Abnormal Tonometry & Loss of Vision & Scleromalacia Perforans: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Abnormal Tonometry, Loss of Vision, Scleromalacia Perforans,

Negated

None

Unsure

None

Possible Causes

Secondary Glaucoma

A 35-year-old one eyed female, a known case of scleromalacia perforans, presented with raised intraocular pressure on maximum medical treatment. [ncbi.nlm.nih.gov]

Initial observation for growth and judiciously timed surgical intervention prevented progression, loss of vision, and potentially the loss of the eye. [ncbi.nlm.nih.gov]

The other 7 eyes underwent filtration surgery and 3 of them had permanent loss of vision caused by disastrous complications after the surgery. [ncbi.nlm.nih.gov]

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Glaucoma

Tonometry and ophthalmoscopy are normal parts of a routine comprehensive eye examination. [eyecarespecialists.net]

The disease is responsible for one in ten cases of visual impairment. [telegraph.co.uk]

abnormally elevated. [ncbi.nlm.nih.gov]

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Eyeball Injury

Partial or total loss of vision 4. Blood or a clear fluid leaking from a wound 5. [sja.org.uk]

Yes Vision loss still present No Vision loss still present Did the vision loss occur within the past day? [myhealth.alberta.ca]

Eye injuries vary from something very minor, such as getting shampoo in your eye, to something quite serious, such as a cut, which could cause permanent loss of vision. [sja.org.uk]

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Open-Angle Glaucoma

Any elevation of Intraocular Pressure (IOP) is considered “abnormal. [bweyecenter.com]

If narrow-angle glaucoma is not diagnosed and treated, it can cause loss of vision. [healthcare.utah.edu]

Any elevation of Intraocular Pressure (IOP) is considered "abnormal". [dambrosio-eye-care-boston.com]

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Acute Angle Closure Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

An elderly man had acute angle-closure glaucoma soon after undergoing bilateral lower eyelid blepharoplasty that resulted in complete loss of vision in one eye. [ncbi.nlm.nih.gov]

Learning Assessment Clinical skills such as gonioscopy, tonometry, anterior segment OCT and UBM may be tested in a proficiency clinical exam Knowledge base of the condition [journal.opted.org]

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Angle Closure Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

[…] of vision in this rare event. [ncbi.nlm.nih.gov]

Intraocular Pressure Abnormal clinical signs include intraocular pressure in any of the following presentations: IOP above 22 mm Hg as measured by applanation tonometry Measurements [decisionmakerplus.net]

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Vitreous Hemorrhage

loss of vision. [icrcat.com]

Three days after surgery, she had painless loss of vision, minimal anterior chamber inflammation, and dense vitreous hemorrhage in the left eye. [ncbi.nlm.nih.gov]

Sudden loss of vision after injection of botulinum toxin into the extraocular muscle may suggest a serious complication, and a prompt, thorough ophthalmic examination should [ncbi.nlm.nih.gov]

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Endophthalmitis

Abstract Postoperative infectious endophthalmitis is rare, yet devastating loss of vision or loss of the eye can occur due to a highly purulent microorganism or uncontrolled [ncbi.nlm.nih.gov]

A 67-year-old Chinese man presented with acute loss of vision and pain in the left eye with hypopyon in the anterior chamber. [ncbi.nlm.nih.gov]

[…] of vision. [ncbi.nlm.nih.gov]

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Retinal Hemorrhage

Symptoms of this disorder include vision spots, floaters (floating areas of blurred vision), decreased or loss of vision, or loss of fine vision for detailed activities such [medical-dictionary.thefreedictionary.com]

Examination and photographic documentation showed that these eyes had retinal hemorrhages, often distributed in a petaloid pattern, which resulted in transient loss of vision [ncbi.nlm.nih.gov]

Symptoms include sudden blurry areas in the vision, blind spots, distorted vision areas, and loss of vision. [medical-dictionary.thefreedictionary.com]

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Eye Neoplasm

As the tumor grows, symptoms can be blurred vision, decreased vision, double vision, eventual vision loss and if they continue to grow the tumor can break past the retina [en.wikipedia.org]

It grows rapidly and leaks large amounts of fluid to cause progressive loss of vision. [looc.uk.com]

Large deep orbital dermoid cysts can have cause pressure effects on the muscles and optic nerve, leading to diplopia and loss of vision. [ocularmelanoma.org]

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Scleritis and Episcleritis

Of these, 13 were regarded as scleromalacia perforans. Posterior scleritis (6 eyes) The diagnosis is based on an exact clinical examination which is fully described. [ncbi.nlm.nih.gov]

Contact your doctor if you have symptoms of episcleritis that last for more than 2 weeks or if you have a loss of vision. Episcleritis vs. [verywell.com]

perforans, and posterior) and episcleritis (simple and nodular). [ncbi.nlm.nih.gov]

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Scleromalacia

Scleromalacia perforans is a form of advanced scleromalacia. [ivyroses.com]

Scleromalacia perforans is a serious eye condition that can result in loss of vision. [verywellhealth.com]

Scleromalacia Perforans Differential diagnosis of scleromalacia perforans / causes of scleromalacia perforans are : -gout -herpes zoster -Wegener granulomatosis -polyarteritis [medicalzone.net]

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Granulomatous Iritis

This may result in an increased risk of substantial visual impairment. [emedicine.medscape.com]

It is a medical emergency because, untreated, it will lead to loss of vision. [amrithospital.com]

Associated ocular complications (eg, cataracts, corneal decompensation, glaucoma, chronic cystoid macular edema, hypotony, optic neuropathy) may result in severe vision loss [emedicine.medscape.com]

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Scleromalacia Perforans

The only systemic disease currently recognized to be complicated by scleromalacia perforans is rheumatoid arthritis. [ncbi.nlm.nih.gov]

Scleromalacia perforans is a serious eye condition that can result in loss of vision. [verywellhealth.com]

Scleromalacia perforans is a rare ocular manifestation of rheumatoid arthritis which can potentially lead to blindness and is a late consequence in the course of the disease [ncbi.nlm.nih.gov]

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Episcleritis

Of these, 13 were regarded as scleromalacia perforans. Posterior scleritis (6 eyes) The diagnosis is based on an exact clinical examination which is fully described. [dx.doi.org]

If the case develops seriously, the scleritis may as well develop, and an inflammation of the sclera can cause intense pain and loss of vision. [firmoo.com]

Effect of cortisone on rheumatoid nodules of the sclera (scleromalacia perforans). [ncbi.nlm.nih.gov]

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Retinoblastoma

We want to highlight the importance of high clinical suspicion and imaging modalities before taking any patient for evisceration with unexplained vision loss. [ncbi.nlm.nih.gov]

[…] of vision one (2.4%)and hyphemaone (2.4%). [ncbi.nlm.nih.gov]

RB is most often painless and children rarely complain of visual impairment despite its rapid progression towards loss of vision in the affected eye. [orpha.net]

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Sclerosing Keratitis

It is often associated with scleromalacia perforans. b. Is corneal graft useful in this patient? [mrcophth.com]

Diagnose Diagnostische Loss der Vision sind die bilaterale Beteiligung, particularly loss of vision Filagra the weld-affected areas, it is a common practice to passivate loss [channel2012.ru]

Hfilyogmiit6t utgtn 1 6vvel fell6p5 scleromalacia perforans ellfit/tsa scleroplasticfival [Scleromalacia perforans one year after cataract surgery treated by scleroplasty. [docslide.com.br]

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Intraocular Medulloepithelioma

They usually cause eye pain and loss of vision. [cancer.org]

Large deep orbital dermoid cysts can have cause pressure effects on the muscles and optic nerve, leading to diplopia and loss of vision. [ocularmelanoma.org]

Although eye cancers and tumors are rarely fatal if detected early, they can result in loss of vision. [news-medical.net]

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Keratitis

perforans), as well as posterior scleritis 61. • Corneal findings  PUK  Sclerosing keratitis(gradual thickening and opacification of corneal stroma adjacent to site of [slideshare.net]

The patient presented with progressive loss of vision with best-corrected visual acuity 20/40. Immature cataract with 1.43D against the rule astigmatism was noted. [ncbi.nlm.nih.gov]

Keratitis is also associated with the following symptoms: sensitivity to light watering of the eyes discharge from the eye vision changes (blurred vision or loss of vision [your.md]

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Scleral Staphyloma

Scleromalacia Perforans from long-standing bulbar conjunctival Rhinosporidiosis. [ncbi.nlm.nih.gov]

But some can lead to a permanent loss of vision. [icdlist.com]

Scleromalacia Perforans from long-standing bulbar conjunctival Rhinosporidiosis. Ophthalmology. 2016;123:1493. 11. Sood N, Agarwal MC, Gugnani HC. [bmcophthalmol.biomedcentral.com]

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Hydrophthalmos

a male child aged 6 years was admitted to this hospital on 14th March, 1960, with a history of loss of vision in the right eye for 4 years and defective vision with enlargement [ijo.in]

loss. [diseases.jensenlab.org]

[…] of vision. ( B601 .12.w12, J509 .47.w1) Traumatic rupture with severe corneal ulceration, may occur, followed by scaring or vascularization. ( B600 .11.w11, J509 .47.w1) [wildpro.twycrosszoo.org]

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Retinitis Pigmentosa

Fundus photography was used to document abnormal fundus findings. Table 1 presents the clinical patient information. [doi.org]

She presented with a history of acute, painless vision loss in her left eye over a period of 10 days. [ncbi.nlm.nih.gov]

A standard, comprehensive ophthalmic examination was performed, including tonometry, slitlamp biomicroscopy, and direct and indirect ophthalmoscopy. [doi.org]

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Hereditary Corneal Dystrophy

Graefes-Arch-Clin-Exp-Ophthalmol. 1998 Apr; 236(4): 291-4 Ayyala,-R-S; Armstrong,-S Corneal melting and scleromalacia perforans in a patient with pyoderma gangrenosum and [malattierare.regione.veneto.it]

As the opacities enlarge and grow in number the cornea becomes increasingly opaque and older patients experience considerable loss of vision. [disorders.eyes.arizona.edu]

perforans. [carolinaeyecare.com]

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Uveal Disease

Scleromalacia perforans. Note the thinning of the sclera, which leaves the choroid bare and covered by a thin layer of conjunctiva. FIGURE 6. Scleromalacia perforans. [aafp.org]

But some can lead to a permanent loss of vision. [medlineplus.gov]

In the early stages of the disease, there may be no symptoms and the progressive loss of vision as a result of glaucoma is irreversible. [heartland-eye.com]

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Acute Glaucoma

Her fluorescein stain reveals no abnormal uptake. Fundoscopic exam is difficult due to corneal haziness. Tonometry in the L eye shows a pressure of 28 mmHg. [emdocs.net]

The patient was referred for acute loss of vision OD and right-sided headache, pain, and nausea. [ncbi.nlm.nih.gov]

It can lead to loss of vision and even to blindness. [mydr.com.au]

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Diabetic Cataract

Tonometry is a method used to measure the pressure inside the eye. If the pressure is increased, it may indicate glaucoma. [emedicinehealth.com]

Diagnosing and treating eye disease early can prevent vision loss. [rockvilleeye.com]

Glaucoma is a gradual loss of vision that usually has no symptoms until the disease eventually takes your sight. [lasikdoctors.com]

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Posterior Uveitis

Perforans Update Pending Edmund Tsui, MD Serpiginous choroidopathy Up to Date September 22, 2019 Edmund Tsui, MD Sympathetic Ophthalmia Up to Date December 16, 2019 Ghazala [eyewiki.aao.org]

Patients with this condition will have loss of vision and may experience floaters, typically in both eyes. What is the treatment? [rvcoklahoma.com]

A rare form of necrotizing anterior scleritis without pain can be called scleromalacia perforans. The sclera is notably white, avascular and thin. [eyewiki.aao.org]

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Reis-Bucklers Corneal Dystrophy

Some cause severe visual impairment, while a few cause no vision problems and are diagnosed during a specialized eye examination by an ophthalmologist. [en.wikipedia.org]

Corneal dystrophies affect vision in widely differing ways, some cause severe visual impairment, while a few cause no vision problems and are diagnosed during a specialized [wikivisually.com]

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Corneal Blood Staining

perforans "painless, no inflammation, rarely spontatneous perforates, usually rupture from minimal trauma" what is width of descements' membrane at birth? [freezingblue.com]

The authors describe a patient in whom corneal blood staining with raised intraocular pressure and loss of vision occurred as a result of autologous blood injection. [ncbi.nlm.nih.gov]

One such complication is glaucoma, which results from increased fluid pressure within the eye, and can lead to loss of vision. [wounds1.com]

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Hypertensive Retinopathy

The fundus examination specifically looked at retinal abnormalities consistent with hypertensive retinopathy, which was graded based on the Scheie classification: 14 grade [ncbi.nlm.nih.gov]

Hypertensive patients are advised to undergo routine opthalamoscopic examination even if minor signs of visual impairment appear. [symptoma.com]

Some can also develop temporary or permanent vision loss. How is hypertensive retinopathy diagnosed? [eyecenters.com]

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