RESUMO
BACKGROUND: A 42-year-old white female complaining of decreased vision was examined and small golden particles were found in the macular regions of both eyes. It was ascertained that the patient had been using an oral bronzing agent, canthaxanthine (Orobronze), for the previous 10 years. METHODS: The method of deposition of these crystalline particles and their possible sequela are presented. The differential diagnosis of this condition is also described. RESULTS: In this case a crystalline retinopathy was induced by the oral ingestion of a bronzing agent. CONCLUSIONS: Although the gold-like particles have no visual consequences, it is important for the clinician and the patient to be aware of their etiology.
Assuntos
Cantaxantina/efeitos adversos , Corantes de Alimentos/efeitos adversos , Retina/efeitos dos fármacos , Doenças Retinianas/induzido quimicamente , Adulto , Diagnóstico Diferencial , Feminino , Fundo de Olho , Humanos , Retina/patologia , Doenças Retinianas/diagnósticoRESUMO
A case report of central serous chorioretinopathy (CSC) and retinopathy of prematurity (ROP) in the same patient is presented. CSC is a disease of the outer retinal layers, specifically the retinal pigment epithelium, which results in serous detachment of the neurosensory retina. ROP is a disease of the anterior retinal layers, affecting the retinal vasculature. Ocular manifestations may range from the peripheral neovascularization observed in the milder states to retinal detachment and secondary angle closure glaucoma that is often found in the later stages. Therefore it would appear that there is no direct relationship between the presence of ROP and the presence of CSC in a patient who presented with complaints of a unilateral relative central scotoma. To our knowledge this represents a heretofore unreported association.
