1.Experience in using the schwind keratome-F and schwind microkeratome Berlin in laser-assisted in situ keratomileusis
Philippine Journal of Ophthalmology 2001;26(2):15-18
We are reporting the LASIK cases and the results done by two different surgeons. Patients were selected based on a thorough history taking and complete ophthalmologic examination. The variability was decreased by only reporting the cases done by the co-authors since the operative technique followed by the two were virtually similar. Pre-operative corneal topography, videokeratography, and pachymetry were taken together with a thorough routine ophthalmologic history and examination. All patients who were screened were included in the study. The Schwind Microkeratome was used to create the corneal flap, the stromal ablation was then performed using the Schwind Microkeratome-F by Coherent with the Lambda Physik COMPex Excimer Laser. Pre-operative visual acuity was compared from the post-operative results. Likewise, intra-operative and post-operative complications were reported. Regular follow-up was done at 1 day, 1 week, 1 month and 6 months post-op. Visual acuity and refraction were closely monitored during the follow-up. (Author)
Human
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Male
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Female
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Middle Aged
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Adult
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Young Adult
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OPHTHALMOLOGY
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CORNEA
2.Adult-onset foveomacular dystrophy
Kristine Corpus ; Jo Anne Hernandez ; Narciso Jr. Atienza
Philippine Journal of Ophthalmology 2010;35(1):36-39
Objective:
To describe a case of adult-onset foveomacular vitelliform dystrophy
(AOFVD).
Method:
This is a case report.
Results:
A 22-year-old female presented with painless blurring of vision and
metamorphopsia 3 days prior to consultation. There were 2 similar episodes
in the past that spontaneously resolved after 2 to 4 weeks. Visual acuity (VA)
was 20/50 in the right eye (OD) and 20/40 in the left (OS), both best corrected
to 20/25. Dilated-fundus examination revealed a discrete area of mixed hypoand hyperpigmentation 1 disc diameter over the fovea in OD and a solitary
round hypopigmented lesion with a hyperpigmented border 3 to 4 disc
diameters on the fovea in OS. Fluorescein angiography (FA) revealed an area
of hyperfluorescence surrounded by a rim of hypoflourescence in OD and an
area of blocked fluorescence with subtle hyperfluorescence superior to the
lesion in OS, both of which did not increase in size and intensity toward the
late phases. Optical coherence tomography (OCT) revealed neurosensory
detachment in both eyes. Electrooculogram (EOG) was normal with Arden
ratio of 0.91. VA returned to 20/25 in both eyes, and repeat fundus
photography showed no change in the characteristics of the lesions.
Conclusion
Differential diagnosis of a hypopigmented macular lesion in the young with
self-limited blurring of vision should include AOFVD. FA, OCT, and EOG can
help distinguish AOFVD from Best’s disease or other similar macular
conditions.
Vitelliform Macular Dystrophy
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Bestrophins
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Peripherins
3.Serpiginous choroidopathy
Kristine Corpus ; Andrew Bijasa ; Egidio Jose Fortuna ; Narciso Atienza Jr.
Philippine Journal of Ophthalmology 2011;36(2):78-82
Objective:
To describe a case of serpiginous choroidopathy.
Methods:
This is a case report.
Results:
A 61-year-old female with a 22-year history of gradual blurring of vision in
the left eye sought consultation. Ten months prior, her left vision worsened,
described as central scotoma that progressed inferiorly. Best-corrected vision
was 20/20 (right) and counting fingers at 1 foot (left). Inferior hemifield
scotoma was documented on Amsler grid testing of the left eye. Anteriorsegment findings were unremarkable. Retinal examination through a clear
media revealed multiple contiguous hypopigmented patches radiating from
the peripapillary area extending to the periphery in both eyes with extension
to the superior fovea on the left. Fluorescein angiogram showed progressive faint hypofluorescence of the hypopigmented patches in both eyes with
involvement of the superior fovea on the left. No active vessel leakage was
noted. No treatment was given and regular Amsler monitoring was advised.
Follow-up 3 and 6 months after revealed stable visual acuity and fluorescein
angiogram (FA) findings.
Conclusions
This is a case of serpiginous choroidopathy with inactive pattern. There
was unilateral decrease in central vision, scotoma, and retinal pigment
epithelial atrophy in a serpentine pattern originating from the disc with
macular involvement in one eye. FA aids in the diagnosis and monitoring of
inflammatory activity as the presence of active leakage on the borders. Goals
of management include monitoring, prevention of recurrences and progression, and rapid control of sequela with potential use of immunosuppressive
therapy.
White Dot Syndromes
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White Dot Syndromes
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Uveitis