Secondary implantation of implantable collamer lens [ICL] for correction of anisometropic hyperopia in a 3-year-old pseudophakic child

We report the first case of secondary implantation of implantable collamer lens [ICL] for correction of anisometropic hyperopia in a 3-year-old pseudophakic child. The ICL implantation was considered in our patient due to parental noncompliance for contact lens and spectacles use for one year. In terms of efficacy, the preoperative refractive error of +7.00-1.75 diopter [D] reduced to +1.00-1.75 D. The uncorrected distance visual acuity [UDVA] significantly improved from 20/400 [preoperatively] to 20/50 [postoperatively]. In terms of safety, after an uneventful implantation surgery, the ICL was well tolerated, and remained well centered, with no serious postoperative complications encountered over a 22-month follow-up

Presentation of acute central retinal vein occlusion in scleroderma

Central retinal vein occlusion [CRVO] is a rare complication of scleroderma. Here we report a case of a 30-year-old man who was diagnosed to have scleroderma in the rheumatology and dermatology clinic. During treatment with systemic steroids and immunosuppressive therapy the patient developed a sudden decrease of vision in the right eye and was diagnosed to have right CRVO with macular edema on fundus examination. After three consecutive Intravitreal bevacizumab [IVB] injections for macular edema, best-corrected visual acuity [BCVA] improved from 20/80 to 20/25. All ocular and systemic causes of CRVO other than scleroderma were excluded in our patient by thorough clinical examination and investigations, suggesting that scleroderma was the most possible etiology in his condition

Behcet's disease presenting as intracranial hypertension due to cerebral venous thrombosis

The non-parenchymal central nervous system's [CNS] involvement in Behcet's disease [BD] is considered rare. We herein report a case of BD complicated by intracranial hypertension [ICH] due to cerebral venous thrombosis [CVT] in a 25-year-old Saudi male. Our patient presented with a four-week history of increasingly severe headache, nausea and diplopia, which were preceded by previous recurrent intermittent oral and genital ulcers, history suggestive of acneiform lesions and arthralgia over the past two years. Ophthalmic examination disclosed normal visual acuity [20/20] in both eyes with bilateral 6th nerve palsy and papilledema. Both eyes showed no signs of anterior or posterior segment inflammation. Oral and genital ulcers were found on physical examination with no other lesions. Magnetic resonance imaging [MRI] and magnetic resonance venography [MRV] of the brain showed lack of flow in the right transverse and sigmoid dural sinuses suggestive of venous thrombosis. On lumbar puncture, the opening pressure was greatly raised. After a comprehensive screening for prothrombotic conditions, a diagnosis of BD with ICH due to CVT was made. The patient was then treated by oral prednisolone, azathioprine, colchicine, cyclosporine, as well as anticoagulation, which resulted in significant clinical improvement