Choroidal Effusion Case Studies

Were included 82 eyes of 49 patients, 32 (69%) females and 17 (31%) males. The mean patient age was 33 +/- 7.4 years (range: 21 to 48 years). Mean follow up was 4.8 years (range 9 to 1 year). The mean anterior chamber depth was 3.2mm (range 2.8 to 3.67mm). Were implanted 42 Artisan IOL and 40 Artiflex IOL with a mean power of -11.1D

This can lead to a build up of pressure in the eye, quite suddenly too.

Added pressure on the jugular vein can increase the intraocular pressure of the eye. These two treatments only delay the end result of blindness. Surgery depends on the potential of vision. Performing a delicate endolaser cyclophatocoagulation (ECPC) laser surgery may reduce the chances of blindness. A probe is inserted into the eye where a beam selectively destroys some of the fluid production cells. The lens is removed prior to surgery and then at the end of surgery replaced with an artificial lens. ECPC is very complicated and performed by few veterinarians. Permanently blind dogs can have a prosthetic eyeball implanted in the eye socket to remove the painful pressure of the affected eye, and give the dog a better cosmetic look. If an implant is not wanted, an injection of drugs into the eye may be done. This drug kills the fluid producing cells and helps reduce intraocular

In cases with Direct TON where vision loss is severe and immediate, surgical decompression may be necessary if there are bony fragments pressing against the optic nerve or an optic nerve sheath hematoma. Surgery for TON involves decompression of the optic canal, and may be accomplished by a variety of approaches like transcranial, transsphenoidal, or transethmoidal. Serious surgical complications include infection (meningitis), CSF leaks, and worsening on injury. If case is not severe though, observation is the number one treatment

Photcoagulation: A focal is used to burn the areas of the retina where the abnormal

Negative pressure in the abdominal cavity pulls the saline into the body, and this is an indication that the needle has been correctly placed. The insufflation tubing is attached to the Veress needle and pneumoperitoneum established. Following that goes the Hasson open technique, which requires a Hasson trocar with blunt obturator. A short incision is made in the skin at the site of trocar placement. This incision is carried to the fascia layer with Metzenbaum scissors and ESU. A U.S. army retractor or S retractor is used to expose the fascia, which is then incised. Two size 0 synthetic stay sutures are placed at either end of the incision. These are used to elevate the abdominal wall. A small incision is made in the peritoneum using Metzenbaum scissors. The Hasson sleeve and obturator are inserted into the abdomen through all layers and secured in place using the preplaced sutures. The insufflation tubing is attached to the Hasson trocar, and pneumoperitoneum is established. Next the bladeless optical trocar is inserted through the abdominal wall as described for the open Hasson technique without prior insufflation. However, in this technique the laparoscope is attached to the head of the trocar so that the abdominal layers can be visualized as they are

As previously stated in the results section of this report, if there is a breakdown of the blood-ocular barrier, the amount of proteins present within the aqueous humour will tend to increase. When viewing the anterior chamber with a slit lamp, this increase in protein content will result in light being scattered. Flare is the term given to the presence of this scattered light. Flare is a common symptom seen in acute iritis and therefore would likely be seen in this patient with the use of a slit lamp.

The patient was brought to the operating room, and tetracaine was instilled in the operative eye. The patient was then docked with the LenSX Femtosecond laser. My preestablished protocol for the operative eye was administered with the laser, creating the primary incision, the side port incision, the capsulorrhexis, the nuclear grooves, and toric mark. The operative eye was then anesthetized with lidocaine given in a peribulbar fashion. The eye was then prepped and draped in usual sterile fashion. The previously created incisions were opened using a Slade spatula. The capsulorrhexis was inspected and found to be suitable. Gentle hydrodissection was then performed. Using the phacoemulsification handpiece and a Drysdale nucleus manipulator,

The Optomap® Retinal Exam is used to get an ultra-widefield view of the back of the eye. While eye exams generally include a look at the front of the eye to evaluate health and prescription changes, a thorough screening of the retina is critical to verify that your eye is healthy. This can lead to early detection of common diseases, such as glaucoma, diabetes, macular degeneration, and even cancer. The exam is quick, painless, and may not require dilation drops. Dr. Rhodes and Dr. Zemanovich will educate you about the structures of your retina and interactively review and discuss the results of your exam. The optomap® photography provides a permanent record of the condition of your retina, which will allow the doctors to compare each year’s

CRSC is a common retinopathy characterized by episodes of serous neurosensory retinal detahcment at the posterior pole. Althought CRSC is generally a self-limiting condition associated with a good visual prognosis, in one third to half of all cases recurrences occur after the first episode and in some cases subretinal fluid may persists over 6 months, resulting in chronic CRSC. Persistance of subretinal fluid causes pigment epithelial and photoreceptor damage, type 1 choroidal neovascularization (CNV) and polypoidal choroidal vasculopaty, leading to visual impairment and metamorphopsia.

A 67 year old female Caucasian patient comes in to the clinic complaining of decreased vision, affecting the left eye more than the right. She is being treated for hypertension, cholesterol, and diabetes. Her distance vision is 20/25 OD and 20/40 OS and her near vision is 20/25 OD and 20/50 OS. Her prescription was found to be -11.00-1.00X180 OD and -13.50-1.50X015 OS, which is classified as high myopia. A 1+ nuclear sclerosis was found in the right eye. A 2+ nuclear sclerosis and a paracentral subcapsular cataract were found in the left eye. Due to these findings, it was determined that glasses could not fully fix the patients vision. This lead to a referral to a retinal specialist and a cataract surgeon. No other abnormalities were noted on the initial examination. The patient then came back when the cataract surgery was performed on the left eye and the visual acuity improved to 20/25 at distance and 20/25- at near OS. All things concerning the surgery seemed normal for a day after the IOL placement. Six months later, the

It is essential, during anaesthesia, to prevent any mechanical pressure to the globes and to maintain mean arterial pressure. Horseshoe headrests should not be used for prone patients as they have been implicated in nearly all cases of direct eye pressure damage in the prone position. All patients complaining of postoperative visual disturbance require urgent review by an ophthalmologist. Although vision rarely returns after ischaemic optic neuropathy, treatment may improve the visual field defect following central retinal artery

The skin clips holding the incision together are loosened, and some are removed the next day. The remainder are removed the following morning just before the patient is discharged.

Treatment of open-angle glaucoma usually begins with prescription eyedrops. These eyedrops lower pressure inside the eyeball, either by causing the eye to produce less fluid or by helping fluid to drain more. As an alternative to medication or when medication does not control glaucoma, laser surgery can be done. This surgery, also called laser trabeculoplasty, uses a laser to make the openings in the eye's drainage network larger. If medication and laser surgery are unsuccessful, conventional eye surgery may be necessary to make a new opening for fluid to leave the eye.

Eye drops may be instilled or a fine strip of paper stained with the dye will be touched to your eye allowing them to dilate for the HCP to see back of the eye. Bring sunglasses for post procedure as pupils will be dilated.