Asunto(s)
Esclerótica , Opacidad de la Córnea/etiología , Oftalmopatías/complicaciones , Oftalmopatías/tratamiento farmacológico , Humanos , Indometacina/administración & dosificación , Inflamación , Queratitis/clasificación , Queratitis/patología , Oxifenilbutazona/administración & dosificación , Prednisolona/administración & dosificaciónRESUMEN
A case is presented of bilateral intraocular nocardial infection associated with lung and liver foci and responding to treatment. Difficulties in diagnosis and treatment are discussed. It is suggested that unusual infections such as this should be considered in the differential diagnosis of chorioretinitis, and should be carefully sought, especially in immunocompromised patients. However, our patient is unusual in having no evidence of immunosuppression predisposing to ocular involvement in his nocardial infection.
Asunto(s)
Coriorretinitis/etiología , Endoftalmitis/etiología , Nocardiosis/complicaciones , Biopsia , Diagnóstico Diferencial , Humanos , Hepatopatías/complicaciones , Enfermedades Pulmonares/complicaciones , Enfermedades Pulmonares/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Nocardiosis/diagnóstico , Nocardiosis/tratamiento farmacológico , Radiografía , Sulfametazina/uso terapéutico , Combinación Trimetoprim y Sulfametoxazol/uso terapéutico , Ultrasonografía , Agudeza VisualRESUMEN
Keratometry using the Goldmann tonometer is a reliable and readily available guide to corneal astigmatism following cataract surgery. In regular corneal astigmatism the Goldmann tonometer rings are distorted into skewed ellipses. The axis of the cylinder can be measured by rotating the tonometer head until an undistorted ellipse is obtained. The power is then assessed by comparison with standard ellipses. The difference in the intracular pressure readings (mmHg) in the two principal meridians was also a good guide to the presence of astigmatism. Goldmann keratometry was performed by a single masked observer in 71 patients 8 weeks after routine extracapsular cataract surgery. This was compared with Javal-Schiotz Keratometry performed by an independent observer. In 83% of patients the axis was measured to within 20 degrees. The 95% confidence interval for the power was +/- 2.90 DC; and 87% of patients would have sutures removed appropriately.
Asunto(s)
Astigmatismo/diagnóstico , Córnea/patología , Tonometría Ocular/métodos , Astigmatismo/etiología , Astigmatismo/patología , Extracción de Catarata/efectos adversos , Humanos , Técnicas de SuturaRESUMEN
A family is described in which the father and son had chronic renal disease of early onset and bilateral optic nerve dysplasia. A further son, known to have microphthalmos died of renal disease in childhood. Optic nerve changes included coloboma in the father and Handmann's optic nerve anomaly, a condition resembling the morning glory syndrome (M.G.S.), in the son. There was electrodiagnostic and visual field evidence of optic nerve dysfunction even where acuity was relatively unaffected. The son developed central serous retinopathy, a condition frequently encountered in association with optic nerve dysplasias, including M.G.S.