ABSTRACT
CASE REPORT: We present two case reports of patients suffering from severe corneal damage resulting in pain and visual impairment, after undergoing Scopinaro's operation. Both patients improved after treatment with topical autologous serum although their nutritional state became worse. DISCUSSION: Topical autologous serum provides growth factors and nutrients needed for corneal cell repair, and is appropriate treatment for carential ocular pathology which may accompany malnutrition.
Subject(s)
Corneal Diseases/etiology , Corneal Diseases/therapy , Serum , Vitamin A Deficiency/complications , Administration, Topical , Adult , Female , Humans , MaleABSTRACT
Caso clínico: Se presentan dos casos de pacientes con el antecedente de haber sido sometidos a la intervención de Scopinaro, que presentan afectación corneal severa con dolor y deterioro de la agudeza visual en grado variable. Ambos se beneficiaron de un tratamiento a base de suero autólogo tópico con una mejoría que contrastaba con el deterioro de su estado nutricional. Discusión: El suero autólogo tópico aporta a la superficie ocular factores de crecimiento y nutrientes necesarios para el trofismo celular de la cornea, siendo un tratamiento apropiado para la patología ocular carencial que puede ocurrir en pacientes desnutridos
Case report: We present two case reports of patients suffering from severe corneal damage resulting in pain and visual impairment, after undergoing Scopinaros operation. Both patients improved after treatment with topical autologous serum although their nutritional state became worse. Discussion: Topical autologous serum provides growth factors and nutrients needed for corneal cell repair, and is appropriate treatment for carential ocular pathology which may accompany malnutrition
Subject(s)
Male , Female , Adult , Humans , Avitaminosis/complications , Ophthalmic Solutions/administration & dosage , Dry Eye Syndromes/therapy , Gastric Bypass/adverse effects , Avitaminosis/therapy , Malnutrition/complicationsABSTRACT
OBJECTIVE: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. CASE REPORT: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. DISCUSSION: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases.
Subject(s)
Adenocarcinoma, Scirrhous/secondary , Breast Neoplasms/pathology , Exophthalmos/diagnosis , Neoplasm Recurrence, Local/pathology , Orbital Neoplasms/secondary , Adenocarcinoma, Scirrhous/diagnosis , Adenocarcinoma, Scirrhous/drug therapy , Antineoplastic Agents/therapeutic use , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Diagnosis, Differential , Fatal Outcome , Female , Humans , Middle Aged , Orbital Neoplasms/diagnosis , Orbital Neoplasms/drug therapy , Tomography, X-Ray ComputedABSTRACT
Objetivo: Informar a los clínicos que las metástasis orbitarias son con frecuencia catalogadas de síndromes inflamatorios.Caso clínico: Se presenta el caso de una mujer de 61 años diagnosticada y tratada siete años antes de un carcinoma escirro de mama. La paciente aquejaba visión borrosa y proptosis en su ojo izquierdo como primera manifestación de la recidiva tumoral.Discusión: Cuando se diagnostica una inflamación orbitaria en una paciente mujer adulta, se debe realizar una meticulosa historia clínica, debido a que las metástasis orbitarias han sido descritas como manifestación inicial de malignidad en el 30 a 50% de los casos
Objective: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. Case report: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. Discussion: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases
