Ophthalmology Cases & Hypotheses

Bilateral papilledema - case report

2024-01-13T10:51:17+00:00

This case report presents a detailed analysis of a patient with papilledema, discussing the clinical presentation, diagnostoc evalution, management strategies, and long-term prognosis. Papilledema is characterized by swelling of the optic disc due to increased intracranial pressure, typically associated with various neurologic conditions. The report aims to enhance understanding of papilledema, emphasizing the importance of early diagnosis and prompt intervention for better patient outcomes.

Clinical case of abrupt disapperance of chemosis after intravenous use of corticosteroids

2024-01-13T11:02:56+00:00

Chemosis is a condition characterized by conjunctival edema resulting from an inflammatory response. It can occur due to various underlying pathologies, including allegies, infections, trauma, or systemic diseases. Here, we present a case of chemosis in a 45-year-old male patient and discuss the diagnostic evaluation, management strategies, and patient outcomes. This case report aims to increase awareness of chemosis as a clinical entity and provide insights into effective treatment options.

Congenital palsy of the superior rectus muscle - case report

2024-01-13T12:33:04+00:00

Superior rectus muscle palsy is a rare ocular condition that can lead to vertical diplopia and restricted eye movement. We present a case of a 8-year-old child who presented with complaints of difficulty in looking upward. The purpose of this case report is to highlight the clinical presentation, diagnostic workup, management strategies, and the final outcome of a patient with superior rectus muscle palsy.

Steroid-induced glaucoma in a 6-month-old girl - case report

2024-01-13T11:12:56+00:00

Steroids are a group of anti-inﬂammatory drugs, commonly used to treat ocular and systemic conditions. Unmonitored use of steroids especially in eye drop formulations is common in situations when it is easily available over-the-counter, resulting in undesirable side eﬀects. Among the ocular side eﬀects, cataract and glaucoma are common.

Chronic administration of steroids in any form with raised IOP can cause optic neuropathy resulting in steroid-induced glaucoma1,2,3.

Steroid-induced glaucoma is the most serious complication of the injudicious use of steroids, particularly among children aﬀected by allergic conjunctivitis. This condition is steroid-dependent, and children are commonly being prescribed topical anti-inﬂammatories, including topical steroids, by general practitioners. Furthermore, topical steroids are also available over the counter, and this availability contributes to overuse without proper monitoring by an ophthalmologist 4,5.

Corticosteroid-induced IOP rise has been shown to occur with various methods of steroid administration, but is most identiﬁed as a complication of topical corticosteroid

application with drugs such as dexamethasone or prednisolone. In responsive patients, the IOP typically rises after several weeks of continual corticosteroid therapy and returns to normal following cessation of such therapy 6.

Corticosteroid glaucoma often occurs in children undergoing treatment for vernal keratoconjunctivitis 7.

Corticosteroid-induced glaucoma is a well- recognized phenomenon in adults, but not in children. We describe an infant who developed juvenile glaucoma with buphthalmos while receiving topical steroid treatment. The intraocular pressure normalized several months following discontinuation of treatment.