Delusional disorder is an illness presenting with ideas of false beliefs based on incorrect inference about external reality that persist despite the evidence to the contrary and these beliefs are not ordinarily accepted by other members of the person's culture or subculture1 • 2 • The patient is a 25-year old, male, single, former massage therapist, 1st in a brood of 3 children from a province in Visayas, Philippines, brought to the clinic due to talking incoherently with inconsistent responses. This presented after competing in Palarong Pambansa for the disabled. He participated in the blind category since he was diagnosed with Retinitis Pigmentosa. Retinitis pigmentosa (RP) is a group of genetic disorders that affect the retina's ability to respond to light. This inherited disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision, and eventually blindness3 • He won many competitions, after which started hearing voices accusing him of cheating. This persisted for months which lead him to develop incoherent responses when talked to, which prompted his relatives to bring him for psychiatric consult. This is an interesting case of patient with a psychiatric condition who also presented with a degenerative disease.
Retinitis

No abstract available.
Humans ; Retinitis Pigmentosa* ; Retinitis*

Subluxation or dislocation of PCIOL is one of the complications of cataract operation in RP patients. This paper reports the presentation of PCIOL dislocation and subluxation and the management and outcome in 3 eyes of 2 RP patients. Two medical records of patients with RP who developed dislocated or subluxated PCIOL and subsequently underwent explantation of the dropped IOL were evaluated. Two patients had bilateral eye cataract operation done and had PCIOL implanted. Patient 1 developed left eye subluxated PCIOL inferiorly after 2 years of the cataract operation and right eye dislocated PCIOL anteriorly 4 years after cataract operation. Patient 2 develop right eye subluxated PCIOL inferiorly after 12 years of the cataract operation. Patient 1 with right eye dislocated PCIOL underwent intraocular lens (IOL) explantation and was left aphakic as her visual prognosis was poor due to advanced RP. The left IOL remained within the visual axis despite subluxation and no intervention has been done. Patient 2 with right eye subluxated PCIOL underwent IOL explantation and anterior chamber intraocular lens (ACIOL) implantation. ACIOL remained stable and visual acuity improved post-operation. Both the operations were uneventful. Post-operatively, there was no elevated intraocular pressure and no prolonged ocular inflammation, which required prolonged anti-inflammatory and no retinal detachment was seen. Both patient and surgeon should be aware of potential PCIOL subluxation or dislocation in RP. The presentation may be as late as more than a decade after the cataract operation.
Retinitis Pigmentosa

Cytomegalovirus (CMV) retinitis occurs predominantly in Human Immunodeficiency Virus (HIV) -infected patients. It was also reported in HIV-seronegative patients with systemic autoimmune disorder requiring systemic immunosuppression, organ or bone marrow transplantation, haematological or breast malignancy receiving chemotherapy, ocular diseases following intraocular or periocular corticosteroid injection, diabetes mellitus and Good syndrome. However, CMV retinitis in patients with concurrent dermatomyositis and malignancy has not been previously reported. It has not been reported in cancer other than haematological or breast malignancy, or in cancer patient prior to chemotherapy. We report a case of 40-year-old HIV-seronegative woman with underlying dermatomyositis and lung malignancy who developed right CMV retinitis which relapsed after recommencement of immunosuppressant. Both episodes of CMV retinitis were successfully treated after taken her immunocompromised state into consideration.
Cytomegalovirus Retinitis

No abstract available.
Bardet-Biedl Syndrome ; Humans ; Retinitis Pigmentosa ; Retinitis

Pigmented Paravenous Retinochoroidal Atrophy(PPRCA) is a type of pigmentary retinopathy that affects mostly both eyes symmetrically without inheritance. The PPRCA occurs in both progressive and non-progressive forms, but most cases are non-progressive forms. The fundus appearance of PPRCA is characteristic, with peripapillary pigmentary change as well as areas of retinochoroidal atrophy adjacent to the perivenular pigmentary change. The authors have studied a case of PPRCA which was diagnosed through the characteristic fundus appearance and other ophthalmological examinations.
Atrophy ; Retinitis Pigmentosa ; Wills

No abstract available.
Cytomegalovirus Retinitis* ; Cytomegalovirus*

Neuroretinitis is an inflammatory optic neuropathy with a classic fundoscopic appearance of optic disc swelling and hard exudates on the macula in a star formation. It can be a manifestation of systemic, infectious or autoimmune disease. In nearly half of cases, the etiology is idiopathic. This review aims to summarize the clinical presentation, fundoscopic mimics, etiologies, investigation, and treatment of neuroretinitis. Cat-scratch disease, the most common cause of infectious neuroretinitis, and recurrent idiopathic neuroretinitis, which can cause ocular morbidity, are discussed in detail.
Retinitis ; Cat-Scratch Disease

Cytomegalovirus is an opportunity virus involves in class of Herpes virus 5 (adenovirus) that causes disease in the patients with immune deficiency especially AIDS. CMV-caused retinitis occurred on 40% of AIDS patients with severe general condition. However, some patients with CMV-caused retinitis also show signs of early stage of AIDS. The study reported a case of 22-year male patient who admitted due to loss of vision. Serum test showed that the patient was high positive with HIV. The patients manifested retinal necrosis with hemorrhage and vasculitis, which was spreading from the optic disc in both eyes. Then he had uveitis in both eyes. This disease may cause irreversible retinal damage and permanent loss of vision. In the treatment, gancyclovir or foscarnet can be used effectively. These medications provided an improvement in clinical condition. But the disease can relapse if the medications are discontinued.
Retinitis ; Cytomegalovirus ; Acquired Immunodeficiency Syndrome

No abstract available.
Cytomegalovirus ; Herpes Simplex ; Humans ; Retinitis