17 results on '"Khairallah, Moncef"'
Search Results
2. SS OCT and OCT-A Findings in Convalescent Inactive Vogt-Koyanagi-Harada Disease.
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Aoun, Safa Ben, Ksiaa, Imen, Nefzi, Dhouha, Khochtali, Sana, Jelliti, Bechir, Abroug, Nesrine, and Khairallah, Moncef
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OPTIC disc edema , *VISUAL acuity , *URINATION disorders , *RHODOPSIN , *RETINAL detachment , *PROLIFERATIVE vitreoretinopathy , *OPTICAL coherence tomography - Abstract
Purpose: This study aimed to determine predictive factors for low final visual acuity in patients with inactive Vogt-Koyanagi-Harada (VKH) disease using Swept-source OCT and OCT-angiography (OCT-A). Methods: We conducted a prospective longitudinal study, including 21 patients (42 eyes), who were followed up for the first 24 months after disease onset. Patients were included at the acute phase and subsequently treated. Sequential qualitative and quantitative changes in OCT and OCT-A were assessed. Analytical statistical methods were employed to determine predictive factors for final visual acuity. Results: Structural alterations including focal parafoveal outer nuclear layer atrophy, ellipsoid zone disruption, interdigitation zone disruption, and irregular and thickened retinal pigment epithelium line were observed in 57.1% of eyes at month 3, with no significant improvement over time. The presence of flow voids at months 6, 12, and 24 was significantly associated with low final visual acuity. Serous retnal detachment at presentation emerged as an independent risk factor for structural changes detected by SS-OCT during the first 2 years of the disease. Optic disc edema was predictive factor for both structural SS-OCT and OCT-A changes. Conclusion: This study underscores the importance of monitoring flow voids to predict final visual acuity and highlights the impact of serous retinal detachment at presentation on structural changes in patients with inactive VKH disease. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Swept-source Optical Coherence Tomography Angiography in Active and Scarred Toxoplasmic Retinochoroiditis.
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Nabi, Wijden, Ben Amor, Hager, Zina, Sourour, Kadri, Amal, Khochtali, Sana, Abroug, Nesrine, Ksiaa, Imen, and Khairallah, Moncef
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OPTICAL coherence tomography , *RETINAL artery occlusion , *ANGIOGRAPHY , *SCOTOMA , *SCARS - Abstract
To describe optical coherence tomography angiography (OCTA) findings in eyes with active and scarred toxoplasmic retinochoroiditis. OCTA scans in active (25 eyes) and scarred (17 eyes) retinochoroiditis were retrospectively reviewed. In active lesions, OCTA findings included a non-detectable flow signal area in retinal vascular plexuses and choriocapillaris in all 25 eyes (100%), an abnormal intraretinal vascular process in 2 eyes (8%), and an associated area of retinal flow deficit secondary to branch retinal artery occlusion in one eye (4%). In scarred lesions, OCTA findings included a flow deficit area in retinal vascular plexuses and choriocapillaris in all 17 eyes (100%), a visibility of larger deeper choroidal vessels at the level of choriocapillaris in 9 eyes (53%), and a well-defined intraretinal vascular network in one eye (5.9%). Peripapillary scars were associated on OCTA with wedge-shaped loss of radial peripapillary capillaries with corresponding localized retinal nerve fiber layer defect and visual field loss. OCTA allows to non-invasively detect retinal and choroidal vascular changes in active and scarred toxoplasmic retinochoroiditis. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Comments on "Goyal M, Murthy SI and Annum S, Bilateral Multifocal Choroiditis following COVID-19 Vaccination".
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Khochtali, Sana, Nabi, Wijden, and Khairallah, Moncef
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COVID-19 vaccines , *OPTICAL coherence tomography , *RETINAL detachment , *OPTIC disc , *OPTIC nerve - Abstract
The fundus photographs provided show deep yellowish lesions, multifocal exudative retinal detachments, and optic disc hyperemia in both eyes. Spectral domain optical coherence tomography scans shown demonstrate bilateral exudative retinal detachments involving the macula in the right eye. The exudative retinal detachment is characterized by the presence of subretinal fibrin and septa. The B-scan ultrasonography provided shows low- to medium-reflective choroidal thickening predominating around optic nerve head, in association with exudative retinal detachment in the right eye. All these findings are highly suggestive of acute Vogt-Koyanagi-Harada (VKH) disease rather than multifocal choroiditis. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Multimodal Imaging in Ocular Tuberculosis.
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Agarwal, Aniruddha, Mahajan, Sarakshi, Khairallah, Moncef, Mahendradas, Padmamalini, Gupta, Amod, and Gupta, Vishali
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RETINAL diseases , *ANGIOGRAPHY , *MYCOBACTERIUM tuberculosis , *MYCOBACTERIAL diseases , *OCULAR injuries - Abstract
Intraocular tuberculosis presents a diagnostic challenge because of its protean clinical manifestations. Thus, it becomes imperative to distinguish chorioretinal inflammation due to tuberculosis from other infectious as well as non-infectious posterior uveitis since the clinical manifestations of these entities may be quite similar. With advancing technology, a number of novel imaging modalities are available today that enable in vivo near-histologic assessment of the chorioretinal tissue, greatly aiding the clinician in establishing a diagnosis and monitoring the therapeutic response of tubercular lesions. Techniques such as ultra-wide field fundus photography, fluorescein and indocyanine green angiography, optical coherence tomography and most recently, optical coherence tomography angiography, provide valuable information that helps in advancing our knowledge regarding the pathogenesis and natural history of the disease. The index review describes how these techniques supplement each other, and highlights the relevance of multimodal imaging in the management of intraocular tuberculosis. [ABSTRACT FROM AUTHOR]
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- 2017
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6. Multimodal Imaging of Acute Foveolitis following COVID-19 Vaccination.
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Khochtali, Sana, Krifa, Hamza, Zina, Sourour, Khairallah, Molka, Jelliti, Bechir, Abroug, Nesrine, and Khairallah, Moncef
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COVID-19 vaccines , *PROLIFERATIVE vitreoretinopathy , *FLUORESCENCE angiography , *VACCINATION complications , *RHODOPSIN , *VISUAL acuity - Abstract
To report a case of unilateral acute foveolitis following COVID-19 vaccination. A case report. A 24-year-old woman developed a sudden blurring of vision in the left eye (LE) 5 days after receiving the first dose of COVID-19 vaccine. Examination of the LE showed a visual acuity at 20/40, 2+ cells in the vitreous, and a small yellow-orange foveal subretinal lesion. Late-phase fluorescein angiography showed a mild diffuse retinal vascular leakage and a faint foveal hyperfluorescence. ICG angiography showed in the late-phase hypofluorescence of the centrofoveal lesion. OCT B-scan demonstrated a conical hyperreflective subfoveal lesion on the retinal pigment epithelium associated with disruption of the outer retinal layers. En-face OCT revealed granular hyperreflective specks mainly in the inner nuclear layer. Work-up results were unremarkable. The patient received oral prednisolone with subsequent full functional and anatomic recovery. Foveolitis may rarely occur as a complication of COVID-19 vaccination. [ABSTRACT FROM AUTHOR]
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- 2022
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7. Acute multifocal retinitis in a patient with Q fever (Coxiella Burnetii infection) with endocarditis.
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Mahmoud, Anis, Abid, Fatma, Khairallah, Molka, Affes, Sofien, Mbarek, Sameh, Amor, Hassen Ibn Hadj, Khalifa, Anis Ben Hadj, Mesaoud, Riadh, and Khairallah, Moncef
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Q fever , *COXIELLA burnetii , *INFECTIVE endocarditis , *ENDOCARDITIS , *OPTICAL coherence tomography , *FLUORESCENCE angiography , *CATTLE breeders - Abstract
Objective: To report acute multifocal retinitis in association with serologically-proven Coxiella (C) Burnetii infection (Q fever) with endocarditis. Material and methods: A single case report documented with multimodal imaging. Results: A 67-year-old cattle breeder presented with a 2-week history of persistent fever, headache, and floaters in both eyes. On examination, his best-corrected visual acuity was 20/20, and there was 1+ vitreous cells in both eyes. Bilateral fundus examination showed multiple small superficial white retinal lesions scattered in the posterior pole and midperiphery associated with a few retinal hemorrhages. These retinal lesions did not stain on fluorescein angiography (FA) and showed focal hyperreflectivity and thickening primarily involving the inner retinal layers on optical coherence tomography (OCT). There also was a band-like hyper-reflective area in the middle retina consistent with paramacular acute middle maculopathy. Transthoracic echocardiogram (TTE) showed a mobile echodensity on the anterior aortic leaflet consistent with a diagnosis of endocarditis. Elisa assays performed on paired serum samples collected 2 weeks apart showed increase in antibodies against C burnetii from 60 IU/ml to 255 IU/ml. The patient was treated with doxycycline 100 mg twice a day for 18 months, with subsequent resolution of the endocarditis. Sequential ocular examinations showed gradual resolution of all acute retinal findings without visible scars. Conclusion: Acute Q fever, caused by C burnetii infection, should be considered in the differential diagnosis of acute multifocal retinitis. A systematic cardiac assessment with echocardiography is essential for early diagnosis of associated endocarditis and for prompt administration of appropriate antibiotic treatment to improve clinical outcomes. [ABSTRACT FROM AUTHOR]
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- 2022
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8. Optical coherence tomography angiography of the foveal avascular zone after successful macula‐off rhegmatogenous retinal detachment repair.
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Mahjoub, Anis, Abroug, Nesrine, Rahma, Chaabene, Arij, Jouini, Wijdene, Nabi, and Khairallah, Moncef
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OPTICAL coherence tomography , *RETINAL detachment , *ANGIOGRAPHY , *VISUAL acuity , *INVERSE relationships (Mathematics) - Abstract
Aims/Purpose: To investigate the size and shape of the foveal avascular zone (FAZ) after successful macula‐off rhegmatogenous retinal detachment (RRD) repair using swept source OCT angiography (SS OCTA). Methods: A prospective comparative cross‐sectional study including 21 eyes of 21 patients with macula‐off RRD that were successfully repaired. The size of the superficial FAZ was assessed by its area, length of perimeter, and Feret's diameter, and the shape by the circularity, axial ratio, roundness and solidity. The correlations between each parameter and the clinical and OCT findings were statistically determined. The unaffected fellow eyes were used as controls. Results: The mean initial BCVA was 1.92 ± 0.41 Log MAR (20/2000 Snellen's equivalent). The mean BCVA at OCTA acquisition (3 months) was 0.78 ± 0.39 Log MAR (20/100 Snellen's equivalent) (p < 0.001). FAZ was significantly larger (323.09 ± 129.03 μm2 vs. 245.27 ± 93.15 μm2; p = 0.038), with longer perimeter (2.31 ± 0.35 mm vs. 2.07 ± 0.31 mm; p = 0.048), and irregular shaped (mean circularity: 0.73 ± 0.72 vs. 0.78 ± 0.5; p = 0.019 and mean solidity: 0.90 ± 0.02 vs. 0.93 ± 0.02; p = 0.002) in operated eyes than in the control group. The average Feret's diameter was 0.77 ± 0.10 mm versus 0.71 ± 0.88 mm (p = 0.076). The average axial ratio was 1.25 ± 0.20 versus 1.22 ± 0.22 (p = 0.531), and the average roundness was 0.81 ± 0.11 versus 0.83 ± 0.11 (p = 0.531). Mean central foveal thickness (CFT) was significantly lower in operated eyes than in control eyes (178.23 ± 40.59 μm vs. 247.44 ± 38.2 μm (p < 0.001)). There was a significant inverse correlation between FAZ area and post‐operative outer nuclear layer thickness (r = −0.520, p = 0.016) and CFT (r = −0.571, p = 0.007) in operated eyes. There was no significant correlation between the post‐operative visual acuity and FAZ parameters. Conclusions: Enlargement and irregularities of FAZ after successful macula‐off RRD repair, as demonstrated by SS OCTA, might suggest an ischaemic macular damage caused by RRD that may affect post‐operative functional outcome. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Multimodality Approach to the Diagnosis and Assessment of Uveitic Macular Edema.
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Khochtali, Sana, Tugal-Tutkun, Ilknur, Fardeau, Christine, Maestri, Federico, and Khairallah, Moncef
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OPTICAL coherence tomography , *FLUORESCENCE angiography , *PRESBYOPIA , *EDEMA , *EDUCATIONAL tests & measurements , *DIAGNOSIS - Abstract
Purpose: To provide an overview of the role of multimodality approach to the diagnosis and assessment of uveitic macular edema (UME). Methods: Review of literature. Results: Optical coherence tomography (OCT) has become the gold standard in the detection, quantification, monitoring of treatment, and determination of prognosis in UME. Fluorescein angiography provides essential information on blood-retinal barrier disruption as a result of intraocular inflammation and allows detection of associated retinal ischemia and neovascularization. Dye-less OCT angiography can reveal the presence of various qualitative and quantitative retinal microvascular changes mostly involving the deep capillary plexus. Reading acuity and retinal sensitivity assessed by microperimetry represent sensitive measures for visual dysfunction in UME and may supplement distance visual acuity in the follow-up of patients with UME. Conclusion: Conventional and new imaging modalities and ancillary tests complement each other in the diagnosis, assessment, and monitoring of patients with UME. [ABSTRACT FROM AUTHOR]
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- 2020
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10. Swept-source Optical Coherence Tomography Angiography Findings in Uveitic Cystoid Macular Edema.
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Khochtali, Sana, Abroug, Nesrine, Megzari, Kenza, Gargouri, Mohamed Ali, Ksiaa, Imen, Ben Amor, Hager, Saihi, Emna, and Khairallah, Moncef
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ANGIOGRAPHY , *CAPILLARIES , *COMPARATIVE studies , *LONGITUDINAL method , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *RETINA , *RETINAL degeneration , *UVEITIS , *VISUAL acuity , *EVALUATION research , *OPTICAL coherence tomography , *DISEASE complications - Abstract
Purpose: To describe swept-source optical coherence tomography angiography (OCTA) findings in uveitic cystoid macular edema (CME).Methods: Prospective study of 36 eyes.Results: Cystoid black spaces were shown in the deep capillary plexus (DCP) in 36 eyes (100%) and in the superficial capillary plexus (SCP) in 6 eyes (16.7%). Grayish areas of capillary non perfusion/hypoperfusion were seen in 69.4% of eyes in the DCP (vs 25% in the SCP, p < .001). The foveal avascular zone was larger than in the control healthy eyes in the DCP (p < .001). Capillary density was lower than in the control group in the SCP (p = .001) and the DCP (p < .001). Of 11 eyes with resolved CME on OCT, 4 eyes showed complete recovery of both plexuses on OCTA. There was a persistence of areas of capillary rarefaction in 4 eyes, and of hypoperfusion/nonperfusion in 3 eyes.Conclusion: OCTA visualizes perifoveal microvascular changes in uveitic CME. [ABSTRACT FROM AUTHOR]
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- 2019
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11. New Insights On Ocular Sarcoidosis: An Optical Coherence Tomography Angiography Study.
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Cerquaglia, Alessio, Iaccheri, Barbara, Fiore, Tito, Fruttini, Daniela, Belli, Federica Benedetta, Khairallah, Moncef, Lupidi, Marco, and Cagini, Carlo
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OPTICAL coherence tomography , *SARCOIDOSIS , *ANGIOGRAPHY , *FLUORESCENCE angiography , *SARCOIDOSIS diagnosis , *RETINA , *CROSS-sectional method , *RETROSPECTIVE studies , *UVEITIS , *VISUAL acuity , *LONGITUDINAL method ,RESEARCH evaluation - Abstract
Purpose: To report optical coherence tomography angiography (OCT-A) findings in eyes with ocular sarcoidosis (OS) and to compare these findings with those of fluorescein angiography (FA). Methods: Observational, cross-sectional, case-control study. Patients presenting with OS involving the posterior segment were evaluated using FA, structural-OCT and OCT-A. OCT-angiograms of the superficial (SCP) and deep (DCP) capillary plexuses and choriocapillaris (CC) were qualitatively and quantitatively analyzed. Results: OCT-A seemed more sensitive than FA in detecting perifoveal capillary arcade disruptions, areas of hypoperfusion/non-perfusion and capillary abnormalities (p<0.05). Capillary hypoperfusion was more frequently detected in the DCP than in SCP, conversely capillary abnormalities were more often observed at the level of the SCP. Capillary vessel density values were significantly lower in eyes with OS than in healthy controls both at the level of DCP and CC (p<0.05). Conclusion: The depth-resolved nature of OCT-A allowed new insights on OS-induced microvascular and perfusion impairments. [ABSTRACT FROM AUTHOR]
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- 2019
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12. Retinal Pigment Epithelium Detachment in Acute Vogt-Koyanagi-Harada Disease: An Unusual Finding at Presentation.
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Khochtali, Sana, Ksiaa, Imen, Megzari, Kenza, and Khairallah, Moncef
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RHODOPSIN , *ACUTE diseases , *OPTIC disc , *EPITHELIUM , *VISUAL acuity - Abstract
Purpose: To report the cases of two patients who presented with acute Vogt-Koyanagi-Harada (VKH) disease and associated retinal pigment epithelium detachment (PED). Methods: 2 case reports. Case 1: A 22-year-old male patient complained of acute bilateral decrease in vision. Initial best corrected visual acuity (BCVA) was 20/63, OU. There was 1+ vitreous cells, OU, exudative retinal detachment (ERD) in the right eye (RE), and a macular deep yellow lesion suggestive of PED in the left eye (LE). Case 2: A 40-year-old female patient presented with bilateral vision blurring. BCVA was 20/40 in the RE and 20/32 in the LE. There was 1+ vitreous cells OU, bilateral optic disc swelling and retinal striae. Results: Multimodal imaging showed features of acute VKH disease with associated PED in the two patients. ERD and PED resolved under oral prednisone and cyclosporine in both cases. Conclusion: PED may rarely occur in acute VKH disease at presentation. [ABSTRACT FROM AUTHOR]
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- 2019
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13. Anterior segment optical coherence tomography and retained vegetal intraocular foreign body masquerading as chronic anterior uveitis.
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Mahmoud, Anis, Messaoud, Riadh, Abid, Fatma, Ksiaa, Imen, Bouzayene, Melek, and Khairallah, Moncef
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IRIDOCYCLITIS , *OPTICAL coherence tomography , *VISUAL acuity , *STEROID drugs , *DIAGNOSIS - Abstract
Background: The purpose of this single case report was to report the use of anterior segment optical coherence tomography for the diagnosis and management of a retained vegetal intraocular foreign body. Results: A 23-year-old otherwise healthy male presented with a progressive vision loss in the right eye (RE). He reported a mild ocular trauma with a tree leaf 1 year ago followed by recurrent episodes of redness and pain in the RE that partially resolved after a self-medication with topical steroids. Visual acuity of the RE was limited to light perception. Slit-lamp examination of the RE showed an iris granuloma with overlying exudate and associated anterior chamber inflammatory reaction. Film X-rays, contact B-scan ultrasonography, and CT scan showed no abnormalities. Anterior segment optical coherence tomography revealed an enclaved iris foreign body. The foreign body was removed after a short course of local antibio-corticosteroid therapy. This was followed 2 months later by cataract surgery with intraocular lens implantation, with subsequent improvement of visual acuity to 20/40. Conclusions: A missed intraocular foreign body can lead to sight-threatening complications. Anterior segment optical coherence tomography may be useful for detecting non-clinically evident intraocular foreign body involving the anterior segment masquerading as chronic anterior uveitis. [ABSTRACT FROM AUTHOR]
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- 2017
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14. Clinical features and multimodal imaging findings in primary vitreoretinal lymphoma.
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Cherif, Faten, Nesrine, Abroug, Yassine, Belguith, Mohamed, Jeribi, Attia, Sonia, and Khairallah, Moncef
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PROLIFERATIVE vitreoretinopathy , *MAGNETIC resonance imaging , *FLUORESCENCE angiography , *OPTICAL coherence tomography , *RHODOPSIN , *LYMPHOMAS - Abstract
Purpose: To describe clinical features and multimodal imaging findings in primary vitreoretinal lymphoma (PVRL). Methods: Medical records and imaging findings of 4 patients (4 eyes) diagnosed with PVRL were retrospectively reviewed. Detailed ophthalmic examination, fundus photography, fundus autofluorescence (FAF), fluorescein angiography (FA), optical coherence tomography (OCT) and OCT angiography (OCTA) were analysed in all patients. All patients underwent vitreous biopsy for diagnosis confirmation. Brain magnetic resonance imaging (MRI) was performed in all cases. Results: There were 2 women and 2 male patients with a mean age of 68.75 years. Visual blurring was the presenting symptom in all patients (100%). Clinical findings at presentation included vitritis in 4 eyes (100%), vitreous clumps in 2 eyes (50%), subretinal deposits in 3 eyes (75%) and exudative retinal detachment in one eye (25%). FAF showed granular hyperautofluorescence and hypoautofluorescence lesions in 3 eyes (75%) and blockage by mass lesion was seen in 1 eye. The most common pattern on FA was hypofluorescent lesions with a "leopard spot" appearance (75%). OCT revealed hyperreflective sub retinal lesions between retinal pigment epithelium and Bruch's membrane with an undulating shape (seasick sign) in 3 eyes (75%) and epiretinal membrane in one eye. OCTA showed areas of decreased signal on choriocapillaris slab in 2 eyes (50%). MRI of the globes and brain showed no abnormality in all cases. Vitreous cytology revealed atypical mononuclear cells consisting with the diagnosis of PVRL in all cases. The patients were referred to oncology unit. Conclusions: The diagnosis of PVRL is challenging. Multimodal imaging provides novel insights into features of PVRL. [ABSTRACT FROM AUTHOR]
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- 2022
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15. Swept‐source optical coherence tomography angiography in toxoplasmic retinochoroiditis.
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Doukh, Meryem, Ksiaa, Imen, Amor, Hager Ben, Abroug, Nesrine, Jelliti, Bechir, Khochteli, Sana, and Khairallah, Moncef
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OPTICAL coherence tomography , *ANGIOGRAPHY , *SCOTOMA , *POLYPOIDAL choroidal vasculopathy , *IMAGE analysis , *RETINAL artery occlusion - Abstract
Purpose: To describe optical coherence tomography angiography (OCTA) findings in eyes with active and scarred toxoplasmic retinochoroiditis. Methods: OCTA scans in active (25 eyes) and scarred (17 eyes) retinochoroiditis were retrospectively reviewed at Fattouma Bourguiba University Hospital, Monastir, Tunisia. Results: In active lesions, OCTA findings included a non‐detectable flow signal area in retinal vascular plexuses and choriocapillaris in all 25 eyes (100%), an abnormal intraretinal vascular process in two eyes (8%), and an associated area of retinal flow deficit secondary to branch retinal artery occlusion in one eye (4%). In scarred lesions, OCTA findings included a flow deficit area in retinal vascular plexuses and choriocapillaris in all 17 eyes (100%), a visibility of larger deeper choroidal vessels at the level of choriocapillaris in nine eyes (53%), and a well‐defined intraretinal vascular network in one eye (5.9%). Peripapillary scars were associated on OCTA with wedge‐shaped loss of radial peripapillary capillaries with corresponding localized retinal nerve fibre layer defect and visual field loss. Conclusions: OCTA allows to non‐invasively detect retinal and choroidal vascular changes in active and scarred toxoplasmic retinochoroiditis. References 1. Perez AL, Lozada RA, Emanuelli A, Oliver AL. Optical coherence tomography angiography findings in macular toxoplasma retinochoroiditis: A case report. Am J Ophthalmol Case Rep. 2020;19:100764. 2. Atas F, Kaya M, Toprak T, Akbulut Yagci B, Selver A, Saatci AO. Measurement of the active toxoplasma retinochoroiditis lesion size during the disease course with swept‐source optical coherence tomography angiography: A retrospective image analysis. Int Ophthalmol. 2021;41(12):4127–4135. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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16. Visual Loss Associated with Rickettsial Disease.
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Kahloun, Rim, Gargouri, Salma, Abroug, Nesrine, Sellami, Dorra, Ben Yahia, Salim, Feki, Jamel, and Khairallah, Moncef
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VISION disorders , *RICKETTSIAL diseases , *RETINAL diseases , *OPTICAL coherence tomography , *NEUROPATHY , *PATIENTS - Abstract
Purpose: To characterize and analyze ocular involvement associated with visual loss in a cohort of patients with rickettsial disease. Methods: Retrospective study of 16 eyes of 14 patients. Results: Mean initial visual acuity (VA) was 20/63 (range, 20/800-20/25). White retinal lesions infiltrating inner retina was the most common finding occurring in 14 eyes (87.5%). It was associated with a serous retinal detachment (SRD), accurately detectable by optical coherence tomography, in 11 eyes (78.6%). Other findings included optic neuropathy in 7 eyes (43.75%), cystoid macular edema in 1 eye (6.25%), branch retinal artery occlusion in 1 eye (6.25%), and choroidal neovascularization in 1 eye (6.25%). Thirteen patients were treated with a 2-week course of oral doxycycline 200 mg/day. Mean final VA was 20/40. Conclusions: Inner retinitis, associated with mild vitritis and SRD, and optic neuropathy are the most common vision-threatening ocular manifestations of rickettsial disease. [ABSTRACT FROM AUTHOR]
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- 2014
- Full Text
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17. Branch Retinal Artery Occlusion Associated with Behççet Disease.
- Author
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Yahia, Salim Ben, Kahloun, Rim, Jelliti, Bechir, and Khairallah, Moncef
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BEHCET'S disease , *RETINAL artery , *VISION disorders , *FLUORESCENCE angiography , *OPTICAL coherence tomography - Abstract
Purpose: To report 2 cases of branch retinal artery occlusion (BRAO) associated with Behççet disease (BD). Design: Small case series. Methods: Review of two patients'' charts, fluorescein angiography, and optical coherence tomography (OCT). Results: The authors report two young patients, diagnosed with BD, who developed decreased vision secondary to BRAO for the first patient and cilioretinal artery occlusion associated with branch retinal vein occlusion for the second patient. In the two cases, artery occlusion was associated with active intraocular inflammation. Conclusions: BRAO, with subsequent transient or permanent visual impairment, is an additional ocular complication of BD. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
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