ABSTRACT
ABSTRACT Sarcoidosis is a generalized systemic chronic inflammation that rarely involves the orbit. As a chronic inflammation, sarcoidosis typically manifests with an insidious onset and slowly progressive course. We report a case of acute-onset proptosis resulting from a rapidly growing diffuse orbital mass that simulated malignant growth, which was biopsy proven to be the first manifestation of systemic sarcoidosis. The patient demonstrated complete resolution of proptosis and systemic involvement with long-term corticosteroid treatment.
RESUMO A sarcoidose é uma inflamação sistêmica generalizada que raramente envolve a órbita. Sendo uma inflamação crônica, a sarcoidose geralmente se manifesta com um início insidioso e uma evolução lentamente progressiva. Neste artigo, é relatado um caso de proptose de início agudo, resultante de uma massa orbitária difusa de rápido crescimento, simulando um crescimento maligno, mas cuja biópsia comprovou ser a primeira manifestação de uma sarcoidose sistêmica. O paciente apresentou resolução completa da proptose e do envolvimento sistêmico com tratamento de longo prazo com corticosteroides.
ABSTRACT
Objetivo: Describir nuestra experiencia con la técnica de cirugía dinámica para la corrección de estrabismo horizontal en el Complejo Hospitalario Metropolitano Dr. AAM con los pacientes operados de enero de 2002 a mayo de 2004. Metodología: Estudio descriptivo, retrospectivo, longitudinal del paciente con estrabismo horizontal sometidos a cirugía dinámica con evaluaciones post operatorias al primer mes, a los seis meses y al año. Se tomaron como variables tipo y grado de desviación pre y post operatoria, monocularidad-alternancia y la presencia de complicaciones postquirúrgicas. Resultados: Los resultados postquirúrgicos fueron satisfactorios tanto en el 1er mes, a los seis meses como al año (98 por ciento, 96 por ciento y 85 por ciento, respectivamente). Tanto los pacientes operados con diagnóstico de estrabismos monoculares como los alternantes mostraron resultados satisfactorios post operatorios al mes, a los 6 meses y al año. El porcentaje de complicaciones en nuestra serie fue de 11,7 por ciento (9 casos), con un predominio del estrabismo residual (6,5 por ciento). Conclusiones: En general, los resultados de la cirugía dinámica fueron satisfactorios en este estudio, tanto en el 1er mes (98 por ciento), a los 6 meses (96 por ciento) como al año (85 por ciento) post operatorios. No se encontraron diferencias significativas entre las evaluaciones al 1er mes, a los 6 meses y al año, lo que podría sugerir una tendencia a la estabilidad del resultado quirúrgico. No se encontraron diferencias significativas en los resultados post quirúrgicos de los pacientes tanto con estrabismos monoculares como con estrabismos alternantes.
Objective: To describe our experience on the technique of the dynamic surgery for the correction of horizontal strabismus in the Metropolitan Hospitalary Complex Dr. A.A.M. with patients operated between January of 2002 and may of 2004. Methodology: This is a descriptive, retrospective, longitudinal study of patients with horizontal strabismus who underwent dynamic surgery with post-operative evaluations at the first, sixth and twelfth month. Variables studied were: type and degree and pre and post-operative complications. Results: The post-operative results were satisfactory at the first, sixth and twelfth month, and they were 98 percent, 96 percent and 85 percent respectively. Operated patients with diagnosis of monocular strabismus as well patients who alternated, showed satisfactory results post-operatively at the first, sixth and twelfth month. The percentage of complications in our series was 11.7 percent (9 cases), with a predominance of residual strabismus. (6,5 percent) Conclusions: In general, the results of the dynamic surgery were satisfactory in this study, at the first month (98 percent), at the sixth month (96 percent) and at the twelfth month (86 percent) post-operatively. We did not find significant differences at the first, sixth or twelfth month, and this could suggest a tendency towards of stability the surgical result. We did not find significant differences in the post-operative results of patients with monocular strabismus or alternate strabismus.