ABSTRACT
A 35-year-old woman arrived in the emergency department due to loss of vision in the left eye. She had a subfoveal yellowish-looking lesion that, on optical coherence tomography (OCT), corresponded to a hyper-reflective lesion from the external nuclear layer to the retinal pigment epithelium. The lesion was reabsorbed at 6 weeks, leaving a discontinuity in the photoreceptor and retinal pigment epithelium lines. The patient was diagnosed with acute retinal pigmentary epitheliitis (ARPE). ARPE is a self-limiting disease with a good prognosis. Emphasis is placed on the importance of a correct diagnosis using funduscopy, OCT, and fluorescent angiography, in order to avoid unnecessary treatments.
Subject(s)
Retinitis , Acute Disease , Adult , Female , Fluorescein Angiography , Humans , Retinal Pigment Epithelium/diagnostic imaging , Retinal Pigment Epithelium/pathology , Retinal Pigments , Retinitis/diagnosis , Retinitis/pathologyABSTRACT
Mujer de 35 años de edad que acudió a urgencias por pérdida de visión en ojo izquierdo. Presentaba una lesión de aspecto amarillento subfoveal que, en la tomografía de coherencia óptica (OCT), se correspondía con una lesión hiperreflectiva desde la capa nuclear externa hasta el epitelio pigmentario de la retina. La lesión se reabsorbió a las 6 semanas dejando una discontinuidad en la línea de los fotorreceptores y del epitelio pigmentario de la retina. La paciente fue diagnosticada de epitelitis pigmentaria retiniana aguda (EPRA). Debido a que la EPRA es una enfermedad autolimitada en el tiempo y de buen pronóstico, queremos recalcar la importancia del diagnóstico correcto mediante la funduscopia, OCT y angiofluoresceingrafía para evitar tratamientos innecesarios (AU)
A 35-year-old woman arrived in the emergency department due to loss of vision in the left eye. She had a subfoveal yellowish-looking lesion that, on optical coherence tomography (OCT), corresponded to a hyper-reflective lesion from the external nuclear layer to the retinal pigment epithelium. The lesion was reabsorbed at 6 weeks, leaving a discontinuity in the photoreceptor and retinal pigment epithelium lines. The patient was diagnosed with acute retinal pigmentary epitheliitis (ARPE). ARPE is a self-limiting disease with a good prognosis. Emphasis is placed on the importance of a correct diagnosis using funduscopy, OCT, and fluorescent angiography, in order to avoid unnecessary treatments (AU)
Subject(s)
Humans , Female , Adult , Retinal Pigment Epithelium/diagnostic imaging , Retinitis/diagnostic imaging , Tomography, Optical Coherence , Fluorescein Angiography , Acute DiseaseABSTRACT
A 35-year-old woman arrived in the emergency department due to loss of vision in the left eye. She had a subfoveal yellowish-looking lesion that, on optical coherence tomography (OCT), corresponded to a hyper-reflective lesion from the external nuclear layer to the retinal pigment epithelium. The lesion was reabsorbed at 6 weeks, leaving a discontinuity in the photoreceptor and retinal pigment epithelium lines. The patient was diagnosed with acute retinal pigmentary epitheliitis (ARPE). ARPE is a self-limiting disease with a good prognosis. Emphasis is placed on the importance of a correct diagnosis using funduscopy, OCT, and fluorescent angiography, in order to avoid unnecessary treatments.
ABSTRACT
CASE REPORT: We present a patient with bilateral Terson's syndrome after brainstem surgical decompression as treatment for her Arnold-Chiari I malformation. We have studied and compared the progression of preretinal hemorrhage after Nd:YAG laser treatment of the right eye and observation of the left, and also the formation of an epiretinal membrane in the left eye. DISCUSSION: Treatment of Terson's syndrome is based on observation or surgery according to different criteria. Hyaloidectomy with YAG laser produces good results in selected cases.
Subject(s)
Arnold-Chiari Malformation/surgery , Intracranial Hemorrhages/etiology , Postoperative Complications/etiology , Vitreous Hemorrhage/etiology , Female , Humans , Middle Aged , SyndromeABSTRACT
Caso clínico Se presenta una paciente con Síndrome de Terson (ST) bilateral tras descompresión quirúrgica medular como tratamiento de su malformación de Arnold Chiari tipo I. Se estudia y compara la progresión de sus hemorragias prerretinianas tras tratamiento con láser Nd:YAG en su ojo derecho y observación en el izquierdo, formándose en éste una membrana epirretiniana. Discusión El tratamiento del ST se basa en observación y/o cirugía según ciertas pautas. La hialoidectomía YAG también consigue buenos resultados en casos seleccionados
Case report We present a patient with bilateral Terson's syndrome after brainstem surgical decompression as treatment for her Arnold-Chiari I malformation. We have studied and compared the progression of preretinal hemorrhage after Nd:YAG laser treatment of the right eye and observation of the left, and also the formation of an epiretinal membrane in the left eye. Discussion Treatment of Terson's syndrome is based on observation or surgery according to different criteria. Hyaloidectomy with YAG laser produces good results in selected cases
Subject(s)
Female , Middle Aged , Humans , Arnold-Chiari Malformation/complications , Retinal Hemorrhage/complications , Vitreous Hemorrhage/complications , Lasers/therapeutic use , Ocular Hypertension/complicationsABSTRACT
Caso clínico: El Complejo de Carney (CNC) es un raro síndrome multineoplásico, autosómico dominante; caracterizado por presentar mixomas, lesiones pigmentadas en la piel, tumores endocrinos y manifestaciones oculares. Discusión: Analizamos los signos oftalmológicos de este síndrome, los cuales suelen preceder al componente más serio del mismo, el mixoma cardíaco
Case report: Carney complex (CNC) is a multiple neoplasia syndrome, inherited in an autosomal dominant manner, characterized by myxomas, spotty skin pigmentation, endocrine tumors and ophthalmic abnormalities. Discussion: We report the ocular findings which usually precede the most serious component of the complex, the cardiac myxoma
Subject(s)
Female , Adult , Humans , Myxoma/pathology , Neoplastic Syndromes, Hereditary/pathology , Papilloma/pathology , Eyelid Neoplasms/pathology , Heart Neoplasms/pathology , Skin Neoplasms/pathology , Conjunctival Diseases/genetics , Conjunctival Diseases/pathology , Lentigo/genetics , Lentigo/pathology , Myxoma/genetics , Neoplastic Syndromes, Hereditary/diagnosis , Neoplastic Syndromes, Hereditary/genetics , Papilloma/genetics , Eyelid Neoplasms/genetics , Heart Neoplasms/genetics , Skin Neoplasms/geneticsABSTRACT
CASE REPORT: We report a rare complication of retrobulbar anesthesia in ophthalmic surgery-amarurosis and extraocular muscle palsies in the contralateral eye. Our patient did not suffer permanent sequelae from the injection. DISCUSSION: Numerous complications resulting from retrobulbar injections in the eye and orbit have been reported. One possible explanation of this case is the inadvertent penetration of the subdural or subarachnoid space surrounding the optic nerve and the injection of anesthetic into that space. The drug then tracks along the ipsilateral optic nerve to the chiasm and then to the contralateral optic nerve. Several methods of decreasing the probability of such a complication are discussed.
Subject(s)
Anesthetics, Local/adverse effects , Blindness/chemically induced , Injections/adverse effects , Ophthalmoplegia/chemically induced , Aged , Anesthesia, Local/adverse effects , Humans , Male , Oculomotor Muscles/drug effectsABSTRACT
Caso Clínico: Presentamos una rara complicación de la inyección retrobulbar en la cirugía oftalmológica, como es la ceguera y la parálisis de los músculos extraoculares en el ojo contralateral.Nuestro paciente no sufrió secuelas permanentes.Discusión: Se han descrito numerosas complicaciones de la anestesia retrobulbar en el ojo y la órbita. La inyección del agente anestésico en el espacio subdural o subaracnoideo a través de la vaina del nervio óptico (NO) se postula como posible explicación del cuadro. La droga puede alcanzar el quiasma óptico y desde ahí acceder al NO contralateral. Se discuten varios métodos para disminuir la probabilidad de tal afección
Case report: We report a rare complication of retrobulbar anesthesia in ophthalmic surgery- amarurosis and extraocular muscle palsies in the contralateral eye. Our patient did not suffer permanent sequelae from the injection. Discussion: Numerous complications resulting from retrobulbar injections in the eye and orbit have been reported. One possible explanation of this case is the inadvertent penetration of the subdural or subarachnoid space surrounding the optic nerve and the injection of anesthetic into that space. The drug then tracks along the ipsilateral optic nerve to the chiasm and then to the contralateral optic nerve. Several methods of decreasing the probability of such a complication are discussed
Subject(s)
Male , Aged , Humans , Anesthesia/adverse effects , Blindness/chemically induced , Ophthalmoplegia/chemically induced , Subarachnoid SpaceABSTRACT
CASE REPORT: Carney complex (CNC) is a multiple neoplasia syndrome, inherited in an autosomal dominant manner, characterized by myxomas, spotty skin pigmentation, endocrine tumors and ophthalmic abnormalities. DISCUSSION: We report the ocular findings which usually precede the most serious component of the complex, the cardiac myxoma.
Subject(s)
Eyelid Neoplasms/pathology , Heart Neoplasms/pathology , Myxoma/pathology , Neoplastic Syndromes, Hereditary/pathology , Papilloma/pathology , Skin Neoplasms/pathology , Adult , Conjunctival Diseases/genetics , Conjunctival Diseases/pathology , Eyelid Neoplasms/genetics , Female , Heart Neoplasms/genetics , Humans , Lentigo/genetics , Lentigo/pathology , Myxoma/genetics , Neoplastic Syndromes, Hereditary/diagnosis , Neoplastic Syndromes, Hereditary/genetics , Papilloma/genetics , Skin Neoplasms/geneticsABSTRACT
CASE REPORT: We present two cases of sialidosis type 1 in two brothers, 28 and 30 years of age. Both have seizures and severe gait instability. Ophthalmoscopic examination showed a cherry-red spot in both eyes. Fibroblast culture revealed a marked reduction in neuraminidase with no alteration in galactosidase, confirming that our patients have sialidosis type I. CONCLUSIONS: We highlight the ease with which this rare syndrome can remain undetected and how a simple ophthalmoscopic examination is able to reveal the diagnosis.
Subject(s)
Mucolipidoses/diagnosis , Ophthalmoscopy , Adult , Electroretinography , Evoked Potentials, Visual , Humans , Magnetic Resonance Imaging , Male , Mucolipidoses/genetics , Phenotype , Tomography, Optical CoherenceABSTRACT
Caso clínico: Presentamos dos casos de sialidosis tipo I en dos hermanos de 28 y 30 años. Presentan convulsiones y gran inestabilidad en la marcha. En la exploración funduscópica, se observan en ambos ojos manchas rojo cereza. Se realiza cultivo de fibroblastos, observándose un marcado déficit de neuraminidasa sin alteración de la B-galactosidasa, lo que confirma que estamos ante un caso de sialidosis tipo I.Conclusiones: Observamos la gran facilidad de este raro síndrome para pasar inadvertido a lo largo de los años y como la simple exploración oftalmológica de la mancha rojo cereza nos hace orientar el cuadro clínico (AU)
Case report: We present two cases of sialidosis type 1 in two brothers, 28 and 30 years of age. Both have seizures and severe gait instability. Ophthalmoscopic examination showed a cherry-red spot in both eyes. Fibroblast culture revealed a marked reduction in neuraminidase with no alteration in galactosidase, confirming that our patients have sialidosis type I. Conclusions: We highlight the ease with which this rare syndrome can remain undetected and how a simple ophthalmoscopic examination is able to reveal the diagnosis (AU)
