ABSTRACT
Este manuscrito presenta un caso de un leiomioma orbitario de larga evolución en un joven de 14años. El tumor era inusualmente grande y causaba una proptosis severa y una afectación importante de la musculatura ocular. El paciente presentaba amaurosis, una oftalmoplejía completa, dolor ocular espontáneo e incapacidad para cerrar los párpados. Debido al tamaño del tumor y a su progresión, se realizó una exenteración orbitaria derecha para eliminar todo el contenido orbitario, incluyendo el tumor y el globo ocular. El procedimiento quirúrgico tenía como objetivo prevenir la recurrencia del tumor y mejorar la calidad de vida del paciente. El análisis histopatológico confirmó el diagnóstico de leiomioma orbitario. Este caso presenta un interés particular por el grado de evolución que ha alcanzado. La extirpación completa del tumor y un seguimiento a largo plazo son necesarios para prevenir la recurrencia y garantizar resultados óptimos para el paciente. Además, este caso refleja las grandes diferencias en el acceso a la sanidad en las diferentes regiones del mundo. (AU)
This manuscript describes an exceptional case of a long-standing orbital leiomyoma in a 14-year-old male. The tumor was unusually large, causing severe proptosis and significant involvement of the ocular muscles. The patient presented with amaurosis, complete ophthalmoplegia, spontaneous eye pain, and the inability to close the eyelids, leading to psychological distress. Due to the tumor's size and progression, a right orbital exenteration was performed to remove all orbital contents, including the tumor and the eyeball. The surgical procedure aimed to prevent tumor recurrence and improve the patient's quality of life. The histopathological analysis confirmed the diagnosis of orbital leiomyoma. This case presents a particular interest due to the degree of evolution it has reached. Complete tumor excision and long-term follow-up are necessary to prevent recurrence and ensure optimal patient outcomes. This report underscores global healthcare disparities and the complexity of managing rare orbital neoplasms in diverse country settings. (AU)
Subject(s)
Humans , Male , Adolescent , Leiomyoma , Exophthalmos , Ophthalmoplegia , Orbit EviscerationABSTRACT
This manuscript describes an exceptional case of a long-standing orbital leiomyoma in a 14-year-old male. The tumor was unusually large, causing severe proptosis and significant involvement of the ocular muscles. The patient presented with amaurosis, complete ophthalmoplegia, spontaneous eye pain, and the inability to close the eyelids, leading to psychological distress. Due to the tumor's size and progression, a right orbital exenteration was performed to remove all orbital contents, including the tumor and the eyeball. The surgical procedure aimed to prevent tumor recurrence and improve the patient's quality of life. The histopathological analysis confirmed the diagnosis of orbital leiomyoma. This case presents a particular interest due to the degree of evolution it has reached. Complete tumor excision and long-term follow-up are necessary to prevent recurrence and ensure optimal patient outcomes. This report underscores global healthcare disparities and the complexity of managing rare orbital neoplasms in diverse country settings.
Subject(s)
Exophthalmos , Leiomyoma , Muscle Neoplasms , Orbital Neoplasms , Male , Humans , Child , Adolescent , Orbital Neoplasms/diagnostic imaging , Orbital Neoplasms/surgery , Quality of Life , Neoplasm Recurrence, Local , Exophthalmos/etiology , Muscle Neoplasms/complications , Leiomyoma/diagnostic imaging , Leiomyoma/surgery , Leiomyoma/complicationsSubject(s)
Authorship , Bibliometrics , Efficiency , Research Personnel/statistics & numerical data , HumansSubject(s)
Astronomy/history , Blindness/history , Eyeglasses/history , History, 16th Century , History, 17th Century , Humans , ItalySubject(s)
Cataract/history , Famous Persons , Medicine in the Arts , Sculpture/history , Egypt, Ancient , Government/history , History, Ancient , Humans , MaleABSTRACT
La indentación escleral mediante un explante circunferencial de silicona sólida, es un procedimiento habitualmente realizado en la cirugía del desprendimiento de retina. Proponemos un método sencillo para calcular la longitud que debe tener la banda de silicona que deseamos colocar. Para ello medimos el diámetro horizontal del globo ocular, a la altura de la inserción de los músculos rectos horizontales. Tras obtener dicha medida, calculamos la longitud teórica de la circunferencia correspondiente a ese diámetro. A dicha longitud restamos 8 mm., y la longitud obtenida finalmente, es la que asignamos a la banda de silicona que colocamos en el globo ocular para obtener una buena identación escleral (AU)
Subject(s)
Humans , Silicones/therapeutic use , Retinal Detachment/surgery , Weights and MeasuresABSTRACT
We have analyzed retrospectively fifty conjunctival samples from infants less than one month of age affected with conjunctivitis. Of these samples, 84% had a positive bacterial culture, with the microorganisms isolated, in order of frequency, being: Staphylococcus epidermidis (14%), Staphylococcus aureus (14%), Streptococcus pneumoniae (12%), Haemophilus sp, Chlamydia and alpha-hemolytic Streptococcus (8%). All of these showed a high sensitivity to most of the drugs tested, except to penicillin and its derivatives. Cefotaxime, ceftriaxone and ciprofloxacin showed the highest in vitro activities. Of the pharmacological ophthalmic preparations commercially available in our country, sulfonamides, chloramphenicol, rifampicin, erythromycin and tobramycin are the agents more active against the bacteria described above.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Conjunctivitis, Bacterial/drug therapy , Conjunctivitis, Bacterial/microbiology , Acute Disease , Anti-Bacterial Agents/pharmacology , Female , Humans , Infant, Newborn , Male , Microbial Sensitivity Tests , Retrospective StudiesABSTRACT
Five patients with Goldenhar-Gorlin's syndrome (facio-auriculo-vertebral dysplasia) are presented in this study. Their clinical characteristics are commented on along with an illustrative iconography. The literature on this subject has been reviewed and we make some comments on the possible ethiopathogeny of this disease.
Subject(s)
Goldenhar Syndrome/physiopathology , Diseases in Twins , Female , Goldenhar Syndrome/etiology , Goldenhar Syndrome/genetics , Heart Defects, Congenital/genetics , Humans , Infant , Infant, Newborn , Male , Radiography, Thoracic , Strabismus/congenital , Strabismus/genetics , Twins, MonozygoticABSTRACT
Realizamos un estudio prospectivo, randomizado y doble ciego en 40 pacientes, para comparar la influencia que la administración tópica de un nuevo inhibidor de la síntesis de prostaglandinas -el diclofenac sódico al 0,1%- podría tener en el curso postoperatorio de ojos con glaucoma de ángulo abierto que fueron sometidos a una trabeculoplastia con láser de argón. No hallamos diferencias estadísticamente significativas entre los dos grupos en cuanto al incremento inmediato de la presión intraocular y la respuesta inflamatoria postoperatoria que siguieron a la laserterapia. Sin embargo, pensamos que el colirio de diclofenac sódico al 0,1% es útil como agente antiinflamatorio tópico después de la trabeculoplastia, por carecer de los efectos secundarios de los corticosteroides
