RESUMEN
Real-Time-Sonography and pharmacoangiography with vasodilating drugs was performed in 63 patients with suspected pancreatic disease. Confirmation of the pancreatic lesion could be obtained in 41 cases by the symptomatology, pancreatic function test, autopsy, operation, laparoscopy with fine-needle-biopsy and by the roentgenologic visualization of pancreatic calcifications. Considering the relatively advanced disease of pancreatic carcinoma in our six patients the sonographic diagnosis was correct in all of them and with pharmacoangiography we failed on one case. In chronic pancreatitis correct diagnostic results with pharmacoangiography could be obtained in 8 of 18 cases and with sonography in 14 of 18 patients. In this study sonography showed certain advantages in comparison with angiography, but both methods were complementary and a better result in the differential diagnosis between chronic pancreatitis and pancreatic carcinoma could be achieved.
Asunto(s)
Páncreas/diagnóstico por imagen , Ultrasonografía , Enfermedad Crónica , Diagnóstico Diferencial , Humanos , Neoplasias Pancreáticas/diagnóstico , Pancreatitis/diagnóstico , Radiografía , VasodilatadoresRESUMEN
Considerations brought about by one of the authors own cases are presented on the pathogenesis of acute posterior multifocal placoid pigment epitheliopathy. Two theories are hitherto mainly discussed: (1) Primary changes in the pigment epithelium are pathogenetically responsible, (2) primary changes in the choriocapillaris cause secondary changes in the pigment epithelium. The authors, led by their own observations tend to place the disease in the group of primary diseases of the pigment epithelium.
Asunto(s)
Oftalmopatías/etiología , Epitelio Pigmentado Ocular/patología , Enfermedad Aguda , Adulto , Oftalmopatías/patología , Angiografía con Fluoresceína , Humanos , Masculino , Factores de Tiempo , Trastornos de la Visión/etiología , Trastornos de la Visión/patologíaRESUMEN
Optic nerve hypoplasia is rarely met in otherwise normal eyes. Three unilateral cases of patients with small optic disks, reduced visual acuity, and convergent squint on the affected eye are presented. The anomaly is probably caused by failure of development of the ganglion cell layer of the retina causing a small optic nerve head with normal central vessels. Inheritance or induction by drugs could not be found in our cases.
Asunto(s)
Nervio Óptico/anomalías , Estrabismo/complicaciones , Niño , Femenino , Fondo de Ojo , Humanos , Masculino , Errores de Refracción/complicaciones , Agudeza VisualRESUMEN
Systemic treatment of herpes zoster becomes possible by cytarabine. Complications of herpes zoster ophthalmicus such as relapsing corneal ulceration, perforation or scarring, secondary glaucoma, Argyll Robertson pupils, extraocular muscle palsies, and optic atrophy, as well as postherpetic neuralgia can be prevented by the use of this drug. For this reason the authors believe treatment with cytarabine to be the therapy of choice in herpes zoster.
Asunto(s)
Citarabina/uso terapéutico , Herpes Zóster Oftálmico/tratamiento farmacológico , Anciano , Citarabina/administración & dosificación , Femenino , HumanosRESUMEN
A case is presented of unilateral chorioidal detachment following bilateral retinal ablation for diabetic retinopathy by argon laser photocoagulation.
Asunto(s)
Coroides , Retinopatía Diabética/cirugía , Rayos Láser/efectos adversos , Anciano , Argón , Femenino , Humanos , Terapia por Láser , Enfermedades de la Úvea/etiologíaAsunto(s)
Colitis Ulcerosa , Enfermedad de Crohn , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Ziegler's cautery is our operation of choice for the treatment of most cases of spastic entropion. The advantage of this technic is the fact that the procedure is very efficient with regard to function and cosmetic effect and takes very little time.