ABSTRACT
A 7-year-old girl presented to the emergency department of the eye clinic with an eyeball perforation with iris prolapse and corneal as well as scleral wounds of the left eye caused by a spinning toy (fidget spinner). A surgical wound inspection with iris reposition and corneal and scleral suture were performed without delay. This case report demonstrates the potential risk of this popular toy.
Subject(s)
Eye Injuries , Iris Diseases , Child , Cornea , Female , Humans , Iris , ScleraABSTRACT
Two children from the same neighbourhood presented with concomitant granuloma annulare (GA) and intermediate uveitis (IU) at an interval of 2 weeks. A coincidence seemed unlikely, as IU is very rare in children and even more so in connection with GA. Thorough diagnosis was performed to exclude other associated diseases. No systemic disease, no special features of vaccination or medication, no history of infection, and no toxic cause could be found. An association between GA and IU based on other, as yet undiagnosed factors, is still possible. Therefore, when evaluating patients with newly diagnosed IU, clinical work-up should also include medical history and examination to rule out GA.
Subject(s)
Granuloma Annulare , Uveitis, Intermediate , Child , HumansABSTRACT
A 64-year-old female patient complained of a bilateral reduction in vision. The foveal reflex was remarkable bilaterally and optical coherence tomography (OCT) demonstrated the absence of a foveal depression. After exclusion of possible diseases foveal hypoplasia was diagnosed. This rare alteration of the fovea should not be mistaken for foveal edema. A volume scan with a narrow grid is advisable to avoid a misinterpretation.
Subject(s)
Eye Diseases, Hereditary/complications , Eye Diseases, Hereditary/diagnostic imaging , Fovea Centralis/abnormalities , Fovea Centralis/diagnostic imaging , Nystagmus, Congenital/complications , Nystagmus, Congenital/diagnostic imaging , Tomography, Optical Coherence/methods , Vision Disorders/etiology , Diagnosis, Differential , Eye Diseases, Hereditary/pathology , Female , Fovea Centralis/pathology , Humans , Imaging, Three-Dimensional/methods , Middle Aged , Nystagmus, Congenital/pathology , Vision Disorders/diagnosis , Visual AcuityABSTRACT
OBJECTIVES: To show the reducing effect of estrogens and progestins on the elevated intraocular pressure (IOP) in the case of a 56-year-old woman showing typical climacteric complaints, who was admitted to the menopause outpatient unit. She also suffered from a primary open-angle glaucoma treated with betaophtiole eye drops with intraocular pressures of 16-20 mmHg under this local therapy. METHODS: IOP patterns were monitored by means of standardised daily pressure profiles four times a day before as well as 4 and 12 weeks after the beginning of hormone replacement therapy (HRT). The local glaucoma therapy remained unchanged. RESULTS: During HRT, IOP levels were reduced from 16-20 mmHg before therapy to 12-15 mmHg at week 4 and to 13-15 mmHg at week 12 after the beginning of HRT. CONCLUSION: The finding of a close chronological relationship between the onset of menopause and the development of a glaucoma is a potentially new indication for HRT.
