalva retinopathy and in one patient with macroaneurysm before and after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser membranotomy. Within 1 week, the Nd:YAG laser treatment facilitated rapid absorption of the hemorrhage in both patients. Spectral-domain optical coherence tomography was helpful before laser treatment to evaluate the exact location of the blood and after laser treatment to confirm the amount and location of residual hemorrhage, which was ...
Source: Taiwan Journal of Ophthalmology - March 10, 2015 Category: Opthalmology Source Type: research

How to manage traumatic optic neuropathy?
Publication date: Available online 17 February 2015 Source:Taiwan Journal of Ophthalmology Author(s): An-Guor Wang (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - February 17, 2015 Category: Opthalmology Source Type: research

Traumatic optic neuropathy—Clinical features and management issues
Publication date: Available online 17 February 2015 Source:Taiwan Journal of Ophthalmology Author(s): Patrick Yu-Wai-Man Traumatic optic neuropathy (TON) is an uncommon cause of visual loss following blunt or penetrating head trauma, but the consequences can be devastating, especially in cases with bilateral optic nerve involvement. Although the majority of patients are young adult males, about 20% of cases occur during childhood. A diagnosis of TON is usually straightforward based on the clinical history and examination findings indicative of an optic neuropathy. However, the assessment can be difficult when the pati...
Source: Taiwan Journal of Ophthalmology - February 17, 2015 Category: Opthalmology Source Type: research

Comparison of surgical outcomes after phacotrabeculectomy in primary angle-closure glaucoma versus primary open-angle glaucoma
Conclusion Postoperative success rates and mean IOP on the final visit after phacotrabeculectomy were similar between the PACG and POAG groups. Factors associated with IOP reduction were greater postoperative increase in ACD, and high preoperative IOP. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - February 17, 2015 Category: Opthalmology Source Type: research

Detection of the progression of retinal nerve fiber layer loss by optical coherence tomography in a patient with glaucomatocyclitic crisis
Publication date: Available online 17 February 2015 Source:Taiwan Journal of Ophthalmology Author(s): Jen-Chia Tsai A 30-year-old man presented with glaucomatocyclitic crisis, also known as Posner–Schlossman syndrome, and acute intraocular pressure elevation. Changes in the longitudinal retinal nerve fiber layer (RNFL) and the cup-to-disc (C/D) ratio of the optic disc were detected by Stratus optical coherence tomography (OCT). The average RNFL thickness in the affected eye was greater than that in the unaffected eye on Day 3 (132.99 μm, C/D ratio: 0.24 vs. 105 μm, C/D ratio: 0.26). However, the RNFL thickness c...
Source: Taiwan Journal of Ophthalmology - February 17, 2015 Category: Opthalmology Source Type: research

Experience of scleritis and episcleritis at a tertiary center in Southern Taiwan
Conclusion Scleritis occurred in a more elderly population. It was more frequently associated with ocular complications, compared to episcleritis. Both CSNIS and CSIS were associated with a history of pterygium excisional surgery. Our series of patients had a high occurrence of necrotizing scleritis. All cases of necrotizing scleritis were associated with a history of previous ocular surgery. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - January 23, 2015 Category: Opthalmology Source Type: research

Spontaneous suprachoroidal hemorrhage: Case report and review of the literature
We present the clinical course, management, and final outcome of spontaneous suprachoroidal hemorrhage (SSCH) in an age-related macular degeneration (AMD) patient—a 64-year-old male receiving antiplatelet therapy who developed SSCH during the Valsalva maneuver. In addition to our case study, we discuss the results of a systemic review of the literature and reference lists of retrieved studies published from January 2001 to December 2013. Among a total of 31 patients (32 eyes), acute secondary glaucoma was a complication in 87.5% of the cases, and over half of the cases (20 eyes, 62.5%) received surgery. Twenty cases (64....
Source: Taiwan Journal of Ophthalmology - January 21, 2015 Category: Opthalmology Source Type: research

Primary diffuse large B-cell lymphoma of the lacrimal sac
Publication date: Available online 21 January 2015 Source:Taiwan Journal of Ophthalmology Author(s): Wei-Shan Tsao , Tzu-Lun Huang , Yung-Hsiang Hsu , Nancy Chen , Rong-Kung Tsai A 47-year-old man presented with epiphora and a mass around the lacrimal sac in his left eye. Imaging studies revealed a favorable diagnosis of sinusitis-related mucocele. However, the pathological study of the excised tumor demonstrated a diffuse large B-cell lymphoma. The patient was consequently referred to the oncology department for further management. Malignant lymphomas of the lacrimal sac are rare and they can mimic mucoceles. As ...
Source: Taiwan Journal of Ophthalmology - January 21, 2015 Category: Opthalmology Source Type: research

Neuroimaging and clinical features of patients with optic nerve hypoplasia in Taiwan
Conclusion A high prevalence of midline brain abnormalities was noted in ONH patients of Chinese ethnicity. The presence of tortuous retinal vessels in patients with a midline brain anomaly may indicate the occurrence of endocrinopathy. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - January 20, 2015 Category: Opthalmology Source Type: research

Low-dose propranolol for the treatment of deep infantile hemangioma with orbital involvement
Publication date: December 2014 Source:Taiwan Journal of Ophthalmology, Volume 4, Issue 4 Author(s): Shu-Ya Wu , Chien-Cheng Chen , Ming-Chou Chiang , Yueh-Ju Tsai Capillary hemangiomas are the second most common childhood tumor of the orbit and may cause proptosis and amblyopia if untreated. Oral propranolol has recently been reported to be an effective and safe alternative. Herein, we describe a 2-month-old boy presented with a deep capillary hemangioma of his left eye. It continued to enlarge rapidly and magnetic resonance imaging of the orbit demonstrated hemangioma infiltration over the left superonasal orbit....
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research