RESUMEN
PURPOSE: To assess the efficacy and safety of intravitreal triamcinolone acetonide in diabetic macular oedema. METHODS: prospective study; 76 patients, 102 eyes; preoperative assessment: visual acuity, intraocular pressure, fundus biomicroscopy fluoresceine angiography, sometimes OCT; postoperative assessment: visual acuity, intraocular pressure, fundus biomicroscopy, fluoresceine angiography, sometimes OCT. RESULTS: Visual acuity improvement in 42% cases; subjective improvement of visual acuity in 72% of cases CONCLUSIONS: Triamcinolon acetonide may play a role in treatment of diabetic macular oedema.
Asunto(s)
Retinopatía Diabética/tratamiento farmacológico , Glucocorticoides/administración & dosificación , Edema Macular/tratamiento farmacológico , Triamcinolona Acetonida/administración & dosificación , Retinopatía Diabética/complicaciones , Estudios de Seguimiento , Humanos , Inyecciones Intravítreas , Edema Macular/etiología , Cuidados Posoperatorios , Cuidados Preoperatorios , Estudios Prospectivos , Medición de Riesgo , Resultado del Tratamiento , Agudeza VisualRESUMEN
"Red eye" is a sign and the same time a symptom frequently met in the ophthalmological practice. The "red eye" is not always the clinical manifestation of a common conjunctivitis. We will present a case report of a patient who accused conjunctival hyperemia, lacrimation, foreign--body sensation; she was also describing recurrent conjunctivitis for the past year. After an detailed ophthalmologic examination and interdisciplinary consultations. She was diagnosed with Basedow Disease and paraselar meningioma with invasion in the pterigoid fossa. The authors are suggesting that there is an indirect left carotid - cavernous fistula.
Asunto(s)
Fístula del Seno Cavernoso de la Carótida/diagnóstico , Enfermedades de la Conjuntiva/diagnóstico , Glaucoma de Ángulo Abierto/diagnóstico , Neoplasias Meníngeas/diagnóstico , Meningioma/diagnóstico , Silla Turca/patología , Fístula del Seno Cavernoso de la Carótida/etiología , Fístula del Seno Cavernoso de la Carótida/terapia , Enfermedades de la Conjuntiva/etiología , Enfermedades de la Conjuntiva/terapia , Diagnóstico Diferencial , Femenino , Glaucoma de Ángulo Abierto/etiología , Glaucoma de Ángulo Abierto/terapia , Enfermedad de Graves/complicaciones , Humanos , Neoplasias Meníngeas/terapia , Meningioma/terapia , Persona de Mediana Edad , Negativa del Paciente al TratamientoRESUMEN
We show a clinical case of siderosis bulbi with absolute secondary glaucoma. The initial diagnosis was primary open angle glaucoma in both eyes, and the patient was treated with eye drops for 4 years. After reassessment of anamnesis, clinical and paraclinical investigations we find that one eye is normal and the real diagnosis in the involved eye.