RESUMO
PURPOSE: To describe the types and age differences of surgical strabismus. METHODS: Records of 4,886 strabismus patients who underwent surgery at the King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia from 1982 to 1996 were analyzed. Demographic and clinical data were collected from all patients as a retrospective case series. The percentages and ratios of various types of strabismus were correlated with age and gender. RESULTS: The average age of our patients was 13.2 years (range 4 months to 82 years). Esotropia was the most common type of strabismus (69.3%), while exotropia was less common (26.9%). Of patients undergoing esotropia correction, infantile esotropia and partially accommodative esotropia were equally common; non-accommodative was less common. Constant exotropia was almost three times more common than intermittent exotropia. The rate of sensory strabismus was high, 20.8% of all patients in the series, with a slight preponderance of sensory esotropia. CONCLUSIONS: The ratio of esotropia to exotropia in our study is comparable to previous studies done in predominantly European and Middle Eastern populations. Surgical esotropia decreased with age while surgical exotropia increased. Overall, our rates of sensory strabismus were much higher than previously reported, even if we compare only the younger patients.
Assuntos
Esotropia/epidemiologia , Exotropia/epidemiologia , Músculos Oculomotores/cirurgia , Procedimentos Cirúrgicos Oftalmológicos , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Esotropia/cirurgia , Exotropia/cirurgia , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Prevalência , Arábia Saudita/epidemiologia , Distribuição por SexoRESUMO
Glaucoma drainage devices (GDDs) are often used in refractory cases of pediatric glaucoma. Traditionally, sutures are used during GDD implantation for securing the plate and silicone tube to the sclera, for suturing a patch graft over the silicone tube, and for conjunctival closure. The use of fibrin glue as an alternative to standard suturing techniques has been studied in adults but not in the pediatric population. The purpose of this study was to analyze the use of fibrin glue as an alternative to standard suturing techniques during certain stages of GDD implantation in the pediatric population.
Assuntos
Adesivo Tecidual de Fibrina/uso terapêutico , Implantes para Drenagem de Glaucoma , Glaucoma/cirurgia , Implantação de Prótese/métodos , Técnicas de Sutura , Adesivos Teciduais/uso terapêutico , Anti-Hipertensivos/administração & dosagem , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Pressão Intraocular , Masculino , Complicações Pós-Operatórias , Estudos Retrospectivos , Fatores de Tempo , Tonometria OcularRESUMO
Herpes simplex virus (HSV) is a common infection that occasionally presents with destructive lesions. Two of the most feared presentations of HSV are encephalitis and acute retinal necrosis. Although there are numerous reports of acute retinal necrosis presenting after HSV-2 infection in children, it has been rarely reported in children after HSV-1 infection. Herein we report a child who developed acute retinal necrosis 17 months after HSV-1 encephalitis.
Assuntos
DNA Viral/análise , Encefalite por Herpes Simples/complicações , Herpesvirus Humano 1/genética , Descolamento Retiniano/etiologia , Síndrome de Necrose Retiniana Aguda/complicações , Aciclovir/uso terapêutico , Antivirais/uso terapêutico , Pré-Escolar , Encefalite por Herpes Simples/tratamento farmacológico , Encefalite por Herpes Simples/virologia , Seguimentos , Humanos , Terapia a Laser/métodos , Masculino , Reação em Cadeia da Polimerase , Descolamento Retiniano/diagnóstico , Descolamento Retiniano/cirurgia , Síndrome de Necrose Retiniana Aguda/diagnóstico , Síndrome de Necrose Retiniana Aguda/cirurgia , Vitrectomia/métodosRESUMO
PURPOSE: To describe a rarely reported complication of strabismus surgery. DESIGN: Observational case series. METHODS: A review of four eyes in three patients with orbital cysts following strabismus surgery. RESULTS: Each patient had either a symptomatic strabismus or visible mass that brought them to medical attention many years, often decades after surgery (mean 34 years). All had some degree of incomitancy. During surgery, all cysts were found to be associated with the involved rectus muscle. CONCLUSIONS: Orbital cysts are a rarely recognized complication of strabismus surgery. However, it should be considered in the differential of orbital cysts after strabismus surgery because of the risk of muscle damage during surgical excision.
Assuntos
Cistos/etiologia , Músculos Oculomotores/cirurgia , Procedimentos Cirúrgicos Oftalmológicos/efeitos adversos , Doenças Orbitárias/etiologia , Estrabismo/cirurgia , Adulto , Cistos/patologia , Cistos/cirurgia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Doenças Orbitárias/patologia , Doenças Orbitárias/cirurgiaRESUMO
A 34-year-old man presented to the ophthalmology clinic because of an enlarging mass of the left bulbar conjunctiva, found to be Kaposi sarcoma by histologic examination. The patient had no prior diagnosis of human immunodeficiency virus infection, making this one of only two descriptions in the literature of conjunctival Kaposi sarcoma as the initial presentation of human immunodeficiency virus infection. With surgical resection and highly active antiretroviral therapy, the prognosis is good.
