ABSTRACT
Pituitary apoplecy, characterized by acute infarction and hemorrhage within pituitary tumor, caused rapid ecpansion of the tumor and compressed on adjacent structures. Compression of the optic nerve and optic chiasm caused acute visual loss and visual field defects. These patients almost always had optic disc atrophy due to such compression. A 24-year-old patient of pituitary apoplexy without optic disc atrophy was reported. Diagnostic approaches, clinical course, and surgical outcome were discussed in details.
ABSTRACT
From January 1983 to June 1986, a total of 70 patients with rhegmatogenous retinal detachment had been surgically treated. There were 47 male and 23 female patients. Age ranged from 7 to 80 years and 64.23% were younger than 40 years. Both eyes were equally affected, and bilaterality was found to be 7.14%. At first seen, most of them (74.28%) had pre-operative vision in the affected eyes worse than 6/60. The degree of detachment was more than one quadrant (90%). The most common type of retinal breaks was round hole (47.06%). Horseshoe tear was the next common (36.77%). Most of the retinal breaks located in the superotemporal quadrant (38.59%). Most of the patients were surgically treated by scleral buckling procedure with encircling band and subretinal fluid drainage. The anatomical reattachment and functional success rate were 82.86% and 53.54% respectively.
ABSTRACT
Abtract Central serous chorioretinoopathy is not uncommon condition. It has good prognosis. This condition normally resolve spontaneously in most patients but in some cases further treatments are needed. The laser photocoagulation has been widely accepted as the treatment method for such condition. Although, other lasers have been suggested for central serous chorioretinopathy, argon green laser has been the most widely studied and accepted modality. Laser photocoagulation is a safe and efficient treatment. Since the availablity of laser machines in Thaland is rather limited, physicians should refer patients, who have indications for laser photocoagulation, to institutes or hospitals that have the laser machine and retinal specialist.Keywords : Central serous chorioretinopathy, laser photocoagulation