ABSTRACT
In eyes with massive subretinal haemorrhages, ambulatory vision can be achieved by pars plana vitrectomy and subretinal surgery. In patients with only one functional eye, this treatment is important to preserve the quality of life. The resulting large pigment epithelial defect limits visual rehabilitation. For the same reason, rTPA/gas injection or a macular translocation are possible but not sufficient in these cases.
Subject(s)
Retinal Hemorrhage/diagnosis , Retinal Hemorrhage/therapy , Aged , Aged, 80 and over , Female , Humans , Male , Treatment OutcomeSubject(s)
Corneal Transplantation , Keratoconus/surgery , Mydriasis/etiology , Postoperative Complications/etiology , Chronic Disease , Descemet Membrane/injuries , Follow-Up Studies , Humans , Intraoperative Complications/diagnosis , Male , Mydriasis/diagnosis , Postoperative Complications/diagnosis , Reflex, Pupillary/physiology , Remission, Spontaneous , Syndrome , Visual AcuityABSTRACT
To evaluate the causative factor for multifocal chorioretinitis, papillitis, and recurrent optic neuritis. A 41-year-old patient presenting multifocal choroiditis, papillitis, and recurrent optic neuritis was evaluated with funduscopy, angiography (FA), optical coherence tomography (OCT), visual evoked potentials (VEP), and numerous blood laboratory tests. FA and OCT showed multifocal pigment epithelial detachments. VEP showed typical changes for optic neuritis and papillitis. Indirect fluorescent antibody assay disclosed Bartonella henselae. Although cat-scratch disease frequently presents with optic neuritis or neuroretinitis, additional multifocal chorioretinal lesions associated with serous pigment epithelial detachments may occur. In case of recurrent episodes, a detailed laboratory work-up is mandatory to define the appropriate diagnosis and treatment.
Subject(s)
Cat-Scratch Disease/diagnosis , Chorioretinitis/diagnosis , Optic Neuritis/diagnosis , Papilledema/diagnosis , Adult , Chorioretinitis/microbiology , Female , Humans , Optic Neuritis/microbiology , Papilledema/microbiology , RecurrenceABSTRACT
A case of bilateral compression femoral neuropathy due to iliopsoas muscle hematomas during anticoagulant therapy is described. Diagnosis was confirmed with computed tomographic scan. The right hematoma was larger than the left and caused a more severe femoral neuropathy. The hematoma on the right side was surgically evacuated, and the left-sided one was treated conservatively. The patient had a complete recovery.
Subject(s)
Anticoagulants/adverse effects , Femoral Nerve , Hematoma/chemically induced , Muscular Diseases/chemically induced , Nerve Compression Syndromes/etiology , Hematoma/complications , Hematoma/diagnostic imaging , Humans , Male , Middle Aged , Muscular Diseases/complications , Muscular Diseases/diagnostic imaging , Nerve Compression Syndromes/therapy , Psoas Muscles , Tomography, X-Ray ComputedABSTRACT
Amyloidosis is a multisystem disease process of unknown cause in which characteristically staining protein-polysaccharide material is deposited in body tissues. Although gastrointestinal involvement is usually asymptomatic, amyloid infiltration of mesenteric and submucosal vessel walls may be associated with acute or recurrent gastrointestinal hemorrhage in patients with the diagnosis of amyloidosis. Angiography in such cases may demonstrate arterial and venous changes as a result of these vascular wall deposits. Two patients with proven amyloidosis and gastrointestinal hemorrhage are presented, and their angiographic findings are discussed with the pathologic correlations.
