The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
J H De Boer - One of the best experts on this subject based on the ideXlab platform.
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young age as a risk factor for complicated course and visual outcome in intermediate uveitis in children
British Journal of Ophthalmology, 2011Co-Authors: Kalinina V Ayuso, H Ten A T Cate, P Van Den Does, Aniki Rothova, J H De BoerAbstract:Objective To identify prognostic factors in intermediate uveitis (IU) in children. Methods Retrospective case series of 35 patients with onset of IU ≤16 years and a minimum follow-up of 1 year. Demographic and numerous clinical data were documented. Visual outcomes and development of complications were analysed in relation to age of onset and ocular signs at presentation. Results Forty-six per cent of patients had onset ≤7 years, and 54% >7 years. The younger-onset group had a shorter event-free survival for secondary glaucoma (p=0.04) and vitreous haemorrhage (p=0.01). The mean age of onset in children with cataract (5.9 vs 8.7 years), glaucoma (5.0 vs 8.4) and vitreous haemorrhage (5.6 vs 8.5) was lower than in children without these complications (all p=0.03). Frequencies of other complications did not differ between both groups. The younger-onset group had worse BCVAs at presentation (0.3 vs 0.6), at 1 year (0.4 vs 0.9) and at 3 years9 follow-up (0.6 vs 0.9; all p≤0.04), and they needed longer treatment (p=0.01). Children with young onset of IU reached remission less frequently (p=0.05). Development of cystoid macular oedema was independently associated with Papillitis (adjusted HR=3.4; p=0.02) and snowbanking (adjusted HR=3.3; p=0.03) at presentation. Other complications at onset were not predictive for future complications. Conclusions Children with young onset of IU carry a higher risk of complications and worse visual outcome. The authors would recommend considering more intensive monitoring and earlier threshold for systemic treatment in those children with risk factors as early onset, Papillitis and/or snowbanking at initial presentation.
Sima Sayyahmelli - One of the best experts on this subject based on the ideXlab platform.
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acute Papillitis in young female with toxoplasmosis
Middle East African Journal of Ophthalmology, 2011Co-Authors: Rakhshandeh Alipanahi, Sima SayyahmelliAbstract:Papillitis and complicating acute toxoplasma retinochoroiditis, are unusual and atypical features of toxoplasmosis. This report presents a female with unusual acute Papillitis. This patient had an active toxoplasmic chorioretinitis lesion that appeared to involve the optic nerve head and a major blood vessel as well as central nervous systems (CNS). Papillitis may be secondary to juxtapapillary retinitis (Jensen choroiditis). Very rarely, the optic nerve head may be the primary site of involvement. This case report illustrates a rare presentation of acute Papillitis in a young immunocompetent female.
Carl Peter Herbort - One of the best experts on this subject based on the ideXlab platform.
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unilateral Papillitis the tip of the iceberg of bilateral icga detected tuberculous choroiditis
Ocular Immunology and Inflammation, 2011Co-Authors: Marina Papadia, Carl Peter HerbortAbstract:Purpose: To report the case of a patient who presented with unilateral Papillitis that turned out to be the visible feature of bilateral tubercular choroiditis.Design: Retrospective review of chart and clinical history of the patient.Methods: Case report of a 54-year-old Hispanic woman with visual complaints and Papillitis in the left eye.Results: A complete and extended workup was negative and only indocyanine green angiography (ICGA) combined with a positive interferon gamma release assay (IGRA) pointed toward a diagnosis of bilateral tubercular choroiditis.Conclusions: Without the help of ICGA the diagnosis of tuberculous choroiditis would have been missed.
Frank G Moody - One of the best experts on this subject based on the ideXlab platform.
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sphincterotomy sphincteroplasty for papillary dysfunction stenosing Papillitis
2007Co-Authors: Frank G MoodyAbstract:Simple division (5mm) of the anterior surface of the sphincter of Oddi (sphincterotomy) was utilized extensively in the mid 20th century for presumed biliary-pancreatic pain from biliary dyskinesia. Lack of success led to a more generous longer (2–3cm) division of the sphincter with formal sphincteroplasty with only marginal improvement in outcome. Our group and others have utilized a generous sphincteroplasty with division of the transampullary septum to include division of the pancreatic component of the sphincter; with this extended approach, we have achieved good to excellent results in appropriately selected patients. The rationale for the procedure is to allow free egress of bile and pancreatic juice into the duodenum after stimulation from ingestion of a meal. Stenting of even the septotomy can now be accomplished after endoscopic sphincteroplasty in experienced hands.
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transduodenal sphincteroplasty with transampullary septectomy for stenosing Papillitis
American Journal of Surgery, 1991Co-Authors: Frank G Moody, Rosario Vecchio, Ricard Calabuig, N RunkelAbstract:The papilla of Vater and its sphincter of Oddi, lying at the confluence of the bile and pancreatic ducts in man, have long been suspected as a source of upper abdominal pain. Enlarging the opening of the transpapillary segment of the bile and major pancreatic ducts by using a transduodenal sphincteroplasty with transampullary septectomy resulted in death in a patient with a peripapillary diverticulum and pancreas divisum. Eight-six patients followed for 1 to 10 years experienced a 75% success rate. Thirty-six patients had a marked stenosis of their duct of Wirsung, suggesting that their pain was primarily from the pancreas. The remainder had either a generalized narrowing (40 patients) or a normal (7 patients) papilla. Pain was not satisfactorily resolved in patients with an associated pancreas divisum, chronic pancreatitis, and recurrent episodes of acute pancreatitis with alcoholism.
Tetsuju Sekiryu - One of the best experts on this subject based on the ideXlab platform.
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subfoveal choroidal thickness in Papillitis type of vogt koyanagi harada disease and idiopathic optic neuritis
Retina-the Journal of Retinal and Vitreous Diseases, 2016Co-Authors: Ichiro Maruko, Tomohiro Iida, Yukinori Sugano, Tetsuju SekiryuAbstract:PURPOSE To evaluate the subfoveal choroidal thickness before and after treatment in Papillitis type of Vogt-Koyanagi-Harada (VKH) disease and idiopathic optic neuritis (ON) using enhanced depth imaging spectral domain optical coherence tomography. METHODS A total of 11 eyes of 7 patients (average age 47.3 years old) with Papillitis type of VKH disease and 11 eyes of 8 patients (average 36.4 years old) with idiopathic ON case were included. The subfoveal choroidal thickness before and 1 month after treatment was measured using enhanced depth imaging spectral domain optical coherence tomography technique. Diagnosis was defined using fluorescein and indocyanine green angiography for VKH disease and magnetic resonance imaging for ON. Either case was treated with systemic steroid therapy. RESULTS The mean subfoveal choroidal thickness before treatment in Papillitis type of VKH disease was significantly thicker than in idiopathic ON case (527 ± 119 μm vs. 321 ± 86 μm, P < 0.01). Choroidal thickness in Papillitis type of VKH disease decreased significantly to 313 ± 91 μm 1 month after treatment (P < 0.01, as compared with baseline), whereas choroidal thickness in idiopathic ON case remained about the same (319 ± 89 μm, P = 0.62, as compared with baseline). CONCLUSION Although Papillitis type of VKH disease is often misdiagnosed as idiopathic ON case, the initial choroidal thickness and its change after treatment may be useful in the differential diagnosis and management.
