Asunto(s)
Fístula Arteriovenosa/complicaciones , Enfermedades de las Arterias Carótidas/complicaciones , Enfermedades de la Coroides/etiología , Ojo/irrigación sanguínea , Anciano , Anciano de 80 o más Años , Fístula Arteriovenosa/diagnóstico por imagen , Fístula Arteriovenosa/terapia , Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Enfermedades de las Arterias Carótidas/terapia , Arteria Carótida Interna/diagnóstico por imagen , Angiografía Cerebral , Enfermedades de la Coroides/diagnóstico por imagen , Embolización Terapéutica , Femenino , Humanos , Presión Intraocular , Ultrasonografía , Agudeza VisualRESUMEN
We report three patients who developed symptomatic visual loss following uncomplicated general surgical procedures. All three patients had ocular examinations and visual field deficits consistent with acute ischemic optic neuropathy. All three had hemoglobin levels below normal limits at the onset of visual symptoms. However, none of the patients suffered intraoperative or postoperative hemorrhaging. Ischemic optic neuropathy may occur following general surgical procedures, not complicated by significant hemorrhaging.
Asunto(s)
Isquemia/etiología , Enfermedades del Nervio Óptico/etiología , Nervio Óptico/irrigación sanguínea , Trastornos de la Visión/etiología , Adolescente , Adulto , Transfusión Sanguínea , Puente de Arteria Coronaria , Femenino , Fondo de Ojo , Hemorragia Gastrointestinal/complicaciones , Hemorragia Gastrointestinal/etiología , Humanos , Isquemia/terapia , Trasplante de Riñón , Masculino , Persona de Mediana Edad , Enfermedades del Nervio Óptico/terapia , Glándulas Paratiroides/cirugía , Complicaciones Posoperatorias/etiología , Hemorragia Uterina/complicaciones , Hemorragia Uterina/etiología , Trastornos de la Visión/terapiaRESUMEN
Neuronal ceroid lipofuscinosis (NCL), or Batten-Vogt's disease, is a disorder of young children who manifest visual, neurologic, and mental problems. The ophthalmologist can provide helpful diagnostic information by examining the fundus and performing an electroretinogram. In addition, diagnostic markers can be identified by examining circulating lymphocytes from a peripheral blood specimen with light and electron microscopy.
Asunto(s)
Oftalmopatías/diagnóstico , Linfocitos/ultraestructura , Lipofuscinosis Ceroideas Neuronales/diagnóstico , Niño , Preescolar , Electrorretinografía , Femenino , Fondo de Ojo , Humanos , Lipidosis/clasificación , Microscopía Electrónica , Lipofuscinosis Ceroideas Neuronales/sangreRESUMEN
We have presented a case of Wegener's granulomatosis with characteristic systemic and ocular manifestations. The diagnosis was determined pathologically by thoracotomy and lung biopsy. Our patient's ocular complications included an intense vitritis, exudative retinal detachment, choroiditis, and other corneoscleral manifestations. Exudative retinal detachment is a finding not previously described clinically, but alluded to in pathologic descriptions from case reports. Both systemic and ocular response were obtained within weeks after the patient started cyclophosphamide and prednisone. In addition to recording this new finding, we have reviewed the pathology and ocular manifestations of this uncommon disorder, outlined a modern therapeutic protocol, and updated the present-day prognosis of Wegener's granulomatosis.