Subject(s)
Lymphangioma , Orbital Neoplasms , Child , Female , Humans , Lymphangioma/diagnosis , Orbital Neoplasms/diagnosisABSTRACT
CLINICAL CASE: A 35-year-old man with a family history of von Hippel-Lindau disease was diagnosed to have two retinal hemangiomas in the right eye and another in the left eye. The hemangiomas were treated with cryotherapy and laser photocoagulation respectively. Despite apparent good resolution of the retinal lesions, progressive visual loss was observed. An MRI was then performed and showed bilateral tumoral lesions of the optic nerve compatible with a glioma, meningioma or hemangioblastoma. Currently the visual acuity in his right eye is hand movement, and is 0.6 in the left eye. DISCUSSION: The presence of the retinal hemangiomas delayed the diagnosis of an optic nerve tumor in this patient.
Subject(s)
Hemangioma/complications , Hemangioma/diagnosis , Neoplasms, Multiple Primary/diagnosis , Optic Nerve Neoplasms/complications , Optic Nerve Neoplasms/diagnosis , Retinal Neoplasms/complications , Retinal Neoplasms/diagnosis , von Hippel-Lindau Disease/complications , Adult , Humans , MaleABSTRACT
Caso clínico: Varón de 35 años con antecedentesfamiliares de enfermedad de von Hippel-Lindau(VHL) diagnosticado de dos hemangiomas retinianosen ojo derecho (OD) y uno en ojo izquierdo.Las lesiones se trataron con crioterapia en OD yláserterapia en OI. A pesar de una aparente buenaevolución de las lesiones retinianas hubo una progresivadisminución de la AV. Se realizó RM dondese evidenció lesiones tumorales del nervio óptico(NO) bilaterales compatibles con glioma, meningiomao hemangioblastoma. Actualmente: AV(OD): movimiento de manos y AV(OI): 0,6.Discusión: La presencia de los hemangiomas retinianosen este paciente hizo retrasar el diagnósticode un tumor en el NO, infrecuente en esta entidad
Clinical case: A 35-year-old man with a family history ;;of von Hippel-Lindau disease was diagnosed to ;;have two retinal hemangiomas in the right eye and ;;another in the left eye. The hemangiomas were treated ;;with cryotherapy and laser photocoagulation ;;respectively. Despite apparent good resolution of ;;the retinal lesions, progressive visual loss was ;;observed. An MRI was then performed and showed ;;bilateral tumoral lesions of the optic nerve compatible ;;with a glioma, meningioma or hemangioblastoma. ;;Currently the visual acuity in his right eye is ;;hand movement, and is 0.6 in the left eye. ;;Discussion: The presence of the retinal hemangiomas ;;delayed the diagnosis of an optic nerve tumor ;;in this patient
Subject(s)
Male , Adult , Humans , von Hippel-Lindau Disease/pathology , Optic Nerve Neoplasms/pathology , Cryotherapy , Laser Therapy , Hemangioblastoma/surgeryABSTRACT
UNLABELLED: PURPOSE/MATERIAL AND METHOD: A case of a 42 year-old woman presenting headache, vomiting and loss of consciousness of sudden onset. Upon testing right eye presented amaurosis while left eye showed a visual acuity of 20/50. RESULTS/CONCLUSION: Brain angiography showed a right sided giant carotid aneurysm at the ophthalmic artery area. Globe fundus in left eye showed vitreal and intra-retinal hemorrhage appearing in retinal posterior pole and periphery of the retina. Subarachnoidal hemorrhage accompanied by intra-vitreal bleeding is known as Terson's Syndrome. Peculiarities of this clinical case are discussed in this paper.
Subject(s)
Aneurysm/complications , Carotid Artery Diseases/complications , Intracranial Aneurysm/complications , Ophthalmic Artery , Retinal Hemorrhage/etiology , Subarachnoid Hemorrhage/etiology , Adult , Female , Humans , SyndromeABSTRACT
PURPOSE: To clarify the usefulness of multilayer amniotic membrane transplantation in an unusual case of calcareous corneal degeneration in a patient with graft-versus-host disease. METHODS: A 20-year-old Caucasian woman had bilateral calcareous corneal degeneration of one year of evolution, secondary to graft-versus-host disease. Treatment for both eyes with topical steroids and antibiotic ointment was not successful. Right eye had a spontaneous corneal perforation, and a three-layer circle amniotic membrane graft was applied to the whole cornea. RESULTS: During a follow-up period of 20 months we observed stability of the corneal epithelium and stroma. The amniotic membrane-covered area showed rapid epithelization, reduced inflammation and suppressed fibrosis formation. CONCLUSIONS: Multilayer amniotic membrane transplantation may be considered an alterantive for reconstructing the ocular surface in a patient with severe dry eyes and calcareous corneal degeneration, even with little perforation.
Subject(s)
Amnion/transplantation , Corneal Diseases/surgery , Graft vs Host Disease/surgery , Adult , Corneal Diseases/pathology , Corneal Stroma/pathology , Epithelium, Corneal/pathology , Female , Follow-Up Studies , Graft vs Host Disease/pathology , Humans , Rupture, Spontaneous , Visual AcuityABSTRACT
PURPOSE: We describe a central retinal artery occlusion in a young man who was subsequently found to have an aortic valve papillary fibroelastoma. METHODS: Case report with clinical, echocardiographic, and histopathologic observations. RESULTS: The aortic valve papillary fibroelastoma was successfully treated with tumor resection. CONCLUSION: Appropriate investigations in young patients with central retinal artery occlusion should therefore be conducted, including transthoracic and transesophageal echocardiography, to diagnose and treat this tumor, because failure to diagnose this tumor may result in further embolic events, including stroke and sudden death.
