Bilateral hypermetropia, myelinated retinal nerve fibers, and amblyopia

A 14-year-old hyperopic female with poor vision in both eyes was evaluated for ophthalmic and systemic diseases. The patient had bilateral retinal fiber myelination and greater vision loss in the more hyperopic eye. This was a rare case of reverse Straatsma syndrome, the clinical presentation which may be accompanied with significant vision loss

effect of photodynamic therapy in the management of polypoidal choroidal vasculopathy in a 28-year-old

To report on the occurrence of exudative macular polypoidal choroidal vasculopathy in a young healthy patient, and the outcome of photodynamic therapy using vertoporphin. A twenty eight year old female patient with 6/6 vision for distance in both her eyes, presented with reduction in near vision in her left eye. Fundus evaluation supported by evidence provided by optical coherence tomography and fluorescein angiography revealed hemorrhagic retinal pigment epithelial detachment involving the macular area. Polypoidal choroidal vessles located supero temporal to the fovea were detected as causing the subfoveal bleeding on indocyanine green angiography. She was treated with photodynamic therapy using vertoporphin. A reduction in the hypofluorescent area involving the foveal area was noted on fundus fluorescein angiogram and indocyanine green angiogram. Clinically, there was a small pinkish swelling infero nasal to fovea in the left eye. Near Vision showed no improvement. However, central scotoma was replaced by metamorphosia. Optical coherence tomography revealed normal macular area. Polypoidal choroidal vasculopathy as a cause of macular disease in young individuals is rare and to our knowledge has not been reported so far

Optical coherence tomographic view of persistent primary fetal vasculature

To report on the posterior segment changes in a patient with bilateral persistent primary fetal vasculature as detected by optical coherence tomography. An 18-year-old lady with poor vision, left esotropia and bilateral posterior polar cataract was found to have dysplasia of the macula in both the eyes. Fundus fluorescein angiography, optical coherence tomography, [A] scan biometry and genetic work up was performed as a part of investigation. There was increase in thickness of the macular area in both the eyes [450-500mm]. The left eye showed a [sail like] fold extending over macula, from nasal to temporal side. The tissue had the same sensitivity and thickness as inner the retinal layers [180-200mm]. There was no detectable nerve fibre layer in the macula of either eye. Fundus fluorescein angiography was normal in the right eye, and showed hyperfluorescence at the inferior pole of the disc in the left eye corresponding to the Bergmeister papilla. There was no staining of the membrane with the dye. Evaluation of the posterior segment is important in predicting the visual outcome in patients with any form of PFV. Optical coherence tomography is an adjuvant to direct visualization and aids in further delineating posterior segment changes seen in this condition

Neurotoxoplasmosis Complicating Behcet's Disease on Treatment

Neurotoxoplasmosis is the most common cause of intracranial mass lesions in the immunocompromised and should be considered as a differential diagnosis of neuro-Behcet's