RESUMO
To evaluate the efficiceny and safety of dacryocystorhinostomy in children. We report a retrospective study about 20 patients aged under 16 years old who underwent dacrycystorhnistomy. Patients were aged from 4 to 16 years. Dacryocystorhninostomy was indicated for congenital nasolacrimal duct obstruction in all cases. Only 7 patients [35%] have previously one [or two] nasolacrimal probing. Dacryocystorhinostomy was associated with nasolacrimal intubation in 13 cases [65%]. Preoperative haemorrhage occurred in 1 patient [5%]. Post operative complications occurred in 2 patients [10%], one had infection of the wound and another patient had externalization of the nasolacrimal intubation. Success rate of surgery was 95%. Dacryocystorhinostomy is effective in the treatment of congenital nasolacrimal duct obstruction that persist or in cases of failure of probing
RESUMO
Alagille syndrome [AS] is one of the six forms of familial intrahepatic cholestasis, [AS] signs were neonatal jaundice and paucity of intrahepatic bile ducts. The ophthalmic features distinguish AS from the other forms of familial intrahepatic cholestasis. Posterior embrytoxon is the most common ophthalmic sign associated with this syndrome. We report a case of five months old boy that was suspected to have AS based on the association of jaundice, facial and skeletal abnormalities. Ocular examination revealed slightly elevated optic disc with irregular borders in both eyes. There was evidence of optic disc drusen in ocular B scan ultrasound in both eyes. Ocular ultrasound is a useful tool in the diagnosis of AS particularly in the cases which embrytoxon is absent or difficult to detect [young children]
RESUMO
In a population of 1500 out patients, the authors study the value of optic disc aspect in the detection of glaucoma. The optic disc aspect made it possible to diagnose the chronic glaucoma in 89% of cases: and failed in 11% of cases. Although the examination of the optic disc has involved some percentage of errors in the detection of glaucoma it remains a reliable test for mass detection