RESUMO
OBJECTIVE: To present the influence of dexamethasone intravitreal implant due to macular edema in non-infectious uveitis in the fellow eye. PATIENTS AND METHODS: A 25-year-old patient with a long history of juvenile arthritis with concomitant recurrent bilateral uveitis, complicated with increases of intraocular pressure and macular edema was treated with a single intravitreal dexamethasone implant into the eye with lower visual acuity. RESULTS: During a 36-month follow-up, the patient's bilateral visual acuity improved. The retinal thickness in both maculae decreased. CONCLUSIONS: Treating macular edema in the course of recurrent uveitis accompanying a systemic disease with dexamethasone depot in vitreous may play a beneficial role also in the fellow eye, when affected. This therapeutic effect in the fellow eye may suggest that the medication can penetrate into the circulatory system and reach such other organs as the fellow eye.
Assuntos
Anti-Inflamatórios/administração & dosagem , Dexametasona/administração & dosagem , Injeções Intravítreas/métodos , Uveíte/diagnóstico , Uveíte/tratamento farmacológico , Adulto , Implantes de Medicamento , Glucocorticoides/uso terapêutico , Humanos , Pressão Intraocular/fisiologia , Edema Macular/complicações , Edema Macular/diagnóstico , Edema Macular/tratamento farmacológico , Masculino , Resultado do Tratamento , Uveíte/etiologia , Acuidade Visual/efeitos dos fármacos , Acuidade Visual/fisiologiaRESUMO
Acute macular neuroretinopathy (AMNR) is a rare disease of unknown origin, usually occurring in young women. It could cause visual loss, photopsia, and paracentral scotomas. It often occurs after a flu-like syndrome. Tiny changes may be observed in the fundus: reddish-brown ovoid dots around the fovea. Fluorescein angiography and indocyanine green angiography are usually normal. The present report describes a typical case of AMNR and emphasizes visual field changes during the follow-up.
