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Acute Vision Loss

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141. Pseudotumor cerebri in a child receiving peritoneal dialysis: recovery of vision after lumbo-pleural shunt (PubMed)

Pseudotumor cerebri in a child receiving peritoneal dialysis: recovery of vision after lumbo-pleural shunt A 9-year-old boy with end-stage renal disease who was receiving continuous ambulatory peritoneal dialysis (CAPD) presented with acute visual loss and was found to have papilledema. Neuroimaging and cerebrospinal fluid (CSF) analysis were normal. The lumbar puncture opening pressure was 290 mm of water so the diagnosis of pseudotumor cerebri (PTC) was entertained. Medical treatment

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2011 Annals of Saudi Medicine

142. Interventions for acute non-arteritic central retinal artery occlusion. (PubMed)

Interventions for acute non-arteritic central retinal artery occlusion. Acute central retinal artery occlusion (CRAO) occurs as a sudden interruption of the blood supply to the retina and results in an almost complete loss of vision in the affected eye. There is no generally agreed treatment regimen although a number of therapeutic interventions have been proposed.The objective of this review was to examine the effects of treatments used for acute non-arteritic CRAO.We searched the Cochrane (...) Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library, Issue 3, 2008), MEDLINE (January 1966 to September 2008), EMBASE (January 1980 to September 2008) and the reference lists of relevant papers.We included randomised controlled trials (RCTs) only in which one treatment aimed to re-establish blood supply to the retina in people with acute CRAO was compared to another treatment.Two authors independently assessed

2009 Cochrane

143. Buscopan Versus Acetaminophen for Acute Abdominal Pain in Children

on quality of life, functional outcomes, and patient satisfaction. It is a major source of school and work absence, loss of sleep, and extracurricular impairment. Despite this, analgesia has traditionally been withheld from patients with acute abdominal pain. The reasons behind this are likely two-fold. First, there is good evidence that clinicians fear that analgesia will mask signs of an underlying surgical pathology such as appendicitis. There is no current published literature that supports (...) Buscopan Versus Acetaminophen for Acute Abdominal Pain in Children Buscopan Versus Acetaminophen for Acute Abdominal Pain in Children - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Buscopan Versus

2015 Clinical Trials

144. Pyelonephritis - acute

Pyelonephritis - acute Pyelonephritis - acute - NICE CKS Clinical Knowledge Summaries Share Pyelonephritis - acute: Summary Acute pyelonephritis is an infection of one or both kidneys usually caused by bacteria travelling up from the bladder – the most common causative pathogen is Escherichia coli, which is responsible for 60-80% of uncomplicated infections. Complications of acute pyelonephritis include: Sepsis. Parenchyma renal scarring. Recurrent urinary tract infections. Renal abscess (...) formation. Preterm labour in pregnancy. Emphysematous pyelonephritis. Acute pyelonephritis should be diagnosed by taking a detailed medical history and conducting a physical examination. Acute pyelonephritis should be suspected in people with signs or symptoms of a urinary tract infection (for example, dysuria, frequency, urgency) accompanied by any new signs or symptoms of pyelonephritis (including fever, nausea, vomiting, or flank pain). A midstream or catheter specimen of urine should be sent

2013 NICE Clinical Knowledge Summaries

145. The Effects of Re-challenge in Patients with a History of Acute Anterior Uveitis Following Intravenous Zoledronate. (PubMed)

= 1000) or zoledronate 5 mg (N = 1001) intravenous infusion. Recruitment occurred over a 2-year period, with the first infusion being administered at recruitment, and subsequent infusions every 18 months. Eight participants developed acute anterior uveitis (AAU) (diagnosed by an ophthalmologist) following the first infusion of zoledronate. Following appropriate ophthalmic treatment, no patients had visual loss or other ocular sequelae. One further participant reported "sore red eyes" but did (...) of the acute phase response. If treated promptly under the care of an ophthalmologist, the visual prognosis is excellent. The results of this study suggest that the development of AAU should not be a contraindication to further infusion. However, in such cases, patients should be warned of the symptoms of AAU (ocular pain, redness, photophobia or blurred vision) and should be promptly referred to an ophthalmologist if symptoms develop.

2015 Calcified tissue international

146. The Effect of Ocular Massage on the Management of Elevated Intraocular Pressure After Acute Angle Closure

: ocular massage Device: LenstarLS900 Device: Goldmann tonometer Not Applicable Detailed Description: Background: Primary angle closure glaucoma is still the most common type in Asia. Lowering intraocular pressure remains the mainstay of therapy in the management of glaucoma, since it has been shown to be effective in reducing optic nerve damage and loss of vision. The objective of this study was to evaluate to assess the effect of ocular massage on intraocular pressure in patients with acute primary (...) The Effect of Ocular Massage on the Management of Elevated Intraocular Pressure After Acute Angle Closure The Effect of Ocular Massage on the Management of Elevated Intraocular Pressure After Acute Angle Closure - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2015 Clinical Trials

147. Assessment of Clemastine Fumarate as a Remyelinating Agent in Acute Optic Neuritis (ReCOVER)

concurrently. Condition or disease Intervention/treatment Phase Optic Neuritis Drug: Clemastine Drug: Placebo Phase 2 Detailed Description: Optic neuritis is an inflammatory, demyelinating disease of the optic nerve. It is most often characterized by visual loss or blurred vision along with dyschromatopsiaaccompanied by pain (especially with eye movement) and no demonstrable evidence of an alternate diagnosis such as ischemia or retinal disease. It can also be associated with a swollen optic disc (Optic (...) of California, San Francisco ClinicalTrials.gov Identifier: Other Study ID Numbers: 15-17428 First Posted: August 13, 2015 Last Update Posted: November 14, 2018 Last Verified: November 2018 Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Studies a U.S. FDA-regulated Device Product: No Keywords provided by University of California, San Francisco: multiple sclerosis eye pain vision loss Additional relevant MeSH terms: Layout table for MeSH terms Neuritis Optic Neuritis

2015 Clinical Trials

148. Platelet Reactivity in Acute Non-disabling Cerebrovascular Events

[PRBCs]) for bleeding. The PLATO definition of other of major bleed is any one of the following:Significantly disabling (eg. intraocular with permanent vision loss), Clinically overt or apparent bleeding associated with a decrease in Hb of 30 g/L to 50 g/L, Transfusion of 2-3 units (whole blood or PRBCs) for bleeding. Intracranial hemorrhagic events. [ Time Frame: 90 days, 6 months, 1 year ] Intracranial hemorrhagic events is assessed by brain computed tomography (CT) or gradient recalled echo (GRE (...) Platelet Reactivity in Acute Non-disabling Cerebrovascular Events Platelet Reactivity in Acute Non-disabling Cerebrovascular Events - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Platelet Reactivity

2015 Clinical Trials

149. Neuroprotection for acute optic neuritis-Can it work? (PubMed)

Neuroprotection for acute optic neuritis-Can it work? Optic neuritis is a common manifestation of MS and the acute inflammatory lesion in the optic nerve resembles demyelinating plaques elsewhere in the CNS. As with other MS relapses, treatment with corticosteroids has little or no impact on the extent to which vision eventually recovers after an attack of optic neuritis. Neuroaxonal loss is now recognised as a major cause of permanent disability. Imaging of the retinal nerve fibre layer (...) with optical coherence tomography (OCT) and of the optic nerve with MRI both demonstrate significant volume loss which correlates with impaired visual function. The extent of axonal loss correlates with the magnitude of inflammation and there is robust evidence that excessive accumulation of sodium ions within axons in an inflammatory environment leads to axonal degeneration. Partial blockade of sodium channels protects against axonal loss and improves clinical outcome in experimental models of MS

2015 Multiple sclerosis and related disorders

150. Unilateral Acute Angle-Closure Glaucoma After Lumbar Spine Surgery: A Case Report and Systematic Review of the Literature. (PubMed)

Unilateral Acute Angle-Closure Glaucoma After Lumbar Spine Surgery: A Case Report and Systematic Review of the Literature. A case report and literature review is presented of a patient that developed acute angle-closure glaucoma (AACG) after undergoing spine surgery in the prone position.To report a case of AACG after undergoing spine surgery in the prone position and describe potential causes and implications for future care.Visual loss is a devastating complication after spine surgery (...) report the case of a 65-year-old male who underwent multilevel revision spine surgery in the prone position and developed unilateral AACG after discharge on postoperative day 5.The case report is described. A literature review was performed using PubMed and keywords. The resulting articles were evaluated and references checked for additional cases.The case herein resulted in no vision loss after the AACG was treated with laser iridotomy. The patient had a history of ocular issues in the affected side

2015 Spine

151. Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child (PubMed)

progressive in the pediatric group. Keratoconus should always be considered in the differential diagnosis of progressive vision loss in this age group. (...) Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child Purpose. To report a case of acute hydrops in a 10-year-old child with advanced keratoconus. Case Presentation. A ten-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was established one month prior to his presentation following an episode of acute

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2015 Case reports in ophthalmological medicine

152. An Eye on Brain Integrity: Acute Optic Neuritis Affects Resting State Functional Connectivity. (PubMed)

imaging (rs-fcMRI).Fifteen patients with a clinically isolated syndrome of acute ON were evaluated at an academic center in a prospective study. Subjects were assessed with structural and functional vision measures, including optical coherence tomography (OCT), high- and low-contrast letter acuity testing, and visual fields and quality-of-life measures (VFQ-25). The rs-fcMRI was compared with age- and sex-matched healthy controls.We observed reduced functional connectivity within the visual system (...) and a loss of anticorrelations between the visual system and nonvisual networks. Stronger functional connectivity between visual regions correlated with better quality of life, as measured by the VFQ-25, and better acuity scores for both high- and low-contrast testing in the affected eye.The rs-fcMRI functional connectivity changes within (intranetwork) and between (internetwork) resting state networks occur after acute ON, indicating immediate cortical responses to focal inflammatory demyelination. Thus

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2015 Investigative Ophthalmology & Visual Science

153. Cultivated oral mucosal epithelial transplantation for persistent epithelial defect in severe ocular surface diseases with acute inflammatory activity. (PubMed)

ocular surface stability was obtained.COMET enabled complete epithelialization of PED and stabilization of the ocular surface in patients with severe ocular surface disease, thus preventing end-stage cicatrization and vision loss at a later stage.© 2014 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation. (...) Cultivated oral mucosal epithelial transplantation for persistent epithelial defect in severe ocular surface diseases with acute inflammatory activity. To assess the clinical efficacy of cultivated oral mucosal epithelial transplantation (COMET) for the treatment of persistent epithelial defect (PED).We treated 10 eyes of nine patients with PED (Stevens-Johnson syndrome: three eyes; thermal/chemical injury: five eyes; ocular cicatricial pemphigoid: two eyes) with COMET at Kyoto Prefectural

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2014 Acta ophthalmologica

154. TWILIGHT Study: Effect of Light Exposure During Acute Rehabilitation on Sleep After TBI

Volunteers: No Criteria Inclusion Criteria: Have experienced a moderate to severe TBI. Defined by any of the following: Loss of Consciousness greater than 30 minutes. Emergency Room admission with a Glasgow Coma Scale of 12 or below. Intracranial abnormalities on imaging. Post-traumatic amnesia that lasts more than 24 hours. Admitted to acute inpatient rehabilitation unit at Harborview Medical Center within 3 months of their Traumatic Brain Injury. Able to communicate in English. Between the ages of 18 (...) TWILIGHT Study: Effect of Light Exposure During Acute Rehabilitation on Sleep After TBI TWILIGHT Study: Effect of Light Exposure During Acute Rehabilitation on Sleep After TBI - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2014 Clinical Trials

155. Trial of Cyclosporine in the Acute Phase of Leber Hereditary Optic Neuropathy

in the vast majority of cases in weeks or months. The neuro-cardio-protective properties of cyclosporine (and its analogs specifically targeting the anti-apoptotic mechanisms) are particularly promising. The investigators hypothesis is that cyclosporine may limit apoptosis during the acute phase of the disease process and would limit the loss of visual acuity and improve the visual prognosis of these patients. Condition or disease Intervention/treatment Phase Leber Hereditary Optic Neuropathy Drug (...) may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: patient with the mutation confirmed by molecular analysis patient with a recent loss of monocular vision (≤ 6 months) voluntarily Patient Consent Exclusion Criteria: patient who have not given their written

2014 Clinical Trials

156. Clopidogrel versus other antiplatelet agents for secondary prevention of vascular events in adults with acute coronary syndrome or peripheral vascular disease: clinical and cost-effectiveness analyses

Clopidogrel versus other antiplatelet agents for secondary prevention of vascular events in adults with acute coronary syndrome or peripheral vascular disease: clinical and cost-effectiveness analyses Canadian Agency for Drugs and Technologies in Health Agence canadienne des médicaments et des technologies de la santé Supporting Informed Decisions CADTH Technology Report Clopidogrel versus Other Antiplatelet Agents for Secondary Prevention of Vascular Events in Adults with Acute Coronary (...) Syndrome or Peripheral Vascular Disease: Clinical and Cost-Effectiveness Analyses Issue 133 November 2010Until April 2006, the Canadian Agency for Drugs and Technologies in Health (CADTH) was known as the Canadian Coordinating Office for Health Technology Assessment (CCOHTA). Cite as: Banerjee S, Brown A, McGahan L, Asakawa K, Hutton B, Clark M, Severn M, Sharma M, Cox JL. Clopidogrel versus Other Antiplatelet Agents for Secondary Prevention of Vascular Events in Adults with Acute Coronary Syndrome

2011 EvidenceUpdates

157. Sinusitis, Sphenoid, Acute, Surgical Treatment

approaches provide excellent visualization of the anatomy and disease process. Advantages include reduced operating time, minimal blood loss, and decreased morbidity, compared with classic techniques. Metson commented on the widespread popularity of endoscopy and evaluated the efficacy of the endoscopic approach, deeming it effective and safe in the treatment of sphenoid sinusitis. [ , , ] Although rarely used in acute sinusitis, Zhao et al reported success with balloon catheter dilation of the sinus (...) ostia in the treatment of a girl aged 5 years with acute left sphenoid sinusitis and associated left-sided vision impairment. [ ] Transethmoidal approach If sinus disease involves both the sphenoid and the ethmoid sinuses, a transethmoidal approach is taken. Medialize the middle turbinate to visualize the uncinate process. Remove the uncinate, and identify and open the ethmoid bulla. Then, perform an anterior and posterior ethmoidectomy. The sphenoid sinus is located medial and inferior

2014 eMedicine Surgery

158. Sinusitis, Acute (Follow-up)

Sinusitis, Acute (Follow-up) Acute Sinusitis Treatment & Management: Approach Considerations, Symptomatic Treatment, Antimicrobial Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjMyNjcwLXRyZWF0bWVudA (...) == processing > Acute Sinusitis Treatment & Management Updated: Mar 01, 2018 Author: Itzhak Brook, MD, MSc; Chief Editor: Michael Stuart Bronze, MD Share Email Print Feedback Close Sections Sections Acute Sinusitis Treatment Approach Considerations In June 2013, the American Academy of Pediatrics published updated guidelines on the diagnosis and management of acute bacterial sinusitis in children and adolescents. Changes include the following: Previous diagnostic criteria for acute bacterial sinusitis

2014 eMedicine.com

159. Glaucoma, Angle Closure, Acute (Diagnosis)

Angle-Closure Glaucoma (AACG) Updated: Sep 20, 2018 Author: Albert P Lin, MD; Chief Editor: Inci Irak Dersu, MD, MPH Share Email Print Feedback Close Sections Sections Acute Angle-Closure Glaucoma (AACG) Overview Background Angle closure is defined as the apposition of iris to the trabecular meshwork, which results in increased intraocular pressure (IOP). In acute angle closure (AAC), the process occurs suddenly with a dramatic onset of symptoms, including blurred vision, red eye, pain, headache (...) , and nausea and vomiting. The sudden and severe IOP elevation can quickly damage the optic nerve, resulting in acute angle-closure glaucoma (AACG). AAC is a true ophthalmic emergency, and a delay in treatment can result in blindness. While immediate treatment can sometimes minimize the amount of visual loss, the best treatment is to stop its occurrence in susceptible individuals. [ , , , ] Next: Pathophysiology AAC occurs through a process termed pupillary block. Normally, aqueous humor is produced

2014 eMedicine.com

160. Acute Multifocal Placoid Pigment Epitheliopathy (Follow-up)

that in spite of significant vision loss, the visual decrease is usually transient and many patients regain relatively good vision. Previous References Gass JD. Acute posterior multifocal placoid pigment epitheliopathy. Arch Ophthalmol . 1968 Aug. 80(2):177-85. . Heiferman MJ, Rahmani S, Jampol LM, Nesper PL, Skondra D, Kim LA, et al. ACUTE POSTERIOR MULTIFOCAL PLACOID PIGMENT EPITHELIOPATHY ON OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY. Retina . 2017 Feb 1. . Yang DS, Hilford DJ, Conrad D. Acute posterior (...) Acute Multifocal Placoid Pigment Epitheliopathy (Follow-up) Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE) Follow-up: Further Outpatient Care, Inpatient & Outpatient Medications, Complications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

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