RESUMO
TITLE: Parálisis central del nervio troclear tratada con debilitamiento del músculo oblicuo inferior.
Assuntos
Músculos Oculomotores , Doenças do Nervo Troclear , Humanos , Músculos Oculomotores/inervação , Movimentos Oculares , Estudos Retrospectivos , Nervo TroclearRESUMO
Caso clínico: Mujer de 71 años, diagnosticada de glaucoma primario de ángulo abierto normotensional; presentó de forma asintomática, en el ojo con daño glaucomatoso más avanzado, una retinosquisis peripapilar temporal con desprendimiento de retina seroso subyacente, mayor en la porción inferior del disco donde existía un defecto focal. Discusión: Aunque las fosetas congénitas son las que más se asocian con la retinosquisis peripapilar, esta también puede surgir a partir de defectos adquiridos en las proximidades de las papilas glaucomatosas. Dependiendo de su extensión esta complicación puede ser asintomática, por lo que su prevalencia podría ser mayor de la publicada (AU)
Clinical case: A 71-year-old woman with normotensive primary open-angle glaucoma presented with an asymptomatic temporal peripapillary retinoschisis, associated with serous retinal detachment in the eye with the more advanced glaucoma. It was located at the inferior pole of the optic disc, in the proximity of a glaucomatous focal disc defect. Discussion: Although congenital optic pits are strongly related with juxta-papillary retinoschisis, retinoschisis can also arise from acquired defects in the proximity of glaucomatous optic discs. As symptoms depend on the extent of the retinoschisis, the prevalence of this complication could be greater than that reported in glaucomatous eyes (AU)
Assuntos
Humanos , Feminino , Idoso , Retinosquise/complicações , Glaucoma/complicações , Descolamento Retiniano/complicações , Disco Óptico/anormalidades , Tomografia de Coerência Óptica , Fatores de RiscoRESUMO
CLINICAL CASE: A 71-year-old woman with normotensive primary open-angle glaucoma presented with an asymptomatic temporal peripapillary retinoschisis, associated with serous retinal detachment in the eye with the more advanced glaucoma. It was located at the inferior pole of the optic disc, in the proximity of a glaucomatous focal disc defect. DISCUSSION: Although congenital optic pits are strongly related with juxta-papillary retinoschisis, retinoschisis can also arise from acquired defects in the proximity of glaucomatous optic discs. As symptoms depend on the extent of the retinoschisis, the prevalence of this complication could be greater than that reported in glaucomatous eyes.
