[Acute visual loss in pregnancy caused by craniopharyngioma]. / Pérdida visual aguda en el embarazo causada por craneofaringioma.

CASE REPORT: A 38-year-old female, at 20-weeks gestation, experienced a sudden visual loss and visual-field abnormalities. The neuroimaging tests showed a craniopharyngioma. Surgical removal was performed with a successful outcome as regards the pregnancy and visual function. DISCUSSION: It is known that pituitary adenomas may grow during pregnancy; however this is unusual in craniopharyngiomas. They usually present with visual problems due to their suprasellar topography. Surgery is the treatment of choice, the outcome essentially depending on its complete resection.

[Upper eyelid surgery for treatment of congenital blepharoptosis]. / Cirugía del párpado superior para el tratamiento de las ptosis congénitas.

OBJECTIVE: [corrected] To revise techniques and indications for surgical treatment of childhood blepharoptosis. METHODS: Review of the medical literature and case reports. RESULTS: The treatment of blepharoptosis is not easy. There are different techniques for its correction, depending on invasivity and aetiological approach. Most used techniques are resection of the levator muscle through a skin incision in moderate ptosis and frontal suspension for severe cases. The indication of each technique depends on the type of ptosis, severity, features of levator muscle and age. CONCLUSIONS: Simple congenital ptosis is the most frequent type of ptosis in children although is necessary to consider types associated to rectus superior palsy, blepharofimosis syndrome and Marcus-Gunn phenomenon. It is important to evaluate ptosis severity and its repercussions on visual acuity and compensating torticolli. The timing for surgical treatment varies depending on age, severity and laterality.