Résumé
A homocystinuric child presented with a secondary pupillary block glaucoma due to anteriorly subluxated lens. After removal of the subluxated lens, a suture supported posterior chamber IOL was implanted. Postoperative complication of cerebral venous thrombosis following general anaesthesia was managed with high doses of pyridoxine special diet and drugs.
Sujets)
Anesthésie générale/effets indésirables , Enfant , Glaucome/complications , Homocystinurie/complications , Humains , Embolie et thrombose intracrâniennes/étiologie , Pose d'implant intraoculaire/méthodes , Subluxation du cristallin/complications , Techniques de sutureRésumé
Orbital cysticercosis is a rare condition. We report here 3 cases with orbital cysticercosis who presented with proptosis and ptosis (Case no. 1 and 2) and focal seizures (Case no. 3). All of them had a vision of 6/6. Diagnosis of cysticercosis was made on CT Scan. The lesions isolated in Cases 1 and 2 and were excised. Drug therapy was given to treat any persisting infestation. Case no 3 had multiple brain cysticerci in addition to the orbital one. However, the patient was lost to follow-up.
Sujets)
Adolescent , Adulte , Albendazole/usage thérapeutique , Enfant , Association thérapeutique , Cysticercose/complications , Diagnostic différentiel , Femelle , Humains , Niclosamide/usage thérapeutique , Maladies de l'orbite/complications , TomodensitométrieRésumé
Melanocytoma of the optic disc is a benign lesion. We report here a patient with melanocytoma who presented with gradual diminution of vision. On examination the left eye fundus showed a mass uniformly dark black in colour, on the optic disc occupying the superotemporal quadrant. The mass completely obscured the fluorescence on fluorescein angiography and was thus differentiated from malignant melanoma.
Sujets)
Adulte , Diagnostic différentiel , Tumeurs de l'oeil/diagnostic , Femelle , Hamartomes/diagnostic , Humains , Mélanome/diagnostic , Naevus pigmentaire/diagnostic , Papille optiqueRésumé
Repeated vitreous haemorrhage is a common occurrence in Eales disease. 25 eyes of unresolving vitreous haemorrhage were subjected to pars plana vitrectomy. 18 eyes improved to 1/60 or better. Vitreous rebleed was the commonest problem encountered. We discuss our experience, complications and limitations.
Sujets)
Adolescent , Adulte , Enfant , Femelle , Humains , Mâle , Adulte d'âge moyen , Études prospectives , Récidive , Rétinopathies/complications , Études rétrospectives , Vitrectomie/méthodes , Hémorragie du vitré/étiologieRésumé
62 Cases with unresolving Vitreous Haemorrhage due to varied etiology, underwent pars plana Vitrectomy. A vitreous rebleed on the table and post-operatively, was the main complication encountered. Despite limited equipment, a visual improvement was obtained in 59.68% eyes with visual acuity greater than FC 6 meters in 33.87% eyes. This is far better than not being able to offer any treatment at all.
Sujets)
Adulte , Sujet âgé , Femelle , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Complications postopératoires/étiologie , Études prospectives , Études rétrospectives , Vitrectomie , Hémorragie du vitré/étiologieRésumé
Twenty four cases of endophthalmitis were subjected to pars plana vitrectomy. A final vitreous clearance was obtained in 62.50% cases. Visual improvement occurred in 41.67% cases. It was concluded that prompt detection and early and vigorous therapy--medical and surgical--is the mainstay in the management of endophthalmitis.