RESUMEN
We present two cases of Horner's syndrome occurring following uncomplicated internal jugular venous cannulation. An awareness of this potential complication will reduce confusion over the aetiology of anisocoria in critically ill patients. This consideration is important, since lesions in the central nervous system or carotid dissection following trauma might otherwise be suspected.
Asunto(s)
Cateterismo Venoso Central/efectos adversos , Síndrome de Horner/etiología , Venas Yugulares , Complicaciones Posoperatorias , Adulto , Femenino , HumanosRESUMEN
PURPOSE: To evaluate the effectiveness of pars plana vitreolensectomy in the management of subluxed lenses associated with Marfan's syndrome and to assess the need for intraoperative retinal photocoagulation to prevent post-operative retinal detachment. METHOD: A retrospective review was carried out of 40 eyes of patients with Marfan's syndrome who underwent pars plana vitreolensectomy for subluxed lenses. RESULTS: All patients demonstrated stable or improved visual acuity following surgery with a low incidence of complications. CONCLUSIONS: Pars plana vitreolensectomy is a safe and effective treatment for subluxed lenses in patients with Marfan's syndrome. It appears that intraoperative prophylactic laser treatment need only be applied to areas of lattice degeneration to limit the incidence of post-operative retinal detachment.