Foveoschisis with focal choroidal excavation
We report a rare case with a focal choroidal excavation (FCE) associated with foveoschisis. We describe the patient's medical records and review the pertinent literature. A 51-year-old man had an FCE, which was considered to be associated with foveoschisis. Although the patient was treated with repeated intravitreal injection of perfluoropropane, foveoschisis persisted. FCE-linked foveoschisis may be noted in a low myopic patient. Gas tamponade failed to induce retinal reattachment, and aggressive surgical therapy may be needed in this condition. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
Melanoma-associated retinopathy
Publication date: December 2014 Source:Taiwan Journal of Ophthalmology, Volume 4, Issue 4 Author(s): Chun-Hsiu Liu , Nan-Kai Wang , Ming-Hui Sun A 63-year-old Taiwanese man with a history of cutaneous melanoma presented with a rapid onset of bilateral shimmering light and blurred vision. A fundoscopic examination was normal. However, visual field examination indicated generalized depression in both eyes. Scotopic rod-specific electroretinography (ERG) was undetectable and scotopic maximal combined-cone and rod-specific ERG showed the characteristics of negative ERG (a normal a-wave and a diminished b-wave, with the ...
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
A novel view of punctate inner choroidopathy: Characterizing the serial changes by high resolution spectrum-domain optical coherence tomography
We report a case of punctate inner choroidopathy (PIC) treated with oral prednisolone and intravitreous bevacizumab injection (IVB). The case was studied and followed for 5 months by serial spectrum-domain optical coherence tomography (SD-OCT). At the early active phase of PIC, SD-OCT showed dome-shaped retinal pigment epithelium (RPE) elevation with underlying intact Bruch's membrane (BM), overlying photoreceptor inner/outer segment junction (PRJ) disappearance, and homogenous hyperreflective sub-RPE signals. After oral prednisolone and IVB, SD-OCT showed resolution of RPE changes with overlying intact PRJ. Further, the l...
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
Rapid anterior capsular phimosis after cataract surgery in a patient with chronic angle closure glaucoma
We reported a case of complete occlusion of capsulorrhexis opening in a patient with chronic angle closure glaucoma with fixed–dilated pupil in the following 2 weeks after an uneventful cataract surgery. The capsulorrhexis diameter was intended to make between 5.0 mm and 5.5 mm, to prevent photophobia afterward. There was no evidence of zonular weakness on preoperative examination or during the surgery. Nd:YAG anterior capsulotomy was performed for capsular phimosis and to enlarge capsulorrhexis. The patient regained her visual acuity 3 days after laser treatment, and no pseudophakodonesis, intraocular lens decentratio...
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
Ocular decompression retinopathy after laser iridotomy in a patient with acute angle closure
Publication date: Available online 4 December 2014 Source:Taiwan Journal of Ophthalmology Author(s): Tzu-Te Hu , Shao-Chun Chen , Po-Chen Tseng , Chun-Chen Chen , Shiow-Wen Liou A 65-year-old female developed elevated intraocular pressure (IOP) with angle closure in the right eye. The fundus examination revealed vitreo-retinal hemorrhage that had occurred after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser iridotomy. The retinal hemorrhage resolved spontaneously. This is a rare complication that occurs when the IOP is lowered rapidly. Ocular decompression retinopathy (ODR) was identified. We reviewed seve...
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
Sub-internal limiting membrane hemorrhage treated with intravitreal tissue plasminogen activator followed by octafluoropropane gas injection
We report two cases of sub-ILM hemorrhage, both confirmed by optical coherence tomography (OCT) and treated with an intravitreal injection of tissue plasminogen activator (tPA) followed by an octafluoropropane (C3F8) pneumopexy and a strict postoperative prone positioning. The hemorrhage was totally resolved and complete visual recovery was achieved in both cases. We found tPA hemolysis with C3F8 pneumopexy to be a safe and effective method for treating sub-ILM hemorrhage. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
A lack of ongoing diabetes is an important factor in preserving eyes from late or suboptimally treated endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess
Conclusion A lack of ongoing diabetes is an important factor in preserving eyes with late or suboptimally treated endogenous endophthalmitis second to KP liver abscess. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - December 19, 2014 Category: Opthalmology Source Type: research
Three case reports: Easy-to-prepare autologous platelet-rich plasma in the treatment of refractory corneal ulcers
This article presents three cases of refractory corneal ulcer under the prescription of autologous PRP. The autologous PRP used in these cases was easily prepared in the blood bank laboratory. In this paper, we collected three patients with refractory corneal ulcer who were unresponsive to conventional treatment. The patients presented with neurotrophic ulcer, exposure corneal ulcer, and limbal deciency with corneal ulcer after hepatitic keratitis. Although we easily prepared autologous PRP eye drops using simple laboratory centrifugation, this preparation still had a clinical effect on corneal defect. The mean interventio...
Source: Taiwan Journal of Ophthalmology - November 21, 2014 Category: Opthalmology Source Type: research
Varicella zoster virus-associated neuroretinitis
We report a patient who presented with blurred vision of the left eye and extraocular movement pain. A fundoscopic examination revealed disc edema, hyperemia, and macular edema. The impression was neuroretinitis. Intravenous methylprednisolone pulse therapy was administered. However, visual recovery was incomplete with optical coherence tomography (OCT) imaging showing photoreceptor layer disruption. The laboratory data were rechecked and demonstrated a high varicella zoster virus immunoglobulin G titer. Varicella zoster virus-associated neuroretinitis was suspected and oral acyclovir was prescribed. His visual acuity impr...
Source: Taiwan Journal of Ophthalmology - November 21, 2014 Category: Opthalmology Source Type: research
Proper indications for vitrectomy—Myopic foveoschisis and proliferative diabetic retinopathy
Publication date: Available online 15 November 2014 Source:Taiwan Journal of Ophthalmology Author(s): Shih-Jen Chen (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - November 17, 2014 Category: Opthalmology Source Type: research
Intraocular pressure changes after repeated intravitreal antivascular endothelial growth factor injections in patients with neovascular age-related macular degeneration with or without glaucoma
Conclusion Repeated intravitreal antivascular endothelial growth factor injections of bevacizumab or ranibizumab, or both, did not increase the risk of increasing IOP in patients with exudative age-related macular degeneration, with or without glaucoma. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - November 7, 2014 Category: Opthalmology Source Type: research
Choroidal changes by ocular coherence tomography in white dot syndrome
Conclusion Choroidal thickening and increased choroidal vascular porosity in addition to disruption of photoreceptor IS/OS were characteristic OCT features of white dot syndrome. Recovery of vision was accompanied with restoration of OCT findings in both retina and choroid. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - November 7, 2014 Category: Opthalmology Source Type: research
Adults with strabismus seek surgery for pyschosocial benefits
Conclusion Adult strabismus surgery is highly successful and provides patients with a good level of satisfaction. Many patients seek surgical correction for cosmesis and psychosocial benefits. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - November 7, 2014 Category: Opthalmology Source Type: research
Treatment of anterior ischemic optic neuropathy: Clues from the bench
Publication date: March 2014 Source:Taiwan Journal of Ophthalmology, Volume 4, Issue 1 Author(s): Yaping Joyce Liao , Jaclyn J. Hwang Anterior ischemic optic neuropathy (AION) is due to optic nerve head ischemia, and there is currently no effective treatment. Age is a significant risk factor for both arteritic and nonarteritic AION (NAION), although we do not fully understand the changes that occur in aging that lead to selective vulnerability of the optic nerve head. Arteritic AION, which is most often seen in the setting of giant cell arteritis, is caused by vasculitis and thromboembolism of the ophthalmic circulat...
Source: Taiwan Journal of Ophthalmology - November 7, 2014 Category: Opthalmology Source Type: research
Antivascular endothelial growth factor therapies for neovascular age-related macular degeneration: Search for the optimized treatment regimen
This article reviews the characteristics of currently available anti-VEGF agents and treatment strategies. (Source: Taiwan Journal of Ophthalmology)
Source: Taiwan Journal of Ophthalmology - November 7, 2014 Category: Opthalmology Source Type: research
