Assuntos
Neovascularização de Coroide , Oftalmopatias Hereditárias , Drusas Retinianas , Humanos , Drusas Retinianas/complicações , Drusas Retinianas/diagnóstico , Neovascularização de Coroide/complicações , Neovascularização de Coroide/diagnóstico , Lâmina Basilar da Corioide , Oftalmopatias Hereditárias/complicações , Angiofluoresceinografia , Tomografia de Coerência ÓpticaAssuntos
Dacriocistite , Doenças do Aparelho Lacrimal , Aparelho Lacrimal , Tuberculose , Dacriocistite/diagnóstico , Dacriocistite/etiologia , Edema/complicações , Granuloma/complicações , Humanos , Aparelho Lacrimal/diagnóstico por imagem , Doenças do Aparelho Lacrimal/complicações , Tuberculose/complicaçõesAssuntos
Doenças da Coroide , Lúpus Eritematoso Sistêmico , Descolamento Retiniano , Doenças da Coroide/complicações , Doenças da Coroide/etiologia , Angiofluoresceinografia , Humanos , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/diagnóstico , Descolamento Retiniano/etiologiaRESUMO
Coronavirus disease (COVID-19) can result in many ocular manifestations. We report a rare case of bilateral central serous chorioretinopathy post-infection with COVID-19 in a 38-year-old woman who presented with bilateral blurred vision 1 month after infection with COVID-19. She reported fever, cough, and shortness of breath and was COVID-PCR positive. During her 10-day hospital stay, she received oxygen, antibiotics, heparin and corticosteroids intravenously and then orally. After her recovery from COVID-19, the patient developed progressive visual loss in both eyes: her corrected visual acuity was 3/10 in both eyes, the anterior segment was normal, and the vitreous was clear. Fundus examination, optical coherence tomography and fluorescein angiography showed bilateral serous retinal detachments. Her course was characterized by improvement in visual acuity and regression of the retinal detachments. Central serous chorioretinopathy can occur after COVID-19 infection due to the administration of corticosteroids; thus, ophthalmologic examination is essential to detect ocular involvement as early as possible.
Assuntos
COVID-19 , Coriorretinopatia Serosa Central , Adulto , Coriorretinopatia Serosa Central/diagnóstico , Coriorretinopatia Serosa Central/etiologia , Feminino , Angiofluoresceinografia , Fundo de Olho , Humanos , SARS-CoV-2 , Tomografia de Coerência ÓpticaRESUMO
INTRODUCTION: Blepharophimosis ptosis epicanthus inversus syndrome (BPES) is a rare congenital hereditary abnormality. It includes complex orbital-palpebral malformations, causing aesthetic and functional ramifications. Management of BPES requires two steps : diagnosis and treatment. PATIENTS AND METHODS: We performed a retrospective descriptive study of 44 patients (88 eyelids) with blepharophimosis-ptosis-epicanthus inversus syndrome (BPES). In our series, we opted for two-stage surgery in 28 cases : epicanthus-telecanthus surgery followed by ptosis surgery. Simultaneous surgery was performed in 5 cases. RESULTS: The mean age at the first visit was 6 years (6.1±6.4). The mean age of our patients at the time of the first surgery was 6.6 years. Epicanthus surgery was performed in 35 cases. The two techniques used to correct epicanthus were Y-V plasty in 30 cases (85.7%, n=35) and Y-V+double Z plasty in 5 cases (14.3%, n=35). Correction of the telecanthus was performed at the same time by a medial canthal tendon plication in 31 cases (88.6%, n=35) or transnasal canthopexy in 4 cases (11.4%, n=35). The mean age at the time of ptosis surgery was 7.23 years (±6.25), ranging from 8 months to 27 years. Ptosis surgery was performed in 41 cases (79 eyelids), of which 3 patients underwent unilateral ptosis surgery due to asymmetrical ptosis. The techniques used were levator resection in 64 eyelids and frontal suspension in 15 eyelids. CONCLUSION: BPES is often clinically diagnosed. The difficulty in management lies in the complex surgery required. There is no established consensus regarding surgical techniques or the timing of the surgeries.
