RESUMO
CASE REPORT: A case of benign concentric annular macular dystrophy is described. A 32-year-old woman presented with loss of quality in visual acuity. Ophthalmologic examination, fluorescein angiogram, electrophysiologic tests and visual field measurements were performed. DISCUSSION: It is very important to include in the differential diagnosis other dystrophies which present a <
Assuntos
Epitélio Pigmentado Ocular , Doenças Retinianas/diagnóstico , Adulto , Feminino , HumanosRESUMO
Caso clínico: Presentamos un caso clínico de distrofia macular anular benigna concéntrica. Se trata de una mujer de 32 años que se presenta con pérdida de calidad visual. Se realiza exploración oftalmoscópica, angiografía fluoresceínica, pruebas electrofisiológicas y campimetría. Discusión: Es de gran importancia realizar un cuidadoso diagnóstico diferencial con otras distrofias que presenten un patrón angiográfico en «ojo de buey», dado que la conservación de una relativamente buena agudeza visual es una característica señalada de esta enfermedad
Case report: A case of benign concentric annular macular dystrophy is described. A 32-year-old woman presented with loss of quality in visual acuity. Ophthalmologic examination, fluorescein angiogram, electrophysiologic tests and visual field measurements were performed. Discussion: It is very important to include in the differential diagnosis other dystrophies which present a «bulls eye» pattern on fluorescein angiography, given that preservation of relatively good visual acuity is a special feature of this disease
Assuntos
Feminino , Adulto , Humanos , Distrofias Hereditárias da Córnea/diagnóstico , Oftalmoscopia/métodos , Angiofluoresceinografia/métodos , Testes de Campo Visual/métodos , Diagnóstico Diferencial , Degeneração Macular/diagnóstico , Degeneração Macular/terapia , Eletrofisiologia/métodos , Transtornos da Visão/complicações , Transtornos da Visão/diagnóstico , Transtornos da Visão/epidemiologia , Transtornos da Visão/fisiopatologia , Retinite/complicações , Testes de Campo Visual/tendências , Distrofias Hereditárias da Córnea/terapia , Retinite/diagnósticoRESUMO
CASE REPORT: A 33-year-old woman with superficial and deep bilateral corneal vascularization and keratoconjunctivitis sicca, keratoerythema and neurosensory deafness, was diagnosed with keratitis-ichthyosis-deafness (KID) syndrome. DISCUSSION: KID syndrome is a congenital ectodermal dysplasia characterized by the association of vascularizing keratitis, hyperkeratotic skin lesions and sensorineural hearing loss. Recently, limbal stem cell deficiency was recognized as a possible major pathogenetic factor.
Assuntos
Surdez/diagnóstico , Oftalmopatias/diagnóstico , Ictiose/diagnóstico , Ceratite/diagnóstico , Adulto , Surdez/congênito , Oftalmopatias/tratamento farmacológico , Oftalmopatias/genética , Feminino , Perda Auditiva Neurossensorial/congênito , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Ictiose/tratamento farmacológico , Ictiose/genética , Ceratite/congênito , Ceratite/tratamento farmacológico , Mutação , Soluções Oftálmicas/uso terapêutico , Síndrome , Acuidade VisualRESUMO
Caso clínico: Mujer de 33 años con neovascularizacióncorneal bilateral superficial y profunda yqueratopatía punteada superficial de distribucióndifusa, queratoeritema y sordera neurosensorial,que es diagnosticada de síndrome KID.Discusión: El síndrome KID es una displasia congénitaectodérmica caracterizada por la asociaciónde queratitis vascularizante, lesiones cutáneashiperqueratósicas y sordera neurosensorial. Recientemente,la deficiencia de stem cell limbares ha sidoreconocida como posible factor patogenético clave
Case report: A 33-year-old woman with superficial ;;and deep bilateral corneal vascularization and ;;keratoconjunctivitis sicca, keratoerythema and neurosensory ;;deafness, was diagnosed with keratitisichthyosis- ;;deafness (KID) syndrome. ;;Discussion: KID syndrome is a congenital ectodermal ;;dysplasia characterized by the association of ;;vascularizing keratitis, hyperkeratotic skin lesions ;;and sensorineural hearing loss. Recently, limbal ;;stem cell deficiency was recognized as a possible ;;major pathogenetic factor
Assuntos
Feminino , Adulto , Humanos , Neovascularização da Córnea/patologia , Ceratite Dendrítica/patologia , Ictiose , Surdez , Conexinas/isolamento & purificação , Hiperceratose Epidermolítica , Células-TroncoRESUMO
CASE REPORT: Case 1: An 82-year-old man who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in his right eye under topical anaesthesia. Surgery lasted 14 minutes. Case 2: A 60-year-old woman with bilateral advanced primary open angle glaucoma who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in her right eye under peribulbar anaesthesia. Surgery lasted 36 minutes. One month after surgery both patients noted a para-central scotoma and impaired vision. Fluorescein angiography in both cases revealed retinal pigment epithelial changes compatible with intra-operative light-induced maculopathy. DISCUSSION: Light-induced maculopathy has been reported following cataract surgery. Whether physical properties of these new polysiloxane lenses contribute to retinal susceptibility to phototoxicity under certain light conditions needs to be elucidated.
Assuntos
Luz/efeitos adversos , Facoemulsificação/efeitos adversos , Doenças Retinianas/etiologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Casos clínicos:Caso 1: varón de 82 años intervenido de catarata mediante facoemulsificación e implante de lente Tecnis® Z 9000 en su ojo derecho (OD), bajo anestesia tópica. La duración de la cirugía fue de 14 minutos sin complicaciones.Caso 2: mujer de 60 años con glaucoma primario de ángulo abierto (GPAA) bilateral avanzado, intervenida sin complicaciones de catarata mediante facoemulsificación e implante de lente Tecnis® Z 9000 en su ojo derecho, bajo anestesia peribulbar. La duración de la cirugía fue de 36 minutos.Al mes de la cirugía ambos pacientes evidenciaron escotoma paracentral inferior y escasa mejora de la agudeza visual (AV). La angiografía fluoresceínica (AGF) de ambos casos reveló cambios en el epitelio pigmentario de la retina compatibles con un posible fototraumatismo macular intraoperatorio.Discusión: La maculopatía por fototoxicidad es una complicación descrita tras cirugía de catarata.El que las propiedades físicas de estas nuevas lentes de polisiloxano favorezcan el fototraumatismo retiniano en determinadas condiciones lumínicas han de ser aclaradas (AU)
Case report: Case 1: An 82-year-old man who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis® Z 9000 lens) in his right eye under topical anaesthesia. Surgery lasted 14 minutes. Case 2: A 60-year-old woman with bilateral advanced primary open angle glaucoma who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis® Z 9000 lens) in her right eye under peribulbar anaesthesia. Surgery lasted 36 minutes. One month after surgery both patients noted a para-central scotoma and impaired vision. Fluorescein angiography in both cases revealed retinal pigment epithelial changes compatible with intra-operative light-induced maculopathy. Discussion: Light-induced maculopathy has been reported following cataract surgery. Whether physical properties of these new polysiloxane lenses contribute to retinal susceptibility to phototoxicity under certain light conditions needs to be elucidated (AU)