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1.
Ocul Immunol Inflamm ; 28(8): 1290-1292, 2020 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-32976055

RESUMO

PURPOSE: To report a case of impending central retinal vein occlusion (iCRVO) in a COVID-19 patient. CASE REPORT: A 54 years old woman with COVID-19 related pneumonia presented to our emergency department complaining of scotomas and decreased vision in her right eye. Funduscopic examination and multimodal imaging revealed rare retinal hemorrhages, retinal whitening, and fern-like hypo-autofluorescent appearance typical of iCRVO. She had no risk factors other than a transient hyper-coagulability status likely related to the ongoing infection. Systemic treatment with steroids normalized her inflammatory and coagulation status and the occlusion completely resolved. CONCLUSIONS: Retinal circulation should be considered as a potential site for thromboembolic complications from COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Angiofluoresceinografia/métodos , Pneumonia Viral/complicações , Retina/patologia , Oclusão da Veia Retiniana/etiologia , Tomografia de Coerência Óptica/métodos , Infecções por Coronavirus/epidemiologia , Feminino , Fundo de Olho , Humanos , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Oclusão da Veia Retiniana/diagnóstico
2.
J Glaucoma ; 16(1): 42-6, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17224748

RESUMO

PURPOSE: To explore the prevalence of normal tension glaucoma (NTG) among patients with obstructive sleep apnea syndrome (OSAS) and to examine OSAS as a risk factor of NTG. PATIENTS AND METHODS: Fifty-one consecutive white patients with OSAS were compared with 40 healthy subjects. All the study subjects underwent blood gas analysis, polysomnography, oxyhemoglobin saturation, and an ophthalmologic examination including visual field, visually evoked potential (VEP), and pattern electroretinography (PERG) and disc analysis with the Heidelberg Retina Tomograph II. RESULTS: Three of 51 OSAS patients (5.9%) had NTG. No patient in the control group had OSAS or NTG. The severity of OSAS correlated with intraocular pressure, the mean deviation of the visual field, the cup/disk ratio and the mean of the retinal nerve fiber layer thickness (P<0.01 to 0.001). Apnea hypopnea index and intraocular pressure were significantly greater in OSAS patients with abnormal VEP and PERG, compared to those with normal PERG and VEP. CONCLUSIONS: The present study suggests that the prevalence of NTG in our OSAS patients is higher than expected in a white population of the same age and that OSAS may be an important risk factor for NTG. Our data underline the importance of taking an accurate sleep history from patients with NTG and referring patients with sleep disturbance for polysomnography.


Assuntos
Glaucoma de Ângulo Aberto/epidemiologia , Glaucoma de Ângulo Aberto/etiologia , Apneia Obstrutiva do Sono/complicações , Gasometria , Eletrorretinografia , Potenciais Evocados Visuais , Feminino , Glaucoma de Ângulo Aberto/diagnóstico , Humanos , Pressão Intraocular , Masculino , Pessoa de Meia-Idade , Oxiemoglobinas/análise , Polissonografia , Prevalência , Fatores de Risco , Apneia Obstrutiva do Sono/diagnóstico , Campos Visuais
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