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Acute Vision Loss

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81. Acute Pain Medicine in the United States: A Status Report

pain. Therefore, the AAPM leadership recommended creating the Acute Pain Medicine Shared Interest Group (APMSIG), which received endorsement from the AAPM Board of Directors and met for the first time during the 2013 AAPM annual meeting. The APMSIG vision statement is highlighted in Box 1 . Box 1 Vision Statement of the APMSIG The APMSIG will lead in developing systems, methods, and interventions to obviate suffering from perioperative and acute pain. The APMSIG will advocate for effective (...) Acute Pain Medicine in the United States: A Status Report Acute Pain Medicine in the United States: A Status Report | Pain Medicine | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article

2015 American Academy of Pain Medicine

82. Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke

Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Scientific Rationale (...) for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association , MD, MSc, FRCPC, FAHA, Chair , MD, FAHA, Vice-Chair , MD, MS, FAHA , MD , DO , MD , MD, MS, FAHA , MD, MBA, FAHA , PhD , MD, MS, FAHA , MD, MSc, FAHA , and MD, FAHA MD, MPH, FAHAon behalf of the American Heart Association Stroke Council and Council on Epidemiology and Prevention Bart M. Demaerschalk , Dawn O

2015 American Academy of Neurology

83. Clinical Handover in Acute and Children’s Hospital Services

associated with clinical handover whether as part of shift or inter-departmental clinical handover or communication of information in relation to the deterioration in a patient’s condition, are similar and include: • Inappropriate or delayed treatment being provided for patients including the delay in critical referrals which threaten the life, health or well being of patients in the acute hospital setting • Loss of trust and confidence amongst staff and patients in the performance of the healthcare (...) Clinical Handover in Acute and Children’s Hospital Services Communication (Clinical Handover) in Acute and Children’s Hospital Services National Clinical Guideline No. 11 November 2015Guideline Development Group The National Communication (Clinical Handover) Guideline Development Group (GDG) was a work stream of the National Implementation Group – HSE/HIQA Maternity Services Investigations (HSE) under the governance of the Acute Hospitals Division, HSE. This group will be referred to as the GDG

2015 National Clinical Guidelines (Ireland)

84. Ischemic Injury of the Papillomacular Bundle is a Predictive Marker of Poor Vision in Eyes with Branch Retinal Artery Occlusion. (PubMed)

Ischemic Injury of the Papillomacular Bundle is a Predictive Marker of Poor Vision in Eyes with Branch Retinal Artery Occlusion. To propose a novel prognostic feature of spectral-domain optical coherence tomography (SDOCT) in macula-involving branch retinal artery occlusion (BRAO).Retrospective comparative case study.We analyzed 66 eyes diagnosed with acute BRAO involving the macula from our hospital RAO registry. At presentation, a detailed ophthalmic and medical history was obtained from all (...) patients, and all underwent a comprehensive ophthalmic evaluation, which included visual acuity examination, fundus photography, fluorescein angiography, and SDOCT. This evaluation was performed at each follow-up visit.The 66 eyes diagnosed with acute BRAO involving the macula were divided into 2 groups according to initial vision: Good Vision (≥20/40, 29 eyes, 44%) and Poor Vision (<20/40, 37 eyes, 56%). The Poor Vision group was further divided into Improvement (18 eyes, 27%) and Nonimprovement (19

2015 American Journal of Ophthalmology

85. Photodynamic therapy in combination with intravitreal ziv-aflibercept and aflibercept injection in patients with chronic or repeatedly recurrent acute central serous chorioretinopathy: a single-center retrospective study (PubMed)

with PDT (p<0.001). Course of BCVA showed non-significant improvement within 6 months (p=0.065). One case of allergic reaction after fluorescein angiography and one case of ophthalmic migraine after ziv-aflibercept injection were documented. One case of reversible vision loss occurred during 6 months after combination therapy. No other adverse events or side effects were reported.Combination therapy of ziv-aflibercept and aflibercept with PDT seems to be beneficial, even in cases of chronic (...) Photodynamic therapy in combination with intravitreal ziv-aflibercept and aflibercept injection in patients with chronic or repeatedly recurrent acute central serous chorioretinopathy: a single-center retrospective study The objective of the study was to assess the effect of off-label photodynamic therapy (PDT) in combination with intravitreal off-label ziv-aflibercept or off-label aflibercept injection in patients with chronic or repeatedly recurrent acute central serous chorioretinopathy (CSC

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2018 Clinical ophthalmology (Auckland, N.Z.)

86. Acute hydrops with a 180-degree massive edematous cavern demonstrated by three dimensional view of anterior segment optical coherence tomography in a patient with pellucid marginal corneal degeneration, a case report. (PubMed)

Acute hydrops with a 180-degree massive edematous cavern demonstrated by three dimensional view of anterior segment optical coherence tomography in a patient with pellucid marginal corneal degeneration, a case report. Pellucid marginal corneal degeneration is a non-inflammatory disorder complicated by severe inferior corneal thinning. The central portion of the cornea, consequently, appears to protrude outwards, decreasing vision by means of an irregular stigmatism. Additionally, acute hydrops (...) can occur in case of Descemet's membrane rupture.A 41-year-old Japanese woman presenting with severe visual loss in the left eye was examined and observed to have had full thickness corneal perforation as well as a Descemet membrane rupture with massive edema in the corneal stroma. Anterior segment optical coherence tomography-based corneal topography revealed a distorted crab claw sign indicating pellucid marginal corneal degeneration. The Descemet membrane rupture allowed acute hydrops to occur

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2018 BMC Ophthalmology

87. Herpes zoster ophthalmicus: acute keratitis. (PubMed)

is declining with similar trends also seen in HZO. The cause of these changes has yet to be determined. Our understanding of corneal involvement in HZO continues to evolve with new imaging demonstrating viral particles within keratocytes in a case of zoster stromal keratitis. New medications such as topical ganciclovir are also helping to better manage acute zoster keratitis that is unresponsive to oral antiviral therapy.Acute zoster keratitis can lead to permanent vision loss. Early diagnosis (...) Herpes zoster ophthalmicus: acute keratitis. Herpes zoster is a common condition, and involvement of the trigeminal nerve results in herpes zoster ophthalmicus (HZO). Acute keratitis is one of the most common of these ocular complications associated with HZO. The findings associated with and the management of acute zoster keratitis will be reviewed.The incidence rate of herpes zoster has been on the rise over the past several decades. At the same time, the average patient age at presentation

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2018 Current Opinion in Ophthalmology

88. Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury. (PubMed)

Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury. There is a lack of literature describing the incidence of pediatric acute ocular injury and associated likelihood of vision loss in the United States. Understanding national pediatric eye injury trends may inform future efforts to prevent ocular trauma.To characterize pediatric acute ocular injury in the United States using data from a stratified, national sample of emergency department (ED) visits.A retrospective (...) with acute traumatic ocular injuries were collected and temporal trends in the incidence of ocular injuries by age, risk of vision loss, and mechanism of injury were explored.In 2014, there were an estimated 163 431 (95% CI, 151 235-175 627) ED visits for pediatric acute ocular injury. Injured children were more often male (63.0%; 95% CI, 62.5-63.5) and in the youngest age category (birth to 4 years, 35.3%; 95% CI, 34.4-36.2; vs 10-14 years, 20.6%; 95% CI, 20.1-21.1). Injuries commonly resulted from

2018 JAMA ophthalmology

89. Comparing treatment of acute retinal necrosis with either oral valaciclovir or intravenous aciclovir. (PubMed)

criteria included insufficient patient records or follow-up (<150 days). Fifty-six patients had unilateral ARN, while 6 had bilateral ARN. Patients who received intravenous acyclovir on diagnosis (n = 33) were compared with patients treated with oral valacyclovir (n = 29) across outcomes including best-corrected visual acuity, retinal detachment, severe vision loss, and other complications. The impact of adjunctive intravitreal antiviral and prophylactic barrier laser treatment was also assessed.Change (...) in best-corrected visual acuity was not significantly different for eyes treated initially with intravenous therapy vs oral therapy over 5 years of follow-up data (P = .16). There was no difference in the rates of severe vision loss between the 2 groups (46% and 59%, respectively, P = .18), or of those eyes retaining good vision (28% vs 31%, respectively, P = .80). Retinal detachment occurred in 63% of cases and did not differ across treatment groups (62% vs 66%, respectively, P = .67). Barrier laser

2018 American Journal of Ophthalmology

90. Left acute neovascular glaucoma after right carotid endarterectomy (PubMed)

Left acute neovascular glaucoma after right carotid endarterectomy Carotid endarterectomy is a commonly performed vascular surgical procedure with well-known complications, such as stroke and nerve injury. Neovascular glaucoma (NVG) is an exceedingly rare complication after carotid endarterectomy that can result in loss of vision. All previous reports of NVG after carotid endarterectomy have occurred on the same side as the carotid surgery; in this report, we present a case of left-sided NVG

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2018 Journal of Vascular Surgery Cases and Innovative Techniques

91. Acute retinal arterial ischemia (PubMed)

Acute retinal arterial ischemia Acute retinal arterial ischemia, which includes transient monocular vision loss (TMVL), branch retinal artery occlusion (BRAO), central retinal artery occlusion (CRAO) and ophthalmic artery occlusion (OAO), is most commonly the consequence of an embolic phenomenon from the ipsilateral carotid artery, heart or aortic arch, leading to partial or complete occlusion of the central retinal artery (CRA) or its branches. Acute retinal arterial ischemia is the ocular (...) equivalent of acute cerebral ischemia and is an ophthalmic and medical emergency. Patients with acute retinal arterial ischemia are at a high risk of having further vascular events, such as subsequent strokes and myocardial infarctions (MIs). Therefore, prompt diagnosis and urgent referral to appropriate specialists and centers is necessary for further work-up (such as brain magnetic resonance imaging with diffusion weighted imaging, vascular imaging, and cardiac monitoring and imaging) and potential

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2018 Annals of eye science

92. Protective effects of Rutin against methanol induced acute toxic optic neuropathy: an experimental study (PubMed)

and decreasing the oxidative stress. New treatment options are warranted in this disease to avoid loss of vision in patients. (...) Protective effects of Rutin against methanol induced acute toxic optic neuropathy: an experimental study To determine the effects of Rutin on methanol induced optic neuropathy and compare the results with the effects of ethanol.Totally 30 rats were divided into 5 groups, with 6 rats in each group as follows: healthy controls (C), methotrexate (MTX), methotrexate+methanol (MTM), methotrexate+methanol+ethanol (MTME) and methotrexate+ methanol+Rutin (MTMR). In all rabbits except those

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2018 International journal of ophthalmology

93. Acute blindness as a presenting sign of childhood endemic Burkitt’s lymphoma in Cameroon: a case report (PubMed)

as a presentation sign is rare.A 13 year old African female presented to our facility with a 3 week history of painful abdominal distention, and loss of vision of the left eye. On examination, there was a huge abdominopelvic mass, left breast mass and complete blindness of the left eye associated with mydriatic pupils non-responsive to light. An abdominal ultrasound showed a huge hypoechoic mass arising from the pelvis and protruding into the abdomen. The jaws, teeth and maxilla were all normal. A fine needle (...) Acute blindness as a presenting sign of childhood endemic Burkitt’s lymphoma in Cameroon: a case report Endemic Burkitt's lymphoma is found predominantly in malaria holoendemic zones, typically in the tropical rain forest of Africa. It usually presents as an extra-nodal tumour in children and young adults with predilection for jaws and soft tissues of the abdomen. Clinical features depend on the primary tumour site, extent of the disease and histologic subtype. Acute blindness

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2018 Journal of medical case reports

94. Acute Macular Neuroretinopathy following Oral Intake of Adrenergic Flu Treatments (PubMed)

Acute Macular Neuroretinopathy following Oral Intake of Adrenergic Flu Treatments The purpose of this study was to report a case series of patients with acute macular neureretinopathy in which patients concomitantly used ephedrine or pseudo-ephedrine.This is a retrospective case review.Two patients with retinal findings consistent with acute macular neuroretinopathy are presented.Acute macular neuroretinopathy should be considered in any young patient with unexplained loss of vision and exposed

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2018 Case reports in ophthalmology

95. Reduction in interhemispheric functional connectivity in the dorsal visual pathway in unilateral acute open globe injury patients: a resting-state fMRI study (PubMed)

calcarine/lingual/cuneus (BA18, 19, 30) and middle occipital gyrus (BA18, 19). The OGI patients had abnormal interhemispheric FC in the dorsal visual pathway, which may represent the pathophysiological mechanism that underlies acute vision loss after OGI. (...) Reduction in interhemispheric functional connectivity in the dorsal visual pathway in unilateral acute open globe injury patients: a resting-state fMRI study This study investigated the changes in interhemispheric functional connectivity (FC) of the whole brain in open globe injury (OGI) patients, using voxel-mirrored homotopic connectivity (VMHC), and their relationships with clinical features. Totally, 16 male and 2 female acute OGI patients and 18 sex, age, and education-matched healthy

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2018 International journal of ophthalmology

96. VERNONIA AMYGDALINA DELILE EXHIBITS A POTENTIAL FOR THE TREATMENT OF ACUTE PROMYELOCYTIC LEUKEMIA (PubMed)

of the 20th century alone. Therefore, the aim of the present study was to explore the efficacy of a medicinal plant, Vernonia amygdalina Delile (VAD), as a new targeted therapy for the management of acute promyelocytic leukemia (APL), using HL-60 cells as a test model. To address our specific aim, HL-60 promyelocytic leukemia cells were treated with VAD. Live and dead cells were determined by acridine orange and propidium iodide (AO/PI) dye using the Cellometer Vision. The extent of DNA damage (...) VERNONIA AMYGDALINA DELILE EXHIBITS A POTENTIAL FOR THE TREATMENT OF ACUTE PROMYELOCYTIC LEUKEMIA The World Health Organization (WHO) has been on front line to encourage developing countries to identify medicinal plants that are safe and easily available to patients. Traditional medicine represents the first-treatment choice for the healthcare of approximately 80% of people living in developing countries. Also, its use in the United States has increased by 38% during within the last decade

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2018 Global journal of advanced engineering technologies and sciences

97. Acute Posterior Multifocal Placoid Pigment Epitheliopathy Associated with Gastrointestinal Stromal Tumor and Hurthle Cell Tumor (PubMed)

Acute Posterior Multifocal Placoid Pigment Epitheliopathy Associated with Gastrointestinal Stromal Tumor and Hurthle Cell Tumor Acute posterior multifocal placoid pigment epitheliopathy (APMPEE) is a chorioretinal inflammatory disease of unknown origin. Patients usually present with a rapid loss of central/paracentral vision over the course of a week in both eyes. The fundus exhibits rapid appearance of multiple deep subretinal yellow-white, flat lesions at the RPE/choriocapillaris level (...) . This in turn causes changes of both the ellipsoid zone and RPE which can result in permanent central vision loss. The pathogenesis is controversial but is associated with a recent viral illness and can involve the central nervous system with concern for cerebral vasculitis. Rare reports of APMPEE associated with systemic vasculitis such as Wegener's granulomatosis and malignancy such as clear cell renal carcinoma have been reported. We report a case of APMPEE with concurrent diagnosis of gastrointestinal

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2018 Case reports in ophthalmological medicine

98. Acute zonal occult outer retinopathy: Is optical coherence tomography angiography useful? (PubMed)

Acute zonal occult outer retinopathy: Is optical coherence tomography angiography useful? A 44-year-old female presented with central vision loss and photopsia in both eyes since 2 months. Multimodal imaging, field defects, electroretinogram abnormalities, and spectral domain optical coherence tomography changes were all suggestive of acute zonal occult outer retinopathy. En-face optical coherence tomography angiography (OCTA) images demonstrated hyper-reflective dots at the level of ellipsoid

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2018 Indian journal of ophthalmology

99. Paracentral acute middle maculopathy and the ischemic cascade associated with retinal vascular occlusion. (PubMed)

final visual acuity was 20/25). This pattern was noted to sequentially progress in 2 cases to a diffuse globular PAMM pattern in the INL, or to a pattern of ischemia involving both the middle and inner retinal layers with commensurate vision loss. Globular patterns of PAMM or ischemia involving both the middle and inner retina correlated with poorer visual outcomes (average final visual acuity was counting fingers at 5.5 ft). These various patterns of ischemia developed in eyes with retinal vascular (...) Paracentral acute middle maculopathy and the ischemic cascade associated with retinal vascular occlusion. To analyze the spectrum of ischemia associated with paracentral acute middle maculopathy (PAMM) in eyes with acute retinal vascular occlusion and to describe an ischemic cascade.A retrospective observational case series.Patients presenting with PAMM secondary to acute retinal vascular occlusion were identified. Analysis of multimodal imaging was performed at baseline and at follow-up visits

2018 American Journal of Ophthalmology

100. More than meets the eye: Point-of-care ultrasound diagnosis of acute optic neuritis in the emergency department. (PubMed)

More than meets the eye: Point-of-care ultrasound diagnosis of acute optic neuritis in the emergency department. Optic neuritis (ON) is an inflammatory condition that causes demyelination and thickening of the optic nerve leading to acute/subacute vision loss. It is frequently associated with other conditions like multiple sclerosis, but is often misdiagnosed, which can lead to a suboptimal prognosis. Ultrasound is rarely utilized to help make this diagnosis, even though it can easily detect

2018 American Journal of Emergency Medicine

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