Search

A 25-year-old female presented with sudden onset diminution of vision in the right eye (oculus dextrus [OD]) following blunt trauma after a sports injury. Ocular examination revealed best-corrected visual acuity (BCVA) of 20/30 in OD and fundus revealed commotio retinae, localized preretinal bleed, and a large choroidal rupture (CR). She was managed conservatively at that moment. Three months following trauma, she returned with further deterioration of BCVA (20/80) in OD. Optical coherence tomography angiogram (OCTA) confirmed the presence of choroidal neovascular membrane (CNVM). She was treated with single intravitreal ranibizumab injection. Repeat OCTA after 6 weeks showed the regression of CNVM. Her BCVA improved to 20/30 at 6 months of follow-up. In the index report, we present a unique OCTA guided the diagnosis of posttraumatic CR-associated CNVM and its successful management with single intravitreal ranibizumab. [ABSTRACT FROM AUTHOR]

A 30-year-old female presented with gradually progressive diminution of vision for 1 month, with night blindness for the past 5 years and difficulty in hearing for the past 10 years. Her developmental history and family history were unremarkable. Ocular examination revealed visual acuity of 6/36 in both eyes. Fundus showed features of retinitis pigmentosa with bilateral macular edema. Audiometry revealed bilateral sensorineural hearing loss; although, her vestibular functions were preserved. Clinical diagnosis of Usher syndrome type 3 was made based on normal hearing at birth, delayed presentation of progressive visual and auditory impairment with normal vestibular function, and developmental milestones. Her macular edema resolved after 3 months of treatment with topical dorzolamide therapy. The unique feature of this case is the presence of bilateral macular edema in type 3 Usher syndrome, which is rarely reported in literature. [ABSTRACT FROM AUTHOR]

Although smartphones can capture good-quality ocular image, none have a blue filter to capture such images. Conventionally, corneal pathologies are photographed using slit lamp photography (SLP) units after staining them with fluorescein stain however, in situations where SLP is not available/possible (bedridden patients, during field medical/eye camps, infants, uncooperative patients etc.) it is difficult to capture fluorescein-stained images of the cornea. This filter is a low-cost, pocket-sized adapter that can be used by anyone with a modern smartphone to obtain a clear image of the fluorescein-stained cornea ([Figure 1] and Video). [Extracted from the article]

A 45-year-old male presented with sudden onset diminished vision in both eyes for the last 2 weeks associated with occasional headache and dizziness for the last 2 months. [Figure 2]a and [Figure 2]b shows subretinal fluid and few intraretinal cystoid spacesMost likely diagnosis is malignant hypertensive retinopathy Disc edema with macular star can also be seen in neuroretinitis. Simple bedside fundus evaluation is a window to the systemic changes and reflects the more severe damages in other organs of the body. [Extracted from the article]