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HEMOLACRIA BILATERAL CON TELANGIECTASIA HEMORRÁGICA HEREDITÁRIA. REPORTE DE CASO 双侧血流与遗传性出血性毛细血管扩张。个案报告
Pub Date : 2017-09-27 DOI: 10.15234/VPA.V1I3.386
Luis Moises Silva Goytia, Claudo Martin Franco De Acha
La hemolacria es un termino raro que expresa la presencia de celulas hematicas en las lagrimas. Comunmente es un proceso benigno que cursa con diversas etiologias, que van desde traumatismos hasta enfermedades vasculares como la Telangiectasia hemorragica hereditaria. Presentamos el caso de una paciente de 16 anos de edad que inicio con cefalea hemicraneana derecha de moderada a severa intensidad de tipo pulsatil, posteriormente se le agrego epistaxis  bilateral, otorrea bilateral y hemolacria  que persistio por un mes.  En la exploracion se encontraron telangiectasias bilaterales en la conjuntiva tarsal inferior, timpanos y en el dorso de la lengua por lo que  sospechamos en la Telangiectasia hemorragica hereditaria. El diagnostico es clinico y se basa segun los criterios de Curacao, como definitivo si la paciente presenta 3 o 4 criterios. El manejo principal es detener la hemorragia con taponamiento o cauterizacion.
血液学是一个罕见的术语,表示眼泪中存在赤铁矿细胞。它通常是一个良性过程,有各种病因,从创伤到血管疾病,如遗传性出血毛细血管扩张症。在我们的案例中,我们描述了一名16岁的女性,她开始出现中度至重度的右半头痛,随后伴有双侧鼻出血、双侧耳鼻喉和血泪,持续一个月。在我们的研究中,我们发现在结膜下跗骨、鼓膜和舌背有双侧毛细血管扩张,我们怀疑是遗传性出血毛细血管扩张。诊断是临床的,根据库拉索标准,如果患者有3或4个标准是确定的。主要的处理方法是用填塞或烧灼止血。
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引用次数: 0
MESSAGE FROM THE CHAIRMAN, PAOF BOARD 来自董事会主席的信息
Pub Date : 2017-09-27 DOI: 10.15234/VPA.V1I3.430
L. Ventura
MESSAGE FROM THE CHAIRMAN, PAOF BOARD
来自董事会主席的信息
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引用次数: 0
COMPARISON OF CYCLOPLEGIC AND MANIFEST REFRACTION OF CHILDREN AND ADOLESCENTS IN CAMPINAS, BRAZIL 巴西坎皮纳斯儿童和青少年的单眼麻痹和明显屈光的比较
Pub Date : 2017-09-27 DOI: 10.15234/VPA.V1I3.375
Marcelo Sobrinho, L. Biselli, Hoehr Gc, G. Neves
Purpose : To determinate a relation between the manifest refractive error and the cyclopegic refractive error of children and adolescents in Campinas - SP, Brazil and to compare our results with previous studies. Methods : Dynamic retinoscopy and Static retinoscopy were perfomed on every school student from a visual screening. For the cyclopegia, three drops of cyclopentolate 1% was instilled into each eye. Maximum cyclopegia in this study was achieved after 45 minutes. The working distance for retinoscopy was 67 cm. During retinoscopy, the room was dimly iluminated and the students were asked to look at a spot of light  at a distance of 6 m. Retinoscopy findings measured before and after cyclopegia: total number of eyes, spherical equivalent, latent error. Results : The manifest and the cyclopegic refraction of the two hundred and twenty two eyes (222) of one hundred and eleven children (111) and adolescents were analyzed. The average age of the participants was 10 years (4–15 years).  The subjects were divided into five groups (A, B, C, D, E). According to their spherical equivalent under cyclopegia and the latent error was calculated and also divided into the five groups as shown in tables 1 and 2. Conclusion : Our study agree with previous studies. The value of the latent error increases with hyperopia. In patients of over 2 diopters of hyperopia the difference between cyclopegic and non-cyclopegic refraction  is about 1.50 diopters. The value decreases gradually in patients with low hyperopia and myopia.
目的:探讨巴西Campinas - SP地区儿童和青少年明显屈光不正与单眼屈光不正之间的关系,并与前人研究结果进行比较。方法:对在校学生进行动态和静态视网膜镜检查。对于斜视,每只眼滴入1%的环戊酸酯3滴。在这项研究中,最大的独角畸形在45分钟后达到。视网膜镜工作距离为67 cm。在进行视网膜镜检查时,房间光线昏暗,学生们被要求看6米外的一个光点。近视前后的视网膜检查结果:眼睛总数,球形当量,潜在误差。结果:对111例儿童和青少年的222只眼(222只眼)的屈光表现进行了分析。参与者的平均年龄为10岁(4-15岁)。将受试者分为A、B、C、D、E五组,根据受试者在cyclopegia下的球面等效量和潜在误差进行计算,并将受试者分为表1和表2所示的五组。结论:本研究与以往研究结果一致。潜差值随着远视的增大而增大。远视2屈光度以上的患者,屈光不正与非屈光不正的屈光不正差约为1.50屈光不正。在低远视和近视患者中,该值逐渐降低。
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引用次数: 0
MESSAGE FROM THE CHAIRMAN OF THE BOARD,PAOF 来自董事会主席的消息,帕夫
Pub Date : 2017-06-21 DOI: 10.15234/vpa.v16i2.420
L. Ventura
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引用次数: 0
ANTERIOR IRIS ENCLAVATION OF A BLACK INTRAOCULAR LENS FOR LEUKOCORIA 前虹膜包住的黑色人工晶状体为白斑
Pub Date : 2017-06-21 DOI: 10.15234/VPA.V16I2.342
Catarina Pedrosa, B. Feijoo, P. Pêgo, I. Prieto
A 32-year-old black woman was evaluated due to the cosmetic appearance of her blind left eye, with exotropia and leukocoria, which were interfering with her professional, social and personal life. The eye showed a clear cornea, quiet anterior chamber, normal iris and a white pupillary reflex due to white cataract and fibrotic retinal detachment. The Artisan® pupil occluder was enclavated retropupillary, keeping the cataract intact. After incision suture, strabismus was corrected. Despite the uneventful immediate post-operative course, two weeks after surgery the patient presented with posterior dislocation of the pupil occluder by release of one of the haptics, which induced cataract subluxation. Intracapsular cataract extraction was performed and the pupil occluder was repositioned anterior to the iris. At one year follow-up the eye remains quiet. The exotropia was corrected and the pupil occluder is well centered with an excellent cosmetic appearance. The patient is extremely satisfied with the result.
一名32岁的黑人女性因其失明的左眼外观,外斜视和白眼,干扰了她的职业,社交和个人生活而接受了评估。角膜清晰,前房安静,虹膜正常,白色白内障和纤维性视网膜脱离导致瞳孔反射白色。将Artisan®瞳孔封堵器包裹在瞳孔后,保持白内障完整。切口缝合后斜视矫正。尽管术后进展顺利,但术后两周患者出现瞳孔封锁器后脱位,原因是其中一个触觉的释放,导致白内障半脱位。行白内障囊内摘除术,将瞳孔封堵器移至虹膜前方。在一年的随访中,眼睛保持平静。外斜视矫正,瞳孔封堵器居中,美观美观。病人对结果非常满意。
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引用次数: 0
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION 透明质酸填充充血剂作为下眼睑瘢痕外翻的暂时性组织扩张剂
Pub Date : 2017-06-21 DOI: 10.15234/VPA.V16I2.384
Moisés Enghelberg, L. Michaelos, C. Ionescu, Tatiana Stingu, D. Georgescu
We describe the treatment of lower eyelid cicatricial ectropion in a 24 year old male using volumizing hyaluronic acid (HA) filler. One milliliter of Juvederm Voluma was injected directly under the skin in each lower eyelid to create a large bubble.  The filler was dissolved with hyaluronidase (750 I.U. / side) 5 months later, achieving an excellent and stable functional and cosmetic result. There was a 2.4 mm improvement in MRD-2 with the filler in place which decreased to 1.72 mm at 6 months after filler dissolution with hyaluronidase. This resulted in complete resolution of the signs and symptoms of corneal exposure. To date, there have been reports of low density HA injection for the treatment of cicatricial ectropion in elderly patients as well as infants with lamellar ichthyosis. In these cases the HA was injected and left in place to dissolve itself.  Our case is the first report of a HA with high G’ properties injected directly under the skin followed by complete dissolution with hyaluronidase once the tissue expansion took place.
我们描述了治疗下眼睑瘢痕性外翻在一个24岁的男性使用填充透明质酸(HA)。一毫升的Juvederm Voluma被直接注射到每个下眼睑的皮肤下,形成一个大泡泡。5个月后用透明质酸酶(750 iu /侧)溶解填充物,获得良好稳定的功能和美容效果。填充物就位后,MRD-2改善2.4 mm,在透明质酸酶溶解填充物6个月后下降到1.72 mm。这导致了角膜暴露的体征和症状的完全解决。迄今为止,已有低密度血凝素注射用于治疗老年患者和板层状鱼鳞病婴儿的瘢痕性外翻的报道。在这些情况下,HA被注入并留在原地自行溶解。我们的病例是第一例直接在皮肤下注射具有高G′性质的透明质酸的报道,一旦组织扩张,透明质酸酶就会完全溶解。
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引用次数: 2
ORBITAL DEEP GRANULOMA ANNULARE IN AN ADULT 成人眼眶深肉芽肿环状
Pub Date : 2017-06-21 DOI: 10.15234/VPA.V16I2.387
Zachary A Koretz, A. Athanikar, Michael P. Lee, A. Valenzuela
A granuloma annulare is an idiopathic lesion resembling the granulomas of rheumatic and rheumatoid diseases. It characteristically affects the skin or subcutaneous collagenous structures of children in the absence of systemic disease. Common locations include the lower extremities and scalp, with some reports of lesions affecting the ocular adnexae. Few reports exist of a granuloma annulare confined to the orbit. Despite characteristic histopathological findings, its clinical and radiological presentations pose a challenge for diagnosis. We present an unusual case of an orbital deep granuloma annulare in an otherwise healthy adult male.
环形肉芽肿是一种特发性病变,类似于风湿性和类风湿性疾病的肉芽肿。在没有全身性疾病的情况下,它特征性地影响儿童的皮肤或皮下胶原结构。常见的位置包括下肢和头皮,有一些报告的病变影响眼附件。很少有报告存在肉芽肿环局限于眼眶。尽管有特征性的组织病理学发现,但其临床和放射学表现对诊断提出了挑战。我们提出一个不寻常的情况下,眼眶深肉芽肿环状在其他健康的成年男性。
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引用次数: 1
MYOPIC CHOROIDAL NEOVASCULAR MEMBRANES TREATED WITH RANIBIZUMAB IN COLOMBIAN POPULATION 雷尼单抗治疗哥伦比亚人群近视脉络膜新生血管膜
Pub Date : 2017-06-21 DOI: 10.15234/vpa.v16i2.370
Hernan A. Rios, A. Brieke, Shirley M Rosenstiehl, F. Rodríguez
Purpose : the aim of this study was to describe the characteristics of myopic choroidal neovascular membranes of hispanic subjects treated with a loading dose of Ranibizumab (Lucentis®) Methods : This is a non-randomized prospective observational case study. Five eyes of 5 patients with naive CNV secondary to pathological myopia were recruited for the study. Demographic features, basal best-corrected visual acuity, grade of myopia, angiographic and tomographic features were obtained at baseline. A loading dose of three monthly Ranibizumab (Lucentis®) inections were given to the recruited subjects. After completion of the loading dose, a complete ophthalmological evaluation, angiography and spectral domain optical coherence tomography (SD-OCT) were obtained subsequently at six and twelve months of follow-up. Results : The mean age of patients was 45 years. The mean  spherical equivalent refractive error was -13.85. At baseline, the mean number of letters was 61.4 and at follow-up to 12 months the mean number of letters was 73.2. The central foveal thickness and subfoveal choroidal thickness decreased in all cases. After loading dose there was no persistent nor recurrent leakage from treated CNV on fluorescein angiography. FAF evidenced an increase in the area of atrophy, with an special circle pattern around the CNV. Conclusions : This study showed a functional and morphologic improvement at 12 months in five Colombian subjects treated with a loading dose of 3 Ranibizumab monthly injection.
目的:本研究的目的是描述西班牙受试者接受负荷剂量雷尼单抗(Lucentis®)治疗的近视脉络膜新生血管膜的特征。方法:这是一项非随机前瞻性观察性病例研究。选取5例继发于病理性近视的新生CNV患者的5只眼作为研究对象。在基线时获得人口统计学特征、基础最佳矫正视力、近视等级、血管造影和层析成像特征。招募的受试者每月接受3次雷尼珠单抗(Lucentis®)感染的负荷剂量。完成加载剂量后,在随访6个月和12个月时进行完整的眼科评估、血管造影和光谱域光学相干断层扫描(SD-OCT)。结果:患者平均年龄45岁。平均球面等效屈光误差为-13.85。基线时,平均字母数为61.4,随访12个月时,平均字母数为73.2。所有病例的中央凹厚度和中央凹下脉络膜厚度均下降。在负荷剂量后,荧光素血管造影显示,处理后的CNV没有持续或复发性渗漏。FAF使萎缩面积增加,并在CNV周围形成特殊的圆形。结论:这项研究显示,5名哥伦比亚受试者在12个月时接受了每月3次雷尼单抗的负荷剂量治疗,功能和形态学得到了改善。
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引用次数: 0
RESULTS OF SELECTIVE LASER TRABECULOPLASTY TREATMENT FOR PATIENTS WITH OPEN-ANGLE GLAUCOMA DURING A 2-YEAR PERIOD 选择性激光小梁成形术治疗开角型青光眼2年疗效观察
Pub Date : 2017-06-21 DOI: 10.15234/VPA.V16I2.373
J. Villavicencio, Fabiola Patricia Quezada Baltodano, Maria Corina Ponte-Davila, Bárbara Rubio Lastra, Ana Mendes
Objetivo: . Describir los Resultados de la trabeculoplastia laser selectivo para los Pacientes con glaucoma de angulo abierto Durante la ONU PERIODO DE 2 anos Metodo: Descriptivo Estudio, retrospectivo, longitudinal Y SE LLEVO un Cabo Entre los 40 ojos de 20 Pacientes Que se sometieron a la trabeculoplastia laser selectiva desde 2012 Hasta 2015 y recibieron la medicacion topica para el glaucoma. Se midieron las Siguientes variables: la agudeza visual no corregida, la agudeza visual corregida mejor, y La Presion intraocular Antes del Tratamiento y de Durante el s seguimiento de los Controles Despues de 1 dia, 7 Dias, 1 mes, 3 meses, 6 meses, 12 meses y 24 meses. Resultados: no se identificaron: diferencias significativas Entre la agudeza visual no corregida Antes de la Operacion y en 1 ano (p = 0,091) o Entre preoperatoria agudeza visual no corregida Antes de la Operacion y en 2 anos (p = 0,827). La mejor agudeza visual corregida Antes de la Operacion y en 1 ano no mostro significacion estadistica (p = 0,125); sin embargo, La mejor agudeza preoperatoria corregida visuales ya los 2 anos Tuvo significacion estadistica (p = 0,007). medios ± desviacion Estandar de la Presion intraocular preoperatoria a los 2 anos disminuyo de 17,28 ± 5,7 al estilo de 13.05 ± 2,4 mm Hg (estadisticamente Significativa, p = 0.00) y la Tasa de Exito FUE del 75%. AUNQUE la media ± Desviacion Estandar de pre-operatoria para el Consumo de Drogas a los 2 anos disminuyo de 1,90 ± 1,1 ± 1,3 a la 1.65, no se . identifico Ninguna Diferencia Significativa (p = 0,058) . No se identificaron Dificultades Conclusiones: selectiva por laser trabeculoplastia Es Un Tratamiento Eficaz y Seguro que reducir la Presion intraocular, Asi Como el Numero de Farmacos requeridos por los Pacientes con glaucoma de angulo abierto de.
目标:。描述结果trabeculoplastia选择性激光对青光眼患者·德安开放了联合国期间2描述性方法:回顾性研究,纵向,和他带了一个40人的眼睛20名病人进行了选择性trabeculoplastia激光从2012年到2015年获得药topica青光眼。我们测量了以下变量:治疗前1天、7天、1个月、3个月、6个月、12个月和24个月后未矫正视力、最佳矫正视力和眼压。结果:未发现:术前未矫正视力与1年(p = 0.091)或术前未矫正视力与2年(p = 0.827)有显著差异。术后1年最佳矫正视力无统计学意义(p = 0.125);术后2年视力矫正的最佳术前视力有统计学意义(p = 0.007)。2年术前眼压平均±标准差从17.28±5.7降至13.05±2.4 mm Hg(有统计学意义,p = 0.00),成功率为75%。虽然手术前2年药物使用的平均±标准偏差从1.90±1.1±1.3下降到1.65,但没有。我发现没有显著差异(p = 0.058)。结论:选择性激光小梁成形术是一种有效和安全的治疗方法,可降低开角型青光眼患者的眼压和所需药物的数量。
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引用次数: 0
LEAVING A LEGACY, MAKING THE DIFFERENCE 留下遗产,改变世界
Pub Date : 2017-06-21 DOI: 10.15234/VPA.V16I2.418
P. E. Dantas
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引用次数: 0
期刊
Vision PanAmerica
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