RESUMO
PURPOSE: We examined a patient with acute posterior multifocal placoid pigment epitheliopathy and bilateral central retinal vein occlusion. METHOD: Case report. A 28-year-old woman presented with the typical findings of acute posterior multifocal placoid pigment epitheliopathy. One month after presentation, the patient developed bilateral central retinal vein occlusion. RESULT: Four months after presentation, resolution of the bilateral central retinal vein occlusion resulted in a corrected visual acuity of RE, 20/25 and LE, 3/400. CONCLUSION: Vasculitis, sometimes associated with acute posterior multifocal placoid pigment epitheliopathy, can affect the ciliary vessels that supply the optic disk. This may result in axoplasmic stasis and compression of the central retinal vein, leading to impending or complete central retinal vein occlusion.
Assuntos
Epitélio Pigmentado Ocular/patologia , Oclusão da Veia Retiniana/complicações , Doença Aguda , Adulto , Feminino , Fundo de Olho , Humanos , Doenças Retinianas/complicações , Doenças Retinianas/patologia , Oclusão da Veia Retiniana/patologia , Vasculite/patologia , Acuidade VisualRESUMO
PURPOSE: This article reports identical twin sisters who were found to have acute angle-closure glaucoma at the same time. METHODS: Two case reports. RESULTS: Two 73-year-old identical twin sisters presented to the emergency room with a complaint of decreased vision and eye pain after having been in a fist fight with each other the previous night. One sister exhibited signs of angle-closure glaucoma with an intraocular pressure > 50 mmHg in the left eye, while her twin sister presented with bilateral angle-closure glaucoma and similar intraocular pressures. Both patients were treated with anti-glaucoma medications and bilateral laser iridotomies. CONCLUSIONS: Polygenetic factors influence the configuration of the anterior chamber, but other environmental factors contribute to the risk of developing primary angle-closure glaucoma. Potentially occludable angles are more common in individuals with a first-degree relative with acute angle closure. Screening of these patients (especially twins) for occludable angles is recommended.
Assuntos
Doenças em Gêmeos , Glaucoma de Ângulo Fechado/genética , Acetazolamida/uso terapêutico , Doença Aguda , Idoso , Inibidores da Anidrase Carbônica/uso terapêutico , Diuréticos Osmóticos/uso terapêutico , Quimioterapia Combinada , Feminino , Glaucoma de Ângulo Fechado/tratamento farmacológico , Glaucoma de Ângulo Fechado/cirurgia , Humanos , Pressão Intraocular , Iris/cirurgia , Terapia a Laser , Manitol/uso terapêutico , Mióticos/uso terapêutico , Pilocarpina/uso terapêuticoRESUMO
The authors conducted a multicenter, randomized, controlled trial to test whether the Schocket shunt with a larger shunt reservoir surface area would provide a lower final intraocular pressure than the double-plate Molteno implant. However, the Molteno implant produced a statistically lower intraocular pressure at 6 months compared with the Schocket shunt. Postoperative visual acuity, glaucoma medications, and complications were not statistically different.
