ABSTRACT
CASE REPORT: A case is presented of a right frontoethmoidal osteoma with intraorbital invasion in a 43-year-old male, who was seen in the clinic with a proptosis, retro-orbital pain, peri-palpebral inflammation, and binocular diplopia due to muscular route limitation. Open surgery was performed using a subcranial approach, with removal of several fragments of osteoma. Histological analysis confirmed the diagnosis. DISCUSSION: Osteomas are benign bone-forming tumours with slow growth. They are usually asymptomatic until mass effect complications occur in the brain or in the orbit, or locally, generating mucoceles due to sinus drainage obstruction.
Subject(s)
Ethmoid Sinus/pathology , Frontal Sinus/pathology , Orbit/pathology , Osteoma/pathology , Paranasal Sinus Neoplasms/pathology , Adult , Diplopia/etiology , Ethmoid Sinus/diagnostic imaging , Ethmoid Sinus/surgery , Exophthalmos/etiology , Frontal Sinus/diagnostic imaging , Frontal Sinus/surgery , Humans , Imaging, Three-Dimensional , Male , Neoplasm Invasiveness , Orbit/diagnostic imaging , Osteoma/complications , Osteoma/diagnostic imaging , Osteoma/surgery , Paranasal Sinus Neoplasms/complications , Paranasal Sinus Neoplasms/diagnostic imaging , Paranasal Sinus Neoplasms/surgery , Postoperative Complications/etiology , Tomography, X-Ray Computed , Torticollis/etiologyABSTRACT
CASO CLÍNICO: Se presenta el caso de un varón de 35 años sin antecedentes de interés que consulta por mala visión del ojo izquierdo objetivada de forma fortuita, en el cual tras un completo estudio se llega al diagnóstico de macrovaso congénito retiniano con engrosamiento macular. DISCUSIÓN: Los macrovasos congénitos retinianos son una rara anomalía vascular cuyo diagnóstico suele ser casual ya que la repercusión visual es mínima. En los pocos casos en que se produce afectación visual importante, esta se debe a hemorragias maculares, quistes foveales, desprendimiento seroso macular o al propio transcurso del vaso por la zona avascular foveal
CASE REPORT: We report a case of a 35 year old male patient with no medical history, who experienced decreased vision in his left eye that he noticed by chance. After a complete ophthalmic examination, he was diagnosed with congenital retinal macrovessel with macular thickening. DISCUSSION: Congenital retinal macrovessels are rare vascular anomalies, in which the diagnosis is usually incidental as their visual impact is minimal. In the rare cases where there is a significant visual impairment, this is due to macular hemorrhages, foveal cysts, serous macular detachment, or the course of the vessel itself through the foveal avascular zone
Subject(s)
Humans , Male , Retinal Vessels/abnormalities , Retinal Vessels/cytology , Macular Edema/diagnosis , Macular Edema/metabolism , Cysts/chemically induced , Cysts/diagnosis , Tomography/methods , Retinal Vessels/injuries , Retinal Vessels/physiology , Macular Edema/complications , Macular Edema/pathology , Cysts/complications , Cysts/metabolism , Tomography/instrumentationABSTRACT
CASE REPORT: We report a case of a 35 year old male patient with no medical history, who experienced decreased vision in his left eye that he noticed by chance. After a complete ophthalmic examination, he was diagnosed with congenital retinal macrovessel with macular thickening. DISCUSSION: Congenital retinal macrovessels are rare vascular anomalies, in which the diagnosis is usually incidental as their visual impact is minimal. In the rare cases where there is a significant visual impairment, this is due to macular hemorrhages, foveal cysts, serous macular detachment, or the course of the vessel itself through the foveal avascular zone.
