Russell Shelton (moonreport58)

To report a case of symptomatic multiple retinal emboli during a carotid doppler ultrasonography (CDU) procedure. Case report documented with clinical records, fundus photography (FP), optical coherence tomography angiography (OCT-A) of the retina and computed tomography angiography (CT-A) of the supra-aortic vessels. A 60-year-old male patient, presented to the emergency department with sudden vision loss in the left eye (LE) and pain in the left upper eyelid noticed during a CDU procedure. On the LE, the best corrected visual acuity (BCVA) was 20/200 and fundus observation revealed retinal arteriolar attenuation, retinal whitening with cherry point and multiple intra-arterial emboli in all arcades of the central retinal artery. CT-A of the supra-aortic vessels revealed an absence of filling throughout the cervical, petrous and cavernous segment of the left internal carotid artery, resuming only in the ophthalmic segment and an important stenosis of the left external carotid artery. He had no indication to be submitted to left carotid endarterectomy and began ocular massage and oral anticoagulant. 4 months later, ptosis was no longer present, BCVA improved to 20/20 with a residual scotoma and emboli disappeared on FP. Embolic occlusion of retinal arteries may be an extremely rare but serious complication associated with CDU and patients and clinicians should be aware of it. Embolic occlusion of retinal arteries may be an extremely rare but serious complication associated with CDU and patients and clinicians should be aware of it. To report the clinical results of lens capsular flap (LCF) transplantation in a patient with refractory medium macular hole (MH). Case report. A 66-year-old female myopic patient with a history of medium macular hole (MH) was previously unsuccessfully treated by vitrectomy surgery, internal limiting membrane (ILM) peeling and air-fluid exchange followed by 12% C2F6 tamponade into the vitreous cavity and face-down positioning. After the first surgery, the patient's visual acuity of the left eye remained only 20/400 on the Snellen scale, and a persistent medium MH (290 µm) was observed on optical coherence tomography. Cataract of the left eye was also noted. A second surgery, combined cataract-vitrectomy surgery, was carried out to seal the MH, performed under retrobulbar anesthesia. Because there was insufficient ILM tissue to perform the ILM flap procedure, we decided to use another technique involving an autologous LCF. Elenestinib The patient underwent LCF placement onto the MH along with gas tamponade. At 6 months, the MH was sealed, and the patient's vision had improved to 20/32 on the Snellen scale. This is the first case report to describe the use of LCF to treat persistent medium MH. LCF seems to be effective in sealing small macular holes and was well tolerated by the patient. This is the first case report to describe the use of LCF to treat persistent medium MH. LCF seems to be effective in sealing small macular holes and was well tolerated by the patient. To report a case of non-arteritic anterior ischemic optic neuropathy (NAION) after intravitreal injection in a patient with a history of fellow-eye NAION. Observational case report. An 82-year-old woman with a history of fellow eye NAION developed an inferior visual field defect 1 day after an intravitreal aflibercept injection for neovascular age-related macular degeneration (AMD). She was found to have optic disc edema and an inferior altitudinal defect, consistent with NAION. The mechanism may have involved compromised perfusion to the optic nerve head related to elevated intraocular pressure or vasoconstriction due to anti-vascular endothelial growth factor activity. NAION is a rare complication of intravitreal injection and may be related to post-injection elevation in IOP. Monitoring of IOP po