ABSTRACT
We report the case of a 29-year-old man, a tattoo artist by profession, with a history of schizophrenia, who was admitted to our hospital after injecting tattoo pigments in the anterior chamber of both eyes using a dermograph. The patient was diagnosed with penetrating ocular injury with secondary glaucoma, endotheliitis, and uveitis. Anterior chamber washout was performed immediately. At 4 months' follow-up the patient had a visual acuity of 20/25 in each eye and 360° peripheral anterior synechiae; there still were traces of tattoo pigment at the trabecular meshwork and endothelial corneal layer.
Subject(s)
Anterior Chamber , Eye Injuries, Penetrating/pathology , Ink , Tattooing/adverse effects , Uveitis, Anterior/etiology , Adult , Eye Color , Eye Injuries, Penetrating/complications , Glaucoma/etiology , Humans , Male , Schizophrenic PsychologyABSTRACT
Objetivo: Estabalecer os diagnósticos histopatológicos das lesões oculares em centro de referência. Correlacionar os diagnósticos mais prevalentes com sexo e idade. Local: Fundação Altino Ventura (FAV), Recife/PE - Brasil. Método: Estudo realizado no laboratório do Departamento de Patologia do Hospital das Clínicas da Universidade Federal de Pernambuco no período de 10 anos. Tratou-se de um estudo transversal retrospectivo cujos dados coletados foram sexo, idade, local de realização da biópsia e diagnóstico histopatológico contidos nas fichas dos pacientes biopsiados. Resultados: Das 285 biópsias analisadas, 256 eram lesões benignas e 29 lesões malignas, das quais 41,4 por cento carcinomas basocelulares de pálpebra, 13,8 por cento retinoblastomas, 10,3 por cento carcinoma epidermóide de conjuntiva, 6,0 por cento carcinoma adenóide cístico de órbita, 6,9 por cento neoplasia maligna de células pequenas em órbita, 3,4 por cento melanoma melanocítico de conjuntiva, 3,4 por cento melanoma de coróide e 3,4 por cento fibrossarcoma de órbita.
Subject(s)
Humans , Male , Female , Eye Injuries, Penetrating/diagnosis , Eye Injuries, Penetrating/pathology , Eye Injuries/diagnosis , Eye Injuries/pathologyABSTRACT
This retrospective study examined demographic, clinical, and histopathologic factors in 24 traumatically ruptured globes that were enucleated at Wills Eye Hospital during a 2-year period. The majority of these injuries occurred in a violent assault setting with a blunt mechanism, during the evening and early morning hours, and in the fall and winter months. Most patients were black males, and 67% were substance abusers. Clinically, the initial visual acuity in 96% of the eyes was light perception or worse. Five of the eyes were enucleated primarily. Gross examination of the globes revealed that 92% of the wounds involved the sclera, 83% of the eyes had hyphema, and 71% of the lacerations were longer than 10 mm. Histopathologic examination demonstrated that the majority of eyes had fragmented or missing lenses, disrupted ciliary bodies, and detached choroids. Ninety-six percent of the retinas were detached. There was one case of acute endophthalmitis.