RESUMO
PurposeTo analyze the macular structure in a large series of consecutive patients with different types of uveitis using spectral-domain optical coherence tomography (SD-OCT).Patients and methodsFive hundred eyes of 500 consecutive patients with anterior, intermediate, posterior, and panuveitis underwent standardized macular examination using SD-OCT. Central retinal thickness (CRT), macular volume (MV), and presence of cystoid macular edema (CME), diffuse macular edema (DME), serous retinal detachment (SRD), epiretinal membrane with (ERM+) and without (ERM-) retinal surface wrinkling were determined.ResultsThe anatomic location of inflammation affected significantly CRT and MV (P<0.001, respectively), with the highest values in intermediate and panuveitis. CME was seen in 25% of all uveitic eyes, DME in 11%, SRD in 8%, ERM+ in 18%, and ERM- in 13%. CME was most frequent in intermediate (40%) and panuveitis (36%); DME was most frequent in panuveitis (18%) and posterior uveitis (17%); SRD was most frequent in panuveitis (15%) and posterior uveitis (10%); ERM+ was most frequent in panuveitis (45%) and intermediate uveitis (30%); and ERM- was most frequent in intermediate (14%) and posterior uveitis (15%).ConclusionSD-OCT of the macula is recommended for all uveitis patients. CRT, MV, and the incidence of CME were highest in intermediate and panuveitis.
Assuntos
Membrana Epirretiniana/diagnóstico por imagem , Macula Lutea/diagnóstico por imagem , Edema Macular/diagnóstico por imagem , Descolamento Retiniano/diagnóstico por imagem , Tomografia de Coerência Óptica , Uveíte/diagnóstico por imagem , Adolescente , Adulto , Idade de Início , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Macula Lutea/patologia , Masculino , Pessoa de Meia-Idade , Uveíte/classificaçãoAssuntos
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Óleos de Silicone/química , Óleos de Silicone/uso terapêutico , Cirurgia Vitreorretiniana/efeitos adversos , Vitreorretinopatia Proliferativa/etiologia , Vitreorretinopatia Proliferativa/prevenção & controle , Feminino , HumanosRESUMO
A young patient presented with recurring blurred vision. Abnormal vessels were found on the retina, which extended as far as the fovea. The diagnosis was congenital vascular malformation in terms of retinal macrovessels.
Assuntos
Vasos Retinianos/anormalidades , Vasos Retinianos/patologia , Transtornos da Visão/congênito , Transtornos da Visão/patologia , Adulto , Humanos , Achados Incidentais , MasculinoRESUMO
Developmental disorders of the fovea are almost always accompanied by loss of visual acuity (VA) and are usually associated with different syndromes. We report on a young female patient with an unclear loss in VA, inconspicuous medical history and normal results for funduscopy, electrophysiology and clinical examinations. The presence of fovea plana could be confirmed by spectral-domain optical coherence tomography (OCT).
Assuntos
Anormalidades do Olho/complicações , Anormalidades do Olho/patologia , Fóvea Central/anormalidades , Fóvea Central/patologia , Transtornos da Visão/diagnóstico , Transtornos da Visão/etiologia , Acuidade Visual , Diagnóstico Diferencial , Feminino , Humanos , Adulto JovemRESUMO
A 31 year old woman complained about metamorphopsia on her right eye. Multiple yellowish dots were seen on the retina. The fluorescein angiography showed fluorescein leakage and the indocyanine green angiography showed multiple hypofluorescent areas. The diagnosis of choroidal neovascularization (CNV) due to punctate inner choroidopathy (PIC) was made. Bevacizumab injections and corticosteroid were given as a therapy.
Assuntos
Corticosteroides/administração & dosagem , Anticorpos Monoclonais/administração & dosagem , Neovascularização de Coroide/complicações , Neovascularização de Coroide/tratamento farmacológico , Transtornos da Visão/tratamento farmacológico , Transtornos da Visão/etiologia , Anti-Inflamatórios/administração & dosagem , Anticorpos Monoclonais Humanizados , Bevacizumab , Neovascularização de Coroide/diagnóstico , Feminino , Humanos , Resultado do Tratamento , Transtornos da Visão/diagnósticoAssuntos
Angiofluoresceinografia , Edema Macular/diagnóstico , Pseudofacia/complicações , Tomografia de Coerência Óptica , Acetazolamida/uso terapêutico , Idoso , Inibidores da Anidrase Carbônica/uso terapêutico , Humanos , Edema Macular/tratamento farmacológico , Edema Macular/patologia , Masculino , Oftalmoscopia , Pseudofacia/diagnóstico , Pseudofacia/patologia , Retina/patologia , Sensibilidade e EspecificidadeRESUMO
A 42-year-old male patient was transferred as an emergency with suspected retrobulbar neuritis due to a central scotoma. He had suffered from reduced vision in the right eye in the past. The diagnosis was chronic recurrent retinopathy centralis serosa due to many years of corticosteroid intake for bronchial asthma and Crohn's disease. Photodynamic therapy was carried out on the right eye and the corticosteroids were discontinued.
