P erforming cataract extraction in patients with zonular weakness presents many challenges and increases the risk of intraand postoperative complications. Capsular tension rings (CTRs) and other endocapsular support devices have been important management options for patients with significant zonulopathy. Hara et al1 and Nagamato and Bissen-Miyajima2 introduced the first endocapsular devices, bu...

normotensive hyperaldosteronism is a rare disorder. it is usually diagnosed with hypokalemia or an adrenal mass. our patient was a 27-year-old female presented with weakness. she had normal blood pressure, hypokalemia, high plasma aldosterone level and suppressed plasma renin activity. after the saline load, test aldosterone didn’t show suppression. adrenal computed tomography revealed a left a...

We report the unusually rapid and spontaneous normalisation of low diffusivity that accompanied resolution of acute neurological deficits in a stroke patient who underwent two magnetic resonance imaging examinations within 24 h of symptom onset. Diffusion weighted imaging obtained within hours of onset of left sided weakness demonstrated a focal right capsular area of low diffusivity that resol...

Posterior chamber intraocular lens (PC-IOL) subluxation is uncommon but represents one of the most serious complications following phacoemulsification. Late spontaneous IOL-capsular bag complex dislocation is defined as occurring three months or later following cataract surgery. Unlike early IOL dislocation, late spontaneous IOL dislocation is due to a progressive zonular dehiscence and contrac...

OBJECTIVE The clinical presentation of capsular genu infarct varies. Prominent faciolingual weakness and subcortical dementia are the rule, but symptoms depend on the precise location and extension of the lesion beyond the genu. The aim was to characterise the radiographic, electroencephalographic, and neuropsychometric abnormalities in a woman who had a history of recurrent transient memory lo...

A male in his late teens presented with sudden onset left-sided hemiparesis and right-sided facial weakness. The patient had a history of persistent pulsatile headache for 1 year the blurring vision. He also diaphoresis palpitations. was diagnosed as case hypertension back. On examination, Right-sided upper motor neuron type palsy present, power 0/5 left lower limbs; BP 220/120 mm Hg controlled...

A NEW pupil expansion ring can greatly facilitate phacoemulsification in eyes with small pupils, including those with weak zonules, according to the device’s developer, Boris Malyugin MD PhD, S Fyodorov Eye Microsurgery Complex, Moscow, Russia. The pupillary ring uses the scroll principle to capture and expand the iris margin.The device is composed of 5-0 polypropylene and is square in shape. I...

BACKGROUND Capsular warning syndrome was first described in 1993, featured with repetitive episodes of motor and/or sensory dysfunction without cortical signs. Recently, it has been demonstrated that clinically typical capsular warning syndrome can be associated with pontine infarct and the term oepontine warning syndrome was coined. CASE PRESENTATION A 54-year-old woman with a history of hyp...

A 5 year old boy was presented at Eye clinic University clinical center Tuzla with congenital aniridia in both eyes. Clinical examination revealed visual acuity of 0,08 without correction in right and 0.7 with -5.0 Dsph and -1.0 Dcyl Axx 109° in left eye. Opthalmologic examination showed bilateral aniridia associated with moderate cataract in the right and incipient cataract in the left eye. In...