ABSTRACT
Las enfermedades inflamatorias de la esclera son infrecuentes. Involucran tanto la esclera como la epiesclera y se caracterizan por su cronicidad, dolor y por ser una causa potencial de ceguera. Su asociación con enfermedades sistémicas, frecuentemente de causa autoinmune, y la aparición de graves complicaciones oculares, conllevan una terapia sistémica agresiva con antinflamatorios no esteroideos, corticoesteroides y agentes inmunosupresores, los cuales se pueden utilizar solos o combinados. Presentamos el caso de un paciente masculino de 37 años de edad quien acudió al Cuerpo de Guardia por dolor ocular intenso, asociado a ojo rojo, disminución de la agudeza visual y cifras elevadas de tensión ocular del ojo derecho, a quien le fue diagnosticada una escleritis posterior.
The inflammatory diseases of the sclera are uncommon. They involve both the sclera and the episclera and are characterized by chronic nature, pain and potential cause of blindness. Their association with systemic diseases, frequently autoimmune ones, and the occurrence of serious ocular complications lead to applying aggressive systemic therapy with non-steroid antinflammatory drugs, corticosteroids and immunosuppressive agents, which can be administered alone or combined. This is a 37 years-old patient who went to the emergency service because he suffered intense ocular pain associated to red eyes, reduction of visual acuity and high ocular pressure values in his right eye. He was finally diagnosed with posterior scleritis.
Subject(s)
Humans , Male , Sclera/abnormalities , Scleral Diseases/diagnosis , Scleritis/diagnosisABSTRACT
Blind eyes can harbor a choroidal melanoma. We report a case of uveal melanoma presenting as staphyloma and complicated cataract in a 45-year-old female. The left eye was blind for six months. She underwent comprehensive ocular examination but fundus examination was precluded due to total cataract. The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma.
Subject(s)
Blindness/etiology , Cataract/diagnosis , Choroid Neoplasms/diagnosis , Dilatation, Pathologic , Eye Enucleation , Female , Humans , Magnetic Resonance Imaging , Melanoma/diagnosis , Melanoma/surgery , Middle Aged , Scleral Diseases/diagnosisABSTRACT
Scleral plaque is a commonly occurring change in older individuals. We report a case of bilateral scleral plaques seen in an elderly female patient. This current case report describes a common but often missed benign scleral change in the elderly individual.
Subject(s)
Aged , Calcinosis/diagnosis , Diagnosis, Differential , Dilatation, Pathologic/diagnosis , Female , Humans , Sclera/pathology , Scleral Diseases/diagnosis , Plaque, Amyloid/pathology , Visual AcuityABSTRACT
Objetivo: Relatar caso de extrusão parcial espontânea de placa de translucência focal senil de esclera calcificada. Método: Relato de caso de mulher de 75 anos, encaminhada com suspeita de tumor conjuntival, apresentando lesão leucoplástica em esclera, localizada anteriormente à inserção do músculo reto medial do olho esquerdo causando sensação de corpo estranho; instituindo-se tratamento por exérse e enxerto escleral. O exame histopatológico revelou tecido conjuntivo fibroso com calcificação. Conclusão: A extrusão de placa de translucência senil de esclera deve ser considerada no diagnóstico diferencial dos tumores epibulbares.
Subject(s)
Humans , Male , Aged , Scleral Diseases/diagnosis , Eye Neoplasms/pathology , Eye Neoplasms/surgeryABSTRACT
La presencia de una coloración azul en la esclerótica representa, con frecuencia una reducción en el espesor escleral. La uvea pigmentada subyacente se hace visible a través de la esclerótica adelgazada originando dicha coloración. Aunque puede encontrarse normalmente en algunos niños menores de tres meses, la esclerótica azul se puede asociar con frecuencia a multiples síndromes sistémicos y a anomalías oculares aisladas. En el presente artículo se revisa la fisiopatología de este hallazgo oftalmológico así como las asociaciones sistémicas más frecuentes.
Subject(s)
Humans , Collagen , Scleral Diseases/diagnosis , Scleral Diseases/etiology , Scleral Diseases/physiopathologyABSTRACT
Os autores descrevem um caso de epiteliopatia placóide multifocal posterior aguda (EPPMPA), associada com vasculite cerebral e hemiperasia, e discutem a fisiopatologia e a importância desta associaçäo para a nova forma de abordagem destes pacientes.
Subject(s)
Humans , Male , Adult , Scleral Diseases/diagnosis , Erythema Nodosum , Vasculitis , Nervous System Diseases/diagnosis , Visual AcuitySubject(s)
Adult , Ciliary Body/pathology , Glioma/diagnosis , Humans , Male , Scleral Diseases/diagnosis , Uveal Neoplasms/diagnosisABSTRACT
Os ferimentos oculares podem ser tratados em consultório, quando a perfuraçäo é pequena e o Seidel mínimo e no centro cirúrgico onde se completa o exame e se decide a cirurgia. Algumas regras para a conservaçäo e reposiçäo das iris säo discutidas. O autor descreve as manobras necessárias para o manejo de ferimentos corneanos, esclerais e corneo-esclerais. As feridas esclerais que se estendem para além de 7 mms. do limbo atingem a área retiniana e säo objeto de tratamento diferente
Subject(s)
Cornea/injuries , Cornea/surgery , Scleral Diseases/diagnosis , Eye Injuries, Penetrating/diagnosis , Eye Injuries, Penetrating/surgery , Iris Diseases/surgery , Iris Diseases/diagnosis , IrisABSTRACT
O autor divide os tumores epibulbares em tumores benignos congenitos, adquiridos e tumores malignos. As difeentes entidades clínicas de cada grupo säo descritas e suas características diagnósticas apontadas bem como o tratamento para cada afecçäo