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Arch. Soc. Esp. Oftalmol ; 84(3): 159-162, mar. 2009. ilus
Article in Spanish | IBECS | ID: ibc-59689

ABSTRACT

Caso clínico: Se presenta el caso de un paciente de24 años con una epiteliopatía multifocal placoideposterior bilateral aguda, confirmada medianteangiografía fluoresceínica . Al mes de seguimiento,el paciente presentó diplopia por paresia del VI parcraneal derecho.Discusión: La epiteliopatía multifocal placoideposterior, es una entidad que se engloba dentro delos síndromes de puntos blancos. Se considera unapatología benigna, aunque en ocasiones se asocianalteraciones neurológicas que pueden manifestarseincluso meses después del episodio. Nuestropaciente presentó una paresia del VI. par comocomplicación neurológica, hecho no descrito en la literatura(AU)


Clinical case: We report the case of a 24-year-oldpatient who attended our hospital with an acute posteriormultifocal placoid pigment epitheliopathy(APMPPE) which was later confirmed by fluoresceinangiography. One month after presentation thepatient developed a right VI nerve palsy.Discussion: APMPPE is an acute-onset bilateralinflammatory disease causing impaired vision.Although it is thought to be benign, neurologicmanifestations have been described even monthsafter presentation. There is no previous report ofAPMPPE associated with VI nerve palsy(AU)


Subject(s)
Humans , Male , Adult , Fluorescein Angiography/methods , Carcinoma/complications , Diplopia/complications , Ophthalmoscopy/methods , Tomography, Optical Coherence/methods , Prednisone/therapeutic use , Adrenal Cortex Hormones/therapeutic use , Botulinum Toxins, Type A/therapeutic use , Paresis/complications , Paresis/diagnosis , Tomography, Optical Coherence/trends , Visual Acuity/physiology , Visual Acuity , Paralysis/complications
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