RESUMEN
PURPOSE: To report post-operative course and complications in patients who underwent Ex-Press glaucoma shunt placement. DESIGN: Small case series. METHODS: Four patients were referred for management following Ex-Press shunt implantation. Patients underwent complete ophthalmologic evaluation and were appropriately managed. RESULTS: Of the four patients, two had inadequate control of intraocular pressure related to bleb failure caused by subconjunctival scar tissue formation. One patient experienced suprachoroidal hemorrhage 5 days after shunt placement followed a year later with conjunctival erosion and shunt rim exposure. Endophthalmitis from conjunctival erosion over the Ex-Press shunt rim was observed in one patient. CONCLUSION: Patients with subconjunctival implantation of the Ex-Press shunt should be monitored closely for possible conjunctival erosion that can lead to endophthalmitis and failure from fibrosis.
Asunto(s)
Implantes de Drenaje de Glaucoma/efectos adversos , Glaucoma de Ángulo Abierto/cirugía , Presión Intraocular , Complicaciones Posoperatorias , Implantación de Prótesis/efectos adversos , Anciano , Hemorragia de la Coroides/etiología , Conjuntiva/patología , Endoftalmitis/etiología , Femenino , Fibrosis , Humanos , Masculino , Persona de Mediana EdadRESUMEN
We report the natural history of acquired retinal oxalosis in a child with chronic renal failure. The clinical manifestations were characterized by a transient crystalline retinopathy, but stable, diffuse, flecked retina-like changes and focal hypertropic retinal pigment epithelial lesions. The pathophysiology and previous reports of retinal oxalosis are reviewed.
Asunto(s)
Oxalato de Calcio/metabolismo , Fallo Renal Crónico/complicaciones , Errores Innatos del Metabolismo/etiología , Enfermedades de la Retina/etiología , Preescolar , Cristalización , Humanos , Fallo Renal Crónico/metabolismo , Masculino , Errores Innatos del Metabolismo/metabolismo , Enfermedades de la Retina/metabolismoRESUMEN
Retinal vasculitis represents a group of diseases characterized by inflammation affecting the retinal vasculature. It is an uncommon disorder that may occur as an isolated disease or more commonly in association with other ocular diseases or a variety of systemic diseases. With a wide variety of disease associations, a search for an underlying etiology should be undertaken based on a meticulous history, review of systems, and physical examination. The laboratory evaluation of patients with retinal vasculitis is an essential component of the work-up to facilitate detection of any underlying disease or to establish a limited differential diagnosis. The management of infectious causes of retinal vasculitis consists of antimicrobial therapy while noninfectious retinal vasculitis is managed with corticosteroids and/or immunosuppressive agents. Because retinal vasculitis is an uncommon disease, there are only a limited number of publications over the past year related to this topic.