RESUMO
We review two cases of ocular manifestations of Rickettsia conorii infection in children. A girl who presented unilateral visual loss with focal retinitis and macular oedema and a boy with unilateral central scotoma and bilateral anterior uveitis. Progressive functional and anatomic recovery was observed after oral antibiotics and steroids were initiated.
Assuntos
Febre Botonosa/complicações , Edema Macular/microbiologia , Retinite/microbiologia , Escotoma/microbiologia , Uveíte Anterior/microbiologia , Transtornos da Visão/microbiologia , Febre Botonosa/tratamento farmacológico , Criança , Feminino , Humanos , Edema Macular/tratamento farmacológico , Masculino , Retinite/tratamento farmacológico , Rickettsia conorii , Uveíte Anterior/tratamento farmacológicoRESUMO
Case presentation of a 41-year-old woman with long-standing bilateral eye injection whose clinical findings included bilateral episcleral vessel engorgement and tortuosity, raised intraocular pressure with open iridocorneal angles and left optic disc cupping. All remaining objective examination was normal. She underwent cranial and orbits CT and CT-angiography scans which were unremarkable. Optical coherence tomography of the peripapillary nerve fibre layer and automated perimetry were compatible with advanced glaucomatous damage on the left eye. The patient was diagnosed with idiopathic elevated episcleral venous pressure or Radius-Maumenee syndrome. If medical therapy is unable to prevent disease progression, left eye filtering surgery will be proposed.
