ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Retinal Hemorrhage/diagnosis , Ophthalmoscopy , Cerebral Hemorrhage , Subarachnoid Hemorrhage , Fundus OculiABSTRACT
CASO CLÍNICO: Mujer de 69 años que presenta en una exploración funduscópica rutinaria unas lesiones subretinianas blanco-amarillentas en la periferia media temporal superior de ambos ojos. Ecográficamente eran hiperecogénicas, situándose a nivel esclerocoroideo. Se realizó una tomografía axial computarizada que mostró calcificaciones esclerocoroideas posterolaterales. El estudio metabólico reveló una deficiencia severa de vitamina D sin otros hallazgos significativos. Discusión: Las calcificaciones esclerocoroideas son lesiones poco frecuentes que se producen como consecuencia del depósito de calcio a nivel de la esclera y la coroides. Tienen un aspecto clínico característico y en la mayor parte de los casos son idiopáticas. En ocasiones se asocian a enfermedades que cursan con alteraciones del metabolismo del calcio y fósforo, por lo que es necesario realizar un estudio metabólico completo. Se presenta un caso de calcificaciones esclerocoroideas bilaterales asociadas a una hipovitaminosis D de grado severo sin otros hallazgos metabólicos
CASE REPORT: A 69 year-old woman was referred for a routine visit, during which funduscopy revealed white-yellow subretinal lesions in the superotemporal mid-periphery of both eyes. A and B scan ultrasound showed hyperechogenic lesions located at scleral and choroidal level. Computed tomography revealed posterolateral sclerochoroidal calcifications. Metabolic studies showed a severe vitamin D deficiency with no other remarkable findings. Discussion: Sclerochoroidal calcifications are an infrequent finding that occur as a result of calcium deposit at scleral and choroidal level. They have a characteristic clinical picture and are idiopathic in most cases, but may be associated with some systemic diseases, such as calcium and phosphorous metabolic disorders; this fact warrants a thorough metabolic study. We report a case of bilateral sclerochoroidal calcifications associated with severe vitamin D deficiency with no other significant metabolic findings
Subject(s)
Humans , Female , Aged , Calcinosis/etiology , Limbus Corneae/pathology , Vitamin D Deficiency/complications , Calcium Metabolism Disorders/complications , Tomography, X-Ray Computed , AngiographyABSTRACT
CASO CLÍNICO: se presenta el caso de un varón de 48 años, con vómitos, cefalea y pérdida de conciencia de instauración brusca debido a una hemorragia subaracnoidea secundaria a la ruptura de un aneurisma. Tras recuperar la conciencia, el ojo izquierdo presentaba una agudeza visual de bultos, evidenciándose en el fondo de ojo una hemorragia subhialoidea de grandes dimensiones. DISCUSIÓN: La asociación de una hemorragia subaracnoidea con hemorragia vítrea se denomina síndrome de Terson. A continuación se discute las particularidades en el tratamiento, mediante láser YAG, de este caso
CASE REPORT: We present the case of a 48 year-old man who had a sudden onset of vomiting, headache and loss of consciousness. The visual acuity was severely reduced in the left eye, with a large subhyaloid haemorrhage being observed in the fundus. DISCUSSION: The combination of subarachnoid haemorrhage and a vitreous haemorrhage is called Terson syndrome. The details of the treatment of this case with YAG laser are also discussed
Subject(s)
Humans , Male , Middle Aged , Retinal Hemorrhage/etiology , Aneurysm/complications , Aneurysm, Ruptured/complications , Lasers, Solid-State/therapeutic use , Subarachnoid Hemorrhage/complications , Vitreous Hemorrhage/complicationsABSTRACT
CASE REPORT: We present the case of a 48 year-old man who had a sudden onset of vomiting, headache and loss of consciousness. The visual acuity was severely reduced in the left eye, with a large subhyaloid haemorrhage being observed in the fundus. DISCUSSION: The combination of subarachnoid haemorrhage and a vitreous haemorrhage is called Terson syndrome. The details of the treatment of this case with YAG laser are also discussed.
Subject(s)
Drainage/methods , Laser Therapy/methods , Subarachnoid Hemorrhage/complications , Vitreous Body/surgery , Vitreous Hemorrhage/complications , Aneurysm, Ruptured/complications , Aneurysm, Ruptured/diagnostic imaging , Aneurysm, Ruptured/therapy , Coma/etiology , Embolization, Therapeutic , Humans , Intracranial Aneurysm/complications , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/therapy , Lasers, Solid-State , Male , Membranes/surgery , Middle Aged , Punctures , Recovery of Function , Syndrome , Tomography, X-Ray Computed , Vitreous Hemorrhage/surgeryABSTRACT
CASE REPORT: A 69 year-old woman was referred for a routine visit, during which funduscopy revealed white-yellow subretinal lesions in the superotemporal mid-periphery of both eyes. A and B scan ultrasound showed hyperechogenic lesions located at scleral and choroidal level. Computed tomography revealed posterolateral sclerochoroidal calcifications. Metabolic studies showed a severe vitamin D deficiency with no other remarkable findings. DISCUSSION: Sclerochoroidal calcifications are an infrequent finding that occur as a result of calcium deposit at scleral and choroidal level. They have a characteristic clinical picture and are idiopathic in most cases, but may be associated with some systemic diseases, such as calcium and phosphorous metabolic disorders; this fact warrants a thorough metabolic study. We report a case of bilateral sclerochoroidal calcifications associated with severe vitamin D deficiency with no other significant metabolic findings.
Subject(s)
Calcinosis/etiology , Choroid Diseases/etiology , Scleral Diseases/etiology , Vitamin D Deficiency/complications , Aged , Female , HumansABSTRACT
No disponible
Subject(s)
Humans , Corneal Transplantation/methods , Prosthesis Implantation/methods , Transplantation ToleranceABSTRACT
No disponible
Subject(s)
Humans , Keratoconjunctivitis/drug therapy , Tacrolimus/therapeutic use , Conjunctivitis, Allergic/drug therapySubject(s)
Cornea/surgery , Corneal Diseases/surgery , Prostheses and Implants , Humans , Prosthesis DesignSubject(s)
Humans , Male , Female , Umbilical Cord , Cornea , Corneal Diseases/blood , Corneal Diseases/therapy , Ophthalmic Solutions/analysis , Ophthalmic Solutions/therapeutic use , Dry Eye Syndromes/therapy , Serum/physiology , Ophthalmic Solutions/metabolism , Ophthalmic Solutions/pharmacokinetics , Ophthalmic Solutions/standardsABSTRACT
No disponible
Subject(s)
Humans , Electrophysiology/methods , Eye Diseases/diagnosis , Patient ComplianceABSTRACT
No disponible
Subject(s)
Humans , Male , Subarachnoid Hemorrhage/complications , Vitreous Hemorrhage/complications , Unconsciousness/etiology , Lasers, Solid-State/therapeutic useABSTRACT
No disponible
Subject(s)
Regenerative Medicine , Regenerative Medicine/methods , Regenerative Medicine/trends , Guided Tissue RegenerationABSTRACT
Caso clínico: Mujer de 65 años que relata la aparición de una mancha blanca en el ojo izquierdo, que ha crecido en el último año. A la exploración se observa un infiltrado intraestromal blanco, con aspecto de cristales de morfología arboriforme, con una mínima respuesta inflamatoria. Se instaura tratamiento tópico sin franca mejoría, requiriendo una queratoplastia penetrante. Discusión: La queratopatía cristalina es una manifestación poco frecuente, y característica, aunque no exclusiva, de queratitis infecciosa por Streptococcus del grupo viridans. Se ha relacionado con el uso prolongado de corticoides tópicos tras queratoplastia penetrante y suele presentar mala respuesta al tratamiento médico(AU)
Case report: A 65 year-old female who consulted due to the emergence of a white spot in the eye that had grown over the last year. The physical examination showed an intrastromal white crystal-like infiltrate and a tree-like morphology, with minimal inflammatory response. It was treated topically with no clear improvement, requiring a penetrating keratoplasty. Discussion: A crystalline keratopathy is a rare event and characteristic of, but not exclusively, to a Streptococcus viridans infectious keratitis. It has been associated with prolonged use of topical steroids after penetrating keratoplasty and usually has a poor response to treatment(AU)
