Subject(s)
Choroid Neoplasms/diagnosis , Melanoma/diagnosis , Adult , Choroid Neoplasms/complications , Choroid Neoplasms/diagnostic imaging , Choroid Neoplasms/pathology , Humans , Magnetic Resonance Imaging/methods , Male , Melanoma/complications , Melanoma/diagnostic imaging , Melanoma/pathology , Microscopy, Acoustic , Neoplasm Invasiveness , Ophthalmoscopy , Retinal Detachment/etiology , Vision Disorders/etiologyABSTRACT
PURPOSE: We report on a patient with Terson syndrome in the left eye complicated by a neovascularized epiretinal membrane likely secondary to cocaine use. METHODS: Case report and literature review using the Medline database (1966-2007). RESULTS: A woman known for cocaine use was seen in the ophthalmology clinic for Terson syndrome in the left eye after subarachnoid hemorrhage. Ten months later, a neovascularized epiretinal membrane was noted in the left eye and confirmed with retinal angiography and optical coherence tomography. After vitrectomy, the neovascular membrane was sent for histopathological examination, revealing neovascular capillaries. CONCLUSION: Neovascularized epiretinal membranes have never been reported in Terson syndrome and in our patient this likely occurred due to an ischemic retinal environment created by cocaine use and decreased retinal perfusion after subarachnoid hemorrhage.
ABSTRACT
CASE REPORT: In India and Southeast Asia, rhinosporidiosis is a common infectious disease, but it has rarely been reported in western countries. Infrequently, isolated ocular rhinosporidial infections have been reported, but to our knowledge, there are no reported cases in Canada. Two cases of rhinosporidiosis have been recently diagnosed and managed at our university-based hospital. COMMENTS: Rhinosporidiosis presents with certain characteristic clinical features; however, the diagnosis is confirmed histopathologically. The presence of typical sporangia and spores in a fibrovascular stroma infiltrated by acute and chronic inflammatory cells including granulomas is diagnostic. Surgical excision is the treatment of choice, and recurrence is possible but rare.
