ABSTRACT
CASO CLÍNICO: Presentamos el caso de un varón de 11 años, con diplopía aguda en la visión cercana, secundario a una parálisis de la convergencia transitoria, posiblemente relacionada con la toma de amoxicilina. DISCUSIÓN: La parálisis de la convergencia es un trastorno poco frecuente. Repasamos las causas que la pueden producir, e identificamos a la amoxicilina como agente etiológico. Es el primer caso comunicado (AU)
CASE REPORT: We present the case of an 11-year-old boy with acute diplopia in near vision secondary to transient convergence palsy, possibly in relation to amoxicillin. DISCUSSION: Convergence palsy is an uncommon eye disorder. The causes are reviewed, and amoxicilin is identified as presumptive etiologic agent. This is the first case reported
Subject(s)
Humans , Male , Child , Convergence, Ocular , Ophthalmoplegia/chemically induced , Amoxicillin/therapeutic use , Diplopia/complications , Diplopia/diagnosis , Vision Disorders/chemically induced , Vision Disorders/complications , Headache/complications , Vision, Binocular , Neuroimaging/methods , Ophthalmoplegia/epidemiology , Ophthalmoplegia/prevention & controlABSTRACT
CASE REPORT: We present the case of an 11-year-old boy with acute diplopia in near vision secondary to transient convergence palsy, possibly in relation to amoxicillin. DISCUSSION: Convergence palsy is an uncommon eye disorder. The causes are reviewed, and amoxicilin is identified as presumptive etiologic agent. This is the first case reported.
Subject(s)
Amoxicillin/adverse effects , Anti-Bacterial Agents/adverse effects , Diplopia/chemically induced , Ocular Motility Disorders/chemically induced , Child , Humans , MaleABSTRACT
CLINICAL CASE: A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomy performed 13 years ago. To construct a new filtering bleb, the necrotic area was fully excised. The amniotic membrane was inserted over the scleral flap underneath healthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye was sutured and was sealed with fibrin adhesive. DISCUSSION: We propose a new surgical technique to repair late leak failures after trabeculectomy with mitomycin C in blebs with a large avascular area. Transplantation of amniotic membrane and conjunctival autograft may be used to repair late leak failures with inadequate conjunctiva to advance.
Subject(s)
Amnion/transplantation , Conjunctiva/transplantation , Mitomycin/adverse effects , Scleral Diseases/surgery , Trabeculectomy/adverse effects , Aged , Female , Fibrin Tissue Adhesive , Humans , Lens Implantation, Intraocular , Mitomycin/therapeutic use , Scleral Diseases/etiology , Suture Techniques , Transplantation, Autologous , Transplantation, Homologous , Wound HealingABSTRACT
Caso clínico: Mujer de 71 años que presenta punto de fuga en la ampolla de una facotrabeculectomíarealizada 13 años antes. Se reseca área necrótica y se sutura trasplante demembrana amniótica sobre el tapete escleral hiperfiltrante. Sobre esta se sutura injerto deconjuntiva y Tenon del ojo contralateral.Discusión: Se propone nueva técnica quirúrgica para el tratamiento de fístula de filtracióntardía tras trabeculectomía con mitomicina C y área avascular extensa. Se aplica adhesivo defibrina para el sellado de incisiones. El doble trasplante de membrana amniótica y conjuntivacontralateral puede utilizarse para reparar puntos de fuga tardíos postrabeculectomía conconjuntiva insuficiente(AU)
Clinical Case: A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomyperformed 13 years ago. To construct a new filtering bleb, the necrotic areawas fully excised. The amniotic membrane was inserted over the scleral flap underneathhealthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye wassutured and was sealed with fibrin adhesive.Discussion: We propose a new surgical technique to repair late leak failures after trabeculectomywith mitomycin C in blebs with a large avascular area. Transplantation of amniotic membrane and conjunctival autograft may be used to repair late leak failureswith inadequate conjunctiva to advance(AU)
