Title : Scholars Journal of Medical Case Reports Abbr. Title : Sch J Med Case Rep ISSN : 2347-9507 (Print) & 2347-6559 (Online) Discipline : Medical Sciences Frequency : Monthly Publisher : Scholars Academic and Scientific Publisher Country : India Language : English
Current Issue : Volume-9 - Issue-04 Call for paper ; 2021
A 62-year-old man was referred to our clinic for an ocular fundus abnormality discovered during a medical checkup. He had no subjective complaints. Ophthalmoscopic examinations of the fundi did not reveal any abnormalities in the left eye. In the right eye, a round to oval area of hypopigmentation was seen in the macula, and normal fundus coloration was maintained in the fovea of the right eye. Fundus autofluorescence showed hypoautofluorescence corresponding to the area of hypopigmentation. Optical coherence tomography demonstrated disruption of the ellipsoid zone (EZ) corresponding to the area of hypopigmentation. However, the EZ was relatively preserved in the fovea of the right eye. Based on these collective findings, we diagnosed our patient with unilateral central areolar choroidal dystrophy (CACD). CACD is commonly observed in both eyes. Our findings may contribute to a better understanding of this rare condition.
An 82-year-old man with polymyalgia rheumatica was referred for ophthalmological examination. On ophthalmic examination, his best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/20 in the left eye. Fundus examination was unremarkable in the left eye, but epiretinal membrane was observed in the right eye. There was no SRD on optical coherence tomography (OCT) in the right eye. The patient was treated with oral prednisolone (10 mg daily), and his symptoms subsided rapidly. However, 1 week after the administration of prednisolone, his right BCVA deteriorated to 40/200. OCT showed serous retinal detachment (SRD) involving the fovea in the right eye. We diagnosed our patient with steroid-induced SRD. SRD gradually improved with the reduction of the prednisolone dose. Clinicians should be aware of CSC development after glucocorticoid therapy. If possible, the glucocorticoid should be discontinued and replaced by an alternative.
Atypical gunshot injuries are not very common findings in routine autopsies. A case of gunshot wound to the head is herein reported where two rapid successive shots from a double tap firing lead to a unique patterned injury over the occipital region of the skull. Differentiation from the tandem/piggyback shot was necessary and was made on the basis of wounds’ appearances and detailed circumstantial information. A review of the tandem bullet phenomenon in this regard was made and also a few cases belonging to the finding of double tap gunfire in forensic pathology as well as anthropological contexts were studied in details. The pathologist must be aware of both of the phenomena due to their close relation, in order to fully elucidate the autopsy findings, attesting the witness testimony and the facts relating to a legal investigation.