RESUMO
A-46-year-old woman with a prior history of a spontaneously resolving right central retinal artery occlusion presented with an acute right third order Horner's syndrome and vague ocular pain. Magnetic resonance angiography demonstrated a right internal carotid artery dissection. The dissection improved on anticoagulation therapy. Marfans syndrome or Ehlers-Danlos syndrome was suspected but ruled out by clinical criteria and skin biopsy respectively.
Assuntos
Doenças das Artérias Carótidas/diagnóstico , Síndrome de Horner/diagnóstico , Oclusão da Artéria Retiniana/etiologia , Anticoagulantes/uso terapêutico , Doenças das Artérias Carótidas/complicações , Doenças das Artérias Carótidas/terapia , Artéria Carótida Interna/patologia , Diagnóstico Diferencial , Síndrome de Ehlers-Danlos/diagnóstico , Feminino , Heparina/uso terapêutico , Síndrome de Horner/etiologia , Síndrome de Horner/terapia , Humanos , Angiografia por Ressonância Magnética , Síndrome de Marfan/diagnóstico , Pessoa de Meia-Idade , Dor/etiologia , Oclusão da Artéria Retiniana/fisiopatologia , Fatores de TempoRESUMO
We retrospectively compared the incidence and level of postoperative intraocular pressure (IOP) spikes in 53 consecutive glaucoma patients undergoing Nd:YAG posterior capsulotomy (YPC) who received apraclonidine immediately postoperatively, with those occurring in 22 consecutive similar patients who did not receive apraclonidine. Postoperative IOP elevations of 5 mm Hg or more occurred in 13% of the apraclonidine recipients and in 59% of the nonrecipients; elevations of 10 mm Hg or more occurred in 4% of the former and in 27% of the latter. Our results suggest that apraclonidine can be a useful adjunct in preventing IOP elevations following YPC in glaucoma patients.
