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BMC Vet Res 2022 Apr 27;18(1):152. Epub 2022 Apr 27.

Faculty of Agricultural Sciences, Institute of Animal Science, University of Hohenheim, Schwerzstr. 15/4, 70599, Stuttgart, Germany.

Background: In animals, only few reports exist about the occurrence and causes of subconjunctival bleedings, especially in newborn calves. Most case reports and studies showed that the major risk factors for subconjunctival bleedings in animals are traumatic events such as birth trauma and traffic accidents, respectively. In neonatal babies, it is suggested that compression of the thorax and abdomen during delivery or forces generated in utero during labor may raise venous pressure to conjunctival vessels and can cause subconjunctival bleedings. Read More

BMC Ophthalmol 2022 Apr 15;22(1):171. Epub 2022 Apr 15.

Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, 270 Xueyuan Road, Wenzhou, Zhejiang, 325027, China.

Background: To investigate the efficacy and safety of reversed scleral tunnel technique for repairing iridodialysis after blunt force trauma.

Methods: A total of 51 eyes of 51 patients with iridodialysis undergoing surgery were included in this study. Patients were divided into 2 groups: group A (the reversed scleral tunnel technique) and group B (the control group). Read More

Oman J Ophthalmol 2022 Jan-Apr;15(1):99-101. Epub 2022 Mar 2.

Department of Ophthalmology, AIIMS, Bhubaneswar, Odisha, India.

A 15-year-old female patient presented with complaints of headache, blurring of vision, and redness of both eyes for 15 days and fever for 20 days. Her best-corrected visual acuity (BCVA) was 20/40 in both eyes. Anterior segment examination was normal except for subconjunctival haemorrhage in both eyes. Read More

Vet Ophthalmol 2022 Apr 5. Epub 2022 Apr 5.

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.

Objective: To describe the clinical features, management, and outcome of dogs presenting with sports ball projectile ocular injuries.

Animals Studied: Eighteen dogs.

Procedures: A retrospective study reviewing cases of ocular injury due to a sports ball projectile that presented to the Cornell University ophthalmology service between 2004 and 2021. Read More

Front Pharmacol 2022 1;13:842805. Epub 2022 Mar 1.

Department of Ophthalmology, Jinan Second People's Hospital, Jinan, China.

The purpose of this study was to determine the safety and effectiveness of simultaneous vitreous injection of dexamethasone implant and ranibizumab on macular edema secondary to central retinal vein occlusion (CRVO). We conducted a 6-month retrospective self-control study. Twenty-five patients diagnosed with macular edema secondary to CRVO were enrolled in this study. Read More

J Cardiothorac Surg 2022 Mar 13;17(1):34. Epub 2022 Mar 13.

Department of Surgical Emergency Center, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

Background: Traumatic asphyxia (TA) is a rarely reported disease characterized as thoraco-cervico-facial petechiae, facial edema and cyanosis, subconjunctival hemorrhage and neurological symptoms. This study aimed to report 51 children of TA at the pediatric medical center of west China.

Methods: Scanned medical reports were reviewed and specific variables as age, sex, cause of injury, clinical manifestations and associated injuries were analyzed using SPSS 25. Read More

Can J Ophthalmol 2022 Mar 10. Epub 2022 Mar 10.

Department of Ophthalmology and Visual Sciences, McGill University, Montreal, Que.

Objective: Subconjunctival hemorrhage (SCH) is a common presentation in patients with orbital trauma and often warrants investigation of underlying ocular pathology. Our study aims to assess the significance of SCH severity, graded in a spatial 0-360° manner, as a predictor for ocular pathology in patients with orbital fracture.

Design: Retrospective chart review. Read More

J Forensic Leg Med 2022 Apr 24;87:102331. Epub 2022 Feb 24.

Department of Emergency Medicine, Harbor-UCLA Medical Center, USA.

Introduction: Subconjunctival hemorrhages and facial petechiae are rare oculo-cutaneous findings in the pediatric population and can be a sign of strangulation or traumatic asphyxia as a result of increased intrathoracic pressure.

Case Presentation: A 5-year-old female presented to medical care with facial petechiae and bilateral subconjunctival hemorrhages following a routine dental appointment. The child disclosed being physically restrained and "smacked" by the dentist. Read More

J Curr Glaucoma Pract 2021 Sep-Dec;15(3):161-163

Department of Ophthalmology, AOU Careggi, Florence, Tuscany, Italy.

The Xen Gel Stent (Allergan, Irvine, CA, USA) is a hydrophilic collagen-based gelatin tube of 6 mm in length which creates a channel of communication between the anterior chamber and the subconjunctival space allowing aqueous humor outflow. XEN is an , minimally invasive, glaucoma surgery device which has a better safety profile and offers a less invasive way of lowering intraocular pressure. Unfortunately, one of its weaknesses is that visualization of the implant during surgery is difficult, and this difficulty may be exacerbated, for instance, by a subconjunctival hemorrhage. Read More

Eur J Ophthalmol 2022 Feb 14:11206721221080621. Epub 2022 Feb 14.

Department of Ophthalmology, 590009Konyagoz Eye Hospital, Konya, Turkey.

Purpose: To evaluate the efficacy of preoperative topical brimonidine use to maintain visibility during trabeculectomy and control intraoperative bleeding and postoperative subconjunctival hemorrhage.

Methods: The first group comprised 35 eyes of 34 patients administered brimonidine tartrate 0.15% (Brimogut, Bilim Ilac, Turkey) eye drops 6 and 3 min before surgery, and 33 eyes of 31 patients who received no medication for vasoconstriction formed the second group. Read More

Radiol Case Rep 2022 Apr 3;17(4):1057-1060. Epub 2022 Feb 3.

Department of Radiology and Nuclear Medicine, Helios Hospital Pforzheim, 2 - 6, Kanzlerstrasse, Pforzheim 75175, Germany.

Impalement injuries are infrequent yet tend to be life-threatening. Transorbital penetration by foreign bodies represents a peculiar form of traumatic brain injury. However, much is at stake with the high risk of neurological and ophthalmic impairment. Read More

BMC Ophthalmol 2022 Feb 10;22(1):63. Epub 2022 Feb 10.

Department of Ophthalmology of The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, 410011, Changsha, China.

Background: Intravitreal injection of anti-vascular endothelial growth factor (VEGF) has become first line therapy for diabetic macular edema. This study evaluated the efficacy and safety of intravitreal injection of Ranibizumab (IVR) as pre-treatment for pars plana vitrectomy in proliferative diabetic retinopathy (PDR) patients with vitreous hemorrhage.

Methods: This pilot randomized controlled trial included 48 eyes with vitreous hemorrhage resulting from active PDR. Read More

BMC Ophthalmol 2022 Feb 4;22(1):53. Epub 2022 Feb 4.

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology&Visual Science, No.1, Dong Jiao Min Xiang Street, Dongcheng District, Beijing, PR China.

Background: The aim of this study was to observe the effectiveness of botulinum toxin type A (BTA) in the treatment of intermittent exotropia (IXT) in children compared with strabismus surgery.

Methods: One hundred forty-four children with a clear diagnosis of IXT and an indication for surgery were eligible for inclusion. Subjects were divided into two groups based on parental decision: the BTA injection group (injection group) or the conventional surgery group (surgery group). Read More

Clin Ophthalmol 2022 8;16:63-70. Epub 2022 Jan 8.

Department of Cornea and Refractive Surgery, Research Institute of Ophthalmology, Giza, Egypt.

Purpose: This study aimed to evaluate the efficacy and safety of fenestration in comparison to the classic muscle recession as a weakening maneuver to horizontal and vertical extra ocular muscles in the surgical management of strabismus.

Patients And Methods: This is a pilot single blind parallel group randomized controlled trial with 1:1 allocation ratio. Male or female patients aged 1- to 60-years-old who were admitted to the Pediatric Ophthalmology and Strabismus Department for surgical correction of horizontal or vertical strabismus. Read More

Eye (Lond) 2022 Jan 4. Epub 2022 Jan 4.

Department of Retina and Vitreous services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, India.

Purpose: To report the outcomes of sutureless intrascleral fixation of a 3-piece intraocular lens in the ciliary sulcus, in a large cohort of patients with aphakia of various aetiology METHODS: Retrospective, non-comparative, single centre interventional study of 250 aphakic eyes of various causes, which underwent sutureless and glueless intrascleral fixation of 3-piece intraocular lens (IOL). All patients were required to have at least 3 months of follow up post procedure to be included in the study. Anatomical and functional outcomes obtained were statistically analysed for significance. Read More

J Craniofac Surg 2022 Jan-Feb 01;33(1):e81-e84

Manipal College of Dental Sciences, Mangalore, Karnataka.

Maxillofacial trauma is amongst the most frequently encountered trauma seen in the hospital emergency setting. It may be life-threatening on rare occasions, and with concomitant injuries, it is often severely debilitating.

Objective: The present study was conducted to determine the occurrence of concomitant orbital and ocular injuries amongst patients with maxillofacial trauma, and also helps in deriving a correlation between different patterns of maxillofacial fractures. Read More

Eur J Ophthalmol 2021 Dec 29:11206721211070939. Epub 2021 Dec 29.

Department of Ophthalmology, 442146Ankara Yıldırım Beyazit University, Ankara, Turkey.

Purpose: To evaluate the association between non-dipper blood pressure pattern and subconjunctival hemorrhage (SCH).

Methods: Twenty-seven consecutive patients with nocturnal SCH and 27 age, sex-matched controls were enrolled. Demographic, blood parameters, office blood pressure measurements, 24-h ambulatory blood pressure monitoring (ABPM) were evaluated. Read More

Case Rep Ophthalmol 2021 Sep-Dec;12(3):894-898. Epub 2021 Nov 8.

Ophthalmology Unit, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.

This is a case report of a 75-year-old pseudophakic male, who presented with a massive submacular hemorrhage on a background of neovascular age-related macular degeneration. Intravitreal perfluoropropane was used to attempt pneumatic displacement of the submacular hemorrhage. The next day, subconjunctival gas was observed, with no gas seen in the vitreous cavity. Read More

Clin Ophthalmol 2021 16;15:4689-4696. Epub 2021 Dec 16.

Retina-Vitreous Service, L V Prasad Eye Institute, Bhubaneswar, 751024, Odisha, India.

Purpose: To study the efficacy and safety of a modified trans-scleral intraocular lens (IOL) fixation technique in aphakic eyes when performed by ophthalmologists in training.

Methods: The study was conducted in an institutional setting that included 43 surgeries performed by surgeons training in small incision cataract surgeries. The data were analyzed for stability and position of IOL, refractive changes, best-corrected vision, and associated complications. Read More

Klin Monbl Augenheilkd 2021 Dec 19;238(12):1345-1360. Epub 2021 Nov 19.

Orbital trauma is a common medical emergency with potentially sight-threatening complications. Due to the confined orbital conditions, any direct injury or space-consuming lesion may cause serious tissue damage. Possible complications are orbital fractures, foreign body injuries, development of orbital compartment syndrome and traumatic optic neuropathy. Read More

Ophthalmic Epidemiol 2021 Nov 18:1-10. Epub 2021 Nov 18.

Department of Ophthalmology, Seoul National University College of Medicine, Seoul, South Korea.

Purpose: To investigate whether subconjunctival hemorrhage (SCH) raises the risk of subsequent stroke or acute myocardial infarction (AMI) in the general population.

Methods: Using the National Health Insurance Service-National Sample Cohort database records from 2002 to 2013. Of 1,025,340 individuals in the database, we included 703,090 aged ≥ 20 years old without any history of SCH, cerebrovascular diseases, and ischemic heart diseases in the analyses. Read More

Spec Care Dentist 2022 May 4;42(3):304-307. Epub 2021 Nov 4.

TOC Eye and Face, Austin, Texas, USA.

Retrobulbar hemorrhage (RBH) refers to hemorrhage within the bony orbital cavity and most commonly results from periorbital surgery or trauma. RBH following tooth extraction is a rare occurrence. Patients with RBH will endorse symptoms of periorbital pain, double vision, or vision loss, and present with evidence of proptosis, chemosis, or subconjunctival hemorrhage. Read More

Am J Case Rep 2021 Oct 21;22:e932557. Epub 2021 Oct 21.

Graduate Medical Education, Northeast Georgia Medical Center, Gainesville, GA, USA.

BACKGROUND COVID-19 is associated with many hematological manifestations, including lymphopenia and thrombosis. There have been rare occasions in which thrombocytopenia has been reported as the sole clinical presentation of COVID-19. CASE REPORT This is the case report of a 48-year-old Hispanic female patient with COVID-19 presenting as severe isolated thrombocytopenia. Read More

Front Cardiovasc Med 2021 1;8:728570. Epub 2021 Oct 1.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Subconjunctival hemorrhage (SCH) is usually a benign ocular disorder that causes painless, redness under the conjunctiva. However, since SCH and acute coronary syndrome (ACS) share many vascular risk factors, studies have suggested that these two disorders may be significantly associated with each other, and evaluate the concomitance of ACS in patients with SCH. This population-based cohort study, enrolled 35,260 Taiwanese patients, and used the Taiwan National Health Insurance Research Database to identify patients with ACS and SCH. Read More

Int Ophthalmol 2022 Mar 12;42(3):997-1005. Epub 2021 Oct 12.

Department of Ophthalmology, Dokuz Eylul University, Mithatpasa cad No: 1606 Balcova, 35340, Izmir, Turkey.

Purpose: Vitreoretinal surgery in eyes with Boston type 1 keratoprosthesis (KPro) is challenging due to narrow optic of the KPro. This study analyzed the results of pars plana vitrectomy (PPV) using a wide-field imaging accessory, Resight®700 Fundus Viewing System (Carl Zeiss Meditec, Inc., Germany), for better intraoperative peripheral retinal imaging. Read More

Ther Adv Ophthalmol 2021 Jan-Dec;13:25158414211045753. Epub 2021 Oct 5.

Instituto de la Retina, Valencia, Spain.

Background: Several studies have investigated and demonstrated the prophylactic effect of brimonidine drops in preventing subconjunctival hemorrhage in some microincisional ophthalmic surgeries, such as intravitreal injections or cataract surgery. However, there are no previous studies investigating this prophylactic effect after 23G microincisional vitreoretinal surgery.

Aim: The aim of the current study was to determine whether subconjunctival hemorrhage after 23G pars plana vitrectomy (PPV) could be prevented with the use of prophylactic topical brimonidine. Read More

Int J Clin Pract 2021 Dec 17;75(12):e14968. Epub 2021 Oct 17.

Department of Ophthalmology, Keçioren Educational and Research Hospital, Ankara, Turkey.

Aim Of The Study: Subconjunctival haemorrage (SCH) is a frequent bleeding manifestation and a common cause of visits to the primary care. Trauma in young patients and vascular damage such as hypertension in the elderly are the most common causes of SCH and the prevalence of haematological diseases is <1%. We aimed to evaluate the prevalence of congenital or acquired bleeding disorders in patients with once or recurrent SCH. Read More

JNMA J Nepal Med Assoc 2021 Jan 31;59(233):77-80. Epub 2021 Jan 31.

Department of Pathology, B.P. Koirala Institute of Health Sciences, Dharan-18, Sunsari, Nepal.

Medulloepithelioma is a rare childhood embryonal tumor arising from the non-pigmented ciliary epithelium of the pars plicata. We report a case of an 11-year-old male who presented with painless loss of vision of the right eye for the last three years and progressively increasing mass on the superior aspect of the globe for the last three months. On ocular examination, a firm, non-tender mass of 4cm x 3cm was noted in the superior aspect of the globe. Read More

J Ophthalmol 2021 16;2021:5525064. Epub 2021 Jul 16.

Ophthalmology Department, Xiapu Funing County Hospital, Ningde 352000, China.

Purpose: To evaluate long-term outcomes and complications of sutured scleral-fixated foldable intraocular lens (IOL) implantation.

Design: Retrospective study.

Methods: Patients who underwent sutured scleral-fixated foldable IOL implantation using 10-0 polypropylene suture were followed up for at least 5 years at one Chinese tertiary hospital and two primary hospitals. Read More

BMJ Case Rep 2021 Jul 27;14(7). Epub 2021 Jul 27.

Department of Internal Medicine, Singapore General Hospital, Singapore.

A 69-year-old Chinese man presented with exertional dyspnoea and subjective left upper limb weakness. Initial clinical impressions were community-acquired pneumonia and cerebrovascular accident. Further imaging studies revealed an incidental mitral valve vegetation and left lung upper lobe nodule likely a lung malignancy with possible lymphangitis carcinomatosis. Read More