Assuntos
Anestesia Local/métodos , Anestésicos Locais/administração & dosagem , Dor/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestesia Geral/métodos , Durapatita , Enucleação Ocular/métodos , Evisceração do Olho/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Bloqueio Nervoso/métodos , Implantes Orbitários , Estudos Prospectivos , Implantação de Prótese , Fatores de Tempo , Adulto JovemRESUMO
PURPOSE: To report a case of silicone oil intrusion in the upper eyelid, expressed by ptosis occurrence 19 years after surgery. METHODS: Vitrectomy followed by transscleral subretinal fluid drainage and silicone oil tamponade was performed on a 57-year-old man for retinal detachment. Nineteen years later, the patient was referred for mobile subcutaneous lumps of the upper right eyelid. Preoperative examination showed total invasion of the eyelid by silicone oil, as confirmed by pathology. RESULTS: Silicone oil leak developed through the transscleral drainage lumen and worsened with ocular hypertension. We assume that ptosis was induced by the weight of inflammatory tissue and consequently the development of a lymphoedema. CONCLUSION: We report a case of silicone ptosis. Two concomitant factors induced oil leakage: the puncture site and postoperative hypertonia.
Assuntos
Blefaroptose/induzido quimicamente , Migração de Corpo Estranho/etiologia , Complicações Pós-Operatórias , Descolamento Retiniano/cirurgia , Óleos de Silicone/efeitos adversos , Vitrectomia , Humanos , Linfedema/induzido quimicamente , Masculino , Pessoa de Meia-IdadeRESUMO
BACKGROUND: The aim of this study was to retrospectively analyse the outcome of a series of grafted patients over a period of more than 10 years and to determine their long-term survival probability. METHODS: The records of 89 patients who had 103 grafts performed in 97 eyes were analysed. Mean follow-up was 12.8 years (range 10-17 years). Life table analysis (Kaplan-Meier) was used to evaluate the graft survival of the total population and of different groups. RESULTS: Eighteen out of 89 patients (20.2%) had died. At the last visit before their death, 10 of the 21 grafts in those patients were still clear. Graft survival rates after 1, 2, 5 and 10 years were 79%, 73%, 59% and 50%; the rate at the end of follow-up was 47%. Survival rate at the end of the study was 94.7% for keratoconus, 57.1% herpes keratitis, 33.3% for pseudophakic keratopathies, 28.5% for post-traumatic keratopathies and 11.1% for re-grafts. In the group of patients grafted for aphakic or pseudophakic keratopathy, 40% died during the study. In 45% of cases their grafts were clear at the time of death. Endothelial decompensation and definitive graft rejection were the main causes of failure. CONCLUSIONS: The outcome of keratoplasty is progressively getting worse with time in pseudophakic or traumatic keratopathies whereas survival rates are still stable from 10 to 17 years in grafts performed after keratoconus or herpetic keratitis.
