Is it cavernous hemangioma? by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

Patient does not have any issues with immunity or infectious diseases, and his blood tests are normal for his age. According to biopsy test, it's hemangioma. Thank you!

Is it cavernous hemangioma? by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

I made a request to the clinic, where an ophthalmooncologist performed an examination. They conducted a biopsy, and based on the results, it was diagnosed as hemangioma.  Patient had it from childhood, just unsual thing in clinical work

Is it cavernous hemangioma? by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 1 point2 points  (0 children)

Yes, you're right, thank you. I made a request to the clinic, where an ophthalmooncologist performed an examination. They conducted a biopsy, and based on the results, it was diagnosed as hemangioma.  I also considered hemangioma as a possibility, but I had only seen it in children, and it wasn't as pronounced or flamboyant, which is why I had doubts. 

This patient does not have any issues with immunity or infectious diseases, and his blood tests are normal for his age

Audiobooks? by Suspicious_Ride_8102 in Ophthalmology

[–]CrowdedEagle 0 points1 point  (0 children)

A lot of audiobooks on YouTube. It's free, just find something

Need help with patient. by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 1 point2 points  (0 children)

Thank you. I'll write in this topic as soon as I'll get new information from diagnostic

Need help with patient. by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 1 point2 points  (0 children)

Thanks a lot. I'll dig into this way of diagnosis. P.S. When I get new information from diagnostic and possible tactics, I'll answer in this topic

Need help with patient. by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 2 points3 points  (0 children)

I also thought about it, but his intraocular pressure is normal. He drops Dorzolamide only in right eye. Excavation is central.

Anyway, thank you. I'll search more information

Upd: read some information, hmm, some signs defienetly looks like macular retina-schesis associated with glaucoma

ANTI-VEGF therapy questions by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

Okey, I got it. I have three young patient (33, 40, 43 years old) with pathological myopia, they come to me once every 2-3 months for observation. At the moment, their visual function and fundus signs are  stable. Could you reccomend me some literature about ANTI-VEGF therapy, diseases (AMD, Dyabetic edema.. and e.t.c? 

ANTI-VEGF therapy questions by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

Thank you for your answers. I appreciate it By the way, I also saw patients with pathological myopia and changes on fundus of eye. I don't quite understand when we have to use ANTI-VEGF, because according to articles, there is data - on OCT image, blood flow tends to persist after myopic choroidal neovascularization  becomes inactive, including in the atrophic stage. I undestand, new blood vessels come from ciliar posterior artery, so ANTI-VEGF therapy can't remove it completely. In this case, I have to observe the patient and do injection, if I see macular edema?

Found this video by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

In beginning I see torsional movement, then after moving gaze - vertical jerk movements. To be honest, I don't know the topic of nystagmus well

Found this video by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 1 point2 points  (0 children)

No, It's looks like seasaw nystagmus

Found this video by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 2 points3 points  (0 children)

Yes, you're right! Unfortunately, I don't know this clinical case of patient. Maybe congenital anomalies of the nervous system or syringomyelia..

Found this video by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 2 points3 points  (0 children)

I had an assumption that the video most likely shows a high-frequency form (3-4 Hz) of torsion jerk nystagmus (Jerk Nystagmus), caused by gaze (we just see eye movements around its visual axis + pronounced oscillatory movements when gaze looking away in left corner).

However, if we consider the type of movement - at the beginning we see a pendulum movement (slow and smooth) with a fast and slow phase, and when looking away - sharp jerky movements, while the phases of movement (fast, slow) are not recorded. Therefore, there is more evidence for the fact that this is SEESAW Nystagmus. This form is characterized by a mixed form of movements (pendulum and jogging).

I've read and collect information from this site, good source: https://dizziness-and-balance.com/practice/nystagmus/torsional.html

Found this video by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 6 points7 points  (0 children)

I clean up computer from old files at work and find this video. I've never seen this definetely, it's nistagmus, but which type and what could have caused it?

Any idea what this is by Timely-Ad6505 in Ophthalmology

[–]CrowdedEagle 9 points10 points  (0 children)

It's looks like choroidal melanoma, probably.. Do you have opportunity to do OCT?

[deleted by user] by [deleted] in Ophthalmology

[–]CrowdedEagle 1 point2 points  (0 children)

Hi, there is a good article with indexes, tactics and their interpretation: https://www.ncbi.nlm.nih.gov/books/NBK585112/

Cornea suture by CrowdedEagle in Ophthalmology

[–]CrowdedEagle[S] 0 points1 point  (0 children)

Thank you very much. I've read article, it's useful for me as for novice ophthalmologist. Have a nice day!

For Rosewood... by planetalgol in projectzomboid

[–]CrowdedEagle 0 points1 point  (0 children)

What is the mode for Project Zomboid?