Asunto(s)
Células de la Médula Ósea , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Edema Macular/terapia , Complicaciones Posoperatorias/terapia , Retinitis Pigmentosa/terapia , Femenino , Estudios de Seguimiento , Humanos , Edema Macular/etiología , Edema Macular/patología , Masculino , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/patología , Retinitis Pigmentosa/patología , Trasplante AutólogoRESUMEN
PURPOSE: To report three cases of adenoviral keratoconjunctivitis in patients who have undergone photorefractive keratectomy and that just developed subepithelial infiltrates. METHODS: Description of patients that developed postoperative adenoviral keratoconjunctivitis after photorefractive keratectomy without influence in the final visual outcome. RESULTS: All patients presented adenoviral keratoconjunctivitis 2-3 months after refractive surgery. They developed multiple pinpoint subepithelial infiltrates in six eyes, without haze development. The final uncorrected visual acuity was better or equal to 20/30. CONCLUSION: Although patients undergoing photorefractive keratectomy might develop severe corneal scarring following ocular infections, such events may follow their natural evolution.
Asunto(s)
Infecciones por Adenovirus Humanos/etiología , Infecciones Virales del Ojo/etiología , Queratoconjuntivitis Infecciosa/etiología , Queratectomía Fotorrefractiva , Complicaciones Posoperatorias/patología , Infecciones por Adenovirus Humanos/patología , Adulto , Opacidad de la Córnea/virología , Infecciones Virales del Ojo/patología , Humanos , Queratoconjuntivitis Infecciosa/patología , Láseres de Excímeros , MasculinoRESUMEN
Bilateral endogenous endophthalmitis is a rare condition initiated by infection by microbes in the bloodstream, such as those arising from a foci of infective endocarditis. We report a case and discuss the diagnostic aspects and the clinical outcome of a patient with characteristic findings of the disease. The patient was a 49 year old white male who had a metallic aortic valve implanted 7 months previously, and who presented to the hospital with 10 days of fever, cough and dyspnea, then diarrhea and mental confusion. On the second day of hospitalization, he experienced sudden loss of vision in both eyes. A Gram-positive coccobacillus was isolated from the bloodstream, he was treated with fluoroquinolone with disappearance of fever, decreased ocular inflammation, and improvement in his vision to light perception. He later underwent valve replacement surgery but died during the procedure. We review the occurrence of ocular signs and symptoms and their importance in patients with endocarditis.