RESUMO
A 25-year-old male presented with complaints of sudden diminution of vision with pain on eye movement in the left eye which was diagnosed clinically as retro bulbar optic neuritis. However, magnetic resonance imaging (MRI) showed lesion consistent with sphenoid sinus mucocele. Early surgical removal of mucocele led to complete recovery of vision, contrast and visual field. A high index of suspicion is necessary for intracranial lesions in all cases of retro bulbar neuritis, especially those with atypical symptoms.
Assuntos
Mucocele/diagnóstico , Neurite Óptica/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Seio Esfenoidal , Adulto , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Masculino , Mucocele/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos , Doenças dos Seios Paranasais/cirurgia , Tomografia Computadorizada por Raios X , Acuidade VisualRESUMO
AIM: The aim was to evaluate the outcome of Ahmed glaucoma valve (AGV) in post-penetrating-keratoplasty glaucoma (PKPG). MATERIALS AND METHODS: In this prospective study, 20 eyes of 20 adult patients with post-PKPG with intraocular pressure (IOP) >21 mmHg, on two or more antiglaucoma medications, underwent AG (model FP7) implantation and were followed up for a minimum of 6 months. Absolute success was defined as 5 < IOP < 21 mmHg and qualified success as 5 < IOP < 21 mmHg with medications or minor procedures. RESULTS: The mean IOP decreased from 42.95 ± 10.24 to 17.69 ± 3.64 mmHg (P < 0.001) and the use of medications dropped from 2.92 to 0.39 (P < 0.001) after AGV implantation. The absolute success was achieved in 11 eyes and qualified success in 9. There was no significant change in best corrected visual acuity, graft clarity, or graft thickness. Six device-related complications occurred after AGV implantations which were successfully managed with medical or minor surgical therapy. CONCLUSIONS: Postkeratoplasty refractory glaucoma managed by AGV implantation revealed a satisfactory outcome up to 6 months of follow-up.
Assuntos
Implantes para Drenagem de Glaucoma , Glaucoma/etiologia , Glaucoma/cirurgia , Ceratoplastia Penetrante/efeitos adversos , Adulto , Idoso , Feminino , Seguimentos , Glaucoma/diagnóstico , Glaucoma/fisiopatologia , Implantes para Drenagem de Glaucoma/efeitos adversos , Implantes para Drenagem de Glaucoma/normas , Humanos , Pressão Intraocular , Masculino , Microscopia Acústica , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento , Adulto JovemRESUMO
PURPOSE: To evaluate the technique and outcomes of deep anterior lamellar keratoplasty (DALK) combined with phacoemulsification for corneal opacity with coexisting cataract. SETTING: Cornea Service, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. DESIGN: Cohort study. METHODS: Eyes with cataract of varied nucleus grade and with different corneal pathologies were selected. Modified triple procedures were performed in all eyes. RESULTS: Twenty eyes were evaluated. The corrected distance visual acuity (CDVA) after 3 months was 20/60 or better in 18 eyes. One eye had 20/80 CDVA as a result of perioperative and postoperative complications. One graft became opaque after postoperative infection. CONCLUSION: Simultaneous DALK with phacoemulsification was feasible in eyes with coexisting corneal and lenticular pathology, and the outcomes were encouraging. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
