RESUMO
No disponible
Assuntos
Humanos , Internato e Residência/legislação & jurisprudência , Oftalmologia/educação , Internato e Residência/ética , Internato e Residência/métodos , Oftalmologia/ética , Espanha , Capacitação em ServiçoRESUMO
PURPOSE: To investigate potential risk factors for the progression of myopia. METHODS: Prospective study. Myopic progression was evaluated by cycloplegic autorefraction and axial length (AL) every 6 months in children 6 to 15 years old. Univariate analysis and multiple logistic regression were applied. RESULTS: Around 82 children with median age of 10.3±2.3 years. Myopia progressed by -0.816±0.6 D over 18 months. Increased myopic spherical equivalent refraction (SER) was correlated with increase in AL (P<0.001). Univariate analysis found SER to be significantly associated with: age, especially between 6 and 9.4 years old (P=0.001), parental myopia (P=0.028), and less time spent outdoors (P=0.009). There was a significantly greater increase in SER during months with the least daylight hours (P<0.001). CONCLUSION: Outdoor activities and daylight have a protective effect against increased AL and progression of myopia. Younger children with significant myopia should be monitored closely, especially those around 6 years old with myopic parents.
Assuntos
Iluminação , Miopia/etiologia , Miopia/patologia , Luz Solar , Adolescente , Criança , Progressão da Doença , Exposição Ambiental/efeitos adversos , Exposição Ambiental/estatística & dados numéricos , Feminino , Humanos , Iluminação/efeitos adversos , Iluminação/métodos , Iluminação/estatística & dados numéricos , Estudos Longitudinais , Masculino , Miopia/epidemiologia , Fatores de Risco , Inquéritos e Questionários , Testes VisuaisRESUMO
Introducción. La carcinomatosis meníngea (CM) es una complicación rara de las neoplasias en estadios avanzados. El 5% de las neoplasiasse presentan como una CM. Clínicamente se manifiestan con diplopía, papiledema y/o déficit visual. Ante su sospecha es necesario la realización de una resonancia magnética nuclear y una punción lumbar para su diagnóstico. Caso clínico. Paciente de 54 años diagnosticado de adenocarcinoma de próstata con oscurecimientos visuales y papiledema como primera manifestación de una carcinomatosis meníngea. Discusión. Se discute como proceder ante un edema de papila bilateral secundario a hipertensión intracraneal. Conclusiones. Se resalta la importancia de considerar la posibilidad de invasión meníngea de una neoplasia, cuando nos encontramos un paciente con déficit neurológico y/o visual sin datos de infección o lesión ocupante de espacio (AU)
Introduction. Meningeal carcinomatosis (MC) is a rare complication of late-stage tumors. The 5% of the tumors are presented as a MC. Clinically it was manifested with diplopia, papilledema and / or visual deficits. MC is usually diagnosed by magnetic resonance imaging and cerebrospinal fluid analysis. Case report. A 54-year old man with prostate adenocarcinoma,presented to the emergency service with papilledema, and visual obscurations as first manifestation of meningeal carcinomatosis. Discussion. We discuss how to proceed before a bilateral papilledema due to intracranial hypertension. Conclusions. The importance of considering the possibility of a malignant meningeal invasion, when we find a patient with neurologicaland / or visual deficits without evidence of infection or space occupying lesion (AU)
