RESUMEN
The authors report an unusual case of persistent tunica vasculosa lentis in a patient with minimal retinopathy of prematurity (ROP). A 3-month-old male infant who had been born at 31 weeks' gestation presented with a significant amount of persistent tunica vasculosa lentis and arteriolar tortuosity with minimal ROP and no plus disease. After weekly observation and no surgical intervention, the arteriolar tortuosity lessened but the tunica vasculosa lentis persisted. Persistent tunica vasculosa lentis can be mistaken for iris vascular engorgement, suggesting plus disease and high-risk prethreshold ROP. Differentiation between tunica vasculosa lentis and iris vascular engorgement, as well as correct diagnosis of plus disease, is critical when considering laser treatment for high-risk prethreshold ROP.
Asunto(s)
Cristalino/irrigación sanguínea , Retinopatía de la Prematuridad/diagnóstico , Malformaciones Vasculares/diagnóstico , Capilares/patología , Edad Gestacional , Humanos , Lactante , Recién Nacido , Masculino , Arteria Retiniana/anomalías , Retinopatía de la Prematuridad/cirugíaRESUMEN
This article describes an unusual case of meningococcal endogenous endophthalmitis presenting as anterior uveitis. This case re-emphasizes the importance of early diagnosis of endogenous endophthalmitis, which can lead to good visual recovery.
Asunto(s)
Endoftalmitis/microbiología , Infecciones Bacterianas del Ojo , Meningitis Meningocócica/microbiología , Neisseria meningitidis/aislamiento & purificación , Uveítis Anterior/microbiología , Administración Tópica , Adolescente , Antibacterianos/uso terapéutico , Cefotaxima/uso terapéutico , Ciprofloxacina/administración & dosificación , Quimioterapia Combinada , Endoftalmitis/diagnóstico , Endoftalmitis/tratamiento farmacológico , Infecciones Bacterianas del Ojo/diagnóstico , Infecciones Bacterianas del Ojo/tratamiento farmacológico , Infecciones Bacterianas del Ojo/microbiología , Femenino , Glucocorticoides/administración & dosificación , Humanos , Infusiones Intravenosas , Meningitis Meningocócica/diagnóstico , Meningitis Meningocócica/tratamiento farmacológico , Prednisolona/administración & dosificación , Uveítis Anterior/diagnóstico , Uveítis Anterior/tratamiento farmacológico , Vancomicina/uso terapéuticoRESUMEN
PURPOSE: To report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques. DESIGN: Case report and retrospective review. INTERVENTIONS: Surgical repair of the orbits in a patient who autoenucleated both eyes. MAIN OUTCOME MEASURES: To determine methods to prevent self-destructive behavior. RESULTS: Up to 75% of these acts are performed by psychiatric inpatients as a form of focal suicide. Methods to prevent self-inflicting behavior include differential reinforcement, boxing gloves, soft cotton gloves, a bubble helmet, facial screening, electrical stimulation, and tarsorraphy. CONCLUSIONS: Prevention of autoenucleation requires early identification of susceptible subjects and timely initiation of preventive measures.