RESUMO
Los cuerpos extraños intraorbitarios (CEIO) son objetos que se sitúan en la órbita, normalmente metálicos, que pueden llegar a provocar serios daños estructurales y funcionales en el ojo y en el contenido orbitario. Presentamos el caso de un paciente con un CEIO metálico de localización anterior que se extrajo con la ayuda de un electroimán ocular externo tipo Livingston-Mansfield. A pesar de tratarse de un instrumento que podría considerarse «del pasado», sigue teniendo cabida en nuestro medio en determinadas circunstancias
Intraorbital Foreign Bodies (IOFB) are objects, usually of metallic nature, located outside the orbit cavity, and can potentially cause serious damage to ocular and orbital structures. The case is presented of a patient with an anterior metallic IOFB that was extracted with the aid of a Livingston-Mansfield ocular external electromagnet. Despite being an instrument «of the past», we believe that the electromagnet can still be useful in certain circumstances
Assuntos
Adulto , Corpos Estranhos/terapia , Órbita/diagnóstico por imagem , Imãs , Corpos Estranhos/diagnóstico por imagem , Tomografia Computadorizada por Raios XAssuntos
Degeneração Macular/induzido quimicamente , Melanoma/tratamento farmacológico , Inibidores de Proteínas Quinases/efeitos adversos , Proteínas Proto-Oncogênicas B-raf/metabolismo , Neoplasias Cutâneas/tratamento farmacológico , Humanos , Melanoma/patologia , Metástase Neoplásica , Inibidores de Proteínas Quinases/uso terapêutico , Neoplasias Cutâneas/patologiaRESUMO
Intraorbital Foreign Bodies (IOFB) are objects, usually of metallic nature, located outside the orbit cavity, and can potentially cause serious damage to ocular and orbital structures. The case is presented of a patient with an anterior metallic IOFB that was extracted with the aid of a Livingston-Mansfield ocular external electromagnet. Despite being an instrument «of the past¼, we believe that the electromagnet can still be useful in certain circumstances.
Assuntos
Corpos Estranhos/terapia , Imãs , Órbita , Adulto , Corpos Estranhos/diagnóstico por imagem , Humanos , Masculino , Órbita/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
La presencia de cuerpos extraños intraoculares tras la cirugía de catarata es relativamente frecuente y son muchos los casos publicados en la literatura sobre este tema. Nos podemos encontrar con varios tipos de cuerpos extraños, de diversos materiales y algunos de ellos con capacidad de producir graves efectos secundarios. Se recomienda su extracción cuando es posible, siempre individualizando cada caso, así como extremar las medidas preventivas en todas las cirugías. En este trabajo hacemos una revisión del tema que consideramos de importancia por las posibles complicaciones oculares que pueden generarse
Intraocular foreign bodies after cataract surgery are relatively frequent, and there are many cases published in the literature on this topic. Different kinds of foreign bodies of various materials can be found, and some of them with the ability to produce side effects. Their extraction is recommended whenever possible, always individualising each case. It also recommended to carry out preventive measures in all surgeries for their prevention. In this work a review is presented on the topic, considered important due to the possible ocular complications that can occur
Assuntos
Humanos , Corpos Estranhos no Olho/complicações , Extração de Catarata/métodos , Inflamação , Tomografia de Coerência Óptica , Extração de Catarata/efeitos adversos , Resíduos Metálicos , Avaliação de Resultado de Ações PreventivasRESUMO
Intraocular foreign bodies after cataract surgery are relatively frequent, and there are many cases published in the literature on this topic. Different kinds of foreign bodies of various materials can be found, and some of them with the ability to produce side effects. Their extraction is recommended whenever possible, always individualising each case. It also recommended to carry out preventive measures in all surgeries for their prevention. In this work a review is presented on the topic, considered important due to the possible ocular complications that can occur.
Assuntos
Extração de Catarata , Corpos Estranhos no Olho/etiologia , Complicações Pós-Operatórias/etiologia , Fibra de Algodão , Falha de Equipamento , Corpos Estranhos no Olho/epidemiologia , Pestanas , Humanos , Incidência , Lentes Intraoculares , Metais , Plásticos , Complicações Pós-Operatórias/epidemiologia , Estudos ProspectivosRESUMO
Caso clínico: Presentamos el caso de un niño de 10 años con una distrofia macular viteliforme bilateral, en progresión, y el padre con estadios finales en ambos ojos; se estudia la evolución con la tomografía óptica de coherencia. Discusión: La tomografía óptica de coherencia es una herramienta útil y no invasiva, que permite complementar el diagnóstico y el seguimiento de los pacientes, aportando datos morfológicos de la lesión así como cambios secundarios en la retina adyacente. Demuestra la localización del material amarillento depositado bajo la retina sensorial
Case report: We report the case of a 10-year-old boy with a progressive bilateral vitelliform macular dystrophy, and his father with terminal stage disease in both eyes; we studied the development and progression of this condition with optical coherence tomography. Discussion: Optical coherence tomography is a useful noninvasive tool that complements other diagnostic modalities and improves the follow up assessment. It provides additional information on the morphology of the lesion as well as identifying secondary changes in the adjacent retina. It also demonstrates the location of any yellowish material under the sensory retina (Arch Soc Esp Oftalmol 2008; 83: 501-504)
Assuntos
Humanos , Masculino , Criança , Tomografia de Coerência Óptica/métodos , Distrofias Musculares/complicações , Epitélio Pigmentado Ocular/patologia , Tomografia de Coerência Óptica/tendências , Tomografia de Coerência Óptica , Fibrose/patologiaRESUMO
CASE REPORT: We report the case of a 10-year-old boy with a progressive bilateral vitelliform macular dystrophy, and his father with terminal stage disease in both eyes; we studied the development and progression of this condition with optical coherence tomography. DISCUSSION: Optical coherence tomography is a useful noninvasive tool that complements other diagnostic modalities and improves the follow up assessment. It provides additional information on the morphology of the lesion as well as identifying secondary changes in the adjacent retina. It also demonstrates the location of any yellowish material under the sensory retina.
