RESUMEN
The authors present a first case of cysticercosis in the optic canal in a fifteen-year-old female patient. Cysticercosis of the optic nerve is rare. A cyst in the optic canal, beneath the sheath of the optic nerve, has never been reported. The patient presented with rapidly diminishing vision in the left eye, headache and papillitis. A magnetic resonance imaging revealed a cystic lesion at the entrance of the optic canal. Surgery performed was a transcranial orbitotomy which included deroofing of the optic canal and removal of the cyst from under the sheath of the optic nerve. The cyst proved to be cysticercus histopathologically. The outcome was a remarkable visual recovery.
Asunto(s)
Cisticercosis/diagnóstico , Infecciones Parasitarias del Ojo/diagnóstico , Enfermedades del Nervio Óptico/diagnóstico , Nervio Óptico/patología , Adolescente , Cisticercosis/parasitología , Cisticercosis/cirugía , Infecciones Parasitarias del Ojo/parasitología , Infecciones Parasitarias del Ojo/cirugía , Femenino , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Procedimientos Quirúrgicos Oftalmológicos , Nervio Óptico/parasitología , Nervio Óptico/cirugía , Enfermedades del Nervio Óptico/parasitología , Enfermedades del Nervio Óptico/cirugía , Agudeza VisualRESUMEN
Serum alpha-1 acid glycoprotein levels were measured in 27 patients with idiopathic peripheral retinal vasculitis (Eales' disease) and 31 healthy subjects by single radial immunodiffusion technique. The levels were found to be significantly increased in both moderate and severe types of the disease. The serum levels of this protein paralleled the severity of the disease. The increased alpha-1 acid glycoprotein in serum showed a significant fall to near normal levels during the quiescent stage. Our observations support the hypothesis that idiopathic peripheral retinal vasculitis is an immune mediated disease. It is proposed that serum alpha-1 acid glycoprotein may be considered as a reliable parameter of the activity and the degree of severity of the disease, as well as an useful tool for monitoring the efficacy of treatment.
Asunto(s)
Orosomucoide/análisis , Hemorragia Retiniana/sangre , Vasos Retinianos , Vasculitis/sangre , Hemorragia Vítrea/sangre , Adolescente , Adulto , Biomarcadores , Niño , Humanos , Inmunodifusión , Masculino , Persona de Mediana Edad , Enfermedades de la Retina/sangreRESUMEN
We evaluated our experience of intraocular lens implantation in 22 children with uniocular traumatic cataract. Good visual acuity was achieved in a large proportion of the children despite associated corneal opacities and several intraoperative and postoperative complications. Our study suggests that intraocular lens implantation may have a major role in management of monocular cataracts in children.
