RESUMO
CASE REPORT: A case of benign concentric annular macular dystrophy is described. A 32-year-old woman presented with loss of quality in visual acuity. Ophthalmologic examination, fluorescein angiogram, electrophysiologic tests and visual field measurements were performed. DISCUSSION: It is very important to include in the differential diagnosis other dystrophies which present a <
Assuntos
Epitélio Pigmentado Ocular , Doenças Retinianas/diagnóstico , Adulto , Feminino , HumanosRESUMO
CASE REPORT: A 33-year-old woman with superficial and deep bilateral corneal vascularization and keratoconjunctivitis sicca, keratoerythema and neurosensory deafness, was diagnosed with keratitis-ichthyosis-deafness (KID) syndrome. DISCUSSION: KID syndrome is a congenital ectodermal dysplasia characterized by the association of vascularizing keratitis, hyperkeratotic skin lesions and sensorineural hearing loss. Recently, limbal stem cell deficiency was recognized as a possible major pathogenetic factor.
Assuntos
Surdez/diagnóstico , Oftalmopatias/diagnóstico , Ictiose/diagnóstico , Ceratite/diagnóstico , Adulto , Surdez/congênito , Oftalmopatias/tratamento farmacológico , Oftalmopatias/genética , Feminino , Perda Auditiva Neurossensorial/congênito , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Ictiose/tratamento farmacológico , Ictiose/genética , Ceratite/congênito , Ceratite/tratamento farmacológico , Mutação , Soluções Oftálmicas/uso terapêutico , Síndrome , Acuidade VisualRESUMO
CASE REPORT: Case 1: An 82-year-old man who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in his right eye under topical anaesthesia. Surgery lasted 14 minutes. Case 2: A 60-year-old woman with bilateral advanced primary open angle glaucoma who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in her right eye under peribulbar anaesthesia. Surgery lasted 36 minutes. One month after surgery both patients noted a para-central scotoma and impaired vision. Fluorescein angiography in both cases revealed retinal pigment epithelial changes compatible with intra-operative light-induced maculopathy. DISCUSSION: Light-induced maculopathy has been reported following cataract surgery. Whether physical properties of these new polysiloxane lenses contribute to retinal susceptibility to phototoxicity under certain light conditions needs to be elucidated.
Assuntos
Luz/efeitos adversos , Facoemulsificação/efeitos adversos , Doenças Retinianas/etiologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
CLINICAL CASE: We present a case of a 40-years-old woman with an acute posterior multifocal placoid pigment epitheliopathy (APMPPE) associated with recent instauration hyperthyroidism symptoms. A Graves' disease was diagnosed and the patient was initially controlled with antithyroid drugs. The epitheliopathy evolution was relatively favourable without relapse. Two years later a thyroidectomy was performed. DISCUSSION: We have not found in the literature any APMPPE case associated with Graves' disease. We only found an APMPPE case associated with a subacute thyroiditis. Little is known about the APMPPE causes, it could be that placoid epitheliopathy and Graves' disease had a common autoimmune origin. We can not forget that our finding could be only a matter of chance.
Assuntos
Doença de Graves/complicações , Epitélio Pigmentado Ocular/patologia , Doenças Retinianas/etiologia , Tireoidite Subaguda/complicações , Doença Aguda , Adulto , Antitireóideos/uso terapêutico , Corioide/irrigação sanguínea , Terapia Combinada , Feminino , Angiofluoresceinografia , Doença de Graves/tratamento farmacológico , Doença de Graves/cirurgia , Terapia de Reposição Hormonal , Humanos , Isquemia/complicações , Metimazol/uso terapêutico , Epitélio Pigmentado Ocular/diagnóstico por imagem , Radiografia , Doenças Retinianas/diagnóstico por imagem , Tireoidectomia , Tireoidite Subaguda/tratamento farmacológico , Tireoidite Subaguda/cirurgia , Tiroxina/uso terapêuticoRESUMO
CASE REPORT: A 55 year old woman presented with retinal vasculitis, multiple aneurysms, macular exudation and widespread retinal nonperfusion and was diagnosed with IRVAN. She was treated with panretinal laser photocoagulation. After 3 years of follow up visual acuity remains stable and there are no complications due to ischaemic sequelae. DISCUSSION: IRVAN syndrome with neovascularisation can progress rapidly despite laser treatment. Panretinal laser photocoagulation has to be considered in the early stages as it is effective in stopping the progression of ischaemia.