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1.
Arch Soc Esp Oftalmol ; 83(12): 703-7, 2008 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-19085641

RESUMO

PURPOSE: To describe our experience in the diagnosis of Familial Exudative Vitreoretinopathy (FEVR) at its different clinical stages. We also report our outcomes in early treatment of this inherited disorder. METHODS: Retrospective interventional and descriptive case series of 11 patients (17 eyes) affected by FEVR evaluated and treated in our hospital. RESULTS: In our series, 33.3% of patients were classified as stage I, while 16.7% and 50% were classified as stage II and III, respectively. Visual acuity (VA) remained stable after treatment in stages I and II (mean VA was 0.8 and 0.4, respectively) but decreased in stage III. CONCLUSIONS: Early treatment of FERV may improve the visual prognosis and avoid complications such as subfoveal chronic exudation and vitreoretinal peripheral interphase contraction and fibrosis.


Assuntos
Doenças Retinianas/genética , Adolescente , Criança , Crioterapia , Progressão da Doença , Exsudatos e Transudatos , Feminino , Genes Dominantes , Humanos , Isquemia/etiologia , Fotocoagulação , Masculino , Doenças Retinianas/diagnóstico , Doenças Retinianas/cirurgia , Doenças Retinianas/terapia , Estudos Retrospectivos , Índice de Gravidade de Doença , Resultado do Tratamento , Acuidade Visual , Vitrectomia , Corpo Vítreo/patologia , Adulto Jovem
2.
Arch Soc Esp Oftalmol ; 82(2): 117-20, 2007 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-17323253

RESUMO

CASE REPORT: We present the case of a patient who underwent photodynamic therapy (PDT) for adult-onset foveomacular vitelliform dystrophy (AFVD) at another clinic, having been misdiagnosed as having a choroidal neovascular membrane. Two years post-treatment, the patient had severe central visual loss and showed angiographic signs of choroidal hypoperfusion. DISCUSSION: AFVD is a rare clinical entity, usually having a fair visual prognosis, although some cases may show episodes of severe visual loss during their clinical course. Optical coherence tomography (OCT) is valuable in revealing the distinct images of AFVD from the features of a choroidal neovascular membrane. PDT using verteporfin may have negative long term effects if used in patients with AFVD.


Assuntos
Macula Lutea/patologia , Fotoquimioterapia , Baixa Visão/terapia , Idoso , Humanos , Masculino
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