ABSTRACT
OBJETIVO: Presentar los resultados del uso de un único segmento de autoinjerto limbar combinado con trasplante de membrana amniótica y epiteliectomías conjuntivales sectoriales secuenciales postoperatorias en 2 pacientes con insuficiencia límbica unilateral total. CONCLUSIONES: Un solo segmento de autoinjerto limbal junto con el trasplante de membrana amniótica puede ser suficiente para restaurar una superficie corneal estable, siendo en ocasiones necesario realizar en el postoperatorio epiteliectomías conjuntivales secuenciales en zonas remanentes de epitelio anómalo
OBJECTIVE: To present the results on the use of a single block limbal autograft, combined with amniotic membrane transplantation and sectoral sequential postoperative epitheliectomy of the conjunctiva in 2 patients with unilateral total limbal stem cell deficiency. CONCLUSIONS: A single block limbal autograft combined with amniotic membrane transplantation may be sufficient to restore a stable corneal surface, but sometimes sequential sectoral conjunctival epitheliectomy may be required to treat anomalous epithelial remnants
Subject(s)
Humans , Female , Adult , Transplantation, Autologous/instrumentation , Transplantation, Autologous/methods , Transplantation, Autologous , Conjunctiva/pathology , Conjunctiva/transplantation , Limbus Corneae/pathology , Limbus Corneae/surgery , Limbus Corneae , Corneal Neovascularization/surgery , Limbus Corneae/anatomy & histology , Fluorescein/administration & dosage , Fluorescein/analysisABSTRACT
OBJECTIVE: To present the results on the use of a single block limbal autograft, combined with amniotic membrane transplantation and sectoral sequential postoperative epitheliectomy of the conjunctiva in 2 patients with unilateral total limbal stem cell deficiency. CONCLUSIONS: A single block limbal autograft combined with amniotic membrane transplantation may be sufficient to restore a stable corneal surface, but sometimes sequential sectoral conjunctival epitheliectomy may be required to treat anomalous epithelial remnants.
Subject(s)
Corneal Diseases/surgery , Corneal Transplantation/methods , Female , Humans , Limbus Corneae/surgery , Middle Aged , Transplantation, Autologous/methods , Young AdultABSTRACT
The aim of this study was to evaluate the suitability of teleophthalmologyas a method for screening of diabetic retinopathy. It wasdesigned as a transversal and observational study using the retinalfundus images of 520 patients that were studied during the first sixmonths of 2006. This sample comes from a group of patients thatare integrated in the Program of digital retinal screening. This screeningprogram was established by the Integral Plan of Diabetes in Andalusiain 2005. It was evaluated the quality of images, the pick-uprate of the illness, the accuracy and the efficiency of the method. In90% of the patients, the images possessed quality to be evaluated.The pick-up rate of the illness was 2.1. Agreement between existenceor absence of diabetic retinopathy was analyzed by using unweightedkappa and its results equal 1. In conclusion, the resultsobtained in the study provide evidence for the reliability of telemedicineas a screening method for diabetic retinopathy(U)
Subject(s)
Humans , Diabetic Retinopathy/diagnosis , Diagnostic Imaging/methods , Diabetes Complications/diagnosis , Diagnostic Techniques, OphthalmologicalABSTRACT
CLINICAL CASE: A fifty-two-year-old woman consulted our department because of a bilateral proptosis. The appearance of acute symptoms suggestive of a digestive disorder during her admission to hospital for the study of the proptosis, led to a diagnosis of multifocal fibrosclerosis with simultaneous affliction of orbital tissue, mesenteric fat and the brain stem. DISCUSSION: Idiopathic Sclerotic Inflammation of the orbit is a rare pathological entity, with similar clinical and radiological characteristics to orbital pseudo-tumour. The differential diagnosis is important because both these conditions differ in treatment and prognosis.
Subject(s)
Inflammation/complications , Orbit/pathology , Female , Fibrosis , Humans , Inflammation/diagnosis , Middle Aged , Sclerosis , SyndromeABSTRACT
Caso clínico: Mujer de 52 años que consulta en nuestro Servicio por proptosis bilateral. La aparición de sintomatología aguda digestiva durante el ingreso para el estudio de la proptosis, condujo al diagnóstico de un cuadro de fibroesclerosis multifocal, con afectación simultánea de los tejidos orbitarios, grasa mesentérica y tronco de encéfalo. Discusión: El pseudotumor esclerosante orbitario es una rara entidad clinicopatológica, cuyas características en la clínica y en las pruebas de imagen pueden ser similares a las del pseudotumor inflamatorio idiopático. El diagnóstico diferencial es importante porque ambos difieren tanto en su tratamiento como en su pronóstico
Clinical case: A fifty-two-year-old woman consulted our department because of a bilateral proptosis. The appearance of acute symptoms suggestive of a digestive disorder during her admission to hospital for the study of the proptosis, led to a diagnosis of multifocal fibrosclerosis with simultaneous affliction of orbital tissue, mesenteric fat and the brain stem. Discussion: Idiopathic Sclerotic Inflammation of the orbit is a rare pathological entity, with similar clinical and radiological characteristics to orbital pseudo-tumour. The differential diagnosis is important because both these conditions differ in treatment and prognosis (Arch Soc Esp Oftalmol 2008; 83: 263-266)