ABSTRACT
INTRODUCCIÓN: Presentamos el caso de una paciente con una hemorragia premacular tratada con neodímio (Nd):YAG láser. CASO CLÍNICO: Paciente de 54 años de edad fue a urgencias por pérdida repentina de visión en el ojo derecho (OD) desde el día anterior. La máxima visión corregida del OD era la percepción de la luz y en el fondo de ojo se vio una hemorragia premacular de gran tamaño. Se hizo el tratamiento con Nd:YAG láser en ese día para que drenase la hemorragia hacia la cavidad vítrea. En la hemorragia intravítrea había desaparecido al cabo de un mes y después de 3 meses la visión era 20/25
INTRODUCTION: To report a case of premacular hemorrhage treated with Neodymium (Nd):YAG laser puncture. CASE REPORT: A 54 year-old Caucasian female was seen in the emergency department with complaints of sudden loss of vision in her right eye (RE), detected on the previous day. The best-corrected visual acuity (BCVA) in the RE was reduced to light perception, and fundoscopy evidenced a large and dense premacular hemorrhage. An Nd:YAG laser puncture was performed that day to drain the hemorrhage into the vitreous cavity. The intravitreal hemorrhage cleared in about 1 month, and the BCVA of the RE was 20/25 after 3 months
Subject(s)
Humans , Female , Laser Therapy/ethics , Laser Therapy/instrumentation , Diabetic Retinopathy/diagnosis , Diabetic Retinopathy/pathology , Aneurysm/chemically induced , Aneurysm/complications , Arterial Pressure , Laser Therapy/methods , Laser Therapy , Diabetic Retinopathy/complications , Diabetic Retinopathy/metabolism , Aneurysm/diagnosis , Aneurysm/metabolism , Arterial Pressure/physiologyABSTRACT
INTRODUCTION: To report a case of premacular hemorrhage treated with Neodymium (Nd):YAG laser puncture. CASE REPORT: A 54 year-old Caucasian female was seen in the emergency department with complaints of sudden loss of vision in her right eye (RE), detected on the previous day. The best-corrected visual acuity (BCVA) in the RE was reduced to light perception, and fundoscopy evidenced a large and dense premacular hemorrhage. An Nd:YAG laser puncture was performed that day to drain the hemorrhage into the vitreous cavity. The intravitreal hemorrhage cleared in about 1 month, and the BCVA of the RE was 20/25 after 3 months.
Subject(s)
Blindness/etiology , Lasers, Solid-State/therapeutic use , Vitreous Hemorrhage/surgery , Aphakia, Postcataract , Drainage , Female , Humans , Middle Aged , Remission Induction , Vitreous Hemorrhage/complicationsABSTRACT
The authors describe a rare case of rhinocerebral mucormycosis. This is an acute, suppurative mycosis with poor prognosis. It has a particular affinity for rhinocerebral tissue and less frequently affects pulmonary tissue. Mucormycosis affects immunosuppressed patients and more than 75% of the cases involve patients suffering from acidosis, especially diabetic ketoacidosis. One characteristic feature is that the blood vessels are flooded causing thromboses, infarction and emboli. The disease is spread through the blood vessels or by expansion. The first clinical symptoms can be confused with an early stage of acute sinusitis with mucosanguineous rhinorrhea, facial tumescence and pain. In 50% of the cases there is rhinocerebral and orbital involvement. If the disease remains untreated it can prove fatal in 10 to 14 days. Effective treatment relies on an early diagnosis and prompt administration of intravenous amphotericin B as well as avulsion of the necrotic areas. To date only 200 cases of this severe pathology have been described. The present work is an attempt to throw further light on this disorder.
