RESUMO
A 72-year-old woman presented with acute onset bilateral visual loss. She had no other symptoms or signs, but had a complex past medical history including blood transfusions and immunosuppression. T2-weighted magnetic resonance imaging demonstrated bilateral occipital lobe vasogenic edema, consistent with posterior reversible encephalopathy syndrome (PRES). Her vision improved with conservative management.
Assuntos
Cegueira/diagnóstico , Edema Encefálico/diagnóstico , Síndrome da Leucoencefalopatia Posterior/diagnóstico , Doença Aguda , Idoso , Cegueira/fisiopatologia , Edema Encefálico/fisiopatologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Síndrome da Leucoencefalopatia Posterior/fisiopatologia , Acuidade Visual/fisiologia , Testes de Campo Visual , Campos Visuais/fisiologiaRESUMO
Childhood pterygia are extremely rare and no consensus currently exists regarding surgical management in cases of significant symptomatology. The authors describe a case of a childhood pterygium in a 9-year-old boy successfully treated with a superior conjunctival autograft. At 6 months of follow-up, no signs of recurrence were detected and the patient reported marked improvement in symptoms. Use of this technique may be beneficial in certain cases of childhood pterygia.
