RESUMO
Macroaneurysms of the retinal arterioles are a clinical entity distinct from the aneurysmal dilations associated with Coats' disease, Leber's disease, Eales' disease, and angiomatosis retinae. The pathogenesis is not completely understood, but they are closely associated with systemic hypertension, generalized atherosclerosis, and age. Macroaneurysms have been classified into three major groups: exudative, hemorrhagic, and quiescent. Four examples of macroaneurysms are presented with photographic documentation. The clinical appearance, natural history, complications, and management of this retinal entity are discussed.
Assuntos
Aneurisma/diagnóstico , Artéria Retiniana , Idoso , Aneurisma/complicações , Aneurisma/etiologia , Aneurisma/cirurgia , Retinopatia Diabética/complicações , Angiofluoresceinografia , Fundo de Olho , Humanos , Fotocoagulação , Masculino , Pessoa de Meia-Idade , Hemorragia Retiniana/etiologia , Acuidade VisualRESUMO
An assessment of the quality of care being provided to meet the needs of postcataract aphakes for refractive correction is presented. The procedure used was a review of patient records originally developed for inpatient care but was here applied to outpatient care in a centralized health facility. This paper demonstrates the feasibility and value of this method of quality assessment.
Assuntos
Afacia Pós-Catarata/terapia , Adulto , Idoso , Afacia Pós-Catarata/complicações , Feminino , Humanos , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Pacientes Ambulatoriais , Qualidade da Assistência à Saúde , Refração OcularRESUMO
A case of ocular toxoplasmosis is presented from the initial patient contact to the completion of treatment. A discussion follows which reviews the literature on ocular toxoplasmosis with emphasis on the typical pharmacological management of the disease.
