Assuntos
Líquido Cefalorraquidiano , Coristoma/complicações , Coloboma/etiologia , Cistos/complicações , Disco Óptico/anormalidades , Doenças Orbitárias/complicações , Descolamento Retiniano/etiologia , Assialoglicoproteínas/líquido cefalorraquidiano , Cistos/diagnóstico , Feminino , Idade Gestacional , Humanos , Lactente , Imageamento por Ressonância Magnética , Microftalmia , Doenças Orbitárias/diagnóstico , Tomografia de Coerência Óptica , Tomografia Computadorizada por Raios X , Transferrina/análogos & derivados , Transferrina/líquido cefalorraquidianoRESUMO
PURPOSE: To assess the subjective visual disability of patients with epiphora and to compare the results with that of patients waiting for second eye cataract surgery. DESIGN: A prospective, randomised, questionnaire-based study. METHODS: Forty-six patients with epiphora listed for dacryocystorhinostomy and 50 patients having second eye cataract extraction were enrolled. A questionnaire focusing on functional visual disability in daily life and based on VF-14 was completed for each participant. RESULTS: Eighty-six percent of patients with epiphora and 41% of second-eye cataracts had difficulty reading small print (P < 0.05). The extent of such difficulty was moderate to great in 48% of epiphora and only 26% of cataract patients .A substantial percentage of epiphora patients and second eye cataract also reported difficulty with other tasks, such as doing fine work (78.9% vs. 42%) (P < 0.05), watching television (63.1% vs. 19%) (P < 0.05), seeing steps or stairs (43.4% vs. 10%) (P < 0.05), or reading signs (39.1% vs. 4%) (P < 0.05), respectively. CONCLUSIONS: There is widespread recognition of the effect of cataract on visual function. This has resulted in substantial government funding to improve access to cataract surgery. In comparison, epiphora is rarely considered as a significant cause of visual disability. This study suggests that patients with epiphora suffer the same if not more of a visual handicap than patients awaiting second eye cataract surgery.
Assuntos
Catarata/diagnóstico , Avaliação da Deficiência , Implante de Lente Intraocular/métodos , Qualidade de Vida , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Extração de Catarata , Estudos Transversais , Feminino , Seguimentos , Humanos , Implante de Lente Intraocular/efeitos adversos , Masculino , Pessoa de Meia-Idade , Probabilidade , Estudos Prospectivos , Medição de Risco , Índice de Gravidade de Doença , Inquéritos e Questionários , Resultado do Tratamento , Testes Visuais , Acuidade Visual , Listas de EsperaRESUMO
We report an unusual case of self-mutilation by insertion of multiple foreign bodies in the orbit. A 26-year-old female psychiatric patient with a severe emotionally unstable personality disorder was reviewed in the ophthalmology clinic. She had allegedly inserted a metal staple into her right eye 2 days previously and was complaining of pain around the right eye. Radiography showed multiple foreign bodies in the right orbit and one in the left orbit. Self-mutilation in psychiatric patients has been well documented. The management of nonorganic, nontoxic intraorbital foreign bodies is discussed. A low threshold for imaging in these cases is of vital importance.
