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Triamcinolone acetonide for rare ocular manifestations of pemphigus vulgaris: a case report  [cached]
N Kozeis,S Tyradellis,E Dragiotis,et al
Clinical Ophthalmology , 2010,
Abstract: N Kozeis1, S Tyradellis1, E Dragiotis1, H Eleftheriadis21Department of Ophthalmology, Hippokration Hospital of Thessaloniki, Greece; 2Southend Hospital NHS Trusts, Westcliff-on-Sea, Essex, UKAbstract: We present an interesting case of pemphigus vulgaris with severe and rare eye manifestations. An old lady with systemic and ocular manifestations of pemphigus vulgaris was treated with systemic corticosteroids and immunosuppressants, with no effect. Subconjunctival injection of triamcinolone acetate reduced the ocular signs and led to gradual reduction of the systemic medications.Keywords: pemphigus vulgaris, ocular manifestations, triamcinolone acetate
Triamcinolone acetonide for rare ocular manifestations of pemphigus vulgaris: a case report
N Kozeis, S Tyradellis, E Dragiotis, et al
Clinical Ophthalmology , 2010, DOI: http://dx.doi.org/10.2147/OPTH.S8189
Abstract: iamcinolone acetonide for rare ocular manifestations of pemphigus vulgaris: a case report Case report (3726) Total Article Views Authors: N Kozeis, S Tyradellis, E Dragiotis, et al Published Date April 2010 Volume 2010:4 Pages 365 - 368 DOI: http://dx.doi.org/10.2147/OPTH.S8189 N Kozeis1, S Tyradellis1, E Dragiotis1, H Eleftheriadis2 1Department of Ophthalmology, Hippokration Hospital of Thessaloniki, Greece; 2Southend Hospital NHS Trusts, Westcliff-on-Sea, Essex, UK Abstract: We present an interesting case of pemphigus vulgaris with severe and rare eye manifestations. An old lady with systemic and ocular manifestations of pemphigus vulgaris was treated with systemic corticosteroids and immunosuppressants, with no effect. Subconjunctival injection of triamcinolone acetate reduced the ocular signs and led to gradual reduction of the systemic medications.
Ocular cicatricial pemphigoid masquerading as chronic conjunctivitis: a case report  [cached]
DaCosta J
Clinical Ophthalmology , 2012,
Abstract: Joanna DaCostaMoorfields Eye Hospital, London, UKAbstract: Conjunctivitis is often considered an innocuous condition which is self-limiting. This report describes misdiagnosis of ocular cicatricial pemphigoid as chronic conjunctivitis. Ocular cicatricial pemphigoid is a rare autoimmune condition. The clinical features which are useful to distinguish this condition from infective conjunctivitis are discussed. The investigation and treatment of ocular cicatricial pemphigoid is discussed. It is important to recognize nonocular symptoms and signs that may indicate the presence of a more serious underlying pathological condition necessitating specialized ophthalmic referral and subsequent investigation and treatment.Keywords: autoimmune, conjunctivitis, ocular cicatricial pemphigoid
Acquired double depressor palsy following acute haemorrhagic conjunctivitis  [cached]
Prakash Prem,Menon V,Gupta A,Kumar Atul
Indian Journal of Ophthalmology , 1988,
Abstract: A case of acquired unilateral double depressor palsy following acute haemorrhagic conjunctivitis is reported.
Ophthalmic manifestations of lymphoma  [cached]
Omoti A,Omoti C
Annals of African Medicine , 2007,
Abstract: Background : Ophthalmic involvement in lymphoma is a relatively rare condition that can result from a primary intraocular lymphoma or an intraocular manifestation of systemic lymphoma. This report reviews the ophthalmic manifestations of lymphoma. Methods : Review of relevant information from journal articles and Internet search. Results : Almost all the structures in the orbit, adnexiae and eye can be involved in lymphoma. Lymphoma of the eye and adnexiae are most frequently of B lineage. Most of the ocular manifestations frequently masquerade as other more benign intraocular conditions including allergic or infectious conjunctivitis, uveitis, multiple evanescent white dot syndrome, acute retinal necrosis or herpetic retinitis. Correct diagnosis thus depends on a high index of suspicion and frequently requires radiologic imaging, histologic analysis, particularly vitreous biopsy or flow cytometry, subretinal aspiration and retinal biopsy. Diagnosis is often delayed and may lead to a fatal outcome. Recognition of its modes of presentation facilitates early diagnosis and treatment that may improve prognosis. Conclusions : It is important to review the ocular manifestations of lymphoma to assist the ophthalmologist to play a pivotal role in the prompt diagnosis and treatment of ocular lymphoma, and the haematologist/oncologist to recognize the need for a complete ophthalmic evaluation in the diagnosis, follow-up and management of lymphoma patients.
Ocular cicatricial pemphigoid masquerading as chronic conjunctivitis: a case report
DaCosta J
Clinical Ophthalmology , 2012, DOI: http://dx.doi.org/10.2147/OPTH.S40319
Abstract: ular cicatricial pemphigoid masquerading as chronic conjunctivitis: a case report Case report (1786) Total Article Views Authors: DaCosta J Published Date December 2012 Volume 2012:6 Pages 2093 - 2095 DOI: http://dx.doi.org/10.2147/OPTH.S40319 Received: 14 November 2012 Accepted: 27 November 2012 Published: 17 December 2012 Joanna DaCosta Moorfields Eye Hospital, London, UK Abstract: Conjunctivitis is often considered an innocuous condition which is self-limiting. This report describes misdiagnosis of ocular cicatricial pemphigoid as chronic conjunctivitis. Ocular cicatricial pemphigoid is a rare autoimmune condition. The clinical features which are useful to distinguish this condition from infective conjunctivitis are discussed. The investigation and treatment of ocular cicatricial pemphigoid is discussed. It is important to recognize nonocular symptoms and signs that may indicate the presence of a more serious underlying pathological condition necessitating specialized ophthalmic referral and subsequent investigation and treatment.
An epidemic of viral acute haemorrhagic conjunctivitis in Delhi in 1994  [cached]
Satpathy Gita,Mohanty Sujata,Nayak Niranjan
Indian Journal of Ophthalmology , 1996,
Abstract: An epidemic of acute haemorrhagic conjunctivitis affecting persons of all ages and both sexes occurred in Delhi and surrounding areas during the monsoon season of 1994. The symptoms lasted on an average for 4-5 days. In some of the patients corneal involvement was observed. Conjunctival swabs from the affected patients were processed for viral antigen detection, virus isolation and bacterial culture and sensitivity. Viral antigen was detected in 62% (31/50) of the smears tested by indirect immunofluorescence assay. In 22 (44%) of the specimens Coxackie A 24 (Cox A 24) virus antigen and in 9 (18%) of the specimens Entero Virus 70 (EV 70) antigen were detected. In confluent monolayers of Hep 2 cells cytopathic virus was isolated in 10 (30.30%) of the 33 specimens processed. The isolated viruses were identified as either Cox A 24 (7 isolates) or EV 70 (3 isolates) using indirect immunofluorescence assay. Super added bacterial infection was observed in 33% (89/270) of the cases, Staphylococcus albus being the predominant bacteria isolated.
Ocular manifestations in HIV/AIDS cases in Nepal  [PDF]
G Lamichhane,DN Shah,S Sharma,M Chaudhary
Nepalese Journal of Ophthalmology , 2010, DOI: 10.3126/nepjoph.v2i1.3704
Abstract: Background: A significant number of patients with HIV/AIDS can have ocular manifestations. Almost every structure in the eyes can be affected in this condition. Objective: To study various ocular manifestations in the cases known to be infected with HIV. Materials and methods: A cross-sectional descriptive study was carried out including 117 subjects positive for HIV using the purposive sampling method. Their demographic pattern and ocular findings were studied. Findings were recorded in the pro forma developed for the study. Statistics: SPSS ver 14.0 was used for data analysis. The p value of <0.05 was considered as significant. Results: A total of 117 HIV infected cases were included in this study. Among them, 76 (64.95 %) were male and 41 (35.05 %) female. The mean age of the subjects was 30.04 ± 11.32 years. The duration of HIV detection ranged from 1-5 years. Ocular complaints were present in 26.49 % of the subjects. Ocular manifestations were present in 56 % of the patients with complaints and in 27.3 % of asymptomatic patients. Ocular involvement was seen in 55 (47 %) patients. The common anterior segment findings were herpes zoster ophthalmicus (4.27 %), anterior uveitis (2.56 %), blepharitis (2.56 %) and conjunctivitis (1.7 %), whereas HIV retinopathy (19.6 %), CMV retinitis (5.1 %), ocular toxoplasmosis (2.5 %) and presumed ocular tuberculosis (0.85 %) were common posterior segment findings. Conclusion: Herpes zoster ophthalmicus, anterior uveitis, HIV retinopathy and CMV retinitis are common ocular manifestations associated with HIV infections. Keywords: HIV/AIDS; anterior and posterior segments; ocular involvement DOI: 10.3126/nepjoph.v2i1.3704 Nep J Oph 2010;2(1) 45-50
Ocular Manifestations in Rheumatoid Arthritis  [PDF]
Diamantis Almaliotis, Marina Zakalka, Antony Gerofotis, Kleopas Chatzicharalampous, Maria Efstathiou, Michael Daniilidis, Vasileios Karampatakis
Open Journal of Ophthalmology (OJOph) , 2016, DOI: 10.4236/ojoph.2016.63024
Abstract: Rheumatoid arthritis (RA) is the most common autoimmune disease. Ocular manifestations of this autoimmune disease vary and are mainly keratoconjunctivitis sicca, episcleritis, scleritis and keratitis. Their appearance, as well as their severity are related to RA chronicity and resistance to therapy. The treatment consists of corticosteroids, NSAIDs and cytotoxic drugs, depending on the type of ocular manifestations and the patient’s response to treatment.
Hypoperfusive and hypertensive ocular manifestations in Takayasu arteritis  [cached]
Jayanthi Peter,Sarada David,George Joseph et al
Clinical Ophthalmology , 2010,
Abstract: Jayanthi Peter1, Sarada David1, George Joseph2, Saban Horo1, Debashish Danda31Department of Ophthalmology, Schell Eye Hospital, Vellore, India; 2Department of Cardiology, Christian Medical College Hospital, Vellore, India; 3Department of Clinical Immunology and Rheumatology, Christian Medical College Hospital, Vellore, IndiaAbstract: Takayasu arteritis is a relatively rare inflammatory arteritis that can be associated with ocular manifestations. We report four patients with proven Takayasu arteritis; two patients manifested hypoperfusive ocular manifestations of ocular ischemic syndrome and anterior ischemic optic neuropathy whilst two others had exudative retinal detachment and papilledema as a result of severe hypertension. The ischemic ocular manifestations were a result of hypoperfusion of the ocular structures due to occlusive arteritis of the aortic arch and its branches. The exudative retinal detachment and papilledema were manifestations of severe hypertension due to renal arterial involvement. Patients with Takayasu arteritis should be referred for ophthalmic assessment and screening for hypoperfusive and hypertensive manifestations.Keywords: Takayasu, retinopathy, ocular ischemic syndrome, India
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