Assuntos
Materiais Biocompatíveis , Durapatita , Órbita/cirurgia , Próteses e Implantes , Adulto , Anoftalmia/cirurgia , Pinos Ortopédicos , Falha de Equipamento , Evisceração do Olho , Traumatismos Oculares/cirurgia , Olho Artificial , Seguimentos , Glaucoma/congênito , Glaucoma/cirurgia , Humanos , Pessoa de Meia-Idade , Próteses e Implantes/efeitos adversos , Desenho de Prótese , Reoperação , Descolamento Retiniano/cirurgia , Infecção da Ferida Cirúrgica/etiologiaRESUMO
We report 4 cases of gelatin drop dystrophy corneal amyloidosis in two brothers and two sisters of the same family. The age of onset is between 1 and 10 years. The corneal signs are described at different stages of development. Lesions are initially asymmetrical. The typical is a subepithelial nodule starting in the center and then expanding to involve the whole cornea. There is no relationship between extension and outcome of the disease. Diagnostic is confirmed by histological examination. There was no consanguinity between parents and no other cases were found in the family. An immunological study with HLA typing was performed. All patients were treated with lamellar or transfixing keratoplasty with a follow-up of 2 to 5 years.
Assuntos
Distrofias Hereditárias da Córnea/genética , Adolescente , Adulto , Distrofias Hereditárias da Córnea/patologia , Feminino , Gelatina , Humanos , MasculinoAssuntos
Macula Lutea/irrigação sanguínea , Neovascularização Patológica , Transtornos da Visão/etiologia , Adulto , Idoso , Feminino , Humanos , Degeneração Macular/complicações , Masculino , Pessoa de Meia-Idade , Miopia/complicações , Neovascularização Patológica/patologia , Doenças Retinianas/complicações , Vasos Retinianos/patologia , Acuidade VisualRESUMO
The authors report a rare case of ocular larva migrans lesions due toxocara canis in an 8-year-old child. Lesions were bilateral, consisting of peripheral chorioretinal granuloma, papillitis and vasculitis. Diagnosis was confirmed by eosinophilia (37%), positive serology in blood and aqueous humour and by raised immunoglobulins E in vitreous humour. The presence of vascular and chorioretinal lesions was demonstrated by fluorescein angiography. The patient was treated with antihelminthic drugs, topical and systemic steroids and ocular cryotherapy to the peripheral chorioretinal granuloma. The outcome was good, with lesions stabilised.