RESUMO
Descemetʼs membrane detachment (DMD) is a rare complication following cataract and glaucoma surgery as well as lamellar graft procedures. DMD can lead to blurry vision, halos and severe visual loss. Clinically, when there is a large central detachment, a double anterior chamber is seen to form. In this scenario, surgical repair may be needed. Repair of localised DMD may be achieved by injection of gases such as perfluoropropane (C3F8) and sulfurhexafluoride (SF6) or sterile air. The effect of a functioning Baerveldt tube in situ during these injections has not been reported. We report a case of DMD repair in an eye with a Baerveldt aqueous shunt.
Assuntos
Doenças da Córnea/tratamento farmacológico , Doenças da Córnea/etiologia , Lâmina Limitante Posterior/efeitos dos fármacos , Fluorocarbonos/uso terapêutico , Implantes para Drenagem de Glaucoma/efeitos adversos , Glaucoma/cirurgia , Hipertensão Ocular/cirurgia , Idoso de 80 Anos ou mais , Glaucoma/complicações , Humanos , Masculino , Hipertensão Ocular/complicações , Resultado do TratamentoAssuntos
Antivirais/efeitos adversos , Ganciclovir/análogos & derivados , Uveíte/induzido quimicamente , Uveíte/prevenção & controle , Idoso , Antivirais/uso terapêutico , Retinite por Citomegalovirus/complicações , Retinite por Citomegalovirus/tratamento farmacológico , Feminino , Ganciclovir/efeitos adversos , Ganciclovir/uso terapêutico , Humanos , Leucemia Linfocítica Crônica de Células B/complicações , Leucemia Linfocítica Crônica de Células B/tratamento farmacológico , ValganciclovirRESUMO
BACKGROUND: The purpose of this article is to report an unusual ocular manifestation of cat scratch disease (CSD) presenting as a unilateral acute maculopathy (UAM). We describe and review the clinical, laboratory, fluorescein angiography (FA), indocyanine green angiography (ICG) and optical coherence tomography (OCT) records of a patient with CSD. HISTORY AND SIGNS: A 30-year-old Chinese woman presented with a painless progressive visual loss affecting her left eye. Fundus examination of the left eye disclosed rare vitreous cells and a deep-creamy choroidal macular lesion with satellite foci of choroiditis. THERAPY AND OUTCOME: FA revealed an early hypofluorescence of the lesion, becoming progressively hyperfluorescent with a leakage on the late phase. The ICG disclosed an early hypofluorescence of the macular lesion with a mild staining of its periphery on the late frames. Hypofluorescent satellite lesions were visible both on the early and late frames. The OCT disclosed a serous retinal detachment at the level of the whitish lesion. Serologies for Bartonella henselae (BH) became positive (IgG 1: 512, IgM < 1:20) confirming an active or recent infection. CONCLUSIONS: Ocular manifestations of CSD can appear as a UAM with satellite lesions. CSD should be ruled out in patients manifesting such clinical features.
