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Postoperative vision loss

Huan Li, Bin Zhang, Wei Wang, Ming-Hao Wei, Bai-Yun Liu, Zhen Wu
OBJECTIVE: Cavernous sinus hemangiomas (CSHs) are rare vascular tumors. Stereotactic radiosurgery (SRS) is now an effective treatment for small CSHs. The optimum treatment for giant CSHs is still controversial. This study reports the advantages of a complete intradural transcavernous approach in the total resection of CSHs. METHODS: A total of 15 patients with giant CSH were diagnosed and treated surgically between January 2012 and January 2017. All cases were evaluated with a contrast-enhanced MRI scan and confirmed histopathologically...
February 5, 2019: World Neurosurgery
Abdulrazag M Ajlan, Abdulrahman Albakr
BACKGROUND:  Intracranial teratomas are rare tumors that usually present during the second decade of life. Among intracranial teratomas, suprasellar germ cell tumors in particular are extremely rare. We present the case of an 18-year-old girl who underwent a successful endoscopic transnasal resection of a suprasellar teratoma with a mixed germ cell component. CASE DESCRIPTION:  An 18-year-old girl presented with progressive visual disturbance, headache, weight loss, and fatigue for 2 weeks...
February 1, 2019: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Qiyuan Shen, Changshun Yang, Jinsi Wang, Mengbo Lin, Shaoxin Cai, Weihua Li
OBJECTIVE: To explore the safety, feasibility and short-term efficacy of intracavitary uncut Roux-en-Y (URY) anastomosis in digestive tract reconstruction following laparoscopic total gastrectomy (LTG). METHODS: From November 2015 to January 2018, 67 gastric cancer patients underwent intracavitary URY following LTG to reconstruct the digestive tract at Oncological Surgery Department of Fujian Provincial Hospital. There were 41 males and 26 females with age of 50 to 81 (61...
January 25, 2019: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
M Teresa Magone, Laura Kueny, Gemini A Singh, Katrina Chin Loy, Caroline H Kim, Will Grover, Soo Y Shin
Introduction: In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease...
January 24, 2019: Military Medicine
Qian Li, Hongguang Pan, Lan Li, Juan Cao
RATIONALE: Malignant peripheral nerve sheath tumors (MPNSTs) are rare neoplasms with only a few reported cases affecting the nasal cavity, paranasal sinuses, and anterior skull base. PATIENT CONCERNS: A 12-year-old girl with a mass in her nose was admitted to the Department of Otorhinolaryngology of Shenzhen Children's Hospital. She had a 4-month history of progressive, unilateral right nasal obstruction, unilateral mucopurulent rhinorrhea, foul nasal odor, snoring, hyposmia, occasional epistaxis, and no headache, no facial numbness, without eye swelling and vision loss...
January 2019: Medicine (Baltimore)
Igor Leleu, Benjamin Penaud, Esther Blumen-Ohana, Thibault Rodallec, Raphaël Adam, Olivier Laplace, Jad Akesbi, Jean-Philippe Nordmann
BACKGROUND/OBJECTIVES: To assess the risk of immediate sudden visual loss ("wipe-out" phenomenon) following non-penetrating deep sclerectomy (NPDS) for end-stages glaucoma within the first 6-months postoperative period. SUBJECTS/METHODS: Monocenter database study. We reviewed the results for 73 eyes with severe or end-stage glaucoma that underwent NPDS. End-stage glaucoma (stage 5) was defined by the inability of patients to perform the Humphrey visual field test or by a visual acuity <20/200 due to glaucoma, according to the Glaucoma Staging System classification...
January 24, 2019: Eye
Gitansha Sachdev, Dandapani Ramamurthy
Purpose: To review the safety of the implantable phakic contact lens (IPCL V1, Caregroup Sight Solutions, India) for correction of myopia and myopic astigmatism. Methods: Retrospective interventional case series including 134 eyes which underwent IPCL implantation for correction of myopia and myopic astigmatism at a tertiary eye care hospital in South India. Intraoperative and postoperative complications were analyzed. The following parameters were analyzed at preoperative and 1, 6 and 12 month postoperative visits: visual acuity (in logMAR) and manifest refraction, slit lamp bio microscopy, dilated fundus examination, IOP and endothelial cell density measurement...
2019: Clinical Ophthalmology
Cheng Yang, Jun Zhou, Zhao Xiang Lu, Zongyao Hao, Jianzhong Wang, Li Zhang, Chaozhao Liang
OBJECTIVE: To present our experience of combining transperitoneal robot-assisted laparoscopic pyeloplasty (RALP) and concomitant flexible cystoscope lithotomy for ureteropelvic junction obstruction (UPJO) complicated by renal caliceal stones in the same session. PATIENTS AND METHODS: Between October 2014 and November 2017, RALP combined with flexible cystoscope lithotomy was performed in 16 patients with UPJO and ipsilateral renal caliceal stones. Stone location and size were preoperatively assessed...
January 19, 2019: World Journal of Urology
Tessa L Roor, Johan A Kooijman, J Marinus van der Ploeg, Hans D de Boer
Acute angle-closure glaucoma is a rare complication of general anesthesia. If not treated in time, acute angle-closure glaucoma can potentially cause permanent loss of vision. Physicians should therefore be vigilant for the possibility of acute angle-closure glaucoma in patients who experience postoperative change or loss of vision. Recently, some reported a case of bilateral acute angle-closure glaucoma after general anesthesia, in which the use of ephedrine was a possible trigger. This report begins by examining a case of unilateral acute angle-closure glaucoma...
January 4, 2019: A&A practice
Jordan M Thompson, Alexander H Truong, Hudson D Stern, Ali Djalilian, M Soledad Cortina, Elmer Y Tu, Paula Johnson, David D Verdier, Lorene Rafol, David Lubeck, Tatyana Spektor, Colin Jorgensen, Jonathan B Rubenstein, Parag A Majmudar, Rushi Talati, Surendra Basti, Robert Feder, Alan Sugar, Shahzad I Mian, Neelam Balasubramanian, Jasmin Sandhu, Bruce I Gaynes, Charles S Bouchard
PURPOSE: Descemet stripping endothelial keratoplasty (DSEK), currently the most common procedure for managing corneal endothelial dysfunction, may be repeated following DSEK failure from a variety of causes. This multicenter study reports the risk factors and outcomes of repeat DSEK. METHODS: This was an institutional review board-approved multicenter retrospective chart review of patients who underwent repeat DSEK. Twelve surgeons from 5 Midwest academic centers and 3 private practice groups participated...
February 2019: Cornea
Benjamin L M Way, Roman H Khonsari, Tharsika Karunakaran, Johan Nysjö, Ingela Nyström, David J Dunaway, Robert D Evans, Richard D Hayward, Jonathan A Britto
BACKGROUND: In FGFR2 craniosynostosis, midfacial hypoplasia features oculo-orbital disproportion and symptomatic exorbitism. Clinical consequences may mandate surgery at a young age to prevent globe subluxation, corneal ulceration, and potential loss of vision. Monobloc osteotomy and distraction osteogenesis (monobloc distraction) seek to correct exorbitism. A report of the age-related impact of monobloc osteotomy and distraction osteogenesis on orbital volume, globe volume, and globe protrusion is presented...
January 2019: Plastic and Reconstructive Surgery
Michael E Christiansen, Cumara B O'Carroll, Gyanendra Kumar, Brandon T Larsen, Oana M Dumitrascu
INTRODUCTION: Takayasu arteritis is a large-vessel vasculitis that may cause oculo-cerebral ischemia. We report a patient with visual loss as initial manifestation, and discuss transcranial Doppler (TCD) findings before and after surgical revascularization. CASE DESCRIPTION: A 19-year-old female developed episodes of transient positional right vision loss, progressing to permanent right vision loss and bright light-induced left amaurosis. Examination demonstrated subclavian bruits, palpable epigastrium aortic pulsation, faint radial pulses, right retinal pallor, arteriolar narrowing, and bilateral boxcarring...
January 2019: Neurologist
Norman Romito, Elena Basli, Isabelle Goemaere, Vincent Borderie, Laurent Laroche, Nacim Bouheraoua
The KAMRA small-aperture corneal inlay can compensate for presbyopia. A small number of complications have been reported, including glare, halos, decentration, iron deposition, compromised distance and night vision, infectious keratitis and reversal corneal haze. We describe a case of corneal fibrosis after small-aperture corneal inlay implantation and its persistence after late explantation. The postoperative period was uneventful, with good uncorrected near and distance visual acuities. Six years after implantation, the patient reported vision loss in the left eye...
December 21, 2018: Journal of Cataract and Refractive Surgery
E Ezeanosike, O B Ezeanosike, S I Akpan, C N Ezisi
Extranodal Rosai-Dorfman disease involving the orbit has been reported severally with extensive discourse on management strategies. However, rhabdomyoblastic differentiation coexisting with the disease is yet unreported. We present the clinical and histopathological features of a 12-year-old boy presenting with both. A 12-year-old boy was referred to our Ophthalmic Plastic Surgical Service with a 5-year history of bilateral, progressively enlarging eyelid, orbital masses causing proptosis, and severe cosmetic blemish...
December 2018: Nigerian Journal of Clinical Practice
Jung Sub Kim, Ho Ra, Chang Rae Rho
This study was aimed to evaluate refractive and visual outcomes after micro-monovision small incision lenticule extraction (SMILE) in patients with presbyopia and myopia. In total, 72 patients (144 eyes) with a mean age of 46.0 ± 4.9 years were included in this study. The dominant eye was treated for distance vision and the nondominant eye for near vision by targeting between -0.50 and -1.75 diopters (D). Treatment efficacy, safety, and refractive stability were calculated from postoperative data including refraction, binocular uncorrected distance visual acuity (UDVA), binocular uncorrected near visual acuity, monocular uncorrected distance visual acuity, and monocular corrected distance visual acuity (CDVA)...
December 2018: Medicine (Baltimore)
Farzan Kheirkhah, GholamAbbas Roustaei, Elham Mohebbi Abivardi, Angela Hamidia, Sakineh Javadian Kutenai
Background: Cataract induced vision impairment can lead to loss of older people's independence and self-esteem and limit their daily activities. Moreover it has comorbid cognitive impairment and depression. Cataract surgery may be one way to attenuate these comorbidities. The aim of this study was to compare pre-operative and postoperative depressive symptoms and cognitive impairments of patients who underwent cataract surgery. Methods: This study was a before - after clinical trial...
2018: Caspian Journal of Internal Medicine
Rafael Guerra, Ricardo Cabeças, Jesus Diaz, Tim Knott, Inês Freitas, Hugo Vilhena, Sofia Duarte
Cataracts are among the most common ocular diseases, and are a leading cause of vision loss in humans and dogs. Jack Russell Terriers (JRT) and Labrador Retrievers (LR) are among the most popular canine breeds in the United Kingdom, and also among the most affected by cataracts. This study aimed to analyze the clinical features and the surgical outcome of cataracts in JRT and LR in an ophthalmologic reference Veterinary Hospital in the United Kingdom. For that purpose, medical records from JRT and LR diagnosed with cataracts between January 2015 and December 2016 were retrospectively evaluated...
December 2018: Topics in Companion Animal Medicine
Agnieszka Dyrda, Jaume Català-Mora, Amanda Rey, Jesus Díaz-Cascajosa, Mariona Vidal-Santacana
The authors present the first case of macular hole (MH) after a single inhalation of poppers. A 13-year-old girl presented with vision loss in the left eye (OS). Pediatric and neurology exams were normal. Funduscopy revealed bilateral papilledema and yellow foveal spot OS. Optic neuritis was diagnosed and treated. Due to foveal alteration, optical coherence tomography was performed, and MH was diagnosed. Twenty-three-gauge pars plana vitrectomy, peeling of the internal limiting membrane, and SF6 exchange were performed...
November 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Sima Sayyahmelli, Adi Ahmetspahic, Mustafa K Baskaya
Meningiomas are the second most common neoplasm in the cerebellopontine angle (CPA), and are challenging lesions to treat surgically. With significant refinements in surgical techniques, operative morbidity, and mortality have been substantially reduced. Total or near-total surgical resection can be accomplished in the majority of cases via appropriately selected approaches, and with acceptable morbidity. In this video, we present a 51-year-old woman, who had a 2-year history of vertigo with symptoms that progressed over time...
December 2018: Journal of Neurological Surgery. Part B, Skull Base
Darren de Sa, Andrew J Sheean, Alejandro Morales-Restrepo, Malcolm Dombrowski, Jeffrey Kay, Dharmesh Vyas
PURPOSE: To analyze the available literature pertaining to clinical outcomes and complications of posterior-inferior shoulder stabilization performed arthroscopically in either the beach chair (BC) or lateral decubitus (LD) position. METHODS: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 3 databases (PubMed, EMBASE, and Medline) were searched up to January 2018 for English-language studies on posterior shoulder instability...
November 16, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
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