ABSTRACT
The paper presents the case of a serious uveitis not yielding to a conventional therapy. After an insight differential diagnostics it was found that the gout made the disease etiology. After including a specific therapy an improvement in the local status was achieved.
Subject(s)
Gout/complications , Uveitis/etiology , Allopurinol/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Female , Gout/drug therapy , Gout Suppressants/administration & dosage , Humans , Injections, Intramuscular , Middle Aged , Piroxicam/administration & dosage , Prednisolone/administration & dosage , Prednisolone/analogs & derivativesABSTRACT
In the literature there are only 3 cases of women with Kaerns-Sayre Syndrome (KSS) who delivered a healthy child. Our case is the fourth. The purpose of the report is to describe a 30-year old woman presenting typical clinical features of KSS, namely progressive external ophthalmoplegia, pigmentary retinal degeneration and onset of the disease before the age of 20. It was also associated with cardiac conduction defects, neurological symptoms and variety of endocrine and metabolic disorders. On muscle biopsy (m. biceps brachii) mitochondrial abnormalities on electron microscopy were seen. KSS is a form of mitochondrial myopathy with specific clinical features. Recognition of mtDNA deletion as the genetic basis of KSS confirmed the validity of clinical criteria.
Subject(s)
Kearns-Sayre Syndrome/diagnosis , Adult , DNA, Mitochondrial/analysis , Electroretinography , Female , Fluorescein Angiography , Humans , Microscopy, Electron , Mitochondria/ultrastructure , Muscle, Skeletal/pathology , Ophthalmoplegia/diagnosis , Retinal Degeneration/diagnosisABSTRACT
Implantation of intraocular lenses in children was performed in 42 cases in our department. In 26 children it concerned primary implants, in 16 secondary implants. No major postoperative complications were observed in the period between the 6th and the 24th month after surgery. The visual acuity of 0.5 or better showed 70 p.c. of children after the primary and 66 p.c. after secondary implants.
Subject(s)
Aphakia, Postcataract/surgery , Cataract Extraction/methods , Cataract/etiology , Eye Injuries/complications , Lenses, Intraocular , Adolescent , Aphakia, Postcataract/physiopathology , Cataract/congenital , Cataract Extraction/rehabilitation , Child , Child, Preschool , Female , Humans , Male , Visual Acuity/physiologyABSTRACT
Examinations were carried out in 222 patients operated for cataract with simultaneous implantation of an intraocular lens. The period of time since the operation amounted 6 to 24 months. The authors observed only minor postoperative complications such as: distortion of the pupil (in 10.8 p.c. of patients), opacification of the posterior lens capsule (2.2 p.c.), a negligible reaction of the iris at the point of contact with the haptic part of the anterior chamber lens (1.4 p.c.), rotation of the lens correctly positioned in the visual axis (0.9 p.c.), incarceration of the haptic part of the anterior chamber lens in the limbal wound (0.9 p.c.), posterior synechiae (0.9 p.c.), occlusion of the pupil by pigment deposits (0.9 p.c.), leakiness of the limbal wound with filtration bleb (0.5 p.c.) and dispersed small deposits of pigment on the anterior surface of the artificial lens. Another complications in the examined patients, known from the literature, were not observed.
