RESUMO
We report the case of a patient with pelvic endometriosis and recurrent spontaneous pneumothoraces who had thoracotomy and diagnostic laparoscopy, with subsequent acute pulmonary edema. Potential causes are discussed. After a thorough literature search, we believe this to be the first case in which thoracotomy has been combined with diagnostic laparoscopy.
Assuntos
Laparoscopia/efeitos adversos , Edema Pulmonar/etiologia , Toracotomia , Doença Aguda , Adulto , Endometriose/complicações , Feminino , Humanos , Pneumotórax/etiologia , Pneumotórax/cirurgiaRESUMO
We report a case of ocular hypotony secondary to a cyclodialysis cleft that developed following a phacoemulsification procedure in which a scleral tunnel incision was used. A cyclodialysis cleft should be suspected in cases of persistent postoperative hypotony.
Assuntos
Extração de Catarata/efeitos adversos , Corpo Ciliar , Hipotensão Ocular/etiologia , Esclera/cirurgia , Doenças da Úvea/etiologia , Feminino , Humanos , Pressão Intraocular , Pessoa de Meia-Idade , Hipotensão Ocular/tratamento farmacológico , Complicações Pós-Operatórias , Prednisolona/uso terapêutico , Doenças da Úvea/tratamento farmacológico , Acuidade VisualAssuntos
Ciprofloxacina/farmacologia , Úlcera da Córnea/microbiologia , Infecções Oculares Bacterianas/microbiologia , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/efeitos dos fármacos , Idoso , Córnea/microbiologia , Resistência Microbiana a Medicamentos , Humanos , Masculino , Resistência a Meticilina , Testes de Sensibilidade Microbiana , Staphylococcus aureus/isolamento & purificaçãoRESUMO
We report the occurrence of sterile corneal ulceration in 11 eyes of eight patients with collagen vascular diseases and dry eyes after cataract extraction with intraocular lens implantation. Keratolysis occurred after both extracapsular and intracapsular cataract extraction and appeared unrelated to the type of intraocular lens. Despite aggressive lubrication and other medical treatment, including systemic immunosuppressive agents, penetrating keratoplasty was often required. Although all eyes were saved, visual outcome was usually poor. The histopathologic finding of polymorphonuclear leukocytes localized near the areas of corneal dissolution provides evidence for the role of polymorphonuclear leukocyte-derived collagenase as a contributing factor in the pathogenesis of sterile corneal ulceration in these patients.
