Laceración palpebral y canalicular asociada a trauma obstétrico. Descripción de un caso / Eye lid and canalicular laceration due to obstetric trauma. Case report

Las lesiones oculares por trauma obstétrico son poco frecuentes. Su incidencia aumenta cuando el parto es asistido con instrumental, cesárea urgente y presentación anómala del feto. Presentamos el caso clínico de un recién nacido pretérmino varón asiático de 33 + 2 semanas, 1.500 g y embarazo gemelar, que nació por cesárea urgente. Se observó una laceración palpebral inferior de 5mm de longitud horizontal en el canto interno del ojo izquierdo con sección del canalículo inferior. Al séptimo día de vida se realizó la intubación con stent monocanalicular Mini-Monoka® (FCI, Issy-Les Moulineaux, Francia), consiguiendo la anastomosis de los extremos proximal y distal de la laceración. La piel se suturó con poliglactínico de 8/0 (Vicryl 8/0, Ethicon, Johnson & Johnson S. A., Madrid, España). El tratamiento postoperatorio fue con colirio de tobramicina y dexametasona 4 veces al día durante 10 días. La evolución fue favorable, la posición del punto lagrimal inferior fue adecuada y la siringación, normal. A las 14 semanas se retiró el Mini-Monoka®

Ocular injuries associated with birth trauma are rare. Their incidence increases in cases of instrument-assisted delivery, emergency cesarean section, and abnormal presentation of the fetus. We present the clinical case of a premature Asian male baby, aged 33 + 2 weeks and weighing 1,500 g. The infant was born out of a twin pregnancy and was delivered by emergency cesarean section. Following delivery, a 5 mm long lower eyelid laceration was observed in the inner corner of the left eye, with injury to the inferior canaliculus. A Mini-Monoka® (FCI, Issy-Les Moulineaux, France) monocanalicular intubation stent was inserted on the seventh day with anastomosis of the proximal and distal ends of the canaliculus laceration. The skin was then sutured with a polyglactin 8/0 (Vicryl 8/0, Ethicon, Johnson & Johnson S. A., Madrid, Spain) suture. The postoperative treatment consisted of tobramycin and dexamethasone eye drops four times per day for 10 days. A good progression was observed, the position of the inferior lacrimal punctum was adequate, and syringation was normal. The Mini-Monoka® was removed after 14 weeks

Eye lid and canalicular laceration due to obstetric trauma. Case report. / Laceración palpebral y canalicular asociada a trauma obstétrico. Descripción de un caso.

Ocular injuries associated with birth trauma are rare. Their incidence increases in cases of instrument-assisted delivery, emergency cesarean section, and abnormal presentation of the fetus. We present the clinical case of a premature Asian male baby, aged 33+2 weeks and weighing 1,500g. The infant was born out of a twin pregnancy and was delivered by emergency cesarean section. Following delivery, a 5mm long lower eyelid laceration was observed in the inner corner of the left eye, with injury to the inferior canaliculus. A Mini-Monoka® (FCI, Issy-Les Moulineaux, France) monocanalicular intubation stent was inserted on the seventh day with anastomosis of the proximal and distal ends of the canaliculus laceration. The skin was then sutured with a polyglactin 8/0 (Vicryl 8/0, Ethicon, Johnson & Johnson S. A., Madrid, Spain) suture. The postoperative treatment consisted of tobramycin and dexamethasone eye drops four times per day for 10 days. A good progression was observed, the position of the inferior lacrimal punctum was adequate, and syringation was normal. The Mini-Monoka® was removed after 14 weeks.

Combinación de láser y ranibizumab en el manejo del tumor retiniano vasoproliferativo / Laser and ranibuzumab combination for retinal vasoproliferative tumor's management

CASO CLÍNICO: Varón de 34 años que presentó pérdida progresiva de visión en el ojo derecho. Se objetivó un tumor vasoproliferativo en la retina periférica con membrana epimacular asociada. La angiografía mostró un rápido llenado de los vasos tumorales. Se trató con fotocoagulación láser más ranibizumab intravítreo. Tras 8 semanas se evidenció la fibrosis de la lesión, el desprendimiento de la hialoides posterior y la desaparición de la membrana. La agudeza visual volvió a 20/25. DISCUSIÓN: La combinación de fotocoagulación y ranibizumab intravítreo podría ser útil en el tratamiento de este tumor

CASE REPORT: A 34 year-old man presented with progressive visual loss in his right eye. Ocular fundus showed a vasoproliferative tumor in the peripheral retina with an associated epiretinal macular membrane. Angiography showed a rapid filling of tumor vessels. The treatment consisted of laser photocoagulation and a single injection of intravitreal ranibizumab. After 8 weeks, there was a residual area of fibrosis, the posterior hyaloid was detached, and the epiretinal membrane disappeared. Visual acuity returned to 20/25. DISCUSSION: Laser photocoagulation and intravitreal ranibizumab combination could be useful for vasoproliferative tumors

Laser and ranibuzumab combination for retinal vasoproliferative tumor's management.

CASE REPORT: A 34 year-old man presented with progressive visual loss in his right eye. Ocular fundus showed a vasoproliferative tumor in the peripheral retina with an associated epiretinal macular membrane. Angiography showed a rapid filling of tumor vessels. The treatment consisted of laser photocoagulation and a single injection of intravitreal ranibizumab. After 8 weeks, there was a residual area of fibrosis, the posterior hyaloid was detached, and the epiretinal membrane disappeared. Visual acuity returned to 20/25. DISCUSSION: Laser photocoagulation and intravitreal ranibizumab combination could be useful for vasoproliferative tumors.

[Multiple evanescent white-dot syndrome: bilateralization four years later]. / Síndrome múltiples puntos blancos evanescentes: bilateralización cuatro años después.

PURPOSE/METHOD: To report a clinical case of a 26-year old woman with Multiple Evanescent White-dot Syndrome (MEWDS) in left eye with recurrence in the fellow eye four year later, therefore bilateral and asynchronous. We review the clinical findings and the results of ancillary diagnostic techniques in both eyes. CLINICAL CASE/CONCLUSIONS: MEWDS is an uncommon inflammatory disorder with a benign course. The recurrences and the bilaterality are not usual. The affectation pattern in the fellow eye is similar to initial lesions seen four years earlier.

Síndrome múltiples puntos blancos evanescentes: bilateralización cuatro años después / Multiple evanescent white-dot syndrome: bilateralization four years later

Objetivo/Métodos: Presentar un caso clínico de una paciente mujer de 26 años con síndrome de múltiples puntos blancos evanescentes (SMPBE) en el ojo izquierdo que recurrió en el ojo adelfo a los cuatro años, por tanto bilateral y asincrónico. Hacemos una revisión de los hallazgos clínicos y de los resultados de las exploraciones diagnósticas complementarias en ambos ojos. Resultados/Conclusiones: El SMPBE es una patología inflamatoria infrecuente de curso benigno. Las recurrencias y la bilateralidad no son frecuentes. El patrón de afectación en el ojo congénere es similar a las lesiones iniciales constatadas en el primer ojo hace cuatro años (AU)