RESUMEN
PURPOSE: To report a young man with a central retinal vein occlusion (CRVO)-like appearance which later evolved to frosted branch angiitis (FBA). CASE REPORT: As 28-year-old Indian man presented with optic disc swelling, hyperemia, peripapillary hemorrhages, and dilated tortuous veins in the left eye, 6 months after being diagnosed with idiopathic FBA in the right eye. Within 3 days of presentation, the left eye developed FBA, which was promptly and successfully treated with oral steroids. CONCLUSION: A CRVO-like picture may be the first stage of FBA. Young patients with CRVO and intraocular inflammation should be followed closely for early detection of FBA. Early initiation of oral steroids may preserve visual acuity in such cases.
RESUMEN
The authors describe a technique to qualitatively analyze the posterior segment during cataract surgery using intraoperative optical coherence tomography (iOCT). Macular iOCT can be done before and after intraocular lens implantation after the media is rendered clear following phacoemulsification. A handheld irrigating planoconcave contact lens is placed over the cornea with the operating microscope in retroillumination mode. After focusing the microscope and upon getting a clear view of the posterior segment, iOCT is switched on, centered at the macula, and focused. This technique enables the surgeon to intraoperatively analyze and document the macular morphology and vitreoretinal interface. Potential uses of this technique include intraoperative decision-making regarding concurrent use of anti-vascular endothelial growth factor agents or steroids in cases with dense cataracts where preoperative OCT is difficult. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:846-847.].
Asunto(s)
Mácula Lútea/diagnóstico por imagen , Monitoreo Intraoperatorio , Facoemulsificación , Tomografía de Coherencia Óptica/métodos , Humanos , Reproducibilidad de los ResultadosAsunto(s)
Absceso/diagnóstico por imagen , Enfermedades de la Coroides/diagnóstico por imagen , Enfermedades del Aparato Lagrimal/diagnóstico por imagen , Infecciones Estafilocócicas/diagnóstico por imagen , Staphylococcus epidermidis/aislamiento & purificación , Absceso/tratamiento farmacológico , Absceso/microbiología , Adolescente , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antiinfecciosos/uso terapéutico , Diagnóstico Diferencial , Quimioterapia Combinada , Angiografía con Fluoresceína , Humanos , Enfermedades del Aparato Lagrimal/tratamiento farmacológico , Enfermedades del Aparato Lagrimal/microbiología , Masculino , Metronidazol/uso terapéutico , Infecciones Estafilocócicas/tratamiento farmacológico , Infecciones Estafilocócicas/microbiología , Tomografía Computarizada por Rayos X , Ultrasonografía , Inhibidores de beta-Lactamasas/uso terapéuticoAsunto(s)
Coloboma/prevención & control , Coagulación con Láser/métodos , Disco Óptico/anomalías , Procedimientos Quirúrgicos Profilácticos , Desprendimiento de Retina/prevención & control , Adolescente , Adulto , Niño , Preescolar , Femenino , Estudios de Seguimiento , Fondo de Ojo , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
A 32-year-old female presented with visual acuity of hand movement close to face, an old inferior rhegmatogenous retinal detachment (RRD), and a large hemorrhagic macular macrocyst (HMM) in the right eye. After 2 weeks of successful vitreoretinal surgery, the HMM started decreasing in height and resolved by 3 months. On optical coherence tomography, a zone of hyperreflectivity in the outer retinal layers was evident on resolution of the cyst. At final follow-up, the visual acuity improved to 1/60 only. Though HMM resolved completely after retinal reattachment, alteration and thickening of microarchitecture of the outer retinal layers ensued.