ABSTRACT
Varón de 21 años en seguimiento en el servicio de oftalmología por drusas del nervio óptico (DNO). En una revisión rutinaria se evidenció la presencia de neovascularización coroidea (NVC) bajo el haz papilomacular en el ojo derecho (OD). El paciente fue tratado con 2 inyecciones intravítreas de anti-vascular endothelial growth factor (anti-VEGF, por sus siglas en inglés) con buena respuesta. La aparición de NVC en el haz papilomacular es una complicación infrecuente en los pacientes con DNO. Estas NVC presentan una buena respuesta al tratamiento con inyecciones intravítreas de anti-VEGF
A 21-year-old man was seen for follow-up of optic nerve head drusen (ONHD) in the ophthalmology department. Funduscopy revealed the presence of choroidal neovascularisation (CNV) in the papillomacular bundle of his right eye (RE). The patient was successfully treated with two intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF). Peri-papillary choroidal neovascularisation in papillomacular bundle is a rare complication in patients with ONHD. These forms of CNV show a good response to anti-VEGF treatment
Subject(s)
Humans , Male , Young Adult , Choroidal Neovascularization/diagnostic imaging , Choroidal Neovascularization/therapy , Optic Disk Drusen/complications , Optic Disk Drusen/diagnostic imaging , Optic Disk Drusen/pathology , Intravitreal Injections , Visual Acuity , Tomography, Optical Coherence/methods , Angiography , Bevacizumab/administration & dosage , Fundus OculiABSTRACT
A 21-year-old man was seen for follow-up of optic nerve head drusen (ONHD) in the ophthalmology department. Funduscopy revealed the presence of choroidal neovascularisation (CNV) in the papillomacular bundle of his right eye (RE). The patient was successfully treated with two intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF). Peri-papillary choroidal neovascularisation in papillomacular bundle is a rare complication in patients with ONHD. These forms of CNV show a good response to anti-VEGF treatment.
Subject(s)
Choroidal Neovascularization/etiology , Optic Disk Drusen/complications , Humans , Male , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Pars Planitis/diagnosis , Tattooing/adverse effects , Tuberculosis, Ocular/diagnosis , Tuberculin/analysis , Tuberculin Test , Tuberculosis, Ocular/etiologyABSTRACT
CASO CLÍNICO: Niño de 9 años de edad, que refiere pérdida visual en su ojo derecho, después de jugar con un puntero láser. En la primera exploración (12 h después) la agudeza visual (AV) era 0,15, la fóvea presentaba una lesión hipopigmentada, y la tomografía de coherencia óptica (OCT) demuestra la presencia de bandas hiperreflectivas verticales. Al cabo de 6 meses, la AV había mejorado a 0,5 y se aprecia en la OCT un área bien definida de interrupción de la retina externa. Discusión: Un inadecuado uso de los punteros láser, puede producir pérdida visual severa e irreversible
CASE REPORT: A 9-year-old boy referred due to visual loss in his right eye after playing with a laser pointer. In the first visit (12 hours later) visual acuity (VA) was 0.15. A hypopigmented lesion was present in the fovea, and optic coherence tomography (OCT) showed vertical hyper-reflective bands. In the last visit (6 months later), VA had improved to 0.5, and OCT showed a well defined area of outer retinal layer disruption. Discussion: An inadequate use of laser pointers can induce severe and permanent visual loss
Subject(s)
Humans , Male , Child , Retinal Perforations/etiology , Lasers/adverse effects , Vision Disorders/etiology , Tomography, Optical Coherence , Retina/injuries , Radiation Injuries/diagnosisABSTRACT
CASE REPORT: A 9-year-old boy referred due to visual loss in his right eye after playing with a laser pointer. In the first visit (12hours later) visual acuity (VA) was 0.15. A hypopigmented lesion was present in the fovea, and optic coherence tomography (OCT) showed vertical hyper-reflective bands. In the last visit (6 months later), VA had improved to 0.5, and OCT showed a well-defined area of outer retinal layer disruption. DISCUSSION: An inadequate use of laser pointers can induce severe and permanent visual loss.
Subject(s)
Lasers/adverse effects , Macula Lutea/injuries , Retinal Diseases/etiology , Tomography, Optical Coherence , Child , Equipment Failure , Fovea Centralis/injuries , Humans , Male , Ophthalmoscopy , Play and Playthings , Retinal Diseases/pathology , Visual AcuityABSTRACT
OBJECTIVE: Intraoperative-floppy iris syndrome (IFIS) has been recently described. It has been demonstrated that this new syndrome complicates cataract surgery. In this paper we have reviewed the syndrome, and offer practical information specially related to the origin and management of this syndrome and we offer practical information. MATERIAL AND METHODS: A review of the related medical literature using PubMed and Cochrane databases. Combining the search terms tamsulosin, cataract, IFIS and intraoperative floppy iris syndrome, more than 200 articles were found. Eighty-two of them were obtained and analysed. In the remaining only the abstract could be studied. RESULTS: The aetiological association between IFIS and tamsulosin (and to a lesser degree between IFIS and other alpha-antagonists) is well established. Other aetiological associations are doubtful. Most of the literature is centred on cataract surgery. However, a similar syndrome has been described during trabeculectomy. A possible association between these drugs and choroidal detachments has also been described. Undoubtedly tamsulosin treatment makes cataract surgery more difficult and increases the probability of intraoperative complications. Protocols to manage the syndrome have not yet been developed. Intracameral injection of alpha-adrenergic agonists seems to be useful. However there is no evidence of the usefulness of discontinuing the drug or using preoperative mydriatics. CONCLUSION: The aetiological and clinic features of the syndrome are well established. More studies are needed to provide scientific evidence on the most appropriate way to cope with this syndrome.
Subject(s)
Intraoperative Complications , Iris Diseases , Adrenergic alpha-1 Receptor Antagonists/adverse effects , Cataract Extraction/adverse effects , Humans , Intraoperative Complications/etiology , Intraoperative Complications/therapy , Iris Diseases/etiology , Iris Diseases/therapy , Sulfonamides/adverse effects , Syndrome , TamsulosinABSTRACT
Objetivos: Recientemente se ha descrito el síndrome del iris flácido intraoperatorio (IFIS). Este síndrome complica la cirugía de catarata. Con este trabajo pretendemos revisar el síndrome, y ofrecer información práctica, especialmente en relación con los aspectos etiológicos y terapéuticos del mismo. Material y métodos: Revisión de la literatura biomédica relacionada, utilizando las bases de datos PubMed y Cochrane. Combinando los términos tamsulosin, cataract, IFIS e intraoperative floppy iris syndrome se identifican más de 200 artículos. Ochenta y 2 pudieron ser localizados y estudiados. En los restantes se estudió el resumen. Resultados: La asociación etiológica con la tamsulosina, y en menor medida con los restantes antagonistas de los receptores alfa, está bien establecida. Otras posibles asociaciones etiológicas son más dudosas. Aunque la mayor parte de los artículos se centran en la cirugía de catarata, también se ha documentado la aparición de un síndrome similar durante trabeculectomía, y se ha descrito la asociación de los antagonistas alfa con desprendimientos coroideos. El consumo de tamsulosina hace más difícil la cirugía de catarata y aumenta la probabilidad de que se produzcan complicaciones. La forma más adecuada de manejar el síndrome no está protocolizada. La inyección intracamerular de un agonista alfa adrenérgico mejora el comportamiento del iris. No existe evidencia científica de que suspender el fármaco o el uso de midriáticos preoperatorios resulte útil. Conclusiones: Los aspectos etiológicos y clínicos del síndrome están bien establecidos. Se precisan estudios que aporten evidencia científica sobre la forma más adecuada de manejar este síndrome(AU)
Objective: Intraoperative-floppy iris syndrome (IFIS) has been recently described. It has been demonstrated that this new syndrome complicates cataract surgery. In this paper we have reviewed the syndrome, and offer practical information specially related to the origin and management of this syndrome and we offer practical information. Material and methods: A review of the related medical literature using PubMed and Cochrane databases. Combining the search terms tamsulosin, cataract, IFIS and intraoperative floppy iris syndrome, more than 200 articles were found. Eighty-two of them were obtained and analysed. In the remaining only the abstract could be studied. Results: The aetiological association between IFIS and tamsulosin (and to a lesser degree between IFIS and other alpha-antagonists) is well established. Other aetiological associations are doubtful. Most of the literature is centred on cataract surgery. However, a similar syndrome has been described during trabeculectomy. A possible association between these drugs and choroidal detachments has also been described. Undoubtedly tamsulosin treatment makes cataract surgery more difficult and increases the probability of intraoperative complications. Protocols to manage the syndrome have not yet been developed. Intracameral injection of alpha-adrenergic agonists seems to be useful. However there is no evidence of the usefulness of discontinuing the drug or using preoperative mydriatics. Conclusion: The aetiological and clinic features of the syndrome are well established. More studies are needed to provide scientific evidence on the most appropriate way to cope with this syndrome(AU)
