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Introducción: El síndrome de uveítis-glaucoma-hifema (UGH) es una complicación infrecuente de las cirugías de catarata, debido a un roce mecánico ejercido por una lente intraocular (LIO) sobre el iris. Caso clínico: Un varón de 64 años, con antecedente de cirugía de catarata, presenta disminución de la agudeza visual y dolor en el ojo derecho. En el examen oftalmológico, se evidenciaron signos de uveítis anterior, presión intraocular (PIO) elevada, microhifema y una LIO de una pieza plegable en sulcus que provocaba un roce mecánico con la cara posterior del iris. El tratamiento médico fue insuficiente, por lo que se realizó una cirugía de explante de LIO de una pieza plegable y se reemplazó por una LIO de tres piezas plegables. La evolución posoperatoria fue favorable. Conclusión: Se debe sospechar de esta complicación, en pacientes con antecedente de cirugía de catarata, especialmente en casos en los cuales la LIO es de una pieza y ha sido implantada fuera del saco capsular.
Introduction: Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris. Clinical case: A 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient; for this reason, a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable. Conclusion: Should be suspected this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-piece and has been implanted outside the capsular bag.
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Los traumas oculares son frecuentes en las urgencias de oftalmología. El tratamiento constituye un reto para el oftalmólogo, pues se enfrenta a un daño integral y complejo. Se presenta un paciente de 16 años, el cual fue hospitalizado en el Instituto Cubano de Oftalmología Ramón Pando Ferrer hace cuatro años por haber recibido un trauma contuso en ojo derecho el cual provocó hifema total. Durante su estadía hospitalaria se realiza lavado de cámara anterior ya que no se logró la reabsorción espontánea del mismo. Al visualizarse todas las estructuras oculares se diagnostican complicaciones como subluxación del cristalino, catarata, panuveítis, hemovítreo, desgarro retiniano y glaucoma traumáticos. Se bloquea el desgarro con láser y una vez compensado el cuadro inflamatorio, es egresado bajo tratamiento y seguimiento por oftalmología pediátrica. No se logra controlar el glaucoma y se implanta dispositivo de drenaje Molteno lo que estabiliza la tensión ocular. Se realiza posteriormente cirugía de catarata, manteniéndose compensado del glaucoma sin tratamiento y con calidad visual(AU)
Ocular traumas are frequent in ophthalmology emergencies. Treatment is a challenge for the ophthalmologist, as he faces a comprehensive and complex damage. A 16-year-old patient is presented, who was hospitalized at the Cuban Institute of Ophthalmology Ramón Pando Ferrer 4 years ago for having received a blunt trauma to the right eye which caused total hyphema. During his hospital stay, anterior chamber lavage was performed since spontaneous reabsorption was not achieved. When all ocular structures are visualized, complications such as lens subluxation, cataract, panuveitis, hemovitreous, traumatic retinal tear and glaucoma are diagnosed. The tear was blocked with a laser and once the inflammatory condition was compensated, he was discharged under treatment and monitoring by pediatric ophthalmology. The glaucoma could not be controlled and a Molteno drainage device was implanted, which stabilizes the ocular tension. Cataract surgery was subsequently performed, keeping the glaucoma compensated without treatment and with visual quality(AU)
Subject(s)
Humans , Male , Adolescent , Cataract Extraction/methods , Panuveitis/complications , Glaucoma/therapy , Lens Subluxation/complicationsABSTRACT
@#Pediatric ocular trauma; though the number is small, can lead to a devastating lifetime impact due to its risk of amblyopia (if it occurs before the age of seven) and also loss of vision. We are reporting a case of a young 12-year-old-boy who was struck unintentionally by an arrow to the eye by another friend during sports activity. The arrow pierced the right eyebrow just below the orbital roof then perforated the globe from the superior orbit pointing downwards piercing the floor of the orbit fracturing the maxillary roof. Emergency scleral repair was done; however, there was no useful vision left. Arrow injury to the eye is a rare occurrence but leads to severe consequences given its high velocity and projectile in nature. The incidence is low and highly avoidable if precautionary measures are taken.
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A 71-year-old woman presented with spontaneous microhyphema in her left eye, causing blurry vision. Bleeding stopped spontaneously shortly after several cycles of digital compression on the upper eyelid, (which were documented in video), and therefore, did not require laser photocoagulation, a possible approach previously explained to the patient. A microhemangioma at the edge of the iris was identified to be the cause of the condition. The hemorrhage did not recur during the follow-up period (9 months).
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Background: Ocular trauma is the reason of blindnessamongst more than half a million subjects around the worldand for partial sight loss amongst many more and it isfrequently the leading reason for unilateral loss of vision,especially amongst the people of developing nations. Thepresent study was aimed to assess the ocular findings inpatients with head injury.Materials and Methods: The mode of injury along with theclinical characteristics of the patient were recorded in astandard proforma. Glasgow comma scale was used toevaluate the state of consciousness of the patients. Intraocularpressure estimation was performed using Goldmannapplanation tonometer wherever required. CT scan of brain,skull and spine or MRI and B-Scan was done wheneverrequired. The required medical and surgical treatment wasgiven to the subjects as needed. All the data thus obtained wasarranged in a tabulated form and analyzed using SPSSsoftware.Results: There were 75 males and 25 females. There was1 subject less than 10 years of age. Majority subjects i.e. 30were between 21-30 years of age. There were 40 cases ofperiorbital ecchymosis, 7 cases of lid laceration, 20 cases ofsubconjunctival hemorrhage, 4 cases of proptosis, 7 casesptosis, 8 cases of corneoscleral rupture, 5 cases of hyphema.Conclusion: In our study, Periorbital ecchymosis was the mostcommonly observed finding in case of ocular trauma.
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PURPOSE: To evaluate the incidence and risk factors for ocular hypertension (OHT) in traumatic hyphema within 7 days after trauma. METHODS: A retrospective case series study of 265 traumatic hyphema inpatients from 2010–2016. OHT was defined as intraocular pressure (IOP) that exceeded 21 mmHg using two consecutive measurements by a Goldmann applanation tonometer within 7 days after trauma. The subjects were divided into two groups (OHT group and non-OHT group). Age, sex, best-corrected visual acuity (BCVA), IOP, hyphema grade, presence of systemic disease, and past history of glaucoma were compared between the two groups. RESULTS: Of the 265 patients, 95 (35.8%) developed OHT after traumatic hyphema. Of those 95 patients, 70 (73.7%) developed OHT within 1 day after trauma; 18 (18.9%) developed OHT 2–3 days after trauma; and 7 (7.4%) developed OHT 4–7 days after trauma. Compared to the non-OHT group, the OHT group had a lower visual acuity (p = 0.018) and higher IOP (p < 0.001). In addition. if the hyphema grade was higher the incidence of OHT was significantly higher (p = 0.017). Using multivariate logistic regression analysis, the BCVA (p = 0.045) and hyphema grade (p = 0.006) were associated with the incidence of OHT in traumatic hyphema within 7 days after trauma. CONCLUSIONS: The incidence of OHT in traumatic hyphema within 7 days after trauma was 35.8%. The BCVA and hyphema grade were associated with the incidence of OHT within 7 days after trauma.
Subject(s)
Humans , Glaucoma , Hyphema , Incidence , Inpatients , Intraocular Pressure , Logistic Models , Ocular Hypertension , Retrospective Studies , Risk Factors , Visual AcuityABSTRACT
·AIM: To evaluate the effects of long-term low-dose aspirin on intraoperative and preoperative hyphema of laser peripheral iridectomy(LPI). ·METHODS: The included 63 cases (63 eyes) with primary angle closure glaucoma went to our hospital from January 2014 to June 2017 were divided into two groups:Group A was control group and Group B was study group,according to whether taken aspirin. The hyphema was compared between the two groups. ·RESULTS: There was no significant difference between the two groups in intraoperative and postoperative hyphema (P>0.05). No serious hyphema occurred. ·CONCLUSION: LPI can be performed safely without stopping aspirin.
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?AIM:To explore the efficacy and safety of operation in treating secondary glaucoma caused by contusion hyphema.?METHODS: Seventy patients (70 eyes) with secondary glaucoma caused by contusion of anterior chamber in our hospital from November 2014 to November 2015 were selected.All patients were treated by operation.Visual acuity, anterior chamber depth, mean intraocular pressure and postoperative complications of patients before and after operation were compared.?RESULTS:Patients with secondary glaucoma caused by contusion of anterior chamber had better visual acuity after operation and the difference was statistically significant (t=42.471, P<0.001).And they had deeper anterior chamber depth and lower mean intraocular pressure, and the differences were statistically significant (t=9.726, 26.041; P<0.001).Two of those patients had emergence of hyphema after operation and symptomatic relieved after treatment. None of the patients had complications such as blood-staining of cornea or eye pain.? CONCLUSION: The curative effect of operation in treating secondary glaucoma caused by contusion of anterior chamber is good and safe and it can improve visual acuity, deepen the anterior chamber angle depth and reduce the intraocular pressure.
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PURPOSE: To report the clinical characteristics of retinoblastoma patients whose diagnosis was difficult due to atypical ocular manifestations. METHODS: Among retinoblastoma patients who were diagnosed and treated from January 1999 to December 2014 at Seoul National University Children's Hospital, 6 patients whose diagnosis was difficult were retrospectively reviewed. Factors including age, sex, family history, initial findings, time to final diagnosis, histopathologic examination, additional treatment, and survival rate were evaluated. RESULTS: Among 6 patients, 5 were male, and the mean age at the initial visit was 32.9 ± 19.1 months. None of the patients had family history, and all presented with unilateral lesion at the initial visit. The initial diagnoses were Coats' disease and uveitis in 2 patients, respectively, and persistent hyperplastic primary vitreous and traumatic hyphema in 1 patient, respectively. During an intensive short-term follow-up of 8.3 ± 5.3 weeks, 2 patients showed malignant cells after external subretinal fluid drainage procedure, and 4 patients demonstrated increasing ocular size or calcification in imaging. These patients received enucleation under suspicion of malignancy and were finally diagnosed with retinoblastoma after histopathologic examination. There were 2 patients with optic nerve involvement, and 3 patients underwent additional systemic chemotherapy. Five patients were followed-up for 7.6 ± 6.3 years after enucleation, and the mean age at final follow-up was 10.6 ± 7.4 years. CONCLUSIONS: Retinoblastoma is one of the diseases in which early diagnosis and treatment are important. However, some cases are difficult to diagnose, even for experienced clinicians. If there are no typical manifestations such as mass or calcification and early findings show retinal detachment, glaucoma, pseudohypopyon, or hyphema, intensive short-term follow-up to exclude retinoblastoma is needed.
Subject(s)
Humans , Male , Diagnosis , Drainage , Drug Therapy , Early Diagnosis , Follow-Up Studies , Glaucoma , Hyphema , Optic Nerve , Persistent Hyperplastic Primary Vitreous , Retinal Detachment , Retinoblastoma , Retrospective Studies , Seoul , Subretinal Fluid , Survival Rate , UveitisABSTRACT
PURPOSE: To report a case of hyphema after selective laser trabeculoplasty (SLT) in a patient with pseudoexfoliative glaucoma. CASE SUMMARY: A 77-year-old female was referred for elevation of intraocular pressure (IOP). Previously, she had been diagnosed with pseudoexfoliative glaucoma in the right eye and was using topical IOP-lowering agents. The best corrected visual acuity was 20/100 in the right eye and 20/40 in the left eye. IOP, measured with Goldmann applanation tonometer, was 32 mm Hg in the right eye and 20 mm Hg in the left eye. Gonioscopy revealed open-angle glaucoma with +2 trabecular meshwork pigmentation but without peripheral anterior synechiae or neovascularization. SLT was performed in the right eye. Two days later, the patient had sudden onset of blurred vision and pain in the right eye. Visual acuity was limited to light perception, and IOP was 34 mm Hg in the right eye. Slit-lamp examination revealed 1.1 mm hyphema with 4+ red blood cell count in the anterior chamber. Three weeks after the SLT, hyphema in the right eye disappeared, but IOP was measured to be 42 mm Hg. The patient underwent trabeculectomy in the right eye. CONCLUSIONS: SLT is an effective means of lowering IOP with low risk of complications. However, hyphema can rarely occur after SLT and can affect the outcome of the treatment.
Subject(s)
Aged , Female , Humans , Anterior Chamber , Erythrocyte Count , Glaucoma , Glaucoma, Open-Angle , Gonioscopy , Hyphema , Intraocular Pressure , Pigmentation , Shiga Toxin 1 , Trabecular Meshwork , Trabeculectomy , Visual AcuityABSTRACT
Hyphema is the presence of blood in the anterior chamber of the eye. The blood may completely or partially cover the pupil and cause decrease in visual acuity. Other signs and symptoms of hyphema include visible blood in the front of the eye, pain, and sensitivity to light. The most common cause of hyphema is ocular trauma, usually a blunt or lacerating one. Other causes of hyphema include intraocular surgery, eye infections caused by herpes virus, cancer of the eye, artificial lens implants and blood clotting problems such as hemophilia, sickle cell anemia and von Willebrand disease. Hyphema may also occur spontaneously in conditions such as rubeosis iridis, juvenile xanthogranuloma, myotonic dystrophy and iris melanoma. The purpose of this case report is to point to the management of hyphema which occurs after administration of mydriatic drugs.
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Purpose: To quantify fibrin degradation products after topical and subconjunctival administration of recombinant tissue plasminogen activator in rabbits. Methods: Fibrin formation was induced in the anterior chamber in 25 rabbits. Subsequently, five rabbits received an injection of r-TPA (positive control) in the anterior chamber, another 10 received a subconjunctival injection of r-TPA, and the remaining 10 received instillations of topical r-TPA. Afterwards, samples of aqueous humor were collected and semi-quantitative analysis of fibrin degradation products (FDP) was performed. Results: No statistical differences were noted between the treatment and control groups at any time point. Fibrin degradation products semi-quantification showed statistical improvement in the control group and the subconjunctival group. Conclusion: Fibrin degradation products were observed in the anterior chamber after subconjunctival administration of r-TPA. However, it was probably not sufficient to cause fibrin degradation. Topical r-TPA did not effectively absorb anterior chamber fibrin. .
Objetivo: Quantificar produtos de degradação de fibrina (PDF) após uso tópico e subconjunctival de ativador de plasminogênio tecidual recombinante (r-TPA) em coelhos. Métodos: Formação de fibrina foi induzida na câmara anterior em 25 coelhos. Cinco coelhos foram submetidos a injeção intracameral de r-TPA (controle positivo). Dez coelhos foram submetidos a injeção subconjuntival de r-TPA e dez coelhos foram submetidos a instilação tópica de r-TPA. Amostras de humor aquoso foram coletados e uma análise quantitativa dos produtos de degradação de fibrina foi realizada. Resultados: Não foi observado diferença estatisticamente significativa na degradação de fibrina em nenhum dos momentos estudados quando comparados com o controle. Porém foi observado diferença estatisticamente significante na quantificação do produtos de degradação de fibrina no grupo controle e no grupo subconjuntival. Conclusão: Produtos de degradação de fibrina foi observado nas amostras do grupo subconjunctival, porém, provavelmente não foi suficiente para degradar a fibrin presente. r-TPA tópico não foi efetivo em absorver fibrina na câmara anterior. .
Subject(s)
Animals , Male , Rabbits , Anterior Chamber/chemistry , Aqueous Humor/chemistry , Fibrin Fibrinogen Degradation Products/analysis , Tissue Plasminogen Activator/pharmacology , Administration, Topical , Double-Blind Method , Injections, Intraocular/methods , Latex Fixation Tests , Models, Animal , Paracentesis , Prospective Studies , Random Allocation , Recombinant Proteins/pharmacology , Tissue Plasminogen Activator/administration & dosageABSTRACT
PURPOSE: To evaluate the efficacy of preoperative intravitreal bevacizumab injection (IVBI) and prognostic factors of surgical success in neovascular glaucoma patients, who underwent trabeculectomy. METHODS: A total of 58 patients (58 eyes) diagnosed with neovascular glaucoma who underwent trabeculectomy between 2003 and 2013 were enrolled in this retrospective study. Trabeculectomy with mitomycin C was performed between 2003 and 2006 and additional preoperative IVBI with the above mentioned technique was performed between 2007 and 2013. To evaluate the efficacy of preoperative IVBI, the patients were divided into the preoperative IVBI group and control group. Best corrected visual acuity (BCVA) and intraocular pressure (IOP) were measured from preoperative to postoperative 12 months. To evaluate the prognostic factors related to surgical success, the following was investigated: age, lens status, preoperative IVBI, time interval between preoperative IVBI and trabeculectomy, previous vitrectomy and, postoperative complications. RESULTS: Trabeculectomy with mitomycin C only was performed in 26 eyes and additional preoperative IVBI was performed in 32 eyes. Surgical success was 81.3% in the IVBI group and 57.7% in the control group at postoperative 6 months (p = 0.012), and 78.1% in the IVBI group and 50.0% in the control group at postoperative 12 months (p = 0.021). Statistically significant IOP reduction effect was observed in the IVBI group (p = 0.048), and reduced anti-glaucoma eye drop usage was observed in the IVBI group (0.4) compared with 0.8 in the control group (p = 0.040). Postoperative hyphema (hazard ratio [HR] = 2.872, p = 0.044) and preoperative IVBI (HR = 0.280, p = 0.030) were considered risk factors for surgical failure in univariate analysis, however, only preoperative IVBI was statistically significant in multivariate analysis (p = 0.046). CONCLUSIONS: In neovascular glaucoma patients, preoperative IVBI before trabeculectomy is a good prognostic factor of surgical success and shows benefit in lowering the IOP and reducing anti-glaucoma eye drop usage at postoperative 1 year.
Subject(s)
Humans , Glaucoma, Neovascular , Hyphema , Intraocular Pressure , Mitomycin , Multivariate Analysis , Postoperative Complications , Retrospective Studies , Risk Factors , Trabeculectomy , Visual Acuity , Vitrectomy , BevacizumabABSTRACT
Se realizó un estudio descriptivo, retrospectivo y longitudinal de 34 pacientes con hifema ocasionado por trauma, ingresados en el Servicio de Oftalmología Hospital General Docente "Dr. Juan Bruno Zayas Alfonso" de Santiago de Cuba, de enero a diciembre de 2013, con vistas a caracterizarles según algunas variables clinicoepidemiológicas. En la serie se observó un predominio del sexo masculino (64,7 %) y el grupo etario de 40-49 años (32,4 %); en tanto, el hifema de grado I fue el más representativo clínicamente (41,2 %), producido por traumas contusos en la mayoría de los afectados (76,5 %), y las complicaciones más frecuentes fueron la hipertensión ocular (23,5 %) y la uveítis (17,6 %). No obstante, el tratamiento adecuado y oportuno permitió que el mayor porcentaje de los pacientes mejoraran la agudeza visual.
A descriptive, retrospective and longitudinal study of 34 patients with hyphema caused by trauma, admitted in the Ophthalmology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out from January to December, 2013, aimed at characterizing them according to some clinical and epidemiological variables. A prevalence of the male sex was observed in the series (64.7%) and the age group 40-49 (32.4%); while, the degree I hyphema was clinically the most representative (41.2%), caused by contusion traumas in most of the affected ones (76.5%), and the most frequent complications were the ocular hypertension (23.5%) and uveitis (17.6%). However, the appropriate and opportune treatment allowed that the highest percentage of the patients improved the visual acuity.
Subject(s)
Hyphema , Hyphema/epidemiology , Uveitis , Visual Acuity , Eye Injuries, Penetrating , Ocular HypertensionABSTRACT
To evaluate the effect of Hexue mingmu tablets on traumatic hyphema caused by blunt ocular trauma. ●METHODS: Totally 150 patients of traumatic hyphema were divided into seven types by using ultrasound biomicroscopy combining with anterior segment abnormalities, each type was randomly classified as trial group and control group. The trial group was administered Hexue mingmu tablets, control group was treated by hemocoagulase. ●RESULTS: The absorbing time of trial group was shorter than that of the control group. And there was statistical significance between the two groups (P ● CONCLUSlON: Hexue mingmu tablets is an effective medicine to treat traumatic hyphema. Ultrasound biomicroscopy can be used as a routine examination method in traumatic hyphema.
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Objetivo: caracterizar clínica y epidemiológicamente el trauma ocular severo en edad pediátrica. Métodos: se realizó un estudio descriptivo, retrospectivo de serie de casos, en pacientes pediátricos que ingresaron por trauma ocular severo, atendidos en el Servicio de Urgencias y Oftalmología Pediátrica del Instituto Cubano de Oftalmología Ramón Pando Ferrer de enero a diciembre del 2010. La muestra fue de 63 pacientes menores de 19 años de edad, de ambos sexos. Se analizaron diferentes variables demográficas (edad, sexo), y epidemiológicas: evento traumático, agudeza visual grados según puntaje del trauma ocular OTS, tipo de lesión (globo abierto o cerrado) y zona afectada. Resultados: el 81 por ciento fueron varones, y predominó el grupo de edad entre 5 y 9 años (38,1 por ciento ). Hubo un predominio de los traumas cerrados sobre los de globo abierto. Los traumas cerrados se localizaron fundamentalmente en la Zona II, y los abiertos en la Zona I para un 94,3 y 67,8 por ciento respectivamente. Conclusiones: el trauma ocular a globo cerrado particularmente las contusiones localizadas en la Zona II fueron los que más se presentaron. Con relación al pronóstico visual según los valores del OTS hubo gran similitud entre las diferentes categorías y el resultado visual final
Objective: to characterize clinically and epidemiologically the severe ocular trauma at pediatric ages. Methods: a retrospective and descriptive case series study was conducted in pediatric patients, who were admitted to emergency pediatric ophthalmology service of Ramon Pando Ferrer Cuban Institute of Ophthalmology due to severe ocular trauma from January to December 2010. The sample was made up of 63 patients less than 19 years of age of both sexes. The following demographic (age and sex) and epidemiological variables such as trauma event, visual acuity according to the ocular trauma score, type of lesion (open or close eyeball) and affected area were analyzed. Results: in this group, 81 percent were males and the predominant age group was 5 to 9 years (38.1 percent). Close eyeball trauma prevailed over open trauma, the former were mainly located in Zone II, whereas the latter were found in Zone I, accounting for 94.3 percent and 67.8 percent, respectively. Conclusions: ocular trauma of close eyeball-type, mainly contusions placed in Zone II, was the most frequent. As to the visual prognosis according to the ocular trauma scoring, there was great similarity between the different categories and the final visual outcome
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Humans , Male , Adolescent , Female , Child, Preschool , Child , Eye Injuries/epidemiology , Eye Injuries/etiology , Epidemiology, Descriptive , Retrospective StudiesABSTRACT
Se efectuó un estudio observacional, descriptivo y transversal de 65 pacientes con traumas oculares, pertenecientes al área de salud del Policlínico Universitario Julián Grimau de Santiago de Cuba, desde Junio del 2010 hasta igual mes del 2011, con vistas a identificar las principales características clinicoepidemiológicas de los afectados. En la serie predominaron las contusiones (32,3 por ciento), las heridas corneales (32,9 por ciento), las erosiones corneales (27,6 por ciento), así como las hemorragias subconjuntivales y los hifemas (23,7 por ciento, cada uno). Por tales razones se recomendó realizar estudios que reflejen la prevalencia e incidencia de la mencionada afección en esta provincia
An observational descriptive and cross-sectional study was carried out in 65 patients with ocular trauma, belonging to the health area of Julián Grimau University Polyclinic in Santiago de Cuba, from June 2010 to the same month of 2011 with the purpose of identifying the main clinical and epidemiological characteristics of those affected. Contusions (32.3 percent), corneal wounds (32.9 percent) and corneal erosions (27.6 percent) prevailed in the series, as well as subconjunctival hemorrhage and hyphema (23.7 percent each). For these reasons it was recommended to carry out studies reflecting the prevalence and incidence of the condition in this province
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Middle Aged , Conjunctival Diseases , Eye Injuries/epidemiology , Primary Health Care , Cross-Sectional Studies , Epidemiology, Descriptive , Observational Studies as TopicABSTRACT
El hipema, consecuencia común del trauma ocular, es considerado una emergencia diagnóstica y terapéutica por las lesiones oculares que determinan su aparición y las complicaciones que puede originar. Sin embargo, su tratamiento continúa siendo un desafío donde aún no existe un consenso unánime. En esta investigación se profundiza en cuestiones que han resultado polémicas como la hospitalización, uso de midriáticos, parches oculares, fibrinolíticos, esteroides sistémicos, inhibidores del ácido aminocaproico, cirugía precoz, entre otros
Hyphema, common consequence of the ocular trauma, is considered a diagnostic and therapeutic emergency due to the ocular lesions that determine their appearance and the complications that may occur. However, the treatment of hyphema continues being a challenge since unanimous consent does not exist yet. This study intended to delve into questions that are controversial as the hospitalization, the use of midriatic drops use, ocular patches, systemic steroids, aminocaproic acid inhibitors, the early surgery, among others
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Se hizo un estudio descriptivo y transversal de 100 pacientes operados de catarata senil (un ojo en cada caso) con la técnica de M. Blumenthal en el municipio de San Francisco, estado Zulia (Venezuela), en el período febrero- agosto de 2007. Se halló predominio de la catarata en ancianos de 60-69 años y del sexo femenino, de la agudeza visual por debajo de 0.1 y de la catarata mixta. Se obtuvo mejoría visual entre la unidad de visión y 0.3 en casi la totalidad de los integrantes de la casuística y fue bajo el número de complicaciones (con primacía del hifema), todo lo cual reveló que esta técnica resultó ser eficaz para el tratamiento quirúrgico de la citada afección
A descriptive and cross-sectional study was carried out in 100 patients operated on for senile cataract (an eye in each case) with the M. Blumenthal technique in San Francisco municipality, Zulia (Venezuela), from February to August 2007. There was prevalence of cataract in 60-69 year-old females, visual acuity below 0.1 and mixed cataract. Visual improvement was obtained between the unit of vision and 0.3 in almost all the patients of the series, and the number of complications (with predominance of hyphema) was low, which revealed that this technique was effective for the surgical treatment of the abovementioned condition
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Cataract , Cataract Extraction , Cataract/therapy , Postoperative Complications , Surgical Procedures, Operative , Cross-Sectional Studies , Epidemiology, DescriptiveABSTRACT
El xantogranuloma juvenil es un tumor benigno secundario a una proliferación de células histiocíticas que se presenta en lactantes y niños; su aparición en adultos es ocasional. Se inicia en forma repentina por la aparición de lesiones cutáneas papulonodulares rojizo anaranjadas, redondeadas, de 2 a 6 mm, que se localizan preferentemente en cara y parte superior del cuerpo. Se resuelve en forma espontánea en un período variable. Las lesiones suelen estar limitadas a la piel pero pueden tener otra localización. La ocular es una de las que puede presentar severas complicaciones que incluyen glaucoma, hipema, proptosis y amaurosis como en la paciente de 4 meses que presentamos.
Juvenile xantogranuloma (JXG) is a benign tumor due to the prolifera-tion of histiocytic cells, which appears in infants and children and occasionanlly in adults. It has a sudden onset which consists of erythematous or yellowish, papulonodular, slightly raised lesions, with a diameter varying from 2 to 6 mm. It is usually located on the face and upper part of the body, and has a spontaneous remission in a variable period of time. Although lesions are usually limited to the skin, other organs may be involved. Ocular involvement may lead to severe complications including glaucoma, hyphema, proptosis and blindness, as the four months-old patient we report.