RESUMO
The article describes a case of abnormal looking optic disc (dysplastic) associated with serous macular detachment similar to what is described in cases of optic pit. However clinically as well as on fluorescein angiography, no optic pit or coloboma could be identified. Gas injection, prone positioning and laser along the temporal border of the disc could correct the macular detachment.
Assuntos
Fotocoagulação a Laser , Disco Óptico/anormalidades , Descolamento Retiniano/complicações , Descolamento Retiniano/cirurgia , Adulto , Anormalidades Congênitas/diagnóstico , Angiofluoresceinografia , Fundo de Olho , Humanos , Macula Lutea , Masculino , Descolamento Retiniano/patologia , Resultado do TratamentoRESUMO
Medulloepitheliomas are usually amelanotic. Pigmented medulloepitheliomas are unusual and only two cases have been reported. We report an additional case of pigmented malignant medulloepithelioma of the ciliary body with histopathologic correlation.
Assuntos
Corpo Ciliar/patologia , Tumores Neuroectodérmicos Primitivos/patologia , Neoplasias Uveais/patologia , Criança , Corpo Ciliar/diagnóstico por imagem , Corpo Ciliar/cirurgia , Enucleação Ocular , Feminino , Humanos , Tumores Neuroectodérmicos Primitivos/diagnóstico por imagem , Tumores Neuroectodérmicos Primitivos/cirurgia , Pigmentação , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Neoplasias Uveais/diagnóstico por imagem , Neoplasias Uveais/cirurgiaRESUMO
PURPOSE: To elucidate characteristics of rhegmatogenous retinal detachment that developed in children who underwent treatment for retinoblastoma and to analyze the outcome following vitreoretinal surgery in such clinical settings. METHODS: This was a retrospective case series of 9 eyes of 9 patients who underwent vitreoretinal surgery for tumor control and retinal reattachment. RESULTS: At the time of diagnosis of rhegmatogenous retinal detachment, retinoblastoma was regressed in 6 eyes (67%). The retinal detachment involved less than two quadrants in 7 eyes (78%) and was caused by an atrophic break in 7 eyes. Seven eyes underwent a non-drainage scleral buckling procedure. Three eyes underwent vitreous surgery; in 2 of these eyes, tumor excision along with retinectomy using melphalan infusion was performed and eventually silicone oil tamponade was used. Retinal reattachment was achieved in all eyes with eventual tumor control in 7 eyes. The median follow-up after retinal reattachment surgery was 24 months. CONCLUSION: Rhegmatogenous retinal detachment in treated eyes with retinoblastoma is usually caused by an atrophic retinal break. Retinal detachment can be repaired successfully in most eyes.