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Digital Journal of Ophthalmology: DJO

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https://read.qxmd.com/read/30800012/orbital-desmoplastic-small-round-cell-tumor-in-an-infant
#1
Amy Huang, Nishita Patel
Desmoplastic small round cell tumor (DSRCT) is a rare, aggressive malignancy that primarily involves the serosal surfaces of the abdomen and pelvis and has a poor prognosis. Orbital involvement is extremely rare. We report the case of a 2-month-old boy who presented with a right infraorbital mass consistent with a DSRCT and causing mass effect and superonasal globe displacement. To our knowledge, this is the first case of orbital DSRCT in an infant.
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800011/iris-melanin-pigment-as-a-masquerade-of-gram-positive-cocci-after-penetrating-ocular-trauma
#2
Wenlan Zhang, Alan D Proia, Sumit Sharma, David Fleischman
We describe a case of penetrating eye injury that resulted in a post-injury day 1 hypopyon, leading to concern for endophthalmitis and phacoanaphylaxis. A Gram stain prepared by the clinical microbiology laboratory was interpreted as Gram-positive cocci (GPC). However, when cultures returned negative, further investigation with microbiology and pathology found that what was thought to be GPC was actually iris melanin pigment. Although endophthalmitis following ocular trauma remains an important diagnosis to consider, this microbiologic masquerade of iris melanin pigment as GPC should be considered in cases where Gram stain is positive yet cultures return negative...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800010/povidone-iodine-concentration-and-in-vitro-killing-time-of-bacterial-corneal-ulcer-isolates
#3
Jagger C Koerner, Mary J George, Elizabeth A Kissam, Michael G Rosco
Background: The concentration and dosing of povidone-iodine (PI) solution used in surgical site prophylaxis are variable. Prior in vitro work has demonstrated that dilute PI solutions (<1%) had greater bactericidal activity than stock solutions (10%). Studies using pathologic clinical isolates from the eye have yielded mixed results. The purpose of the current study was to evaluate the efficacy of different concentrations of PI on pathologic ocular surface isolates. Methods: We conducted an in vitro microbiology study using clinical isolates from corneal ulcers...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800009/patient-attitudes-toward-novel-glaucoma-drug-delivery-approaches
#4
Benjamin B Wang, Michael M Lin, Thuan Nguyen, Angela V Turalba
Purpose: Understanding patients' attitudes toward novel therapeutic options can help guide providers in personalizing treatment regimens for glaucoma patients. This study aimed to determine factors associated with acceptance of new drug delivery options among glaucoma patients. Methods: A total of 199 patient volunteers participated in an interviewer-administered survey from June to August 2016 at the Glaucoma Service of Massachusetts Eye and Ear. The questionnaire was designed to determine acceptance of 6 drug delivery approaches: (1) triple combination eye drop, (2) microdose eye spray, (3) drug-eluting contact lens, (4) drug-eluting periocular ring insert, (5) injectable subconjunctival drug insert, and (6) injectable anterior chamber implant...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800008/bilateral-uveal-effusions-in-a-23-year-old-man
#5
Karen W Jeng-Miller, Eric D Gaier, Angela V Turalba
No abstract text is available yet for this article.
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800007/self-inflicted-injection-of-tattoo-ink-in-the-anterior-chamber-a-failed-attempt-to-change-the-color-of-the-eyes
#6
José D Paulo, Juan Carlos Mejía Turizo, Diana Carolina Montoya Carrasquilla, Luisa Maria Bustamante
We report the case of a 29-year-old man, a tattoo artist by profession, with a history of schizophrenia, who was admitted to our hospital after injecting tattoo pigments in the anterior chamber of both eyes using a dermograph. The patient was diagnosed with penetrating ocular injury with secondary glaucoma, endotheliitis, and uveitis. Anterior chamber washout was performed immediately. At 4 months' follow-up the patient had a visual acuity of 20/25 in each eye and 360° peripheral anterior synechiae; there still were traces of tattoo pigment at the trabecular meshwork and endothelial corneal layer...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800006/the-effect-of-inhaled-steroids-on-the-intraocular-pressure
#7
Sujani Shroff, Reji Koshy Thomas, George D'Souza, Suneetha Nithyanandan
Background: Steroids are known to play a role in the pathogenesis of glaucoma, but little is known about the effect of inhaled corticosteroids (ICS). The purpose of this study was to investigate whether there is a clinically significant association between inhalational steroids and intraocular pressure (IOP). Methods: This was a cross-sectional, case-control study performed at St John's Medical College, Bengaluru, India, from October 2013 to July 2015 of 200 patients using 800 mcg of budesonide or its equivalent dose of ICS and 200 healthy controls not using any form of steroids...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/30800005/adenoid-cystic-carcinoma-presenting-with-bilateral-orbital-extension-from-the-soft-palate
#8
Tayler M Schwartz, Jeffrey M Rogg, Rogers C Griffith, Michael E Migliori
Adenoid cystic carcinoma (ACC) is a rare neoplasm of secretory epithelium that most commonly occurs in the fifth and sixth decades of life. It is characterized by high recurrence rates and poor response to chemotherapy, In the orbit, ACC usually presents as a lacrimal gland mass. We describe the rare case of a 70-year-old woman who presented with pain during mastication and bilateral facial numbness in the cranial nerve V2 distribution. She was found to have adenoid cystic carcinoma involving the orbits bilaterally without lacrimal gland involvement and without a clear primary tumor...
2018: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403340/a-15-year-old-boy-with-an-optic-neuropathy
#9
David B Lazar, Adham B Hariri
No abstract text is available yet for this article.
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403339/a-60-year-old-woman-with-an-asymptomatic-left-lacrimal-gland-mass-found-incidentally
#10
Sudip D Thakar, Oded Sagiv, Michael T Tetzlaff, Adel El-Naggar, J Matthew Debnam, Thomas J Kandl, Bita Esmaeli
No abstract text is available yet for this article.
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403338/orbital-leiomyosarcoma-metastasis-presenting-prior-to-diagnosis-of-the-primary-tumor
#11
Nailyn Rasool, Daniel R Lefebvre, Mark A Latina, Ian F Dunn, Sandro Santagata, Suzanne K Freitag, Dean M Cestari
Leiomyosarcomas, neoplasms of smooth muscle, are rarely found within the orbit. Orbital leiomyosarcoma may be primary, metastatic, or secondary to radiation. When they are metastatic, patients almost exclusively have a history of a primary leiomyosarcoma, often occurring in the spermatic cord, skin, gastrointestinal tract, or the uterus. We present the case of 48-year-old woman who presented with a metastatic orbital leiomyosarcoma, which was identified before the primary tumor.
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403337/diffuse-ocular-and-orbital-inflammation-after-zoledronate-infusion-case-report-and-review-of-the-literature
#12
REVIEW
Obi C Umunakwe, David Herren, Stephen J Kim, Sahar Kohanim
Bisphosphonates have become a commonly used class of medications to treat osteoporosis and other bone diseases. Zoledronate (zoledronic acid) can be dosed annually via intravenous infusion, making it an appealing option for patients and physicians. We report the case of a 68-year-old woman who developed severe, unilateral, ocular inflammation, including corneal endotheliitis, anterior uveitis with hyphema, scleritis, and orbital inflammation beginning 12 hours after receiving her first zoledronate infusion...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403336/experimental-use-of-an-extracellular-matrix-graft-in-pterygium-surgery
#13
Erik W Anderson, Suri Dwarakanathan, Ramez Haddadin
A 40-year-old man presented with a primary pterygium of the right eye and underwent pterygium excision using mitomycin C and placement of an extracellular matrix (ECM) adjuvant. As an adjuvant in pterygium surgery, ECM serves as a scaffold while promoting the growth of normal conjunctiva. Perioperatively, the ECM graft was found to be easily manipulated on the surgical field. It attached to the scleral bed with fibrin glue without complication. Postoperatively, there was no inflammation or local tissue reaction to the porcine ECM graft...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403335/takayasu-arteritis-related-photic-and-postprandial-amaurosis
#14
Sze H Wong, Roger E Turbin, Larry P Frohman
We report the case of a 66-year-old man with Takayasu arteritis who developed photic and postprandial amaurosis occurring at a corticosteroid dose <40 mg per day, despite concurrent methotrexate. The amaurosis resolved with correction of anemia by packed red blood cell transfusion. Marginal retinal perfusion in Takayasu arteritis may precipitate symptomatic hypoxia as a result of eating a meal or exposing the eye to bright lights. Correction of anemia improves oxygen delivery to the hypoxic retina and relieves recurrent amaurosis...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403334/surgical-approach-to-limiting-skin-contracture-following-protractor-myectomy-for-essential-blepharospasm
#15
Jeremy Clark, John Randolph, Jason A Sokol, Nicholas A Moore, Hui Bae H Lee, William R Nunery
Purpose: To report our experience with protractor myectomy in patients with benign essential blepharospasm who did not respond to serial botulinum toxin injection, and to describe intra- and postoperative techniques that limited skin contracture while also providing excellent functional and cosmetic results. Methods: The medical records of patients with isolated, benign, essential blepharospasm who underwent protractor myectomy from 2005 to 2008 by a single surgeon were reviewed retrospectively...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403333/aspiration-of-cataract-in-1815-in-philadelphia-pennsylvania
#16
Christopher T Leffler, Charles E Letocha, Kasey Pierson, Stephen G Schwartz
We present and discuss the previously unrecognized evidence for the possible introduction of cataract extraction by aspiration into modern Western medicine on March 26, 1815, in Philadelphia, Pennsylvania, by surgeon Philip Syng Physick. On this date, he successfully extracted a cataract by suction through a tube, according to newspaper reports written by the patient, an attorney who sought a patent on the suction device. Aspects of the patient's account are confirmed by supporting evidence from the medical community and by a cataract instrument set attributed to Physick, which includes a cannula attached to a syringe...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29403332/the-best-of-the-best-a-review-of-select-oculoplastic-case-series-published-in-2015
#17
REVIEW
Jenny Temnogorod, Roman Shinder
This review summarizes three case series published in the field of oculoplastic surgery in the year 2015. The first article describes the use of hedgehog pathway inhibitors for medical therapy of advanced periocular basal cell carcinoma and basal cell nevus syndrome. The second describes the use of c-reactive protein as a marker for starting treatment with steroids in children with orbital cellulitis. The third article presents an endoscopic medial orbital fat decompression technique for treatment of proptosis in thyroid eye disease...
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29162995/a-5-day-old-newborn-with-a-large-right-upper-eyelid-coloboma
#18
Dalia V Zhang, Rao V Chundury, Alexander D Blandford, Julian D Perry
No abstract text is available yet for this article.
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29162994/a-71-year-old-man-with-bilateral-vision-loss
#19
Katy C Liu, Jullia A Rosdahl, Mays A El-Dairi
No abstract text is available yet for this article.
2017: Digital Journal of Ophthalmology: DJO
https://read.qxmd.com/read/29162993/a-61-year-old-man-with-cystoid-macular-edema-and-chorioretinal-folds-after-cataract-surgery
#20
Andrew Lee, Sandra R Montezuma
No abstract text is available yet for this article.
2017: Digital Journal of Ophthalmology: DJO
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