RESUMO
Primary angle closure in a high myopic patient is rare. Here is presented a report of one such patient who presented with acute primary angle closure in one eye. Conservative management followed by laser iridotomy was effective in the treatment of this patient.
Assuntos
Glaucoma de Ângulo Fechado/complicações , Glaucoma de Ângulo Fechado/diagnóstico , Miopia/complicações , Adulto , Feminino , Glaucoma de Ângulo Fechado/terapia , HumanosRESUMO
Diabetes is a worldwide medical problem and is a significant cause of morbidity and mortality. It has considerable impact on both the patient and the society because it typically affects individuals in their most productive years. It is also one of the leading causes of blindness and visual impairment. A person with diabetes has 25 times the risk of blindness compared to a non-diabetic. This article reviews the variety of ways in which the eye and its adnexa can be involved in diabetes mellitus.
Assuntos
Complicações do Diabetes/patologia , Retinopatia Diabética/patologia , Oftalmopatias/patologia , Complicações do Diabetes/fisiopatologia , Retinopatia Diabética/fisiopatologia , Oftalmopatias/fisiopatologia , HumanosRESUMO
Ophthalmomyiasis is a rare condition. Here two such patients, one of 70-year-old male farmer with history of neglected trauma presented with painful swelling with sinus of right orbit and the second one of 65-year-old female destitute who presented with fungating mass near the medial canthus of left eye with pain and bleeding are reported. All the maggots were removed after applying ether.
Assuntos
Infecções Oculares Parasitárias/diagnóstico , Miíase/diagnóstico , Idoso , Animais , Infecções Oculares Parasitárias/fisiopatologia , Feminino , Humanos , Larva/parasitologia , Masculino , Miíase/fisiopatologiaRESUMO
Glaucoma is the second largest blinding disorder, after cataract, affecting about 67 million people worldwide. In India about 1.5 million people are blind due to glaucoma. Primary open angle glaucoma is the major sub-type of glaucoma affecting all ages and is genetically complex. Myocilin and optineurin are two different genes that have been implicated for primary open angle glaucoma. This review is focused on the studies being conducted in India on primary open angle glaucoma to identify the molecular defects and new directions undertaken using bioinformatic approaches towards a better understanding of the disease.
Assuntos
Biologia Computacional , Glaucoma de Ângulo Aberto/genética , Transtornos da Visão/etiologia , Cegueira/etiologia , Cegueira/genética , Proteínas de Ciclo Celular , Cromossomos Humanos Par 10/genética , Proteínas do Citoesqueleto/genética , Proteínas do Olho/genética , Glaucoma de Ângulo Aberto/classificação , Glaucoma de Ângulo Aberto/complicações , Glicoproteínas/genética , Humanos , Índia , Proteínas de Membrana Transportadoras , Fator de Transcrição TFIIIA/genética , Transtornos da Visão/genéticaRESUMO
BACKGROUND: The purpose of the present paper was to report the spectrum of primary malignant tumours of eye and adnexa at BP Koirala Institute of Health Sciences, Nepal, from 1995 to 2000. METHODS: A retrospective study of medical records with histopathological confirmation of malignant tumours of the eye and adnexa was done for the years 1995-2000. A total of 116 consecutive medical records from the Department of Pathology at BP Koirala Institute of Health Sciences were retrieved. All those patients with primary ophthalmic malignancies were included and non-malignant cases were excluded. RESULTS: There were 80 patients of which 39 (48.8%) were male and 41 (51.2%) were female. Four patients had bilateral involvement. The most common malignancy was retinoblastoma (45.2%), followed by basal cell carcinoma (22.6%). CONCLUSION: Retinoblastoma is the most common eye cancer. The incidence of melanomas is correspondingly lower than that reported in the West. The present pilot study, the first of its kind, will lay the foundation for the monitoring of the future pattern of ophthalmic malignancies in Nepal and provide a basis for comparison elsewhere.
Assuntos
Neoplasias Oculares/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Carcinoma Basocelular/epidemiologia , Carcinoma de Células Escamosas/epidemiologia , Criança , Pré-Escolar , Neoplasias Oculares/patologia , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Nepal/epidemiologia , Nervo Óptico/patologia , Órbita/patologia , Projetos Piloto , Retinoblastoma/epidemiologia , Retinoblastoma/patologia , Estudos RetrospectivosRESUMO
The case of a 40-year-old female patient with choroidal melanoma with secondary glaucoma presenting as a painful blind right eye is reported. Liver metastasis was detected by ultrasonography. The choroidal tumor measured 2 x 2.1 x 1.5 cm; histopathology showed that it was of the spindle cell (spindle A) variety. Such tumors are rare in non-white races and secondary glaucoma is an uncommon presentation.
Assuntos
Neoplasias da Coroide/complicações , Glaucoma/etiologia , Melanoma/complicações , Adulto , Neoplasias da Coroide/diagnóstico , Feminino , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/secundário , Melanoma/diagnóstico , Nepal , UltrassonografiaRESUMO
Rhinosporidiosis is endemic in India, Sri Lanka, and parts of East Africa and South America; sporadic cases are reported in other countries. We report on five patients from eastern Nepal with oculosporidiosis. The conjunctiva was involved in two patients and the lacrimal sac was involved in three patients; treatment was by simple total excision of the conjunctivalgrowth (patients with conjunctival involvement) and by dacryocystectomy (patients with lacrimal sac involvement). This is the second case report from Nepal.