Unnoticed metallic foreign body in the camerular angle inducing chronic uveitis / Corpo estranho metálico não notado em ângulo camerular induzindo uveíte crônica

ABSTRACT We report the case of an eight-year-old male patient with a four-month history of unilateral anterior chronic uveitis, associated with a pigmented lesion surrounded by fibrinoid material in the inferior camerular angle and with a fibrotic lesion in the extreme periphery of the inferior retina. The patient had no history of trauma or any other clinical symptoms. Although the patient was suspected of having toxocariasis, serological tests were negative. Partial symptomatic improvement was achieved using both orally and topically administered corticosteroids. In addition, a decrease in fibrinoid material around the pigmented camerular lesion revealed it to be regular and cylindric. Computed tomography of the orbits revealed a metallic foreign body in the topography of the inferior camerular angle. The patient underwent removal of the foreign body through a corneal incision and photocoagulation around the inferior retinal traction. Excellent visual and anatomical results were obtained.(AU)

RESUMO Os autores relatam o caso de paciente do sexo masculino, 8 anos de idade, com história de uveíte crônica anterior unilateral há quatro meses, associada a lesão pigmentada envolvida por material fibrinóide em ângulo camerular inferior e a lesão fibrótica em extrema periferia de retina inferior. Não havia histórico de trauma ou outros sintomas clínicos. A hipótese de toxocaríase foi afastada diante de testes sorológicos negativos. Melhoria sintomática parcial foi alcançada com administração de corticosteróide vias oral e tópica. Ademais, redução na quantidade de material fibrinóide ao redor da lesão camerular a revelou regular e cilíndrica. Foi realizada tomografia computadorizada de órbitas, permitindo a detecção de corpo estranho metálico na topografia de ângulo camerular inferior. O paciente foi submetido a remoção do corpo estranho através de incisão corneana e a fotocoagulação ao redor da tração retiniana inferior. Excelentes resultados visual e anatômico foram obtidos.(AU)

Reação orbitopalpebral em resposta a injeção subtenoniana profunda de triancinolona: relato de caso / Orbito-palpebral reaction after subtenonian injection of triamcinolone: case report

Relata-se o caso de reação local após injeção subtenoniana profunda de1 ml de suspensão contendo 40 mg de triancinolona, realizada em uma criança de seis anos de idade, portadora de uveíte intermediária. Observou-se edema e eritema das pálpebras superior e inferior, aproximadamente 30 minutos após a injeção. Houve recuperação completa, sem complicações, ao longo das 24 a 48 horas seguintes.

A case of a local reaction related to a subtenonian deep injection of triamcinolone is reported. The patient was a 6 year old child, with intermediate uveitis. Intense edema and erythema of the eyelids appeared approximately 30 minutes after the injection. Complete resolution occurred among 24 to 48 hours after the injection.

Clinical features and treatment of intermediate uveitis / 中华眼底病杂志

Objective To observe the clinical features,the complications and treatment effects of intermediate uveitis. Methods The clinical data of 36 patients(66 eyes)with intermediate uveitis were retrospectively analyzed,including the clinical features,fundus fluorescein angiography(FFA)features,complications,treatment effects and prognosis.The patients,21 males and 15 females,aged from 8 to 70 years,with the mean age of 34.8 years.There were 30 eases with bilateral lesions and 6 cases with unilateral lesions. Results The main clinical manifestation were vitreous opacity.peripheral retinal venous lesions,optic disc edema,macular edema and posterior subcapsular cataract.The results of FFA showed that peripheral retinal venous lesions,optic disc hyperfluorescence,cystoid maeular edema and retinal vein staining.After the treatment.the visual acuity of 31 cases(60 eyes,90.9%)were improved,4 cases(5 eyes,7.6%)were stable and 1 case(1 eye,1.5%)was worsening.The main complications were cystoid macular edema,posterior subcapsular cataract and vitreous hemorrhage which Ieads to visual damage. Conelusions Intermediate uveitis was a common bilateral and chronic progressive intraocular inflammation,the anterior vitritis,pars plana and peripheral retinal vascular changes were mainly involved.Early diagnosis and proper treatment may prevent the permanent visual damage.

Experiencias terapéuticas en la uveítis intermedia / Therapeutical experiences in intermediate uveitis

Se realiza el estudio de 41 pacientes portadores de uveítis intermedia donde se definen aspectos de su ubicación anatómica, cuadro clínico y complicaciones como las opacidades vítreas, cataratas, desprendimiento de retina y otras. El predominio del sexo femenino y la edad relativamente joven de los afectados orienta a profundizar en las investigaciones y la terapéutica de sus complicaciones.

Forty-one patients with intermediate uveitis are studied to define aspects of anatomical location, clinical picture and complications such as vitrous opacities, cataracts, retinal detachment and others. The predominance of females and relatively young persons among patients indicates that we must delve into the study and treatment of the complications of this disease.