ABSTRACT
CLINICAL CASE: A 29 year old patient with a history of sutured corneal wound treated with oral antibiotics and steroids. After stopping steroid treatment, he referred reduced visual acuity in the non-traumatized eye. Previous treatment was reintroduced and he was referred to our hospital diagnosed with sympathetic ophthalmia. Bilateral macular folds, white and yellowish lesions, and subretinal fluid were found. DISCUSSION: The association of stress, anxious personality, and steroid use can favor atypical presentations of central serous chorioretinopathy.
Subject(s)
Choroid Diseases/diagnosis , Ophthalmia, Sympathetic/diagnosis , Retinal Detachment/diagnosis , Adult , Choroid Diseases/complications , Diagnostic Errors , Humans , Male , Retinal Detachment/complicationsABSTRACT
Caso clínico: Paciente varón de 29 años de edad con antecedente de herida corneal suturada que recibió tratamiento con antibióticos y esteroides. Al suspender los esteroides, refiere disminución de la agudeza visual del ojo no traumatizado. Se reinicia tratamiento y se envía a nuestro hospital con diagnóstico de oftalmía simpática. Fondo de ojo con pliegues maculares y lesiones blanco amarillentas con líquido subretiniano en ambos ojos. Discusión: La asociación de estrés, personalidad ansiosa y uso de esteroides favorecen el desarrollo de formas atípicas de coroidopatía serosa central(AU)
Clinical case: A 29 year old patient with a history of sutured corneal wound treated with oral antibiotics and steroids. After stopping steroid treatment, he referred reduced visual acuity in the non-traumatized eye. Previous treatment was reintroduced and he was referred to our hospital diagnosed with sympathetic ophthalmia. Bilateral macular folds, white and yellowish lesions, and subretinal fluid were found. Discussion: The association of stress, anxious personality, and steroid use can favor atypical presentations of central serous chorioretinopath(AU)
Subject(s)
Humans , Male , Adult , Choroid Diseases/etiology , Ophthalmia, Sympathetic/etiology , Stress, Psychological/complications , Cornea/injuries , Anti-Bacterial Agents/therapeutic use , Steroids/therapeutic use , Visual AcuityABSTRACT
CASE REPORT: A 35 year-old female with a pigmented choroidal tumor in the inferotemporal quadrant, of 3.31 x 7.64 x 5.46 mm. The patient received an intravenous injection of 25 mg of indocyanine green previous to photocoagulation of the lesion with an 810 nm diode laser. After one year follow-up the tumor showed involution demonstrated by clinical and ultrasonographic evaluation. DISCUSSION: Indocyanine green allows maximal absortion of light energy delivered by diode laser, enhancing its action by making the deepest tissues vulnerable to photocoagulation and reducing time of exposure and number of sessions.
Subject(s)
Choroid Neoplasms/surgery , Laser Coagulation , Melanoma/surgery , Adult , Female , Humans , Indocyanine GreenABSTRACT
Caso clínico: Paciente femenino de 35 años de edad con presencia de tumoración coroidea pigmentada en cuadrante inferotemporal, de 3,31x7,64 x 5,46 mm. La lesión se fotocoaguló con láser de diodo de 810 nm previa inyección intravenosa de 25 mg de verde de indocianina.Tras un año de seguimiento el tumor mostró involución demostrada por clínica y ultrasonido.Discusión: El verde de indocianina permite máxima absorción de la energía luminosa suministrada por el láser de diodo, potenciando su acción al hacer a los tejidos más profundos vulnerables a la fotocoagulación, reduciendo el tiempo de exposición y número de sesiones (AU)
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