ABSTRACT
CLINICAL CASE: A case is presented of an 85-year-old woman living in a geriatric residence, who was admitted to the emergency department of our hospital with a spontaneous expulsive choroidal hemorrhage in her left eye. There was no a history of ophthalmic disease, and the patient only reported having intracapsular cataract surgery in both eyes 25 years ago, and that she also became blind in her left eye in the past few years. DISCUSSION: Non-surgical spontaneous expulsive choroidal hemorrhage is a very rare and disastrous clinical event. The predisposing factors involved are: advancing age, vascular illness (especially atherosclerosis), glaucoma, and severe corneal damage.
Subject(s)
Choroid Hemorrhage , Aged, 80 and over , Anticoagulants/adverse effects , Aphakia, Postcataract , Choroid Hemorrhage/surgery , Disease Susceptibility , Emergencies , Eye Enucleation , Female , Humans , Hypertension/complications , Risk FactorsABSTRACT
PURPOSE AND METHODS: We report the cases of three patients with retinal pigment epithelial atrophic tracks secondary to central serous pigment epitheliopathy specially focusing on fluorescein angiographic findings. This entity is considered an atipical manifestation of central serous chorioretinopathy called chronic diffuse retinal pigment epitheliopathy. RESULTS AND CONCLUSIONS: We have studied 69 patients with the diagnose of central serous pigment epiteliopathy in our unit; 10.14% manifested diffuse retinal pigment epitheliopathy and 5.79% showed retinal pigment epithelial atrophic tracks. Both eyes were involved in 100% and all of them were males with a median age of 53.33 years. We can conclude that this entity usually affects adult males and it is frequently bilateral.
Subject(s)
Pigment Epithelium of Eye/pathology , Retinal Diseases/diagnosis , Retinal Pigments/metabolism , Fluorescein Angiography , Fundus Oculi , Humans , Laser Therapy , Male , Middle Aged , Pigment Epithelium of Eye/metabolism , Retinal Diseases/metabolism , Retinal Diseases/therapy , Visual AcuityABSTRACT
Objetivo y métodos: Presentamos 3 casos de epiteliopatía en reguero haciendo especial hincapié en los hallazgos angiográficos. Es una variedad de epiteliopatía difusa crónica, una forma atípica de coriorretinopatía central serosa. Resultados/conclusión: De los 69 casos de coriorretinopatía central serosa vistos en nuestro servicio, las epiteliopatías difusas crónicas constituyen el 10,14 per cent, siendo las epiteliopatías en reguero un 5,79 per cent del total de CSC. En nuestro estudio están afectados ambos ojos en el 100 per cent, todos ellos son varones, y la edad media se cifra en 53,33 años. Podemos concluir que esta patología es más frecuente en varones adultos y tiene tendencia a la bilateralidad (AU)
