Open Access DOI:10.23937/2378-346X/1410163
Not All Subfoveal Hard Exudates Lead to a Bad Visual Prognosis: A Case Report
Jacob Morgan, Briana Krustinger, Katia Castillo, Levent Akduman, and Sandeep Saxena
Article Type: Case Report | Indexed Archive: Volume 12
In literature, hard exudates are associated with poor, longterm visual acuity due to the oxidative stress and scarring that lipids and lipoproteins generate within the retinal tissue. The fovea is particularly susceptible to this oxidative damage due to its delicate blood supply. This report demonstrates that the long-lasting effects of hard exudates on visual acuity and retinal architecture are a spectrum. The discussed patient is a sixty-two-year-old female who presented with a dense scatterin...
Open Access DOI:10.23937/2378-346X/1410162
Adult-Onset Orbital Xanthogranuloma Presenting As A Chronic Painless Upper Eyelid Mass
Catherine Y Liu, Lea Carter, and Jorge Agi
Article Type: Original Article | Indexed Archive: Volume 12
Imaging revealed a well-circumscribed, enhancing intraconal mass, and histopathological examination following orbitotomy confirmed xanthogranulomatous inflammation. Stains for infectious organisms were negative, and no systemic abnormalities were identified, supporting a diagnosis of isolated AOX. Although the patient experienced transient improvement with corticosteroids, definitive management required surgical excision....
Open Access DOI:10.23937/2378-346X/1410161
What Happens After Prolonged "Kissing" Choroidals?
Levent Akduman, MD, FASRS, Tugce I Turer, MD, Jacob Morgan and Sandeep Saxexa, MD
Article Type: ORIGINAL ARTICLE | Indexed Archive: Volume 12
An 82-year-old patient developed hemorrhagic kissing choroidals after undergoing a glaucoma procedure. Due to underlying cardiac issues, he was unable to undergo choroidal drainage within the typical 2–3-week window, as he required continued anticoagulant therapy— likely a contributing factor to the complication. Instead, the patient was monitored for six months without intervention, during which moderate proliferative vitreoretinopathy (PVR) developed. Once operable, the patient underwent P...
Open Access DOI:10.23937/2378-346X/1410160
Lymphangiectasia Haemorrhagica Conjunctivae – An Uncommon Entity Revisited
Abraham Kurian, Iodine Reghunadhan and Unnikrishnan Nair
Article Type: ORIGINAL ARTICLE | Indexed Archive: Volume 12
We present a case of LHC, which presented to us with spontaneous appearance of reddish discoloration of the conjunctiva, and was evaluated for corkscrew conjunctival vessels by neuroimaging, which was normal. The haemorrhages subsided spontaneously in 3 days, revealing the conjunctival lymphangiectasia and unmasking the diagnosis. Lymphangiectasia Haemorrhagica Conjunctivae (LHC) is a rare condition that was first described as early as 1880 but fails to be recognized still due to its unfamiliari...
Open Access DOI:10.23937/2378-346X/1410159
Recurrence of Benign Orbital Solitary Fibrous Tumor
Muhammad Awan, BS, Lea Carter, DO, Heidi Mina, MD and Jorge Agi, MD
Article Type: Case Report | Indexed Archive: Volume 12
Orbital solitary fibrous tumors are rare, accounting for less than 1% of all orbital tumors. These tumors are typically benign and surgical excision is curative, although recurrence of the neoplasm may occur after surgery. We report a case of a recurrent orbital solitary fibrous tumor in a 30-year-old female patient. The patient initially underwent an orbitotomy with partial resection for a right periorbital lesion in April 2024 but presented it to the clinic in September 2024 with worsening rig...
