ABSTRACT
Two patients with panuveitis are presented in whom, after undergoing a vitrectomy, the optical coherence tomography (OCT) revealed some unusual pre-retinal hyper-reflective deposits with the shape of stalagmites, distributed in a multifocal and perivascular pattern. Case 1: 51-year-old male with panuveitis in the right eye. After diagnostic-therapeutic vitrectomy, OCT showed pre-retinal stalagmite-like deposits. There was no clear aetiology, and the deposits persisted over the time. Case 2: 76-year-old woman with panuveitis in the right eye. After a surgery for cataract-vitrectomy and epiretinal membrane peeling, OCT revealed pre-retinal stalagmite-like deposits. The analysis reported elevated Toxoplasma IgG titres. Clarithromycin and corticosteroid were prescribed, resulting in the disappearance of pre-retinal deposits. The stalagmite-like deposits are not a very common tomographic sign of a posterior uveitis process, but they seem to correlate with inflammatory activity. There does not seem to be a clear mechanism or a particular aetiology.
Subject(s)
Epiretinal Membrane , Panuveitis , Aged , Female , Humans , Male , Middle Aged , Retina , Tomography, Optical Coherence , VitrectomyABSTRACT
Se presentan los casos de dos pacientes con panuveítis que, tras ser vitrectomizados, presentaron en la tomografía de coherencia óptica (OCT), depósitos prerretinianos inusuales en forma de estalagmitas hiperreflectivas, multifocales y de patrón perivascular.Caso 1: Varón de 51 años con panuveítis en el ojo derecho (OD). Tras una vitrectomía diagnóstico-terapéutica, la OCT evidenció depósitos prerretinianos tipo estalagmitas, sin una etiología clara y persistencia de los depósitos.Caso 2: Mujer de 76 años con panuveítis del OD. Tras una cirugía combinada de catarata y pelado de membrana epirretiniana, la OCT reveló depósitos prerretinianos tipo estalagmitas. La analítica reportó títulos IgG elevados para toxoplasma. Se prescribió claritromicina y corticoide con desaparición progresiva de los depósitos prerretinianos.Los depósitos prerretinianos tipo estalagmitas son un signo tomográfico poco común de los procesos uveíticos posteriores, parecen correlacionarse con la actividad inflamatoria, aunque sin un claro mecanismo y sin una etiología en particular.
Two patients with panuveitis are presented in whom, after undergoing a vitrectomy, the optical coherence tomography (OCT) revealed some unusual pre-retinal hyper-reflective deposits with the shape of stalagmites, distributed in a multifocal and perivascular pattern.Case 1: 51-year-old male with panuveitis in the right eye. After diagnostic-therapeutic vitrectomy, OCT showed pre-retinal stalagmite-like deposits. There was no clear aetiology, and the deposits persisted over the time.Case 2: 76-year-old woman with panuveitis in the right eye. After a surgery for cataract-vitrectomy and epiretinal membrane peeling, OCT revealed pre-retinal stalagmite-like deposits. The analysis reported elevated Toxoplasma IgG titres. Clarithromycin and corticosteroid were prescribed, resulting in the disappearance of pre-retinal deposits.The stalagmite-like deposits are not a very common tomographic sign of a posterior uveitis process, but they seem to correlate with inflammatory activity. There does not seem to be a clear mechanism or a particular aetiology.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Health Sciences , Ophthalmology , Panuveitis , Vitrectomy , TomographyABSTRACT
Two patients with panuveitis are presented in whom, after undergoing a vitrectomy, the optical coherence tomography (OCT) revealed some unusual pre-retinal hyper-reflective deposits with the shape of stalagmites, distributed in a multifocal and perivascular pattern. Case 1: 51-year-old male with panuveitis in the right eye. After diagnostic-therapeutic vitrectomy, OCT showed pre-retinal stalagmite-like deposits. There was no clear aetiology, and the deposits persisted over the time. Case 2: 76-year-old woman with panuveitis in the right eye. After a surgery for cataract-vitrectomy and epiretinal membrane peeling, OCT revealed pre-retinal stalagmite-like deposits. The analysis reported elevated Toxoplasma IgG titres. Clarithromycin and corticosteroid were prescribed, resulting in the disappearance of pre-retinal deposits. The stalagmite-like deposits are not a very common tomographic sign of a posterior uveitis process, but they seem to correlate with inflammatory activity. There does not seem to be a clear mechanism or a particular aetiology.
ABSTRACT
Objetivo: Analizar si la vía de parto después de una cesárea está condicionada por el motivo de la cesárea previa, y si la vía vaginal comporta mayor número de complicaciones para la madre o el feto. Material y métodos: Estudio retrospectivo de 143 pacientes con cesárea previa y sin partos vaginales que dieron a luz en nuestro servicio en un período de 5 años. Resultados: Hubo diferencias estadísticamente significativas al comparar el tipo de parto con la indicación de la cesárea previa: un 100 por ciento de cesáreas con cesárea previa por primiparidad añosa; un 82,1 por ciento con desproporción pelvifetal; un 41,4 por ciento con riesgo de pérdida de bienestar fetal, y un 27,8 por ciento con presentación de nalgas. Conclusiones: La cesárea previa influye de forma decisiva en la probabilidad de tener un parto vaginal ulterior. Por otro lado, la vía vaginal no conlleva más complicaciones para la madre o para el feto (AU)
Subject(s)
Pregnancy , Female , Humans , Vaginal Birth after Cesarean/statistics & numerical data , Cesarean Section, Repeat/statistics & numerical data , Labor Presentation , Birth Weight , Obstetric Labor Complications/epidemiology , Apgar ScoreABSTRACT
Plans for a vaccination campaign among the health care personnel at the "Valle del Nalón" Hospital are discussed. For this purpose, first of all, the serological testing to determine the markers as compared to the VHB was done using the ELISA technique, and in following, the vaccine based on genetic engineering, ENGERIX BR was provided, initially according to the criteria established to this effect by law, and then from a less restricted view, according to the principles which are given in the text. We have observed that 14.74% of the workers in our town have some positive marker priori to the vaccination and that 1.81% are carriers. The level of tolerance was that of 45.79%, said level being related to the professional group in question and the service in which they work, differences obtained in both cases being statistically quite significant (p less than 0.0001).
