ABSTRACT
CASE REPORT: A 55 year old woman presented with retinal vasculitis, multiple aneurysms, macular exudation and widespread retinal nonperfusion and was diagnosed with IRVAN. She was treated with panretinal laser photocoagulation. After 3 years of follow up visual acuity remains stable and there are no complications due to ischaemic sequelae. DISCUSSION: IRVAN syndrome with neovascularisation can progress rapidly despite laser treatment. Panretinal laser photocoagulation has to be considered in the early stages as it is effective in stopping the progression of ischaemia.
Subject(s)
Aneurysm/surgery , Laser Coagulation , Retinal Artery , Retinal Vasculitis/surgery , Retinitis/surgery , Aneurysm/complications , Early Medical Intervention , Female , Humans , Middle Aged , Retinal Vasculitis/complications , Retinitis/complicationsABSTRACT
CASE REPORT: A case of benign concentric annular macular dystrophy is described. A 32-year-old woman presented with loss of quality in visual acuity. Ophthalmologic examination, fluorescein angiogram, electrophysiologic tests and visual field measurements were performed. DISCUSSION: It is very important to include in the differential diagnosis other dystrophies which present a <
Subject(s)
Pigment Epithelium of Eye , Retinal Diseases/diagnosis , Adult , Female , HumansABSTRACT
CASE REPORT: A 33-year-old woman with superficial and deep bilateral corneal vascularization and keratoconjunctivitis sicca, keratoerythema and neurosensory deafness, was diagnosed with keratitis-ichthyosis-deafness (KID) syndrome. DISCUSSION: KID syndrome is a congenital ectodermal dysplasia characterized by the association of vascularizing keratitis, hyperkeratotic skin lesions and sensorineural hearing loss. Recently, limbal stem cell deficiency was recognized as a possible major pathogenetic factor.
Subject(s)
Deafness/diagnosis , Eye Diseases/diagnosis , Ichthyosis/diagnosis , Keratitis/diagnosis , Adult , Deafness/congenital , Eye Diseases/drug therapy , Eye Diseases/genetics , Female , Hearing Loss, Sensorineural/congenital , Hearing Loss, Sensorineural/diagnosis , Humans , Ichthyosis/drug therapy , Ichthyosis/genetics , Keratitis/congenital , Keratitis/drug therapy , Mutation , Ophthalmic Solutions/therapeutic use , Syndrome , Visual AcuityABSTRACT
Caso clínico: Mujer de 33 años con neovascularizacióncorneal bilateral superficial y profunda yqueratopatía punteada superficial de distribucióndifusa, queratoeritema y sordera neurosensorial,que es diagnosticada de síndrome KID.Discusión: El síndrome KID es una displasia congénitaectodérmica caracterizada por la asociaciónde queratitis vascularizante, lesiones cutáneashiperqueratósicas y sordera neurosensorial. Recientemente,la deficiencia de stem cell limbares ha sidoreconocida como posible factor patogenético clave
Case report: A 33-year-old woman with superficial ;;and deep bilateral corneal vascularization and ;;keratoconjunctivitis sicca, keratoerythema and neurosensory ;;deafness, was diagnosed with keratitisichthyosis- ;;deafness (KID) syndrome. ;;Discussion: KID syndrome is a congenital ectodermal ;;dysplasia characterized by the association of ;;vascularizing keratitis, hyperkeratotic skin lesions ;;and sensorineural hearing loss. Recently, limbal ;;stem cell deficiency was recognized as a possible ;;major pathogenetic factor
Subject(s)
Female , Adult , Humans , Corneal Neovascularization/pathology , Keratitis, Dendritic/pathology , Ichthyosis , Deafness , Connexins/isolation & purification , Hyperkeratosis, Epidermolytic , Stem CellsABSTRACT
CASE REPORT: Case 1: An 82-year-old man who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in his right eye under topical anaesthesia. Surgery lasted 14 minutes. Case 2: A 60-year-old woman with bilateral advanced primary open angle glaucoma who underwent an uncomplicated phacoemulsification and IOL implantation (Tecnis Z 9000 lens) in her right eye under peribulbar anaesthesia. Surgery lasted 36 minutes. One month after surgery both patients noted a para-central scotoma and impaired vision. Fluorescein angiography in both cases revealed retinal pigment epithelial changes compatible with intra-operative light-induced maculopathy. DISCUSSION: Light-induced maculopathy has been reported following cataract surgery. Whether physical properties of these new polysiloxane lenses contribute to retinal susceptibility to phototoxicity under certain light conditions needs to be elucidated.
Subject(s)
Light/adverse effects , Phacoemulsification/adverse effects , Retinal Diseases/etiology , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
CLINICAL CASE: We present a case of a 40-years-old woman with an acute posterior multifocal placoid pigment epitheliopathy (APMPPE) associated with recent instauration hyperthyroidism symptoms. A Graves' disease was diagnosed and the patient was initially controlled with antithyroid drugs. The epitheliopathy evolution was relatively favourable without relapse. Two years later a thyroidectomy was performed. DISCUSSION: We have not found in the literature any APMPPE case associated with Graves' disease. We only found an APMPPE case associated with a subacute thyroiditis. Little is known about the APMPPE causes, it could be that placoid epitheliopathy and Graves' disease had a common autoimmune origin. We can not forget that our finding could be only a matter of chance.
Subject(s)
Graves Disease/complications , Pigment Epithelium of Eye/pathology , Retinal Diseases/etiology , Thyroiditis, Subacute/complications , Acute Disease , Adult , Antithyroid Agents/therapeutic use , Choroid/blood supply , Combined Modality Therapy , Female , Fluorescein Angiography , Graves Disease/drug therapy , Graves Disease/surgery , Hormone Replacement Therapy , Humans , Ischemia/complications , Methimazole/therapeutic use , Pigment Epithelium of Eye/diagnostic imaging , Radiography , Retinal Diseases/diagnostic imaging , Thyroidectomy , Thyroiditis, Subacute/drug therapy , Thyroiditis, Subacute/surgery , Thyroxine/therapeutic useABSTRACT
Caso clínico: Paciente mujer de 40 años de edad que presentó una epiteliopatía pigmentaria placoide multifocal posterior aguda (EPPMPA) asociada a un cuadro de hipertiroidismo de instauración reciente. La paciente fue diagnosticada de enfermedad de Graves y fue controlada inicialmente con tratamiento antitiroideo. La epiteliopatía evolucionó de forma relativamente favorable sin recidivas. A los dos años se practicó tiroidectomía subtotal. Discusión: No hemos encontrado en la bibliografía ningún caso de EPPMPA asociada a enfermedad de Graves. Sólo hallamos un caso de EPPMPA asociada a una tiroiditis subaguda. Poco se conoce sobre las causas de la EPPMPA, podría ser que la epiteliopatía placoide y la enfermedad de Graves tuvieran un origen autoinmune común. No podemos descartar la posibilidad de que nuestro hallazgo sea sólo casual (AU)
