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Urbinati F, Rachwani-Anil R, Martín FZ, Aranda GL, Gómez JE. Total recovery of visual acuity in a pediatric patient with compressive optic neuropathy secondary to sphenoid sinus mucocele. Arq Bras Oftalmol 2022; 87:S0004-27492022005011201. [PMID: 36350900 DOI: 10.5935/0004-2749.2021-0312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 06/09/2022] [Indexed: 02/17/2024] Open
Abstract
We present an unusual case of a 13-year-old male pediatric patient with a diagnosis of sphenoid sinus mucocele. The patient suffered a progressive loss of visual acuity over three months followed by a total recovery of his visual acuity after surgery. The patient presented at the emergency room complaining of progressive loss of visual acuity in his left eye which decreased to hand motion over the preceding months. Imaging studies revealed a cystic mass, suggestive of sphenoid sinus mucocele, which was causing compressive optic neuropathy and proptosis. The patient was scheduled for a sphenoidectomy and resection of the mass. Three days after surgery, the patient's visual acuity in the left eye was 20/20, indicating complete recovery from his symptoms. We suggest that the excellent outcome in this patient may be attributable to his age. His ongoing physical development might have been the decisive factor in the recovery of his visual acuity following compressive optic neuropathy secondary to sphenoid sinus mucocele. Further research is needed to verify this proposed explanation.
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Affiliation(s)
- Facundo Urbinati
- Departamento de Oftalmología Infantil, Hospital Regional de Málaga, Hospital Materno Infantil, Málaga, Spain
- Hospital Regional de Málaga, Hospital Civil, Málaga, Spain
| | | | - Francisco Zamorano Martín
- Departamento de Oftalmología Infantil, Hospital Regional de Málaga, Hospital Materno Infantil, Málaga, Spain
- Hospital Regional de Málaga, Hospital Civil, Málaga, Spain
| | - Guillermo Luque Aranda
- Departamento de Oftalmología Infantil, Hospital Regional de Málaga, Hospital Materno Infantil, Málaga, Spain
- Hospital Regional de Málaga, Hospital Civil, Málaga, Spain
| | - Julia Escudero Gómez
- Departamento de Oftalmología Infantil, Hospital Regional de Málaga, Hospital Materno Infantil, Málaga, Spain
- Hospital Regional de Málaga, Hospital Civil, Málaga, Spain
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Borroni D, Bonzano C, Anil RR, Lorente MG, de Lossada CR, Martín FZ, Khaqan HA. Plug the pit: a surgical technique for optic disc pit. Rom J Ophthalmol 2022; 65:379-382. [PMID: 35087980 PMCID: PMC8764426 DOI: 10.22336/rjo.2021.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2021] [Indexed: 11/18/2022] Open
Abstract
Purpose: To present a recently described surgical technique for the treatment of optic disc pit (ODP) and evaluate its outcomes. Methods: A patient presented with refractory serous macular detachment and secondary full thickness macular hole associated with ODP, for which he had already undergone pars-plana vitrectomy with internal limiting membrane peeling and autologous serum application over the optic disc pit. A recently described surgical technique was carried out to treat this case. In this procedure, a silicone punctal plug was used to close the ODP. The macular hole was closed with a human amniotic membrane graft. Endotamponade was carried out with 1000cs silicone oil. Results: Postoperatively, the serous macular detachment subsided and the punctal plug and amniotic membrane graft were in situ. Patient’s visual acuity improved from counting fingers to 6/38 at one year postoperative. Conclusion: This technique appears to be safe and effective in resolving long standing serous macular detachment associated with ODP, which was refractory to the conventional intervention. However, more cases and longer follow-ups are needed to affirm the safety and efficacy of this recently described procedure.
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Affiliation(s)
| | - Chiara Bonzano
- Clinica Oculistica, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa
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Lorente MG, González IM, de Lossada CR, Martín FZ, García-Montesinos J, Romano V, de Mora MRC. Need for a standardized antibiotic prophylaxis in keratoplasty. Eye (Lond) 2021; 35:3440-3441. [PMID: 33235348 PMCID: PMC8602406 DOI: 10.1038/s41433-020-01311-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 11/06/2020] [Accepted: 11/09/2020] [Indexed: 11/09/2022] Open
Affiliation(s)
- María García Lorente
- Department of Ophthalmology, Regional University Hospital of Malaga, Malaga, Spain.
| | - Ismael Molina González
- Department of Ophthalmology, Health Management Area of Gibraltar, Hospital Punta de Europa, Algeciras, Spain
| | | | | | | | - Vito Romano
- Department of Ophthalmology, Royal Liverpool University Hospital, Liverpool, UK
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Borroni D, Bonzano C, Rachwani-Anil R, Rocha-de Lossada C, Martín FZ, Garcia-Lorente M, Bonzano E, Khaqan HA. Less is more: new one-step intracameral chemotherapy technique. Rom J Ophthalmol 2021; 65:218-221. [PMID: 35036640 PMCID: PMC8697783 DOI: 10.22336/rjo.2021.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2021] [Indexed: 11/25/2022] Open
Abstract
Purpose: To describe the feasibility of a new one-step approach to aspirate the aqueous and apply melphalan in a single-go without repeated entries into the anterior chamber. Methods: This retrospective non-comparative study was conducted at a referral center and included 12 patients. The one-step approach is described in a step-wise manner. No complications were observed among the patients. Results: One single injection of intracameral melphalan proved to be a successful treatment in nine cases. Two patients required a second injection, which was administered two weeks after the first one following the same technique. Conclusions: This proved to be a reasonable technique for the smooth application of melphalan in the anterior chamber studded with retinoblastoma seeds. Our outcomes revealed that it is an effective, quick, and cost-effective technique. Longer-term data collection is underway, though initial findings are encouraging.
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Affiliation(s)
- Davide Borroni
- Department of Doctoral Studies, Riga Stradins University, Riga, Latvia
| | - Chiara Bonzano
- Eye Clinic, DiNOGMI, University of Genoa and IRCCS San Martino Polyclinic Hospital, Genoa, Italy
| | - Rahul Rachwani-Anil
- Hospital Regional de Málaga-Hospital Civil; Department of Ophthalmology, Plaza del Hospital Civil, Málaga, Spain
| | - Carlos Rocha-de Lossada
- Hospital Regional de Málaga-Hospital Civil; Department of Ophthalmology, Plaza del Hospital Civil, Málaga, Spain
| | - Francisco Zamorano Martín
- Hospital Regional de Málaga-Hospital Civil; Department of Ophthalmology, Plaza del Hospital Civil, Málaga, Spain
| | - Maria Garcia-Lorente
- Hospital Regional de Málaga-Hospital Civil; Department of Ophthalmology, Plaza del Hospital Civil, Málaga, Spain
| | - Elisabetta Bonzano
- Department of Radiation Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Matteo Polyclinic Foundation, Pavia, Italy
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Khaqan HA, Anil RR, Rocha de Lossada C, Martín FZ, Lorente MG, Pennisi F, Bonzano C, Borroni D. Globe salvage treatment in group D and group E retinoblastoma. Rom J Ophthalmol 2021; 65:20-24. [PMID: 33817429 PMCID: PMC7995513 DOI: 10.22336/rjo.2021.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2021] [Indexed: 11/18/2022] Open
Abstract
Importance: Globe salvage marks the treatment success of retinoblastoma. Background: To evaluate four treatment strategies in group D and group E retinoblastoma. Design: Retrospective case series in a tertiary hospital. Participants: 81 patients with Group D and Group E retinoblastoma. Methods: Participants were divided into four sets. In set I, eyes received primary intravenous chemotherapy (IVC), cryotherapy (CT), laser therapy (LT) and Intravitreal Chemotherapy with Melphalan (IViC). In set II, primary IVC was combined with second line IVC, CT, LT and IVT-M. Set III eyes received primary IVC and Intra-arterial chemotherapy (IAC), CT, LT and IViC. Set IV eyes received IAC, CT, LT and IViC. Treatment failure was defined as inadequate response during or after IVC or IAC. Main Outcome Measures: globe salvage and enucleation rates. Results: 52 eyes were included in group D and 29 in group E. In group D, globe salvage was obtained in 8 out of 11 eyes in Set I, 13 out of 19 eyes in set II, 5 out 6 eyes in set III, and 13 out of 16 eyes in set IV. In group E, enucleation was performed in 17 eyes. Global salvage was obtained in 0 out of 2 eyes in set I, 2 out of 3 eyes in set II, 3 out of 5 in set III, and in 1 out of 2 eyes in set IV. Conclusions: IVC with adjuvant IAC, LT, CT and IViC has shown favorable results as a treatment method for group D and group E retinoblastoma.
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Affiliation(s)
- Hussain Ahmad Khaqan
- Ameer Ud Din Medical College, Lahore General Hospital, Post Graduate Medical Institute, Lahore, Pakistan
| | - Rahul Rachwani Anil
- Ameer Ud Din Medical College, Lahore General Hospital, Post Graduate Medical Institute, Lahore, Pakistan
| | | | | | - María García Lorente
- Department of Ophthalmology, Regional University Hospital of Malaga, Malaga, Spain
| | - Flavia Pennisi
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
| | - Chiara Bonzano
- Eye Clinic, DiNOGMI, University of Genoa and IRCCS San Martino Polyclinic Hospital, Genoa, Italy
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García Lorente M, Zamorano Martín F, Rodríguez Calvo de Mora M, Rocha-de-Lossada C. Impact of the COVID-19 pandemic on ophthalmic emergency services in a tertiary hospital in Spain. Eur J Ophthalmol 2020; 32:NP313-NP315. [DOI: 10.1177/1120672120958324] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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