ABSTRACT
CASE REPORT: We present case reports of two young patients suffering from full thickness traumatic macular holes resulting in visual impairment of more than 60%. Both showed anatomical and visual improvement whilst waiting for surgical treatment. DISCUSSION: Spontaneous closure of a traumatic macular hole is an unusual outcome. OCT and clinical follow up enabled monitoring of this resolution during a period of a few weeks. Complex surgery was thus avoided by a short observational period.
Subject(s)
Retina/injuries , Retinal Perforations , Adolescent , Adult , Humans , Male , Remission, Spontaneous , Retinal Perforations/diagnosisABSTRACT
Caso clínico: Se presentan dos casos de pacientes jóvenes que sufrieron sendos agujeros maculares traumáticos de espesor completo con deterioro visual de más de un 60%. Ambos mejoraron clínica y anatómicamente mientras esperaban un tratamiento quirúrgico. Discusión: El cierre espontáneo de agujeros maculares traumáticos es un hallazgo infrecuente. El seguimiento clínico y mediante OCT permite apreciar la mejoría en las primeras semanas. Un período corto de observación nos puede evitar una intervención quirúrgica compleja y laboriosa
Case report: We present case reports of two young patients suffering from full thickness traumatic macular holes resulting in visual impairment of more than 60%. Both showed anatomical and visual improvement whilst waiting for surgical treatment. Discussion: Spontaneous closure of a traumatic macular hole is an unusual outcome. OCT and clinical follow up enabled monitoring of this resolution during a period of a few weeks. Complex surgery was thus avoided by a short observational period (Arch Soc Esp Oftalmol 2008; 83: 325-327)
Subject(s)
Humans , Male , Adolescent , Adult , Retinal Perforations/complications , Retinal Perforations/diagnosis , Retinal Perforations/therapy , Tomography, Optical Coherence/instrumentation , Prednisone/therapeutic use , Vitrectomy , Retinal Perforations/physiopathology , Retinal Perforations , Tomography, Optical Coherence/trends , Tomography, Optical Coherence , Edema/complications , Edema , Macular Edema/complications , Macular Edema , MicroscopyABSTRACT
CASE REPORT: We present two case reports of patients suffering from severe corneal damage resulting in pain and visual impairment, after undergoing Scopinaro's operation. Both patients improved after treatment with topical autologous serum although their nutritional state became worse. DISCUSSION: Topical autologous serum provides growth factors and nutrients needed for corneal cell repair, and is appropriate treatment for carential ocular pathology which may accompany malnutrition.
Subject(s)
Corneal Diseases/etiology , Corneal Diseases/therapy , Serum , Vitamin A Deficiency/complications , Administration, Topical , Adult , Female , Humans , MaleABSTRACT
Caso clínico: Se presentan dos casos de pacientes con el antecedente de haber sido sometidos a la intervención de Scopinaro, que presentan afectación corneal severa con dolor y deterioro de la agudeza visual en grado variable. Ambos se beneficiaron de un tratamiento a base de suero autólogo tópico con una mejoría que contrastaba con el deterioro de su estado nutricional. Discusión: El suero autólogo tópico aporta a la superficie ocular factores de crecimiento y nutrientes necesarios para el trofismo celular de la cornea, siendo un tratamiento apropiado para la patología ocular carencial que puede ocurrir en pacientes desnutridos
Case report: We present two case reports of patients suffering from severe corneal damage resulting in pain and visual impairment, after undergoing Scopinaros operation. Both patients improved after treatment with topical autologous serum although their nutritional state became worse. Discussion: Topical autologous serum provides growth factors and nutrients needed for corneal cell repair, and is appropriate treatment for carential ocular pathology which may accompany malnutrition
Subject(s)
Male , Female , Adult , Humans , Avitaminosis/complications , Ophthalmic Solutions/administration & dosage , Dry Eye Syndromes/therapy , Gastric Bypass/adverse effects , Avitaminosis/therapy , Malnutrition/complicationsABSTRACT
CASE REPORT: We report the case of a child short in stature with brachydactyly and brachymorphy who was referred to our office complaining of poor vision. This was a case of Weill-Marchesani's syndrome described in a family, in which four of the eight children were affected by spherophakia, brachymorphy and brachydactyly. DISCUSSION: There are few familial cases of Weill-Marchesani's syndrome reported in the literature. Both autosomal dominant and recessive inheritances have been described. The opththalmologist plays a crucial role in its diagnosis and management, since the ocular involvement is the most severe one.
Subject(s)
Abnormalities, Multiple , Ectopia Lentis , Fingers/abnormalities , Lens, Crystalline/abnormalities , Toes/abnormalities , Adolescent , Ectopia Lentis/genetics , Humans , Intraocular Pressure , Male , Syndrome , Visual AcuityABSTRACT
Caso clínico: Presentamos el caso clínico de unniño con talla baja, braquidactilia y braquimorfiaremitido a la consulta por baja visión. Se trata de uncaso de síndrome de Weill-Marchesani en una familiaen la que cuatro de los ocho hijos presentan esferofaquia,braquimorfia y braquidactilia.Discusión: Existen pocos casos familiares del síndromede Weill-Marchesani reflejados en la literatura.Se han descrito patrones de herencia tantoautosómico dominante como recesivo. El papel deloftalmólogo en su diagnóstico y manejo es esencial,ya que la afectación oftalmológica es la más grave
Case report: We report the case of a child short in ;;stature with brachydactyly and brachymorphy who ;;was referred to our office complaining of poor ;;vision. This was a case of Weill-Marchesanis syndrome ;;described in a family, in which four of the ;;eight children were affected by spherophakia, ;;brachymorphy and brachydactyly. ;;Discussion: There are few familial cases of Weill- ;;Marchesanis syndrome reported in the literature. ;;Both autosomal dominant and recessive inheritances ;;have been described. The opththalmologist ;;plays a crucial role in its diagnosis and management, ;;since the ocular involvement is the most severe ;;one