RESUMO
The authors report the case a young girl who presented ptosis of the left eye lid and in whom other ophthalmic findings (Lisch's nodules, larger wind sphenoid bone hypoplasia) led to the diagnosis of Von Recklinghausen's disease. They recall the importance of such manifestations for this diagnosis.
Assuntos
Neoplasias Palpebrais/complicações , Neurofibromatose 1/complicações , Adolescente , Blefaroptose/etiologia , Neoplasias Oculares/etiologia , Feminino , Humanos , Neoplasias da Íris/etiologia , Transtornos da Pigmentação/etiologiaRESUMO
The case is described of a 36 years old woman with bilateral xerophthalmia secondary to his diet. She presented a perforation of the left cornea which required an emergency penetrating keratoplasty. The treatment is described.
Assuntos
Distúrbios Nutricionais/etiologia , Deficiência de Vitamina A/complicações , Xeroftalmia/etiologia , Adulto , Feminino , Humanos , Distúrbios Nutricionais/complicações , Deficiência de Vitamina A/fisiopatologia , Deficiência de Vitamina A/terapiaRESUMO
From series of clinical cases, the authors expose how ERG is an essential element for the diagnosis of cone dysfunction with or without macular involvement. They show that to obtain an accurate diagnosis, precise proceedings must be chosen, using stimulation technics correctly selected. They study the advantage of focal or wide stimulations, of the level of the intensity of the stimulation and of the different colored filters. They propose a proceeding for adults examination. For young children, they discuss the advantages and limits of a particular proceeding.
Assuntos
Eletrorretinografia/métodos , Macula Lutea , Células Fotorreceptoras , Doenças Retinianas/diagnóstico , Adulto , Pré-Escolar , Eletrorretinografia/normas , Humanos , Doenças Retinianas/classificação , Doenças Retinianas/fisiopatologiaRESUMO
The authors report the case of a 14-year old European girl who presented with ptosis of the left eyelid and in whom other ophthalmic findings (Lisch's nodules, larger wing sphenoid bone hypoplasia at computed tomography) led to the diagnosis of von recklinghausen's disease. They recall and describe the main ophthalmic manifestations of this disease which may affect the eyelids (with a typical plexiform neuroma for example) the orbit (with bone dysplasia) and the eyeball (with very frequent Lisch's nodules). They discuss the frequency of such manifestations and their value in the diagnosis.
Assuntos
Oftalmopatias/etiologia , Neurofibromatose 1/complicações , Adolescente , Doenças Palpebrais/etiologia , Feminino , Humanos , Doenças da Íris/etiologia , Neurofibromatose 1/diagnóstico , Doenças Orbitárias/etiologiaRESUMO
From the study of twelve of Fundus Flavimaculatus and after recording the main characteristics of this disease the authors try to distinguish the "classical juvenile" form of Fundus Flavimaculatus form the "tardy" form of Fundus Flavimaculatus. This last one would affect the adult and have a better prognosis.
Assuntos
Degeneração Retiniana/fisiopatologia , Fatores Etários , Feminino , Angiofluoresceinografia , Fundo de Olho , Humanos , Degeneração Macular/classificação , Degeneração Macular/diagnóstico , Degeneração Macular/fisiopatologia , Masculino , Degeneração Retiniana/classificação , Degeneração Retiniana/diagnóstico , Estudos RetrospectivosRESUMO
Xerophthalmia is no longer seen in Europe since the 19th century. We report the case of a female patient, aged 33, of french nationality, who presented a clinical picture of major vitamin A deficiency, self-induced and with ocular complications. An untreated long standing depressive condition appeared to be the major etiologic factor. Perforation of a desmetocele necessitated penetrating keratoplasty. Histologic corneal and conjunctival aspects are reported. Oral prescription of vitamin A resulted in considerable clinical improvement. Only 3 similar cases have been previously reported. Clinical manifestations of xerophthalmia are described along with preventive and curative therapy.