Subject(s)
Cryoglobulinemia/complications , Eye Diseases/etiology , Facial Paralysis/etiology , Ischemia/etiology , Sjogren's Syndrome/complications , Aged , Cryoglobulinemia/diagnosis , Eye Diseases/diagnosis , Facial Paralysis/diagnosis , Humans , Ischemia/diagnosis , Male , Sjogren's Syndrome/diagnosis , SyndromeSubject(s)
Retinal Vein Occlusion/etiology , Adult , Age Factors , Aged , Arteriosclerosis/complications , Behcet Syndrome/complications , Coronary Disease/complications , Diabetes Complications , Humans , Hypercholesterolemia/complications , Hypertension/complications , Hypertriglyceridemia/complications , Middle Aged , Obesity/complications , Prospective Studies , Retinal Vein Occlusion/therapy , Risk Factors , Smoking/adverse effects , Tuberculosis, Pulmonary/complications , Uric Acid/blood , Vasculitis/complicationsABSTRACT
We report 48 cases of retinal detachment in 39 patients under the age of 20. These cases represent 12.6% of all retinal detachment cases. They are characterized by their numerous etiologies mainly traumatic (36%) and congenital detachment (36%). They are also characterized by delayed diagnosis (4 months), frequency of macula involvement (92%) and the large area of detachment (total retinal detachment in 48%). Thirty-six out of the 48 eyes were operated on. Surgical treatment consisted in episcleral surgery in 65% of the cases, associated with vitreoretinal surgery in 35% of the cases. Complete anatomic success was achieved in 78.4% of the eyes, localized retinal detachment without macula involvement remained in 5.4% of the cases. Vision between 1/20 and 2/10 was obtained in 41% of the eyes, and superior or equal to 2/10 in 24% of the eyes. These results depended mainly on the aetiology. In conclusion, we obtained good recuperation in operated cases of juvenile retinal detachment even in delayed diagnosis cases.
Subject(s)
Retinal Detachment/etiology , Adolescent , Age Factors , Eye Abnormalities/complications , Eye Injuries/complications , Female , Humans , Infant, Newborn , Male , Myopia/complications , Retinal Detachment/surgery , Retinal Detachment/therapy , Retinopathy of Prematurity/complications , Retrospective Studies , Time FactorsABSTRACT
Gelatinous drop-like corneal dystrophy is a rare disease, described for the first time by Nakaizumi (Japan) in 1914. We report 5 cases of this primary corneal amyloidosis. Three of our patients are brothers, the two other cases are isolated cases. Photophobia and progressive loss of vision are the first presenting signs. Corneal lesions are typically bilateral white nodular deposits beneath the epithelium. Patients underwent repeated keratoplasties with a mean interval of 5 years because of the recurrence of the disease on the corneal graft. Diagnosis of corneal amyloidosis was confirmed in all cases by histology. We compared our results with the data reported in the literature.
Subject(s)
Corneal Dystrophies, Hereditary/genetics , Adult , Amyloidosis/etiology , Amyloidosis/pathology , Amyloidosis/surgery , Corneal Dystrophies, Hereditary/pathology , Corneal Dystrophies, Hereditary/surgery , Corneal Transplantation , Female , Humans , MaleABSTRACT
The course of diabetic retinopathy (DR) was studied in 93 pregnant patients. Results were compared with data from 98 diabetic non pregnant women. Worsening of initial retinal lesions was observed in 16% of the pregnant group whereas only 6% of the control group showed a similar aggravation. The difference between the two groups was statistically significant (p < 0.05). Argon laser panretinal photocoagulation of pre-proliferative and proliferative DR resulted in no subsequent DR-induced complications. On the other hand, the risk of appearance of DR and/or its worsening during pregnancy depends on initial network but mostly on the duration of diabetes mellitus. In conclusion, regular ophthalmologic examination of diabetic patients especially during pregnancy seems crucial for the early screening of any worsening. Furthermore, the importance of pregnancy planning is emphasized.
