Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 8 de 8
Filter
Add more filters










Publication year range
1.
Arch. Soc. Esp. Oftalmol ; 93(4): 198-201, abr. 2018. ilus
Article in Spanish | IBECS | ID: ibc-173118

ABSTRACT

CASO CLÍNICO: Presentamos el caso de una mujer de 61 años, con una retinopatía de tipo Purtscher asociada a un fallo renal agudo. La exploración oftalmológica, angiografía fluoresceínica y tomografía de coherencia óptica fueron compatibles con una retinopatía de Purtscher-like. Las manifestaciones oculares precedieron al fracaso renal. El estudio sistémico y de laboratorio descartó su asociación con pancreatitis y otras enfermedades sistémicas. Finalmente se complicó con un glaucoma neovascular. DISCUSIÓN: La retinopatía de Purtscher-like rara vez precede a la enfermedad sistémica asociada. El diagnóstico precoz basado en las manifestaciones oftálmicas, podría contribuir al diagnóstico y tratamiento de la enfermedad de base y a la prevención de las posibles complicaciones


CASE REPORT: The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma. DISSCUSIÓN: Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications


Subject(s)
Humans , Female , Middle Aged , Retinal Diseases/diagnostic imaging , Renal Insufficiency/complications , Glaucoma, Neovascular/complications , Retinal Diseases/drug therapy , Renal Insufficiency/physiopathology , Retinal Diseases/etiology , Angiography/methods , Tomography, Optical Coherence/methods , Early Diagnosis
2.
Arch. Soc. Esp. Oftalmol ; 93(1): 47-51, ene. 2018. ilus
Article in Spanish | IBECS | ID: ibc-170273

ABSTRACT

CASO CLÍNICO: Presentamos 2 casos de síndrome de nefritis túbulo-intersticial y uveítis que necesitaron tratamiento con inmunosupresores para lograr el control de la uveítis. Al contrario de lo habitualmente descrito, la uveítis adquirió un carácter crónico, siendo necesario el tratamiento inmunosupresor. La nefritis sí respondió al tratamiento con corticoides. DISCUSIÓN: El síndrome de nefritis túbulo intersticial y uveítis constituye una condición infradiagnosticada que requiere un alto índice de sospecha diagnóstica, ya que no se acompaña de alteraciones específicas. La inflamación ocular cursa con frecuentes recurrencias, siendo necesario, en raras ocasiones, el tratamiento inmunosupreso


CASE REPORT: Two cases of tubulointerstitial nephritis and uveitis are presented. Immunosuppressive therapy was required to control the uveitis. Contrary to that usually described, uveitis became chronic, which made immunosuppressive therapy necessary. Nephritis was successfully treated with steroids. DISCUSSION: Tubulointerstitial nephritis and uveitis syndrome is an under-diagnosed disorder and requires clinical suspicion due to there being no specific laboratory study available. Recurrences and relapses of ocular inflammation are common. Immunosuppressive therapy is not often needed


Subject(s)
Humans , Female , Adolescent , Adult , Uveitis/drug therapy , Immunosuppressive Agents/therapeutic use , Nephritis, Interstitial/drug therapy , Adrenal Cortex Hormones/therapeutic use , Nephritis, Interstitial/complications , Uveitis/complications , Treatment Outcome
3.
Arch Soc Esp Oftalmol (Engl Ed) ; 93(4): 198-201, 2018 Apr.
Article in English, Spanish | MEDLINE | ID: mdl-28760405

ABSTRACT

CASE REPORT: The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma. DISCUSSION: Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications.


Subject(s)
Acute Kidney Injury/complications , Blindness/complications , Retinal Diseases/complications , Female , Humans , Middle Aged
4.
Arch Soc Esp Oftalmol (Engl Ed) ; 93(1): 47-51, 2018 Jan.
Article in English, Spanish | MEDLINE | ID: mdl-28648690

ABSTRACT

CASE REPORT: Two cases of tubulointerstitial nephritis and uveitis are presented. Immunosuppressive therapy was required to control the uveitis. Contrary to that usually described, uveitis became chronic, which made immunosuppressive therapy necessary. Nephritis was successfully treated with steroids. DISCUSSION: Tubulointerstitial nephritis and uveitis syndrome is an under-diagnosed disorder and requires clinical suspicion due to there being no specific laboratory study available. Recurrences and relapses of ocular inflammation are common. Immunosuppressive therapy is not often needed.


Subject(s)
Immunosuppression Therapy , Nephritis, Interstitial/drug therapy , Uveitis/drug therapy , Adolescent , Adult , Female , Humans
5.
Arch. Soc. Esp. Oftalmol ; 92(12): 598-601, dic. 2017. ilus
Article in Spanish | IBECS | ID: ibc-169722

ABSTRACT

Caso clínico: Presentamos el caso de un varón de 42 años de edad con varios episodios de uveítis unilateral en su ojo derecho. El examen oftalmológico mostró una uveítis anterior granulomatosa con vitritis. El estudio sistémico puso de manifiesto una proteinuria de rango no nefrótico y microhematuria. La biopsia renal reveló una nefropatía IgA. Discusión: Las uveítis y las glomerulonefritis podrían tener mecanismos inmunológicos comunes. En el diagnóstico diferencial de los pacientes con uveítis y nefropatías debería incluirse la nefropatía IgA (AU)


Case report: The case is presented of a 42 year-old man with episodes of unilateral uveitis in his right eye. Ophthalmic examination showed a granulomatous anterior uveitis with vitritis. Systemic investigations revealed non-nephrotic proteinuria and microhaematuria. A renal biopsy showed IgA nephropathy. Discussion: Uveitis and glomerulonephritis may have common immunological pathogenesis. IgA nephropathy should be a differential diagnosis in patients with uveitis and nephropathy (AU)


Subject(s)
Humans , Male , Adult , Uveitis/complications , Glomerulonephritis, IGA/complications , Diagnosis, Differential , Vitreous Body/physiopathology , Pars Planitis/complications , Proteinuria/etiology
6.
Arch. Soc. Esp. Oftalmol ; 92(7): 338-342, jul. 2017. ilus
Article in Spanish | IBECS | ID: ibc-164307

ABSTRACT

Caso clínico: Presentamos el caso de una paciente de 16 años con un macrovaso retiniano congénito unilateral, con telangiectasias retinianas periféricas asociadas a zonas de isquemia. Discusión: Los macrovasos retinianos congénitos constituyen un hallazgo raro, no habiéndose descrito casos asociados a telangiectasias retinianas e isquemia periférica. Tras 21 meses de seguimiento, la paciente se mantiene estable, conservando la visión inicial y sin complicaciones adicionales (AU)


Clinical case: The case is presented of a 16 year-old girl with unilateral congenital retinal macrovessel associated with peripheral telangiectasia and retinal ischaemia. Discussion: Congenital retinal macrovessel is a rare finding. To the best of our knowledge this is the first report of this unusual presentation of congenital retinal macrovessel. After 21 months of follow up, visual acuity remained stable, and no complications developed (AU)


Subject(s)
Humans , Female , Adolescent , Retinal Telangiectasis/complications , Ischemia/complications , Retinal Vasculitis/congenital , Retinal Vein/abnormalities , Fluorescein Angiography , Diagnosis, Differential , Laser Coagulation
7.
Arch Soc Esp Oftalmol ; 92(7): 338-342, 2017 Jul.
Article in English, Spanish | MEDLINE | ID: mdl-28242124

ABSTRACT

CLINICAL CASE: The case is presented of a 16 year-old girl with unilateral congenital retinal macrovessel associated with peripheral telangiectasia and retinal ischaemia. DISCUSSION: Congenital retinal macrovessel is a rare finding. To the best of our knowledge this is the first report of this unusual presentation of congenital retinal macrovessel. After 21 months of follow up, visual acuity remained stable, and no complications developed.


Subject(s)
Ischemia/complications , Retinal Diseases/complications , Retinal Vessels/abnormalities , Telangiectasis/complications , Adolescent , Female , Humans
8.
Arch Soc Esp Oftalmol ; 92(12): 598-601, 2017 Dec.
Article in English, Spanish | MEDLINE | ID: mdl-28343747

ABSTRACT

CASE REPORT: The case is presented of a 42 year-old man with episodes of unilateral uveitis in his right eye. Ophthalmic examination showed a granulomatous anterior uveitis with vitritis. Systemic investigations revealed non-nephrotic proteinuria and microhaematuria. A renal biopsy showed IgA nephropathy. DISCUSSION: Uveitis and glomerulonephritis may have common immunological pathogenesis. IgA nephropathy should be a differential diagnosis in patients with uveitis and nephropathy.


Subject(s)
Glomerulonephritis, IGA/complications , Uveitis/etiology , Adult , Humans , Male , Uveitis/diagnostic imaging
SELECTION OF CITATIONS
SEARCH DETAIL
...