Asunto(s)
Humanos , Internado y Residencia , Oftalmología/educación , Encuestas y Cuestionarios , EspañaRESUMEN
CASO CLÍNICO: Describimos el caso de un paciente varón de 51 años de edad, con antecedente de trauma contuso en la región frontal y desde hace 1 año con disminución de la agudeza visual, proptosis y paresia del músculo recto lateral del ojo derecho. Se le diagnosticó de un mucocele etmoidal derecho y esfenoidal bilateral, drenándose por abordaje externo y endoscópico, con mejoría de los síntomas y sin recurrencias a los 10 meses. DISCUSIÓN: Los mucoceles esfenoidales representan el 1% de todos los mucoceles y pueden presentarse con diferentes manifestaciones clínicas. La escisión quirúrgica es el tratamiento de elección y una intervención temprana está indicada para prevenir complicaciones
CASE REPORT: The case is presented of a 51-year old male patient with a history of blunt trauma in the frontal region and a one-year history of vision loss, proptosis and paresis of the lateral rectus muscle of the right eye. A right ethmoid and bilateral sphenoid mucocele was diagnosed. Drainage was performed using an external and endoscopic approach with improvement in symptoms without recurrence at 10 months. DISCUSSION: Sphenoid mucoceles represent 1% of all mucoceles and may present with different clinical manifestation. Surgical excision is the treatment of choice, and early intervention is indicated to prevent complications
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Enfermedades del Nervio Óptico/complicaciones , Enfermedades del Nervio Óptico/cirugía , Enfermedades del Nervio Óptico , Endoscopía/métodos , Exoftalmia/complicaciones , Exoftalmia , Senos Etmoidales/patología , Senos Etmoidales , Agudeza Visual , Tomografía Computarizada de Emisión , Mucocele/patología , MucoceleRESUMEN
CASE REPORT: The case is presented of a 51-year old male patient with a history of blunt trauma in the frontal region and a one-year history of vision loss, proptosis and paresis of the lateral rectus muscle of the right eye. A right ethmoid and bilateral sphenoid mucocele was diagnosed. Drainage was performed using an external and endoscopic approach with improvement in symptoms without recurrence at 10 months. DISCUSSION: Sphenoid mucoceles represent 1% of all mucoceles and may present with different clinical manifestations. Surgical excision is the treatment of choice, and early intervention is indicated to prevent complications.
Asunto(s)
Enfermedades del Nervio Abducens/etiología , Senos Etmoidales/patología , Frente/lesiones , Mucocele/complicaciones , Atrofia Óptica/etiología , Seno Esfenoidal/patología , Heridas no Penetrantes/complicaciones , Drenaje , Endoscopía , Senos Etmoidales/diagnóstico por imagen , Senos Etmoidales/cirugía , Exoftalmia/etiología , Humanos , Masculino , Persona de Mediana Edad , Mucocele/diagnóstico por imagen , Mucocele/cirugía , Trastornos de la Pupila/etiología , Seno Esfenoidal/diagnóstico por imagen , Seno Esfenoidal/cirugía , Tomografía Computarizada por Rayos XRESUMEN
OBJECTIVE: The goals were to isolate and study the genetic susceptibility to retinopathy of prematurity (ROP), as well as the gene-environment interaction established in this disease. METHODS: A retrospective study (2000-2014) was performed about the heritability of retinopathy of prematurity in 257 infants who were born at a gestational age of ≤ 32 weeks. The ROP was studied and treated by a single pediatric ophthalmologist. A binary logistic regression analysis was completed between the presence or absence of ROP and the predictor variables. RESULTS: Data obtained from 38 monozygotic twins, 66 dizygotic twins, and 153 of simple birth were analyzed. The clinical features of the cohorts of monozygotic and dizygotic twins were not significantly different. Genetic factors represented 72.8% of the variability in the stage of ROP, environmental factors 23.08%, and random factors 4.12%. The environmental variables representing the highest risk of ROP were the number of days of tracheal intubation (p < 0.001), postnatal weight gain (p = 0.001), and development of sepsis (p = 0.0014). CONCLUSION: The heritability of ROP was found to be 0.73. The environmental factors regulate and modify the expression of the genetic code.