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1.
Rev. bras. oftalmol ; 79(5): 344-347, set.-out. 2020. graf
Article in Portuguese | LILACS | ID: biblio-1137992

ABSTRACT

Resumo A cirurgia de catarata com implante de lente intra-ocular é uma das cirurgias mais realizadas no mundo e, atualmente, os pacientes que se submetem a essa cirurgia podem utilizar o implante com lente intraocular (LIO) multifocal como alternativa ao uso de óculos. Um grande desafio para o cirurgião são os pacientes já submetidos previamente a ceratotomia radial (RK), pois além de terem um cálculo biométrico mais desafiador, apresentam importantes aberrações ópticas corneanas, sendo uma contra-indicação para o uso de lentes multifocais para a maioria dos oftalmologistas. Neste artigo, relatamos o caso de uma paciente que foi submetida, na juventude, a uma RK e passou a referir importante incômodo visual após a correção de catarata com facectomia e implante de LIO multifocal. Esta paciente foi submetida a uma ceratectomia fotorrefrativa (PRK) para diminuir as irregularidades da córnea com boa evolução clínica e resultado visual satisfatório. Esse caso chama a atenção para a alternativa do excimer laser topoguiado em casos semelhantes e alerta para o risco do uso desse tipo de lente em córneas irregulares.


Abstract Cataract surgery with intraocular lens implantation is one of the most commonly performed surgeries in the world and, currently, patients who undergo this surgery can use the multifocal intraocular lens (IOL) implant as an alternative to wearing glasses. A great challenge for the surgeon are patients who have previously undergone radial keratotomy (RK), because in addition to having a more challenging biometric calculation, they also have important corneal optical aberrations, being a contraindication for the use of multifocal lenses for most patients. ophthalmologists. In this article, we report the case of a patient who underwent a RK in her youth and started to report an important visual discomfort after cataract correction with facectomy and multifocal IOL implantation. This patient underwent a photorefractive keratectomy (PRK) to reduce corneal irregularities with good clinical evolution and satisfactory visual result. This case draws attention to the alternative of topography-guided laser excimer in similar cases and warns of the risk of using this type of lens in irregular corneas.


Subject(s)
Humans , Female , Middle Aged , Keratotomy, Radial , Eye Abnormalities/surgery , Photorefractive Keratectomy , Refractive Surgical Procedures , Lasers, Excimer/therapeutic use , Multifocal Intraocular Lenses
2.
Arq. bras. oftalmol ; 83(1): 69-72, Jan.-Feb. 2020. graf
Article in English | LILACS | ID: biblio-1088959

ABSTRACT

ABSTRACT Optic disc pit is a rare congenital anomaly that can cause serous macular detachment. It has no universally accepted single treatment. Recently, several investigators have performed new procedures to directly seal the pit. Herein, we report a case showing a promising method for optic pit maculopathy surgical treatment. We created an inverted internal limiting membrane flap and fold it over the pit to promote barrier in order to stop further fluid accumulation. Gradual absorption of subretinal fluid was observed over 12 months of follow-up. Optical coherence tomography can demonstrate internal limiting membrane folded over the pit and progressive subretinal fluid resolution. This technique resulted in a satisfactory anatomic outcome with good functional improvement in the best-corrected visual acuity.


RESUMO A fosseta do disco óptico é uma rara anomalia con gênita que pode causar descolamento de retina seroso na mácula. Não há um tratamento cirúrgico padrão universalmente aceito. Recentemente, cirurgiões têm realizado procedimentos novos que visam selar o buraco diretamente. Esse caso clínico mostra um método promissor para o tratamento cirúrgico da maculopatia causada pela fosseta do disco. Optamos por criar um flap invertido com a membrana limitante interna, dobrando-o sobre a fosseta para promover uma barreira, impedindo o acúmulo de fluido. A absorção gradual do líquido subretiniano foi observada ao longo de 12 meses de acompanhamento. Imagens de tomografia de coerência óptica podem demonstrar a membrana limitante interna dobrada sobre a fosseta e a resolução progressiva do fluido subretiniano. Esta técnica resultou em um resultado anatômico satisfatório com boa melhora funcional na acuidade visual.


Subject(s)
Humans , Female , Adult , Vitrectomy/methods , Retinal Detachment/surgery , Eye Abnormalities/surgery , Tomography, Optical Coherence/methods , Optic Disk/abnormalities , Retinal Diseases , Retinal Detachment/etiology , Visual Acuity , Eye Abnormalities/complications , Subretinal Fluid , Macular Degeneration/complications
3.
Rev. chil. anest ; 49(5): 732-736, 2020. ilus
Article in Spanish | LILACS | ID: biblio-1512260

ABSTRACT

Joubert syndrome (JS) is a rare autosomal recessive disorder characterized by abnormal eye movements, respiratory pattern abnormalities, anatomical airway alterations, mental retardation and hypoplasia/aplasia of the cerebellar vermis confirmed by magnetic resonance imaging. This case report describes the successful management of a patient with JS operated of cholesteatoma under 100% opioid-free total intravenous general anaesthesia. We also provide a brief review of JS, its anaesthetic implications and opioid-free anaesthesia (OFA) technique.


El síndrome de Joubert (SJ) es una enfermedad autosómica recesiva poco frecuente caracterizada por trastornos oculares, respiratorios, alteraciones anatómicas de la vía aérea, retraso mental e hipoplasia/aplasia del vermis cerebeloso constatada mediante resonancia magnética. Presentamos un caso exitoso de paciente con SJ operado de colesteatoma bajo anestesia general endovenosa total 100% libre de opioides. Asimismo, realizamos una breve revisión del SJ, sus implicaciones anestésicas y de la técnica de anestesia libre de opioides.


Subject(s)
Humans , Child , Abnormalities, Multiple/surgery , Eye Abnormalities/surgery , Dexmedetomidine/administration & dosage , Kidney Diseases, Cystic/surgery , Retina/abnormalities , Cerebellum/abnormalities , Hypnotics and Sedatives/administration & dosage , Anesthesia, Intravenous
4.
Arq. bras. oftalmol ; 81(6): 520-523, Nov.-Dec. 2018. graf
Article in English | LILACS | ID: biblio-973853

ABSTRACT

ABSTRACT Trichothiodystrophy belongs to a group of rare genetic diseases characterized by DNA repair anomalies. Ocular manifestations can occur in 50% of cases, including cataract, refractive errors, strabismus, microcornea, microphthalmia, dry eye, and pigmentary macular changes. We report a case of childhood glaucoma in a patient with trichothiodystrophy who underwent trabeculectomy in the left eye. To our knowledge, this is the first clinical report of childhood glaucoma associated with trichothiodystrophy.


RESUMO A tricotiodistrofia pertence a um grupo de doenças genéticas raras caracterizadas por anomalias da reparação do DNA. Manifestações oculares podem ocorrer em 50% dos casos, incluindo catarata, erros refrativos, estrabismo, microcórnea, microftalmia, olho seco e alterações maculares pigmentares. Relatamos um caso de glaucoma infantil em um paciente com tricotiodistrofia submetido à trabeculectomia no olho esquerdo. No nosso conhecimento, este é o primeiro caso descrito de glaucoma infantil associado à tricotiodistrofia.


Subject(s)
Humans , Male , Child , Eye Abnormalities/diagnosis , Glaucoma/diagnosis , Trichothiodystrophy Syndromes/diagnosis , Telangiectasis/diagnosis , Trabeculectomy , Eye Abnormalities/surgery , Glaucoma/surgery , Erythema/diagnosis , Intraocular Pressure
5.
Rev. bras. cir. plást ; 29(4): 575-577, 2014. ilus
Article in English, Portuguese | LILACS | ID: biblio-835

ABSTRACT

A ptose palpebral ou blefaroptose caracteriza-se pela disfunção, ou inabilidade do paciente em realizar a abertura da fenda palpebral de maneira normal. Geralmente é decorrente do acometimento do músculo levantador da pálpebra; a forma congênita ocorre em 60% a 70%. No presente trabalho é descrito um caso de ptose palpebral congênita moderada em uma paciente de nove anos, com boa função do músculo levantador da pálpebra, em olho esquerdo. A paciente foi submetida a tratamento cirúrgico pela técnica de Lester Jones, indicada nos casos de ptose de grau moderado, apresentando um resultado estético e funcional satisfatório.


Palpebral ptosis or blepharoptosis is characterized by the dysfunction or inability of the patient to normally open the palpebral fissure. Usually, it is due to the involvement of the eyelid levator muscle. The congenital form occurs in 60%-70% of cases. In this study, we describe a case of moderate congenital palpebral ptosis in a 9-year-old patient who presented with a good eyelid levator muscle function in the left eye. The patient underwent surgical treatment with the Lester Jones technique, as indicated for cases of moderate ptosis, and achieved satisfactory aesthetic and functional results.


Subject(s)
Humans , Female , Child , History, 21st Century , Blepharoptosis , Case Reports , Eye Abnormalities , Esthetics , Eyelids , Oculomotor Muscles , Blepharoptosis/surgery , Blepharoptosis/pathology , Eye Abnormalities/surgery , Eyelids/abnormalities , Eyelids/surgery , Eyelids/pathology , Oculomotor Muscles/surgery , Oculomotor Muscles/pathology
6.
Indian J Ophthalmol ; 2011 Sept; 59(5): 400-402
Article in English | IMSEAR | ID: sea-136219

ABSTRACT

Anterior megalophthalmos, a rare hereditary disorder, is macrocornea (horizontal corneal diameter more than 13 mm) in association with enlarged lens-iris diaphragm and ciliary ring. One of the major challenging issues in the cataract surgery of these patients is preventing intraocular lens (IOL) malposition, because of probable large capsular bag. Several approaches have been selected by previous surgeons, such as, custom-made anterior chamber IOLs. In this study, we show a normal capsular bag diameter despite ciliary ring enlargement, with application of ultrasound biomicroscopy (UMB). We suggest that in cases of anterior megalophthalmos without phacodonesis, UBM could measure the actual size of the capsular bag and obviate the need for further procedures.


Subject(s)
Adult , Anterior Chamber/abnormalities , Anterior Chamber/surgery , Anterior Chamber/diagnostic imaging , Cataract Extraction/methods , Diagnosis, Differential , Eye Abnormalities/surgery , Eye Abnormalities/diagnostic imaging , Follow-Up Studies , Humans , Male , Microscopy, Acoustic , Preoperative Care/methods , Reproducibility of Results
7.
Indian J Ophthalmol ; 2011 July; 59(4): 312-314
Article in English | IMSEAR | ID: sea-136198

ABSTRACT

We report an unusual presentation of a case of Axenfeld-Rieger (A-R) syndrome. A 14-year-old male presented with gradual dimness of vision for 1 year and redness of left eye for 3 days. The patient had megalocornea with Haab's striae in the right eye and posterior embryotoxon in both the eyes. In the left eye, there was a white cord-like structure traversing the anterior chamber with adhesions to iris tissue along its course. On two antiglaucoma medications, his intraocular pressure (IOP) was 22 mm Hg in the right eye and 18 mm Hg in the left eye. Gonioscopy revealed a cord-like structure originating at the level of Schwalbe's line. He underwent right eye trabeculectomy with mitomycin-C. This case highlights a rare presentation of a strange cord-like structure, a rare presentation of A-R syndrome.


Subject(s)
Adolescent , Anterior Chamber/pathology , Anterior Eye Segment/abnormalities , Anterior Eye Segment/pathology , Anterior Eye Segment/physiopathology , Anterior Eye Segment/surgery , Cornea/abnormalities , Eye Abnormalities/pathology , Eye Abnormalities/physiopathology , Eye Abnormalities/surgery , Gonioscopy , Humans , Intraocular Pressure , Iris/pathology , Male , Mitomycin/therapeutic use , Tissue Adhesions/pathology , Trabeculectomy , Vision Disorders/etiology
8.
Rev. Soc. Bras. Cir. Craniomaxilofac ; 11(3): 116-118, 2008. ilus
Article in Portuguese | LILACS | ID: lil-514695

ABSTRACT

Síndrome de Ascher é uma entidade rara, benigna, com poucos casos descritos e de etiologia ainda desconhecida. clinicamente se caracteriza por tríade composta de lábio duplo superior, bleforacalásio e bócio atóxico. Relatas o caso de um paciente com lábio duplo e blefarocalásio, disgnosticamos como portador da síndrome de Ascher incompleta, e discutimos as modalidades terapêuticas utilizadas. O tratamento da pálpebra superior foi realizado por meio de uma ressecção em fuso da pele palpebral superior e excisão em cunha do lábio superior, na transição do vermelhão seco com o úmido.


Subject(s)
Humans , Eye Abnormalities/surgery , Blepharoplasty , Lip/abnormalities
10.
Rev. cuba. oftalmol ; 16(1)ene.-jun. 2003. tab
Article in Spanish | LILACS | ID: lil-388403

ABSTRACT

Se realizó un examen físico a un recién nacido con malformaciones presentadas en el momento del parto, de un embarazo valioso de la raza negra, presentó los párpados superior e inferior de ambos ojos unidos por finas bandas en número variable que impedían la separación y los movimientos normales. Además asociado a labio leporino y hendidura palatina. Luego de descartar otras malformaciones congénitas, fue intervenido para reparar la malformación. Su estado actual es normal, después de la recanalización de sus otras anomalías


Subject(s)
Eye Abnormalities/surgery , Eye Abnormalities/genetics , Cleft Palate , Cleft Lip/genetics , Obstetric Labor Complications
12.
Rev. mex. oftalmol ; 73(6): 255-7, nov.-dic. 1999. tab
Article in Spanish | LILACS | ID: lil-276494

ABSTRACT

Se estudiaron un total de 60 ojos con diagnóstico de miopía con equivalente esférico mayor o igual a 8 DP y menor o igual a 11 DP, los cuales fueron sometidos a queratectomía fotorrefractiva con técnica de Lasik utilizando el equipo láser excimer Technolas 217 de Chiron y el microqueratomo automatizado Hansatome de Chiron, dividiéndose en dos grupos, a uno de los cuales se le efectuó secado transoperatorio del lecho estromal al 50 por ciento del tratamiento con esponja de merocel, y al segundo grupo no. Se practicaron estudios topográficos de elevación (Orbsacan) preoperatoria, a las 24 horas y 7 días de postoperatorio, se empleó como parámetro de evaluación del patrón de irregularidades el mapa de mejor adaptación a una esfera, tomando como referencia la esfera preoperatoria de base


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Myopia/surgery , Myopia/therapy , Laser Therapy/methods , Laser Therapy , Corneal Stroma/abnormalities , Corneal Stroma/surgery , Ophthalmologic Surgical Procedures , Eye Abnormalities/surgery , Eye Abnormalities/therapy , Refraction, Ocular
13.
Indian J Pediatr ; 1999 Sep-Oct; 66(5): 805-8
Article in English | IMSEAR | ID: sea-79627

ABSTRACT

Cryptophthalmos, a very rare congenital anomaly of the eye, is characterised by skin passing continuously from the forehead to the cheek over a malformed eye. It may be isolated or more commonly as a part of Fraser syndrome. Cryptophthalmos is classified into three types: complete, incomplete and abortive. Surgical reconstruction is the modality of treatment available. We present a case of bilateral, complete, isolated cryptophthalmos, who has undergone stage 1 of reconstructive surgery.


Subject(s)
Eye Abnormalities/surgery , Eyelids/abnormalities , Humans , Infant , Male
14.
Asunción; MSPYBS; mayo 1998. 38 p. ilus, graf.
Monography in Spanish | LILACS, BDNPAR | ID: lil-267091

ABSTRACT

Manual que tiene como objetivo proporcionar una información general sobre la salud ocular y va dirigido a los trabajadores de la salud


Subject(s)
Cataract/rehabilitation , Cataract/therapy , Eye Injuries/diagnosis , Eye Injuries/therapy , Hordeolum/rehabilitation , Hordeolum/therapy , Eye Health , Conjunctivitis/diagnosis , Conjunctivitis/therapy , Paraguay , Eye Banks , Eye Abnormalities/surgery , Eye Foreign Bodies , Eyelid Diseases
16.
Bogotá; Instituto Nacional de Cancerología; 1996. 229 p. ilus, graf.
Monography in English | LILACS | ID: lil-668543

ABSTRACT

This book is a compilation of several articles published over many years. The articles deal with three surgical methods and several techniques which I have devised. These discoveries and their technical publication were not the result of chance but of a methodical and orderly system of work about which I shall give and account. This book has been written based on the pre-Columbian cultures of South America. From these cultures peoples and nations have come about, grown, become strengthened and flourished, intellectually and culturally. All the chapters in the book describe methods and discoveries made and developed by us in South American hospitals. Most chapters include a photograph of a pre-Columbian ceramic figure as prologue, each one with its own description. The figure on the cover shows facial paralysis and is described in the first page of the book.


Subject(s)
Humans , General Surgery , Plastic Surgery Procedures , Surgery, Plastic , Eye Abnormalities/surgery , Colombia , Cleft Palate/surgery , Lip/surgery , Mastectomy, Segmental , Hand/surgery , Nose/surgery , Penis/surgery
17.
Rev. mex. oftalmol ; 69(3): 87-90, mayo-jun. 1995. ilus
Article in Spanish | LILACS | ID: lil-188186

ABSTRACT

Se presentan dos casos de pacientes adultos, con historia de estrabismo desde la infancia y sin antecedentes de tratamiento. Fueron operados con diagnóstico de endotropia posicional inervacional primaria, con buen resultado inmediato y recurrencia de la endotropia en el postoperatorio tardío. Se determinó que la causa de la recidiva era una hipermetropía mal valorada en el estudio clínico inicial. Se presenta la revisión de la bibliografía y el análisis de los factores que condicionan un mal resultado en el tratamiento quirúrgico de la endotropia.


Subject(s)
Adolescent , Adult , Humans , Male , Female , Recurrence , Ophthalmologic Surgical Procedures , Convergence, Ocular/physiology , Eye Diseases/physiopathology , Hyperopia/complications , Eye Abnormalities/surgery
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