RESUMO
Previous studies have shown the value of magnetic resonance imaging (MRI) in the diagnosis of malignant melanoma of the choroid. We describe the case of a patient with a choroidal mass whose MRI study was characteristic of malignant melanoma. Subsequently the eye was enucleated. However, on histopathologic examination, the mass was a metastatic carcinoma to the choroid. This false-positive study makes us question the value of MRI in the diagnosis of malignant melanoma of the choroid.
Assuntos
Carcinoma/secundário , Neoplasias da Coroide/diagnóstico , Neoplasias da Coroide/secundário , Imageamento por Ressonância Magnética , Melanoma/diagnóstico , Idoso , Neoplasias da Mama , Carcinoma/diagnóstico , Enucleação Ocular , Reações Falso-Positivas , Feminino , Humanos , Valor Preditivo dos TestesRESUMO
We report a consecutive series of 13 eyes (11 patients) treated with pars plana vitrectomy, in which surgical manipulation of the prefoveal layer of cortical vitreous was avoided, for stage I (eight eyes) and stage II (five eyes) macular hole formation. Average follow up was 8.1 months (range, 2 to 13 months). There was no significant improvement in vision in the patients with stage II macular holes; however, vision in these patients stabilized and did not fall below 20/400. Visual acuity improved in seven of the eight patients with stage I holes. The results for both these groups achieved by our modified vitrectomy, which is relatively easy to perform and involves minimal intraoperative manipulation of the fovea, are consistent with those obtained by methods involving more aggressive cortical vitreous stripping of the fovea.
Assuntos
Perfurações Retinianas/cirurgia , Vitrectomia/métodos , Idoso , Feminino , Seguimentos , Fundo de Olho , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Acuidade VisualRESUMO
The Royal College of Surgeons (RCS) rat is an animal with genetically transmitted progressive retinal dystrophy. We compared histopathologically the RCS rat retina with normal age-matched control retinas (Long-Evans rats) using light and scanning electron microscopy. Retinal degeneration begins with alteration of the rod outer segments. There is a progressive involvement of the entire retina, with all layers affected by 45 days. The three-dimensional view obtained with scanning electron microscopy provides another perspective on the pathogenetic changes of the RCS retina.
Assuntos
Degeneração Retiniana/etiologia , Animais , Microscopia Eletrônica de Varredura , Células Fotorreceptoras/ultraestrutura , Ratos , Ratos Endogâmicos , Ratos Mutantes , Degeneração Retiniana/patologia , Segmento Externo da Célula Bastonete/ultraestruturaRESUMO
To evaluate pluronic polyol F-127 (PF-127) as a vitreous substitute and an intraocular drug delivery system, a total vitrectomy was performed on 18 New Zealand rabbits (18 eyes). The vitreous was replaced with either PF-127 (9 eyes) or balanced salt solution (9 eyes). There was little difference clinically between the eyes containing PF-127 and the control eyes. Both groups showed mild postoperative inflammation, with no differences in intraocular pressures. Histopathologic findings for the control group showed no significant retinal alteration, and serial ERG findings were within normal limits. In contrast, the eyes containing PF-127 showed marked destruction of the retina by 2 weeks after surgery. The ERG amplitudes decreased dramatically to a flat tracing by 24 hours after surgery. Although it is attractive as a potential vitreous substitute, PF-127 is not safe for human use, at least at the concentration used.