RESUMEN
Systemic diseases as rheumatoid arthritis and ankylosing spondylitis have unknown etiologies, unclear pathogenic mechanisms and multiorgan involvements. Ocular involvement is variable and may effect several levels: sclera, cornea, uvea and conjunctiva. Because an ocular event signify an enhancement of inflammatory-immune reactions, the patient may undergo a complete investigation and general therapy must complete local treatment. The paper showing the ocular manifestation in patients with rheumatic arthritis through a ten-years period.
Asunto(s)
Artritis Reumatoide/complicaciones , Oftalmopatías/diagnóstico , Adolescente , Adulto , Oftalmopatías/complicaciones , Oftalmopatías/etiología , Femenino , Humanos , Queratoconjuntivitis Seca/diagnóstico , Queratoconjuntivitis Seca/etiología , Masculino , Persona de Mediana Edad , Recurrencia , Escleritis/complicaciones , Escleritis/diagnóstico , Escleritis/etiologíaRESUMEN
We present the case of the patient S.M., female, 32 years old, who came in our eye clinic for left painful ophthalmoplegia. The onset of the clinical manifestations was a year and half ago, with the decrease of visual acuity at left eye, left partial ophthalmoplegia (partial lesion of the left oculomotor nerve) and secondary left trigeminal neuralgia. The paraclinical investigations excluded the systemic and locoregional diseases. CT exams, the left internal carotid angiography and the surgical intervention at the Neurosurgery Clinic in Timisoara revealed a left juxtasella tumor at the base skull, located extradural, which capsule invade the left nerve oculomotor. We conclusion that the painful ophthalmoplegia are complex clinical syndromes, with a different etiopathogenesis (inflammatory, tumoral, vascular malformations: aneurysm etc.) and their diagnosis and treatment need a good interdisciplinary collaboration: ophthalmologist-neurologist-neurosurgeon-endocrinologist-paraclinical exams.
Asunto(s)
Oftalmoplejía/diagnóstico , Neuralgia del Trigémino/diagnóstico , Adulto , Condroblastoma/complicaciones , Condroblastoma/diagnóstico , Condroblastoma/patología , Condroblastoma/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Invasividad Neoplásica , Nervio Oculomotor/patología , Nervio Oculomotor/cirugía , Oftalmoplejía/etiología , Neoplasias de la Base del Cráneo/complicaciones , Neoplasias de la Base del Cráneo/diagnóstico , Neoplasias de la Base del Cráneo/patología , Neoplasias de la Base del Cráneo/cirugía , Síndrome de Tolosa-Hunt/diagnóstico , Neuralgia del Trigémino/etiologíaRESUMEN
The paper approaches a rare ophthalmological pathology, cystic iris tumors. The authors show two clinical cases treated in the Clinic of Ophthalmology, Timisoara. In both cases the clinical and paraclinical diagnosis was confirmed by postoperator anatomopathological examination.
Asunto(s)
Quistes/diagnóstico , Enfermedades del Iris/diagnóstico , Anciano , Quistes/cirugía , Diagnóstico Diferencial , Humanos , Iris/cirugía , Enfermedades del Iris/cirugía , Masculino , Persona de Mediana EdadRESUMEN
Ocular allergy represents the hypersensitivity reaction of the ocular surfaces in contact with the external environment. Allergic conjunctivitis are one of the frequent disorders of the clinical practice. In this paper we present statistically the cases attended in our service for one year, a few pathogenetical factors; the positive diagnose and the therapeutic strategy.