RESUMO
PURPOSE: To report transient vitreomacular traction (VMT) syndrome following acute blunt trauma associated with incomplete posterior vitreous detachment. METHODS: The authors present the analysis of 2 eyes of consecutive patients with acute VMT following mild blunt trauma. Both patients reported a sudden decrease in visual acuity and metamorphopsia. Spectral domain optical coherence tomography (OCT) images showed typical VMT syndrome. RESULTS: The development of complete posterior vitreous detachment demonstrated by OCT, after 15 and 30 days, respectively, was associated with complete resolution of symptoms and complete recovery of foveal architecture. CONCLUSIONS: The authors report spontaneous resolution of VMT associated with blunt trauma. As spontaneous resolution may occur in some eyes with VMT following traumatic acute incomplete vitreous detachment, a period of observation may be considered prior to vitrectomy. Spectral domain OCT is a useful tool in following the evolution of these patients.
Assuntos
Traumatismos Oculares/complicações , Doenças Retinianas/etiologia , Corpo Vítreo/lesões , Descolamento do Vítreo/etiologia , Ferimentos não Penetrantes/complicações , Traumatismos Oculares/diagnóstico , Traumatismos Oculares/fisiopatologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Remissão Espontânea , Doenças Retinianas/diagnóstico , Doenças Retinianas/fisiopatologia , Aderências Teciduais , Tomografia de Coerência Óptica , Transtornos da Visão/etiologia , Acuidade Visual/fisiologia , Corpo Vítreo/patologia , Descolamento do Vítreo/diagnóstico , Descolamento do Vítreo/fisiopatologia , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/fisiopatologia , Adulto JovemRESUMO
PURPOSE: To describe a case of keratitis caused by the Gram-negative Escherichia coli, treated with UVA-riboflavin cross linking. METHODS: Case report. RESULTS: A 78-year-old woman with diabetes presented with a 1-week history of pain, photophobia, foreign body sensation, and lacrimation in the right eye. The patient underwent topical and systemic antimicrobial therapy, without improvement. The authors treated the patient with riboflavin and corneal UVA crosslinking, with the aim to promote healing of the ulceration. One day after the procedure, the corneal ulceration was covered by cicatricial tissue, and the patient reported a significant improvement in symptoms. One month after the treatment, corneal edema was almost completely resolved, corneal ulceration was healed, and the painful symptoms of the patient had disappeared. CONCLUSIONS: UVA-riboflavin crosslinking can be useful for the treatment of corneal ulceration unresponsive to medical treatment.
Assuntos
Úlcera da Córnea/tratamento farmacológico , Infecções por Escherichia coli/tratamento farmacológico , Infecções Oculares Bacterianas/tratamento farmacológico , Fotoquimioterapia , Fármacos Fotossensibilizantes/uso terapêutico , Riboflavina/uso terapêutico , Raios Ultravioleta , Idoso , Colágeno/metabolismo , Úlcera da Córnea/metabolismo , Úlcera da Córnea/microbiologia , Infecções por Escherichia coli/metabolismo , Infecções por Escherichia coli/microbiologia , Infecções Oculares Bacterianas/metabolismo , Infecções Oculares Bacterianas/microbiologia , Feminino , HumanosRESUMO
Tubulointerstitial nephritis and uveitis syndrome is likely underdiagnosed. A 13-year-old girl with no significant medical history had photophobia, ocular pain, and decreased visual acuity. Bilateral papilledema was present. Renal biopsy revealed interstitial nephritis. Immunosuppressive therapy was added (3 mg/kg/d of cyclosporine). One year later, visual acuity was 20/20 and findings were normal on ocular examination and laboratory tests.