Subject(s)
Astrocytoma/pathology , Retinal Neoplasms/pathology , Angiogenesis Inhibitors/therapeutic use , Astrocytoma/blood supply , Astrocytoma/diagnostic imaging , Astrocytoma/therapy , Bevacizumab/therapeutic use , Combined Modality Therapy , Cryotherapy , Epiretinal Membrane/etiology , Exudates and Transudates , Fluorescein Angiography , Humans , Light Coagulation , Macular Edema/diagnostic imaging , Macular Edema/drug therapy , Macular Edema/etiology , Male , Retinal Neoplasms/blood supply , Retinal Neoplasms/diagnostic imaging , Retinal Neoplasms/therapy , Retinal Telangiectasis/complications , Retinal Telangiectasis/diagnosis , Retinal Telangiectasis/therapy , Vitrectomy , Young AdultABSTRACT
CASO CLÍNICO: Paciente con coloboma de nervio óptico izquierdo, que desarrolla tardíamente (a los 15 años de edad) proliferación fibrovascular vitreorretiniana y desprendimiento de retina traccional (DRT). Se realiza fotocoagulación retiniana sectorial con regresión del tejido proliferativo y la exudación asociada. DISCUSIÓN: Las anomalías congénitas del nervio óptico pueden asociar avascularidad e isquemia retiniana significativa y proliferación fibrovascular de aparición tardía. El tratamiento láser es efectivo para obtener la regresión del tejido neovascular y prevenir la progresión del DRT
CASE REPORT: A patient with a left optic nerve coloboma with late development (at 15 years of age) of vitreoretinal fibrovascular proliferation and tractional retinal detachment (TRD). Sectorial retinal photocoagulation was performed with regression of the proliferative tissue and exudation. DISCUSSION: Congenital optic nerve anomalies may be associated with significant retinal avascularity, ischaemia and late fibrovascular proliferation. Laser is effective for regression of the neovascular tissue and preventing TRD progression
Subject(s)
Humans , Male , Female , Infant , Coloboma/complications , Coloboma/diagnosis , Coloboma/therapy , Optic Nerve/abnormalities , Optic Nerve/growth & development , Retinal Detachment/therapy , Optic Neuropathy, Ischemic/complications , Optic Neuropathy, Ischemic/diagnosis , Optic Neuropathy, Ischemic/therapy , Coloboma/etiology , Coloboma/prevention & control , Coloboma/surgery , Optic Nerve , Retinal Detachment , Optic Neuropathy, Ischemic/prevention & control , Optic Neuropathy, IschemicABSTRACT
CASE REPORT: A patient with a left optic nerve coloboma with late development (at 15 years of age) of vitreoretinal fibrovascular proliferation and tractional retinal detachment (TRD). Sectorial retinal photocoagulation was performed with regression of the proliferative tissue and exudation. DISCUSSION: Congenital optic nerve anomalies may be associated with significant retinal avascularity, ischaemia and late fibrovascular proliferation. Laser is effective for regression of the neovascular tissue and preventing TRD progression.
Subject(s)
Coloboma , Optic Nerve , Retinal Detachment , Retinal Diseases , Adolescent , Humans , Light CoagulationABSTRACT
CASO CLÍNICO: Una niña de 4 años ingresa por politraumatismo grave por arrollamiento. Durante la evolución se le diagnostica de parálisis completa del tercer par del ojo derecho y retinopatía de Purtscher en ojo izquierdo. DISCUSIÓN: La retinopatía de Purtscher es poco frecuente. El diagnóstico es clínico y su tratamiento no está estandarizado aunque los corticoides sistémicos podrían mejorar el pronóstico visual. Las parálisis deL tercer par traumáticas tienen baja tendencia a la recuperación espontánea. El uso de toxina botulínica en niños podría mejorar la tasa de recuperación total y podría ser útil para acelerar la resolución y así permitir binocularidad y evitar la ambliopía
CASE REPORT: A 4 year-old girl was referred to our hospital after have suffered a severe accident. The patient was diagnosed with complete third nerve palsy in her right eye and Purtscher retinopathy in her left eye. DISCUSSION: Purtscher retinopathy is a rare condition. The diagnosis is made on clinical ground and its treatment is not well defined although it is believed that systemic steroids could improve the visual outcome. Traumatic third nerve palsy has a poor spontaneous recovery. The use of botulinum toxin might be useful in children to improve the recovery rate, maintaining binocularity, and avoiding amblyopia in other cases
Subject(s)
Child, Preschool , Female , Humans , Oculomotor Nerve Diseases/diagnosis , Craniocerebral Trauma/complications , Botulinum Toxins/therapeutic use , Multiple Trauma/complicationsABSTRACT
CASE REPORT: A 4 year-old girl was referred to our hospital after have suffered a severe accident. The patient was diagnosed with complete third nerve palsy in her right eye and Purtscher retinopathy in her left eye. DISCUSSION: Purtscher retinopathy is a rare condition. The diagnosis is made on clinical ground and its treatment is not well defined although it is believed that systemic steroids could improve the visual outcome. Traumatic third nerve palsy has a poor spontaneous recovery. The use of botulinum toxin might be useful in children to improve the recovery rate, maintaining binocularity, and avoiding amblyopia in other cases.
Subject(s)
Craniocerebral Trauma/complications , Multiple Trauma/complications , Oculomotor Nerve Diseases/etiology , Retinal Hemorrhage/etiology , Atrophy , Botulinum Toxins, Type A/therapeutic use , Child, Preschool , Craniocerebral Trauma/physiopathology , Crush Injuries/complications , Edema/etiology , Exotropia/drug therapy , Exotropia/etiology , Eyeglasses , Female , Humans , Macula Lutea/pathology , Oculomotor Nerve Diseases/drug therapy , Optic Nerve Diseases/etiology , Orbital Fractures/etiology , Retina/diagnostic imaging , Tomography, Optical CoherenceABSTRACT
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