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1.
Journal of the Korean Ophthalmological Society ; : 491-495, 2018.
Artigo em Coreano | WPRIM | ID: wpr-738534

RESUMO

PURPOSE: We report a case of spontaneous recovery of an iris cyst with only tuberculosis medication and conservative eye drops when uveitis and angle closure occurred because of a cyst in a patient with peritoneal tuberculosis. CASE SUMMARY: A 49-year-old female who was diagnosed with iritis and treated with steroid eye drops visited our clinic because of decreased visual acuity 1 month prior. There were anterior chamber inflammation cells and an iris cyst completely obstructing the anterior chamber at 12 o'clock. At the time, the patient had been diagnosed with peritoneal tuberculosis in the Department of Internal Medicine and Gynecology and had been treated with surgery and medication. The patient had no past history of glaucoma, but when the iris cyst developed, the intraocular pressure increased to 29 mmHg and anterior inflammatory cells were seen in the range of +1 to +2. The primary lesion of tuberculosis improved and the iris cyst disappeared with treatments involving medication for tuberculosis, steroid eye drops, and glaucoma eye drops, without invasive treatments such as alcohol curettage, laser treatment, or cyst resection. CONCLUSIONS: If an iris cyst is a new lesion of the eye, it is necessary to identify the pattern and cause of the iris cyst first, and if a secondary benign iris cyst is suspected, the primary treatment of the causative disease is necessary rather than prompt invasive treatment.


Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Câmara Anterior , Curetagem , Glaucoma , Ginecologia , Inflamação , Medicina Interna , Pressão Intraocular , Iris , Irite , Soluções Oftálmicas , Peritonite Tuberculosa , Tuberculose , Uveíte , Acuidade Visual
2.
Journal of the Korean Ophthalmological Society ; : 995-999, 2018.
Artigo em Coreano | WPRIM | ID: wpr-738474

RESUMO

PURPOSE: We report an unusual case of presumptive diagnosis of herpes-induced anterior uveitis with acute hypopyon after trauma. CASE SUMMARY: A 82-year-old male was diagnosed with herpes keratitis due to dendritic keratitis in the left eye, and the lesion disappeared after antiviral treatment. However, 1 year later, the patient visited again with visual loss, pain, and tearing of the left eye after trauma. At the examination, best-corrected visual acuity was counting fingers and the intraocular pressure was 27 mmHg in the left eye. Slit-lamp examination revealed corneal epithelial erosion, moderate corneal edema, and prominent inflammation with 2 mm high hypopyon in the anterior chamber. We thought that bacterial endophthalmitis had rapidly progressed after trauma, so we performed bacterial cultures and an intravitreal antibiotics injection. Considering the clinical manifestations of lesions and herpes keratitis in the past, we could not exclude herpes virus infection. Cultures were negative and the symptoms improved, so the antiviral treatment was gradually reduced and stopped at 2 months. However, recurrence was observed on day 5 after stopping antiviral therapy. We therefore assumed that recurrent herpes virus caused anterior uveitis, and then, antiviral and steroid therapy was resumed. The patient subsequently showed improvement in his symptoms and recovered his visual acuity. CONCLUSIONS: When acute hypopyon is observed in the anterior chamber after trauma, not only bacterial iritis and endophthalmitis but also viral-induced anterior uveitis should be considered in the differential diagnosis.


Assuntos
Idoso de 80 Anos ou mais , Humanos , Masculino , Câmara Anterior , Antibacterianos , Edema da Córnea , Diagnóstico , Diagnóstico Diferencial , Endoftalmite , Dedos , Inflamação , Pressão Intraocular , Irite , Ceratite , Ceratite Dendrítica , Recidiva , Simplexvirus , Lágrimas , Uveíte Anterior , Acuidade Visual
3.
Intestinal Research ; : 380-387, 2017.
Artigo em Inglês | WPRIM | ID: wpr-41224

RESUMO

BACKGROUND/AIMS: Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), has been reported to have various ophthalmologic manifestations. The aim of this study was to evaluate the prevalence of ophthalmologic manifestations associated with IBD in Korea. METHODS: Sixty-one patients were examined between May 2013 and October 2014. We performed complete ophthalmologic examinations. RESULTS: Findings included 36 patients with CD and 25 with UC. The mean age of the patients was 34±16 years and disease duration was 45.3±23.9 months. Ophthalmologic manifestations were positive in 44 cases. Primary complication was diagnosed in 5 cases, as follows; iritis in 2 cases, episcleritis in one case, iritis with optic neuritis in 1 case, and serous retinal detachment in 1 case, without secondary complications. The most common coincidental complication was dry eye syndrome (DES), in 35 patients (57.4%). The prevalence of DES in the control group was 21.3%. The proportion of DES in patients with IBD was significantly higher than in the control group (P=0.002). CONCLUSIONS: Ophthalmologic manifestations were high (72.1%) in IBD patients. Clinically significant primary ocular inflammation occurred in 8.2% of patients. The most common complication was DES. There was a higher rate of DES in patients with IBD compared to the control group. Evaluation of the eye should be a routine component in patients with IBD.


Assuntos
Humanos , Colite Ulcerativa , Doença de Crohn , Síndromes do Olho Seco , Inflamação , Doenças Inflamatórias Intestinais , Irite , Coreia (Geográfico) , Oftalmologia , Neurite Óptica , Prevalência , Descolamento Retiniano , Esclerite
4.
Rev. bras. oftalmol ; 75(2): 115-120, Mar.-Apr. 2016. tab, graf
Artigo em Português | LILACS | ID: lil-779969

RESUMO

RESUMO Objetivo: Avaliar a irritação ocular aguda em coelhos, após a administração tópica de óleo essencial. Métodos: Para tanto, os animais foram divididos em três grupos, cada um com três coelhos, totalizando 6 olhos por grupo, e a diferença entre eles foi a concentração utilizada ( 1, 3 e 9%). Aplicou-se no saco conjuntival, de um dos olhos do animal, uma dose única de 0,1 ml do produto e o olho contralateral foi usado como controle. Analisou-se os efeitos causados pelo óleo essencial na conjuntiva, íris e córnea após 1, 24, 48, 72 horas e no final do sétimo dia após a aplicação tópica. As avaliações oftalmológicas foram feitas com o auxílio de um oftalmoscópio binocular indireto com e sem fluoresceína. As reações observadas foram graduadas segundo a escala de Draize. Foram realizados exames anatomopatológicos em todos os olhos estudados no final do experimento. Resultados: No grupo de animais submetidos à instilação ocular do óleo essencial a 1%, não se observou alterações. O tratamento com o óleo a 3% provocou alteração conjuntival no exame feito em 1 hora, o que foi reduzindo. A administração do óleo essencial a 9% induziu hiperemia conjuntival, não havendo qualquer alteração nos outros tempos de avaliação oftalmológica. Conclusão: A avaliação contribuiu para conhecer as alterações clínicas na superfície ocular. Desta forma, foi possível classificar o óleo a 1% como não irritante e nas concentrações de 3 e 9% como pouco irritante, tornando possível estudos clínicos, a fim de estabelecer o óleo como alternativa terapêutica em conjuntivites bacterianas.


ABSTRACT Objective: To evaluate acute eye irritation in rabbits following topical administration of essential oil. Methods: animals were divided into three groups, each containing three rabbits, with a total of 6 eyes per group. The difference between them was the concentration used (1, 3 and 9%). A single dose of 0.1 ml of the product was applied into the conjunctival sac of one eye of the animal, and the contralateral eye was used as control. The effects caused by the essential oil in the conjunctiva, iris and cornea were analyzed after 1, 24, 48 and 72 hours and at the end of the seventh day after topical application. Ophthalmologic evaluations were performed with the aid of a binocular indirect ophthalmoscope fluorescein and with and without the observed responses, before being graded according to the Draize scale. Pathological examinations were performed on all eyes studied at the end of the experiment. Results: in the group of animals subjected to the ocular instillation of 1% essential oil, there was no change. For treatment with 3% oil, conjunctival changes were found to be decreasing during the examination after 1 hour. Administration of the 9%essential oil induced conjunctival injection, without any change in the other ophthalmologic evaluation times. Conclusion: the evaluation contributed to meet the clinical changes in the ocular surface. Thus, it was possible to classify the oil at 1% as non-irritating and the concentration of 3% and 9 as mildly irritating, making it possible for clinical studies to establish the oil as an alternative therapy in bacterial conjunctivitis.


Assuntos
Animais , Óleos de Plantas/farmacologia , Óleos Voláteis/farmacologia , Iris/efeitos dos fármacos , Túnica Conjuntiva/efeitos dos fármacos , Córnea/efeitos dos fármacos , Origanum , Oftalmoscopia , Coelhos , Óleos de Plantas/administração & dosagem , Óleos Voláteis/administração & dosagem , Conjuntivite Bacteriana , Irite/induzido quimicamente , Administração Tópica , Testes de Toxicidade/métodos , Opacidade da Córnea/induzido quimicamente , Fluoresceína , Relação Quantitativa Estrutura-Atividade , Hiperemia/induzido quimicamente , Irritantes/toxicidade
5.
Journal of the Korean Medical Association ; : 45-51, 2016.
Artigo em Coreano | WPRIM | ID: wpr-218569

RESUMO

Rheumatic diseases are associated various extra-articular manifestations, such as eye, nerve, pericardium, and pleura. The anterior part of the eye has distinguished anatomic structure resembling synovial joints, thus it is a common site of ocular manifestation in rheumatic disease. These changes include sicca syndrome, peripheral ulcerative keratitis, episcleritis, scleritis, and iritis. Some of these findings may be the clues for the diagnosis of the rheumatic diseases, and some ocular manifestations may represent the activity or prognosis of the rheumatic diseases. These ocular complications may leads to severe visual loss. It is crucial to rule out underlying systemic diagnosis in rheumatic disease associated ocular diseases, and when diagnosed, the coordination of the rheumatologist with the ophthalmologist in the treatment is imperative.


Assuntos
Úlcera da Córnea , Diagnóstico , Oftalmopatias , Irite , Articulações , Pericárdio , Pleura , Prognóstico , Doenças Reumáticas , Esclerite , Síndrome de Sjogren
6.
Arq. bras. oftalmol ; 78(3): 154-157, May-Jun/2015. tab
Artigo em Inglês | LILACS | ID: lil-753018

RESUMO

ABSTRACT Purpose: To analyze the indications for explantation or exchange of intraocular lenses (IOLs), which were originally implanted for the correction of aphakia during cataract extraction. Methods: All cases that involved intraocular lens explantation or exchange in one institution between January 2008 and December 2014 were analyzed retrospectively. Results: In total, 93 eyes of 93 patients were analyzed. The median time interval between implantation and explantation of the anterior chamber intraocular lenses (AC IOL) and posterior chamber intraocular lenses (PC IOL) was 83.40 ± 83.14 months (range: 1-276 months) and 55.14 ± 39.25 months (range: 1-168 months), respectively. Pseudophakic bullous keratopathy (17 eyes, 38.6%) and persistent iritis (12 eyes, 27.8%) in the AC IOL group and dislocation or decentration (30 eyes, 61.2%) and incorrect IOL power (nine eyes, 18.4%) in the PC IOL group were the most common indications for explantation of IOLs. The mean logMAR best corrected visual acuity (BCVA) improved significantly from 1.30 preoperatively to 0.62 postoperatively in the PC IOL group (p<0.001) but did not improve significantly in the AC IOL group (p=0.186). Conclusions: The primary indication for IOL explantation or exchange was pseudophakic bullous keratopathy in the AC IOL group and was dislocation or decentration in the PC IOL group. PC IOL explantation or exchange is safe and improves visual acuity. .


RESUMO Objetivo: Analisar as indicações para a remoção ou troca de lentes intraoculares (IOL), que foram originalmente implantadas para a correção de afacia após a extração da catarata. Método: Todos os casos que envolveram remoção ou troca de lentes intraoculares em uma única instituição, entre janeiro de 2008 e dezembro 2014 foram analisados retrospectivamente. Resultados: No total, foram analisados 93 olhos de 93 pacientes. O intervalo de tempo médio entre o implante e a remoção das LIOs de câmara anterior (AC IOL) e de câmara posterior (PC IOL) foi 83,40 ± 83,14 meses (variando de 1 a 276 meses) e 55,14 ± 39,25 meses (variando de 1 a 168 meses), respectivamente. Ceratopatia bolhosa pseudofácica (17 olhos, 38,6%) e irite persistente (12 olhos, 27,8%) no grupo AC IOL, e deslocamento ou descentralização (30 olhos, 61,2%) e poder incorreto da IOL (nove olhos, 18,4%), no grupo PC IOL, foram as indicações mais comuns para a remoção das IOLs. A média logMAR da melhor acuidade visual corrigida (BCVA) melhorou significativamente a partir de 1,30 no pré-operatório para 0,62 no pós-operatório no grupo PC IOL (p<0,001), mas não melhorou significativamente no grupo AC IOL (p=0,186). Conclusões: A principal indicação para remoção ou troca de lentes intraoculares foi a ceratopatia bolhosa pesudofácica no grupo AC IOL e deslocamento ou descentralização no grupo PC IOL. A remoção ou troca de PC IOLs é segura e melhora a acuidade visual. .


Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Doenças da Córnea/cirurgia , Remoção de Dispositivo/métodos , Complicações Intraoperatórias , Implante de Lente Intraocular/métodos , Erros de Refração/complicações , Doenças da Córnea/complicações , Pressão Intraocular , Irite/complicações , Irite/cirurgia , Implante de Lente Intraocular/efeitos adversos , Subluxação do Cristalino/cirurgia , Reoperação , Estudos Retrospectivos , Resultado do Tratamento , Acuidade Visual
7.
Journal of the Korean Ophthalmological Society ; : 904-907, 2010.
Artigo em Coreano | WPRIM | ID: wpr-216716

RESUMO

PURPOSE: To report a case of intraocular cilium revealed by diagnostic vitrectomy in a case of stubborn uveitis that was unresponsive to steroid therapy. CASE SUMMARY: A 39-year-old man was referred to our hospital due to decreased vision in his right eye that started two months prior to presentation. He had previously been treated for a diagnosis of iridocyclitis. The patient's history revealed a blunt trauma to the right eye while wearing glasses after which he developed a microhyphema and was treated for traumatic iritis at another clinic 3 months ago. He was treated with topical and oral steroids after being diagnosed with iridocyclitis and had recently been prescribed additional oral cyclosporine because his condition had not improved. Ocular examination revealed inflammatory cells in the anterior chamber and vitreous cavity with hand motion vision. Ultrasonography revealed a hazy vitreous cavity but the retina was flat. Diagnostic vitrectomy with intravitreal antibiotic injection was performed and an intraocular foreign body presumed as a cilium was detected without an entrance wound on the exterior or interior surface of the eye. After removal of the foreign body, the patient's vision was completely recovered. CONCLUSIONS: In cases of chronic uveitis that do not respond to immunosuppressive treatment without a clearly definable cause, diagnostic vitrectomy should be considered, keeping in mind the possibility of intraocular foreign body.


Assuntos
Adulto , Humanos , Câmara Anterior , Cílios , Ciclosporina , Endoftalmite , Olho , Óculos , Corpos Estranhos , Vidro , Mãos , Iridociclite , Irite , Retina , Esteroides , Uveíte , Visão Ocular , Vitrectomia
8.
Medical Forum Monthly. 2009; 20 (2): 33-35
em Inglês | IMEMR | ID: emr-92088

RESUMO

To study the causes of blunt ocular trauma in a closed-globe, its various clinical signs on presentation and final visual outcome. A prospective analytic study of one hundred cases of the blunt ocular trauma conducted in the Department of Ophthalmology, Ayub Teaching Hospital, Abbottabad. In one hundred cases. Seventy-nine [79%] were males and twenty-one [21%] were females. Hyphacma occurred in sixty-two cases [93.9%], mydriasis in twenty-nine cases [43.9%], traumatic iritis/uveitis fifty three [80.3%], and seventeen [25.8%] patients developed traumatic cataract. Traumatic Glaucoma occurred in 3% cases. Vitreous haemorrhage occurred in nineteen [63.3%] and seventeen [56.7%] cases were with retinal heamorrhages, commotio retinae was seen in ten [33.3%] post-traumatic optic atrophy occurred in eight [26.7%] and retinal detachment in six cases. Anterior segment involvement have better visual prognoses 89.4%, compared to posterior segment trauma which is 26.7%. A high percentage of youth and children suffered eye injuries, home setting and sports-related injuries were more common. Hyphaemas and lens injuries have relative little affect on the final visual outcome as compared to the posterior segments injuries


Assuntos
Humanos , Masculino , Feminino , Ferimentos não Penetrantes/complicações , Catarata , Glaucoma , Irite , Hemorragia Vítrea , Hemorragia Retiniana , Descolamento Retiniano , Acuidade Visual , Estudos Prospectivos
9.
Rev. colomb. gastroenterol ; 23(4): 347-360, oct.-dic. 2008. ilus
Artigo em Espanhol | LILACS | ID: lil-523298

RESUMO

El propósito de este artículo es revisar las patologías de origen gastrointestinal que se manifiestan sobre los tejidos oculares, en algunos casos, como signo predictor o temprano de la enfermedad y en otros, generando enfermedad sobre el ojo y/o sus anexos.De igual manera se revisan patologías sistémicas de origen no ocular ni gastrointestinal pero que terminan envolviendo en su curso a ambos sistemas.


The purpose of this article is to perform a review over gastrointestinal diseases can affect the ocular tissues. Sometimes like a predictor symptom and in other instances the eye become as a one of the many organs affected by the severity of the basis disease. In the same way both gastrointestinal system and visual system may be involved as part of a systemic disease.


Assuntos
Humanos , Masculino , Feminino , Catarata , Endoftalmite , Irite , Ceratite , Retinite , Esclerite , Uveíte
10.
Journal of the Korean Ophthalmological Society ; : 1573-1578, 2007.
Artigo em Coreano | WPRIM | ID: wpr-105777

RESUMO

PURPOSE: To report a patient with herpes zoster ophthalmicus in whom hyphema, glaucoma and external ophthalmoplegia occurred. CASE SUMMARY: A 59-year-old male patient developed severe ocular pain and decreased visual acuity in his left eye 10 days ago. He had been diagnosed as herpes zoster ophthalmicus 14 days before and given antiviral agent. He could not percept light. His left eye showed hyphema, severe exudative iritis and elevated IOP. Lid drooping and complete external ophthalmoplegia were present in the left eye. Systemic corticosteroid with concomitant antiviral agents and antiglaucomatous agents was administered. RESULTS: Light perception did not recover and phthisis bulbi developed in his left eye at 2 months after the onset of the skin lesion. The patient showed gradual improvement in movement of the lid and external ocular muscle.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Antivirais , Glaucoma , Herpes Zoster Oftálmico , Herpes Zoster , Hifema , Irite , Oftalmoplegia , Pele , Acuidade Visual
11.
Bina Journal of Ophthalmology. 2006; 11 (4): 425-431
em Persa | IMEMR | ID: emr-76258

RESUMO

To determine the prevalence of ocular involvement in patients with tuberculosis [TB] infection. All patients with a new diagnosis of TB who were referred to Zahedan Tuberculosis Center underwent a complete ophthalmic examination. Any cases of known ophthalmic disease or previous ocular involvement were excluded from the study. Prevalence of ocular involvement with 95% confidence interval [95% CI] was calculated. Out of 444 eyes of 222 TB patients, 19 eyes [4.3%, 95% CI: 2.6-6.6%] of 17 patients [7.7%, 95% CI: 4.5-12.0%] had some ophthalmic lesions ascribable to TB. The most frequent ophthalmic lesions were choroidal tubercles in 4 eyes [21.1%]; interstitial keratitis and acute iritis each in 3 eyes [15.8%]; chorioretinitis, peripapillary nodule and lid lupus vulgaris each in 2 eyes [10.5%]; and retinal vasculitis, vitritis and lateral rectus paresis each in one eye [5.3%]. The ocular involvement was unilateral in 88.2%. Multiple logistic regression analysis revealed that only the duration of TB before treatment had direct correlation with ocular involvement [odds ratio= 5.22, 95% CI: 1.57-17.35]. The frequency of ocular involvement in TB in the study population is at least 3 times greater than other countries. Early treatment of TB can reduce ocular involvement and prevent other complications of the disease


Assuntos
Humanos , Olho/patologia , Doenças da Coroide , Ceratite , Irite , Coriorretinite , Vasculite Retiniana
12.
Rev. chil. dermatol ; 22(1): 26-30, 2006. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-433895

RESUMO

La rosácea es una enfermedad crónica que puede asociarse e incluso debutar con un compromiso ocular (rosácea ocular), siendo ésta principalmente de predominio palpebral (blefaritis), conjuntiva y/o corneal, es decir, fundamentalmente del polo anterior del ojo. Se presume multifactorial, siendo la alteración de la composición del componente lipídico de la lágrima, motivada por lipasas estafilocócicas aumentadas y meibomitis, los eventos precursores más ampliamente aceptados. Actualmente el tratamiento se basa en fotoprotección ocular, uso de lágrimas artificiales y antibioticoterapia oral y tópica. Otras alternativas de segunda línea son el metronidazol, isotretinoína tópica y sistémica, cirugía y oclusión del punto lacrimal.


Assuntos
Humanos , Oftalmopatias/etiologia , Olho/patologia , Rosácea/complicações , Rosácea/etiologia , Rosácea/terapia , Adjuvantes Imunológicos/uso terapêutico , Antibacterianos/uso terapêutico , Blefarite/etiologia , Conjuntivite/etiologia , Doenças da Córnea/etiologia , Doenças do Aparelho Lacrimal/fisiopatologia , Esclerite/etiologia , Irite/etiologia , Lubrificação , Pálpebras/patologia , Soluções Oftálmicas/uso terapêutico
13.
Journal of the Korean Ophthalmological Society ; : 273-282, 2006.
Artigo em Coreano | WPRIM | ID: wpr-34724

RESUMO

PURPOSE: To evaluate the clinical results of 6 mm iris-fixated phakic intraocular lens (Artisan(R) lens) implantation in myopic patients. METHODS: Forty eyes of 23 myopic patients underwent 6-mm Artisan(R) phakic IOL implantation and were followed-up for over 6 months. We prospectively analyzed the efficacy, stability, predictability, change of astigmatism, endothelial cell count, pupil diameter, degree of decentration, subjective satisfaction and complications. RESULTS: The preoperative mean spherical equivalent was -9.46 D, and postoperative spherical equivalent was -0.70D at 1 month, -0.55D at 3 months, -0.54D at 6 months, -0.78D at 12 months and remained stable during the follow-up period. The preoperative mean astigmatism was -1.88D and postoperative astigmatism was -0.87D at 6 months. Postoperative uncorrected visual acuity (UCVA) was more than 0.8 in 85% of the eyes at 1 month, 91% at 3 months, 95% at 6 months, and 89% at 12 months. The spherical equivalent refraction after surgery was within 1.0D of emmetropia in 78% of eyes at 1 month, 80% at 3 months, 88% at 6 months, and 64% at 12 months. There was no significant decrease in the endothelial cell count during the follow-up period. Preoperative scotopic pupil diameters were significantly decreased at 1 month and the mean decentration of the lens was 0.38 mm. Patient satisfaction was generally high. Complications included the transient elevation of intraocular pressure in 1 eye, corneal edema in 4 eyes, iritis in 1 eye, traumatic dislocation in 1 eye and iris atrophy in 2 eyes. CONCLUSIONS: The 6-mm Artisan(R)phakic IOL implantation may be an effective surgical procedure for myopic patients who cannot undergo corneal refractive surgery, as it provided good visual results, predictability, patient satisfaction, and short-term safety.


Assuntos
Humanos , Astigmatismo , Atrofia , Edema da Córnea , Luxações Articulares , Emetropia , Células Endoteliais , Seguimentos , Pressão Intraocular , Iris , Irite , Satisfação do Paciente , Lentes Intraoculares Fácicas , Estudos Prospectivos , Pupila , Procedimentos Cirúrgicos Refrativos , Acuidade Visual
14.
Al-Azhar Medical Journal. 2004; 33 (2): 167-72
em Inglês | IMEMR | ID: emr-65134

RESUMO

The present study aimed at studying the vascular state in eyes with systemic lupus erythromatosis [SLE] to find out the specific changes of the disease. Twenty patients of systemic lupus erythromatosis with age ranging between 20-45 years [2 males and 18 females] were examined. With exclusion of other systemic diseases. The results showed different fluorescein angiographic findings, like cotton wool exudates, central serous chorioretinopathy with other anterior segment changes, like recurrent iritis and cataractous changes related to the immune mechanism of the disease


Assuntos
Humanos , Masculino , Feminino , Retina , Vasculite , Irite , Angiofluoresceinografia , Recidiva , Catarata
15.
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 679-682, 2004.
Artigo em Coreano | WPRIM | ID: wpr-648845

RESUMO

Recurrent iritis and oral/genital ulcers have been described for the first time as a separate pathological entity by the Turkish dermatologist Hulusi Behcet. Behcet disease is a chronic, multi-systemic disorder, which affects many organs as a result of vasculitis. The clinical manifestations are divided into two groups: major (oral ulcers, eye lesions, genital ulcerations, and skin lesions) and minor (arthritis, gastrointestinal lesions, epididymitis, thrombophlebitis, and central nervous system involvement) criteria. The incidence of hearing loss in Behcet disease has been reported as 12% to 80% in several studies. A 37-year-old man diagnosed as Behcet disease was admitted to our department with complaints of profound right hearing loss and dizziness. He was treated with steroid without improvement. After one year, he suffered from complete hearing loss on the left side. A temporal bone CT scan revealed right cochlear ossification. Cochlear implantation was performed within 4 weeks after the completion of steroid therapy in the left cochlea, which was partially obstructed by fibrotic tissue. However, the electrode was fully inserted without resistance. Wound healing complications were not encountered in the postoperative period. The hearing threshold was restored to 30 dBHL, while speech discrimination did not improve as much as expected. We propose that the routine hearing examinations be employed in the evaluation and management of Behcet disease. According to our experience, we find that cochlear implantation should be carried out at an early stage, before the development of labyrinthine ossification.


Assuntos
Adulto , Humanos , Masculino , Síndrome de Behçet , Sistema Nervoso Central , Cóclea , Implante Coclear , Implantes Cocleares , Surdez , Tontura , Eletrodos , Epididimite , Audição , Perda Auditiva , Incidência , Irite , Período Pós-Operatório , Pele , Percepção da Fala , Osso Temporal , Tromboflebite , Tomografia Computadorizada por Raios X , Úlcera , Vasculite , Cicatrização
16.
Indian J Ophthalmol ; 2002 Sep; 50(3): 224-5
Artigo em Inglês | IMSEAR | ID: sea-69707

RESUMO

We describe a case of late ocular changes after lightning injury. One year after the injury, complete ankyloblepharon, severe dry eye, corneal opacity, healed iritis and mature cataracts were noted in both eyes of the patient.


Assuntos
Adulto , Catarata/etiologia , Doenças da Túnica Conjuntiva/etiologia , Opacidade da Córnea/etiologia , Síndromes do Olho Seco/etiologia , Olho/efeitos da radiação , Traumatismos Oculares/etiologia , Doenças Palpebrais/etiologia , Humanos , Irite/etiologia , Lesões Provocadas por Raio/complicações , Masculino , Fatores de Tempo , Acuidade Visual
17.
Annals of Dermatology ; : 98-101, 2002.
Artigo em Inglês | WPRIM | ID: wpr-90851

RESUMO

The vascular involvement is seen in 8% to 24% of patients with Behçet's syndrome. Arterial lesions are less frequently observed and the involvement of renal artery is very rare. Indeed, there is only one case report of ruptured renal aneurysm due to Behc et's disease. We report a case of renal artery rupture, which was likely caused by Behçet's disease. Even though we cannot completely rule out the other causes of renal artery rupture with this patient, the rupture was likely due to vascular involvement of Behçet's disease. Dermatologists always should consider the possibility of major vessel involvement when they treat patients with Behçet's disease, even if the incidence is very low and the patient may not complain of any systemic symptoms. INTRODUCTION: Behçet's disease was first defined by Hulusi Behçet's in 1937 as a multisystemic disease with the triad of recurrent aphthous stomatitis, genital ulceration and relapsing iritis. Its etiology remains obscure. It is accepted that the pathologic process of Behçet's disease is an immunologic vasculitis. Among vascilar lesions, the venous system is the major affected site. Arterial lesions, such as aneurysms or occlusions, are rarely reported, but sometimes adversely affects the course of the disease. Aneurysm formation is known to be life-threatening because of the risk of rupture.


Assuntos
Humanos , Aneurisma , Incidência , Irite , Artéria Renal , Ruptura , Estomatite Aftosa , Úlcera , Vasculite
18.
The Journal of the Korean Rheumatism Association ; : 236-240, 2002.
Artigo em Coreano | WPRIM | ID: wpr-126971

RESUMO

Polyarteritis nodosa is a necrotizing vasculitis affecting medium and small-sized arteries throughout the body. Eye involvement is present in about 10% to 20% of patients, including chemosis, iritis, episcleritis, corneal ulcers, keratitiis, choroiditis, retinal detachment, extraocular muscle palsies, and hypertensive retinopathy. Rarely there have been reports of optic neuropathies and occasional central retinal artery occlusions. We experienced a patient with central retinal artery occlusion who had been diagnosed polyarteritis nodosa with mononeuritis multiplex.


Assuntos
Humanos , Artérias , Corioide , Corioidite , Retinopatia Hipertensiva , Irite , Mononeuropatias , Doenças do Nervo Óptico , Paralisia , Poliarterite Nodosa , Oclusão da Artéria Retiniana , Artéria Retiniana , Descolamento Retiniano , Esclerite , Úlcera , Vasculite
19.
Journal of the Korean Ophthalmological Society ; : 67-74, 2002.
Artigo em Coreano | WPRIM | ID: wpr-45857

RESUMO

PURPOSE: Behcet's disease is a chronic, recurrent, multisystemic disorder, which visual prognosis is poor. The clinical and epidemiological characteristics of Behcet's disease in Korean were evaluated. METHODS: The clinical records on 3,175 patients with Behcet's disease diagnosed at Behcet's disease clinic in Severance Hospital between November 1983 and December 1999 were reviewed. RESULTS: Among all 3,175 patients, the men/women ratio of Behcet's disease was 1:1.6. The age of disease onset was the highest in the thirties (33.8%). The most frequent major and minor symptom was oral ulcer (97.7%) and arthritis (32.8%) respectively, and the proportion of ocular symptom was 19.3%. The most frequent initial symptom was oral ulcer (77.4%). The ratio of men/women with ocular symptom was 1:0.98. The mean interval between the initial symptom and ocular symptom was 34 months, and the most common ocular symptom was iritis (79.0%). The most frequent systemic drug administered in patients with ocular involvement was colchicines (35%). Visual acuity was worsened in 56% of the eyes followed for over 24 months. CONCLUSIONS: The authors notice the characteristics of Behcet's disease in Korean and suggest that the continuous and nationwide survey is further necessary.


Assuntos
Humanos , Artrite , Irite , Úlceras Orais , Prognóstico , Acuidade Visual
20.
Journal of the Korean Ophthalmological Society ; : 730-735, 2001.
Artigo em Coreano | WPRIM | ID: wpr-80584

RESUMO

PURPOSE: To evaluate etiology, risk factors and clinical features in eyes with sports-related injuries. METHOD: A prospective evaluation of all patients presenting with a sports-related ocular injury was conducted at Dongguk University Pohang Hospital from January 1999 to December 1999. RESULT: There were 29 patients, representing 8.0% of all ocular trauma patients. Male was injured more often than female by a ratio of 6.25:1, and the mean age was 25.8+/-14.3 years. Soccer accounted for 37.9% and basketball accounted for 13.8% of all injuries. The mechanism most frequently responsible for injuries was direct ball trauma(51.7%). Six patients(20.7%) wore spectacles, whereas none of patients wore protective eye wear, at the time of their injury. Lid subcutaneous hemorrhage or edema(12 eyes) was the most common injury, and corneal abrasion(11 eyes) and retinal edema(7 eyes) occurred frequently. Traumatic hyphema and traumatic iritis occurred in 5 eyes, respectively. CONCLUSION: Sports-related ocular trauma is one of the significant causes of ocular morbidity. Even though all sports-related ocular trauma is not preventable, increased education such as use of certified protective eye wear is needed if the frequency or severity of injuries is to be decreased.


Assuntos
Feminino , Humanos , Masculino , Basquetebol , Educação , Óculos , Hemorragia , Hifema , Irite , Estudos Prospectivos , Retinaldeído , Fatores de Risco , Futebol
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