RESUMO
A clinical study of 44 eyes in 22 patients with cortisone-induced glaucoma confirmed the importance of the duration of employ of the corticoid. Those patients who had instilled the medication for less than 8 weeks recovered normal ocular tension after discontinuation of the corticoid. On the contrary, those who had employed the corticoid for more than 4 years did not regain normal ocular tension, and medical treatment, or even surgical therapy in a large number of cases, had to be employed. The frequency of congenital anomalies of the angle has to be emphasized, particularly persistence of the pectinate ligament. Papilla asymmetry was noted in a large percentage of cases, and was related to the difference in the stage of evolution of the eyes. The appearance of the papilla has important prognostic value. Of the patients with abnormal papilla, 61.9 p. cent had normal ocular tension after stopping treatment, but normal tension did not appear in patients with anexcavated and apale papilla. The authors consider trabeculotomy to be the operation of choice in cortisone induced glaucoma, but this tends to be ineffective in young patients because of sclerous and/or conjunctival blocking.
Assuntos
Cortisona/efeitos adversos , Glaucoma/induzido quimicamente , Adolescente , Adulto , Criança , Cortisona/administração & dosagem , Feminino , Glaucoma/diagnóstico , Glaucoma/terapia , Gonioscopia , Humanos , Masculino , Pessoa de Meia-Idade , Soluções Oftálmicas , Disco Óptico/patologia , Prognóstico , Fatores de Tempo , Malha Trabecular/cirurgiaRESUMO
INTRODUCTION: Several studies have found neuropsychological and behavioral disorders in children with attention deficit/hyperactivity disorder (ADHD), which have been explained as an executive dysfunction. OBJECTIVE: To describe and compare children with ADHD and a control group. PATIENTS AND METHODS: 79 seven to eleven-year-old children were selected and grouped according to ADHD DSM IV criteria and the T scores on a ADHD checklist. They were classified as predominantly inattentive (n=19), combined (n=24) and control (n=36) groups. Age, gender, socio economic status and intellectual quotient (>85) were statistically controlled. Neuropsychological functions were assessed with a child neuropsychological battery, and the behavioral dimensions were evaluated with the BASC's questionnaires, Conner's parents (CPRS) and teachers (CTRS) rating scales, and with a questionnaire for oppositional defiant (ODD) and conduct (CD) disorders. RESULTS: Statistically significant differences were found (P<0.01) in neuropsychological variables of mental control, continuous auditory performance, Rey's complex figure evocation and the Stroop's test. There were significant differences in the most BASC's internalizing and externalizing dimensions, so for the parents as for the teachers and self report questionnaire, and in the dimensions of CPRS, CTRS, ODD and CD questionnaires. CONCLUSION: Children with ADHD showed difficulties in sustained and selective attention, visual memory, inhibitory control, and they had behavioral disorders similar to those informed by previous studies.