RESUMO
PURPOSE: To present the major importance of optical coherence tomography in early diagnosis and follow-up of diabetic macular edema. METHOD: The patients diagnosed with diabetic retinopathy in our clinic between april 2008 - march 2011 were evaluated by OCT and other complementary exams. RESULTS: OCT in diabetic maculopathy is useful in the evaluation of the following: presence and area of retinal thickening; quantification of retinal thickening; proximity of retinal thickening to the centre of the macula; presence or absence of cyst formation (cystoid macular edema). CONCLUSIONS: OCT contributes in understanding the anatomy of diabetic macular edema and the intraretinal damage and it is the technique of choice for the follow-up of diabetic macular edema and for monitoring the effect of therapies.
Assuntos
Retinopatia Diabética/diagnóstico , Edema Macular/diagnóstico , Tomografia de Coerência Óptica , Algoritmos , Retinopatia Diabética/fisiopatologia , Seguimentos , Humanos , Edema Macular/fisiopatologia , Valor Preditivo dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade , Tomografia de Coerência Óptica/métodos , Acuidade VisualRESUMO
We present the case report of two brothers, PF-21 years old and PN-19 years old, to whom the fundus examination, perimetry and dark adaptation established the diagnosis of Retinitis Pigmentosa. The otorhinolaryngology exam and the audiogram revealed, in both cases, bilateral sensorineural deafness. The simultaneous presence of these two conditions completes the clinical findings of Usher syndrome. The common ectodermic origin of the retina and the inner ear could explain this pathological association.
Assuntos
Perda Auditiva Bilateral/diagnóstico , Retina/patologia , Síndromes de Usher/diagnóstico , Adulto , Adaptação à Escuridão/genética , Feminino , Fundo de Olho , Perda Auditiva Bilateral/genética , Humanos , Masculino , Retinose Pigmentar/diagnóstico , Irmãos , Síndromes de Usher/genética , Acuidade Visual , Testes de Campo VisualRESUMO
We present the case report of a 10 years old patient to whom, based on the clinical examination, lab and imaging studies we established the diagnosis. Sturge- Weber syndrome, oculo-dermal melanocytosis-right side. This case is interesting because of the unusual and rare association of these two diseases.
Assuntos
Olho/patologia , Nevo de Ota/complicações , Neoplasias Cutâneas/complicações , Síndrome de Sturge-Weber/complicações , Criança , Diagnóstico Diferencial , Face/patologia , Humanos , Masculino , Nevo de Ota/diagnóstico , Neoplasias Cutâneas/diagnóstico , Síndrome de Sturge-Weber/diagnósticoRESUMO
We present the case of a female patient, 16-years old, whose the fundus examination revealed the presence, in the macular region, of drusen type lesions; the clinical aspect completed with AFG, perimetry, dark adaptation, ERG resulted in the diagnosis of Doyne's honeycomb retinal dystrophy. The disorder, included in the Familial drusen, is due to an inborn error of metabolism localized the RPE. It seems that the defect is in an intercellular matrix protein which leads to the development of abnormal basement membranes.
Assuntos
Degeneração Macular/diagnóstico , Adolescente , Adaptação à Escuridão , Proteínas do Olho/metabolismo , Feminino , Angiofluoresceinografia , Humanos , Degeneração Macular/complicações , Degeneração Macular/genética , Oftalmoscopia , Linhagem , Receptores Acoplados a Proteínas G/metabolismo , Degeneração Retiniana/diagnóstico , Transtornos da Visão/etiologia , Testes de Campo VisualRESUMO
This paper presents a case of Sympathetic ophthalmia following a penetrating ocular injury produced 30 days ago, of a patient who postponed the presentation to the ophthalmologist.
