RESUMO
Ocular onset is seldom for an arachnoid cyst. We present the case of a young man whose only symptom when hospitalized, was the unilateral peripheral field contraction. It was afterwards specified the presence of the arachnoid cyst and it's pathogenic feature, the compression of the optic nerve.
Assuntos
Cistos Aracnóideos/diagnóstico , Lobo Temporal/patologia , Adulto , Cistos Aracnóideos/complicações , Cistos Aracnóideos/fisiopatologia , Diagnóstico Diferencial , Humanos , Masculino , Papiledema/etiologia , Prognóstico , Acuidade VisualRESUMO
The most important factor for functional and anatomic prognosis of an injured eye is the appropriate emergency assistance. This paper presents a case of penetrating ocular trauma with minor clinical sings which associates severe lesions of posterior pole discovered intraoperatively. Careful history and clinical examination allowed the best surgical management, with complete anatomical and functional recovery of the eye.
Assuntos
Tratamento de Emergência , Ferimentos Oculares Penetrantes/cirurgia , Procedimentos Cirúrgicos Oftalmológicos/métodos , Adulto , Feminino , Humanos , PrognósticoRESUMO
Within ophthalmology there are many indications for the use of corticosteroids, but the decision to institute steroid therapy always requires careful considerations of the relative risks and benefits in each patient. This review considers the mechanisms of action, the ocular and non-ocular problems encountered when steroids are used, with practical suggestions to minimise their side effects and the therapeutic options for clinical use.
Assuntos
Corticosteroides/uso terapêutico , Oftalmopatias/tratamento farmacológico , Corticosteroides/administração & dosagem , Corticosteroides/efeitos adversos , HumanosRESUMO
We present the case of patient D. E., 48 years old, whose diagnosis is nonfunctional pituitary adenoma. The diagnosis was revealed by the presence of bitemporal hemianopia. This observation led us to remember the principal neuro-ophthalmological manifestations and to emphasize the part of the ophthalmologist in the diagnosis of this disease.
Assuntos
Adenoma/diagnóstico , Quiasma Óptico , Doenças do Nervo Óptico/diagnóstico , Neoplasias Hipofisárias/diagnóstico , Adenoma/complicações , Adenoma/cirurgia , Feminino , Hemianopsia/diagnóstico , Hemianopsia/etiologia , Hemianopsia/cirurgia , Humanos , Pessoa de Meia-Idade , Doenças do Nervo Óptico/etiologia , Doenças do Nervo Óptico/cirurgia , Neoplasias Hipofisárias/complicações , Neoplasias Hipofisárias/cirurgia , SíndromeRESUMO
This paper presents two cases of corneal abscess and their therapeutically approach which was the surgical treatment (penetrant keratoplasty). First case was a corneal ulcer which failed to abscess under medical therapy. The second case was a corneal abscess complicated with impending perforation after intracorneal foreign body. The particular aspects for each case are emphasized as well as the common aspects for corneal infections summarized as an algorithm.
Assuntos
Abscesso/terapia , Doenças da Córnea/terapia , Lesões da Córnea , Ceratoplastia Penetrante , Abscesso/diagnóstico , Abscesso/etiologia , Adulto , Algoritmos , Terapia Combinada , Córnea/cirurgia , Doenças da Córnea/diagnóstico , Doenças da Córnea/etiologia , Quimioterapia Combinada , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pós-Operatórios , Fatores de TempoRESUMO
This paper presents the case of a pacient operated for organized hemoftalmus after central retinal vein thrombosis (total vitrectomy) and whom five days after surgery a macular hole was observed and internal indendation with gas was performed. Postoperative evolution was good. Two months after surgery the pacient returns with cvasitotal regmatogen retinal detachment. The possible causes in bringing about of the retinal detachment in this case will be discussed as well as the factors that condition the success in posterior pole surgery.
Assuntos
Complicações Pós-Operatórias/diagnóstico , Descolamento Retiniano/diagnóstico , Combinação de Medicamentos , Hemorragia Ocular/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Oftalmológicos , Esforço Físico , Complicações Pós-Operatórias/terapia , Descolamento Retiniano/terapiaRESUMO
The paper presents a comparison between two glaucoma surgery techniques: classic trabeculectomy and trabeculectomy done with the punch. Both postoperative intraocular pressure and per and postoperative complications were similar. We consider that punch trabeculectomy is as valuable as classic trabeculectomy.
Assuntos
Trabeculectomia/métodos , Glaucoma/diagnóstico , Glaucoma/fisiopatologia , Glaucoma/cirurgia , Humanos , Pressão Intraocular , Complicações Pós-Operatórias/epidemiologia , Estudos Prospectivos , Trabeculectomia/instrumentação , Trabeculectomia/estatística & dados numéricos , Resultado do TratamentoRESUMO
The management of a monocular congenital cataract is dominated by the problems of amblyopia, always present. The paper shows the case of an eight years old child, who was operated when he was 6 month of age for monocular congenital cataract. After YAG-Nd treatment of secondary cataract, aerian correction and intense pleoptic and orthoptic treatment, the visual acuity rise up to 1/4, when was possible to made an IOL implantation. We consider that is important to try to solve the monocular congenital cataract, even at higher ages, because the results is possible to be satisfactorily.
Assuntos
Catarata/congênito , Catarata/fisiopatologia , Catarata/terapia , Extração de Catarata , Criança , Terapia Combinada , Humanos , Terapia a Laser , Implante de Lente Intraocular , Masculino , Ortóptica , Acuidade VisualRESUMO
The paper presents a comparison between two therapeutic approaches in patients with cataract and glaucoma: combined filtering-cataract surgery and two-step surgery (initially glaucoma surgery, then cataract surgery). There are shown the criteria which sustain one or other condition, the kind of control of intraocular pressure, the evolution of visual acuity, and postoperative complications.
Assuntos
Extração de Catarata , Catarata , Glaucoma/cirurgia , Trabeculectomia , Catarata/complicações , Catarata/fisiopatologia , Catarata/terapia , Extração de Catarata/métodos , Glaucoma/complicações , Glaucoma/fisiopatologia , Humanos , Pressão Intraocular , Estudos Retrospectivos , Trabeculectomia/métodos , Resultado do TratamentoRESUMO
A transversal and longitudinal epidemiological follow up was undertaken of the viral hepatitis cases occurring in two types of children communities (kindergartens and schools). The role of organized communities in the spread of hepatitis viruses and the contribution of external factors to the maintenance of hepatitis endemicity are discussed.