[Polyalkylimide filler in human immunodeficiency virus-associated facial lipodystrophy: ophthalmic complications]. / Rellenos de polialquilamida en lipodistrofia facial asociada al virus de la inmunodeficiencia humana: complicaciones oftalmológicas.

CASE REPORT: A 54 year old male, who consulted for acute inflammatory palpebral edema. The patient has HIV infection (on antiretroviral treatment) and an associated facial lipodystrophy that was filled with polyalkylimide in both frontotemporal regions one year before. MRI revealed subcutaneous abscesses in the filled areas, which led to preseptal cellulitis. Complete remission was achieved with antibiotic therapy and monitoring. DISCUSSION: Polyalkylimide is a hydrogel that is recently used as facial filler without FDA approval. Although it was believed to be safe and useful for treating HIV lipodystrophy, it is not exempt from adverse effects (infection, abscesses, granulomas) that can compromise the eye area.

Síndrome oculoglandular de parinaud como primera manifestación de la enfermedad por arañazo de gato / Parinaud oculoglandular síndrome as first manifestation of cat scratch disease

Caso clínico: Se presenta el caso de un varón mestizo de 33 años, con cuadro de conjuntivitis aguda purulenta en ojo izquierdo, lesión granulomatosa sobreelevada en el tercio externo de la conjuntiva tarsal y adenopatías preauricular y submandibular izquierdas. Se detectó serología IgM positiva para B. henselae. Se consiguió remisión completa con azitromicina oral y ciprofloxacino tópico. Conclusión: El síndrome oculoglandular de Parinaud (SOGP) es la manifestación ocular más frecuente de la enfermedad por arañazo de gato (EAG). La EAG debe considerarse entre los diagnósticos diferenciales ante cuadros de conjuntivitis unilateral asociada a adenopatías regionales (AU)

Case report: We report the case of a 33 year old mestizo male, with acute purulent conjunctivitis in his left eye, an elevated granulomatous lesion in the outer third of the tarsal conjunctiva and left preauricular and submandibular lymph nodes. IgM serology was positive for B. henselae. Complete remission was achieved with oral azithromycin and topical ciprofloxacin. Conclusion: Parinaud oculoglandular síndrome is the most common ocular manifestation of cat scratch disease (CSD). The CSD should be considered in the differential diagnosis in the case of unilateral conjunctivitis associated with regional lymphadenopathy (AU)

Propranolol: tratamiento del hemangioma capilar con afectación orbitaria / Propranolol: Treatment of capillary hemangioma with orbital involvement

Caso clínico: Lactante de 2 meses con un hemangioma de crecimiento rápido en la hemicara izquierda, que afecta al párpado superior y la porción superoexterna de la órbita, obstaculizando el eje visual y desplazando medialmente el recto lateral y el globo ocular. Se administra propranolol oral y se observa una rápida y sostenida disminución del hemangioma, con regresión del componente órbito-palpebral. Discusión: Según estudios previos el propranolol parece ser un fármaco seguro y efectivo en el tratamiento del hemangioma infantil. En nuestro caso, la respuesta al propranolol fue satisfactoria y no se presentaron efectos adversos. Este tratamiento debe ser considerado como una alternativa promisoria(AU)

Clinical case: A 2-months-old girl had a fast growth hemangioma in the left side of the face, that involved upper eyelid and superior and external portion of the orbit, covering her visual axis and pushing the eye and lateral rectus muscle. We gave oral propranolol as treatment and we noticed a fast and constant hemangioma reduction and resolution of orbital and palpebral component. Discussion: According to previous researches, propranolol seems to be an effective and safe drug to treat capillary hemangioma. In our case, response to propranolol was satisfactory and with no side effects. This treatment should be considered as a promising alternative(AU)

[Propranolol: Treatment of capillary hemangioma with orbital involvement]. / Propranolol: tratamiento del hemangioma capilar con afectación orbitaria.

CLINICAL CASE: A 2-months-old girl had a fast growth hemangioma in the left side of the face, that involved upper eyelid and superior and external portion of the orbit, covering her visual axis and pushing the eye and lateral rectus muscle. We gave oral propranolol as treatment and we noticed a fast and constant hemangioma reduction and resolution of orbital and palpebral component. DISCUSSION: According to previous researches, propranolol seems to be an effective and safe drug to treat capillary hemangioma. In our case, response to propranolol was satisfactory and with no side effects. This treatment should be considered as a promising alternative.