Assuntos
Extração de Catarata , Catarata , Endoftalmite , Endoftalmite/cirurgia , Humanos , PseudomonasAssuntos
Humanos , Catarata , Extração de Catarata , Endoftalmite , Pseudomonas , Endoftalmite/cirurgiaAssuntos
Humanos , Catarata , Extração de Catarata , Endoftalmite , Pseudomonas , Pseudomonas aeruginosaRESUMO
INTRODUCTION: Patients with diabetic macular edema can develop fundus autofluorescence alterations; thus far, these alterations have been more widely studied with scanning or confocal laser systems. OBJECTIVE: To describe and classify fundus autofluorescence abnormal patterns in patients with diabetic macular edema using the fundus autofluorescence system with a flash camera. METHOD: Observational, retrospective, cross-sectional, descriptive study. Fundus autofluorescence digital images of non-comparative cases with untreated diabetic macular edema, obtained and stored with a flash camera system, were assessed. Inter-observer variability was evaluated. RESULTS: 37 eyes of 20 patients were included. Lens opacity was the most common cause of inadequate image quality. Five different fundus autofluorescence patterns were observed: decreased (13%), normal (40%), single-spot hyper-autofluorescent (17 %), multiple-spot hyper-autofluorescent (22 %) and plaque-like hyper-autofluorescent (8 %). The kappa coefficient was 0.906 (p = 0.000). CONCLUSIONS: Different fundus autofluorescence phenotypic patterns are observed with flash camera systems in patients with diabetic macular edema. A more accurate phenotypic classification could help establish prognostic factors for visual loss or for the design of clinical trials for diabetic macular edema.
Assuntos
Retinopatia Diabética/diagnóstico por imagem , Edema Macular/diagnóstico por imagem , Imagem Óptica , Estudos Transversais , Diabetes Mellitus Tipo 2/complicações , Retinopatia Diabética/classificação , Retinopatia Diabética/complicações , Feminino , Humanos , Edema Macular/classificação , Edema Macular/etiologia , Masculino , México , Pessoa de Meia-Idade , Variações Dependentes do Observador , Imagem Óptica/instrumentação , Imagem Óptica/métodos , Fenótipo , Estudos RetrospectivosRESUMO
ABSTRACT Bilateral simultaneous cataract surgery (BSCS) has gained popularity among eye surgeons in many countries. This study examines the case of a 77-year-old patient who developed bilateral Pseudomonas aeruginosa endophthalmitis following bilateral simultaneous cataract surgery. Immediate bilateral vitrectomy and intravitreal antibiotics injection were performed. Ultimately, both eyes were eviscerated due to pain refractory to treatment and no light perception.
RESUMO A cirurgia bilateral simultânea de catarata ganhou popularidade entre cirurgiões oftalmológicos em muitos países. Este estudo examina o caso de um paciente de 77 anos que desenvolveu endoftalmite bilateral por Pseudomonas aeruginosa após uma cirurgia bilateral simultânea de catarata. Vitrectomia bilateral imediata e injeção de antibióticos intravítreos foram realizadas. Em última análise, ambos os olhos foram eviscerados devido à dor refratária ao tratamento e sem percepção de luz.
Assuntos
Humanos , Masculino , Idoso , Pseudomonas aeruginosa/isolamento & purificação , Infecções por Pseudomonas/etiologia , Extração de Catarata/efeitos adversos , Endoftalmite/etiologia , Dor Pós-Operatória/etiologia , Infecções por Pseudomonas/cirurgia , Infecções por Pseudomonas/diagnóstico , Vitrectomia , Extração de Catarata/métodos , Endoftalmite/cirurgia , Endoftalmite/diagnóstico , Evisceração do OlhoRESUMO
Bilateral simultaneous cataract surgery (BSCS) has gained popularity among eye surgeons in many countries. This study examines the case of a 77-year-old patient who developed bilateral Pseudomonas aeruginosa endophthalmitis following bilateral simultaneous cataract surgery. Immediate bilateral vitrectomy and intravitreal antibiotics injection were performed. Ultimately, both eyes were eviscerated due to pain refractory to treatment and no light perception.
