RESUMEN
We report a case of atypical circumscribed choroidal hemangioma with retinal detachment in a 41-year-old man referred with the diagnosis of Harada disease. B. Scan ultrasonography showed an hyperechogenic area extended through the sclera. Careful examination of the fundus showed a small peripapillary orange mass and an inferior retinal detachment. Surgical exploration revealed an extrascleral hemangioma. Proton beam irradiation was followed by retinal reattachment within three months. No recurrence has been observed 18 months after treatment.
Asunto(s)
Neoplasias de la Coroides/diagnóstico , Hemangioma/diagnóstico , Esclerótica , Adulto , Neoplasias de la Coroides/radioterapia , Neoplasias de la Coroides/cirugía , Terapia Combinada , Hemangioma/radioterapia , Hemangioma/cirugía , Humanos , Masculino , Invasividad Neoplásica , Radioterapia Adyuvante , Desprendimiento de Retina/diagnóstico , Desprendimiento de Retina/radioterapia , Desprendimiento de Retina/cirugía , Esclerótica/patología , Curvatura de la EscleróticaRESUMEN
PURPOSE: To evaluate the use of intravenous vitreous fluorophotometry in assessment of the blood-aqueous barrier in eyes with uveal melanoma. METHOD: Vitreous fluorophotometry was performed before treatment in 14 patients with uveal melanoma. Both eyes of patients were examined, and fifteen control healthy patients were examined between November 1996 and December 1996 at the department of ophthalmology of Bicêtre hospital. RESULTS: Tumors with height > 6 mm and serous retinal detachments were accompanied by marked alterations of the blood-aqueous barrier, vitreous fluorophotometry showed diffusion of dye in posterior, mid and anterior vitreous: 2.99 ng/ml in the posterior vitreous and 5.20 ng/ml in the anterior vitreous. The posterior vitreous fluorescence at 60 minutes in the control eyes was 1.43 ng/ml and 1.30 ng/ml in the anterior vitreous. Diffusion of dye was present in the posterior vitreous in patients with tumor height less than 6 mm: 2.38 ng/ml (1.43 ng/ml in control eyes) at 60 minutes. CONCLUSIONS: Fluorophotometry provides a method for the assessment of the blood-aqueous ocular barrier in eyes with choroidal melanoma.
Asunto(s)
Barrera Hematoacuosa , Melanoma/diagnóstico , Neoplasias de la Úvea/diagnóstico , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Femenino , Angiografía con Fluoresceína , Fluorofotometría , Humanos , Masculino , Melanoma/complicaciones , Melanoma/diagnóstico por imagen , Persona de Mediana Edad , Rotura Espontánea , Ultrasonografía , Neoplasias de la Úvea/complicaciones , Neoplasias de la Úvea/diagnóstico por imagen , Cuerpo VítreoRESUMEN
PURPOSE: To describe and analyse relationship between chorioretinal toxoplasmosis and retinal detachment. PATIENTS AND METHODS: Seven immunocompetent patients examined and treated between November 1992 and March 1996, with ocular toxoplasmic retinochoroiditis and retinal detachment. RESULTS: Of the 7 patients examined, 5 had active retinochoroiditis and 2 had typical inactive scars. Of the patients with active focus 3 had giant retinal tears, one had a posterior retinal tear and one had a retinal tear located at the edge of an atrophic scar. Of the patients with inactive lesions, one had tractional retinal detachment and the other presented with a complete retinal detachment, multiples tears and PVR. Five patients were treated by corticosteroid without antitoxoplasmic drug before they were referred. The seven patients underwent endo-ocular surgery with silicon oil or long actic gas tamponade. Three patients developed PVR and redetachment of the retina and two patients underwent further surgery. Good anatomical result was obtained in 6 patients. CONCLUSION: Retinal detachment associated with toxoplasmic retinochoroiditis is rare. However it represents a serious complication. Steroid administrated to salvage vision may then worsen the clinical course, these may be justified to reduce hypersensitivity to toxoplasma antigen, but they should be combined with an antimicrobial agent.
Asunto(s)
Coriorretinitis/complicaciones , Desprendimiento de Retina/etiología , Toxoplasmosis Ocular/complicaciones , Adulto , Coriorretinitis/fisiopatología , Coriorretinitis/cirugía , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Desprendimiento de Retina/fisiopatología , Desprendimiento de Retina/cirugía , Toxoplasmosis Ocular/fisiopatología , Toxoplasmosis Ocular/cirugíaRESUMEN
Proptosis, decreased vision and oculo-motor palsies developed in the left eye of a 14-year-old girl, without neurofibromatosis signs. Computed tomographic (CT) Scans of the head and orbit showed a large fusiform expansion of the left optic nerve without intracranial involvement. Magnetic resonance imaging improved contrast resolution over CT Scanning. A neurosurgical approach was performed and the optic nerve was resected from the back of the globe to the intracranial portion. Microscopic sections demonstrated oligodendroglioma, an unusual form of optic nerve glioma.
Asunto(s)
Neoplasias de los Nervios Craneales/patología , Oligodendroglioma/patología , Nervio Óptico/patología , Adolescente , Neoplasias de los Nervios Craneales/diagnóstico por imagen , Neoplasias de los Nervios Craneales/terapia , Femenino , Humanos , Oligodendroglioma/diagnóstico por imagen , Oligodendroglioma/terapia , RadiografíaRESUMEN
BACKGROUND: Iridocyclitis has been identified as a dosage-dependent side effect in patients with the acquired immunodeficiency syndrome who are treated for Mycobacterium avium complex infections with systemic Rifabutin. We reviewed cases of acute hypopyon uveitis occurring in patients with AIDS to establish whether there was an association or not. METHODS: All patients were referred by an infection disease specialty service for complete ophthamological evaluation and ancillary laboratory. Six patients with AIDS, aged from 29 to 65 years, presented with acute unilateral hypopion. RESULTS: At the time of presentation, all six patients were receiving treatment for MAC infection with Rifabutin (dosage range, 300-600 mg/d) and four received Fluconazol. Results of microbiological investigations were negative. Hypopyon developed in the second eye of two patients. Hypopion resolved rapidly with intensive antibiotherapy without corticosteroids. CONCLUSION: Concomitant use of Rifabutin and Fluconazol may precipitate hypopyon uveitis. The cause of the uveitis is less certain, but the possible role of a microbiological agent cannot be ruled out.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Infección por Mycobacterium avium-intracellulare/tratamiento farmacológico , Rifabutina/efectos adversos , Uveítis/inducido químicamente , Corticoesteroides/uso terapéutico , Adulto , Antibióticos Antituberculosos/uso terapéutico , Interacciones Farmacológicas , Quimioterapia Combinada/uso terapéutico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Rifabutina/uso terapéutico , Supuración/inducido químicamente , Supuración/etiología , Uveítis/etiologíaRESUMEN
We presented the clinical features of a 9-year-old girl and a 52-year-old man with alopecia areata of eyelashes. Alopecia areata refers to the idiopathic lesions of the eyelashes and is generally classified as being partial, total or universal.