RESUMO
PURPOSE: To evaluate the incidence of treatment-requiring retinopathy of prematurity (ROP) over a 12-year-period in Northern Ireland. METHODS: The medical records of all infants treated for ROP from January 2000 to December 2011 were retrospectively reviewed and cross-referenced with the Neonatal Intensive Care Outcomes Research and Evaluation (NICORE) database. RESULTS: The Northern Ireland population data showed an increase in the number of live births from 2000 to 2011. The proportion of babies born with a birth weight <1501 g and/or <32 weeks' gestational age remained constant (χ(2) trend = 3.220, P = 0.0727), although the proportion of these babies who died prior to 42 weeks' gestation decreased from 2000 to 2011 (P = 0.0196 using χ(2) for trend = 5.445; P = 0.0354 using χ(2) = 20.809). The prevalence of treatment-requiring ROP in these infants increased from 1.05% in 2000 to 5.78% in 2011 (P < 0.001 using χ(2) trend = 16.309; P < 0.001 using χ(2) = 31.378). CONCLUSIONS: The present population-based study highlights that the incidence of treatment- requiring ROP is increasing in Northern Ireland. The increasing number of infants requiring treatment will need to be taken into consideration in the commissioning process for ROP services in Northern Ireland.
Assuntos
Retinopatia da Prematuridade/epidemiologia , Retinopatia da Prematuridade/cirurgia , Peso ao Nascer , Bases de Dados Factuais , Feminino , Idade Gestacional , Humanos , Incidência , Recém-Nascido , Recém-Nascido Prematuro , Recém-Nascido de muito Baixo Peso , Terapia Intensiva Neonatal , Masculino , Irlanda do Norte/epidemiologia , Prevalência , Estudos Retrospectivos , Índice de Gravidade de DoençaRESUMO
A rare case of caruncular neurofibroma in a patient who did not have neurofibromatosis. To remember peripheral nerve sheath tumours in the differential diagnosis of caruncular lesions. Excisional biopsy proved to be adequate treatment in our case.
Assuntos
Neoplasias Oculares/patologia , Neurofibroma/patologia , Neurofibromatoses/diagnóstico , Idoso , Biópsia , Diagnóstico Diferencial , Humanos , Pele/patologiaRESUMO
A middle-aged asymptomatic patient was referred to the eye clinic by her optician because of unusual optic nerve heads. She was found to have optic disc pits with bilateral serous retinal detachments which were non-progressive. She did not need any treatment and was safely followed up in the community. This uncommon condition is discussed along with possible pathophysiology and treatment.
Assuntos
Disco Óptico/anormalidades , Doenças do Nervo Óptico/congênito , Descolamento Retiniano/etiologia , Diagnóstico Diferencial , Feminino , Angiofluoresceinografia , Seguimentos , Fundo de Olho , Humanos , Pessoa de Meia-Idade , Doenças do Nervo Óptico/complicações , Doenças do Nervo Óptico/diagnóstico , Descolamento Retiniano/diagnóstico , Acuidade VisualRESUMO
Posttraumatic cranio-orbital cerebrospinal fluid (CSF) fistula is rare, occurring when there is a communication between orbit and subarachnoid space. This communication can be caused by orbital tumors with intracranial extension or can be a result of orbital surgery. Low suspicion for traumatic orbital CSF fistula can lead to delay in diagnosis, which increases the risk of meningitis. We report a cranio-orbital CSF cystocele and fistula that mimicked orbital cellulitis in a 3-year-old boy following an orbitocranial penetrating injury.