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Navegando por Palavras-chave "Relato de caso"

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Acesso aberto (Open Access)
Aspectos fonoaudiológicos da Síndrome Otopalatodigital tipo 1: relato de caso
(Universidade Federal de São Paulo, 2022-11-18) Vairolette, Isabella Kanomata [UNIFESP]; Ferlin, Flávia [UNIFESP]; http://lattes.cnpq.br/9580080241599017; http://lattes.cnpq.br/7106491836627967
Introdução: A síndrome otopalatodigital do tipo 1 é uma patologia rara, de baixa incidência na população; além disso, apresenta elevados índices de mortes neonatais e natimortos. Indivíduos do sexo masculino apresentam fenótipo mais brando e compatível com a vida quando comparados à indivíduos do sexo feminino. Por estes motivos, é uma doença ainda pouco pesquisada. Objetivo: Descrever os resultados da avaliação fonoaudiológica miofuncional orofacial, realizada com o apoio de protocolos de avaliação e do exame objetivo nasofaringoscopia, através do relato de caso de um indivíduo adulto, de 25 anos, do sexo masculino, e portador da síndrome. Metodologia: O estudo foi realizado através da aplicação dos seguintes protocolos de avaliação: anamnese utilizada no ambulatório de anomalias craniofaciais do Hospital São Paulo, protocolo de avaliação específico de fissuras palatinas e o exame miofuncional orofacial MBGR; também foi realizada uma avaliação instrumental objetiva direta por meio da nasofaringoscopia. Após a avaliação, o indivíduo realizou oito sessões de fonoterapia. Descrição dos achados: Na avaliação fonoaudiológica apresentou alterações da mobilidade de lábios e língua, deglutição atípica, fala com alterações fonéticas com distorção no fonema /r/, sigmatismo no fonema /s/ e arquifonema {S}, interdentalização nos fonemas /t/, /d/ e /n/, além de disfunções velofaríngeas obrigatórias como a emissão de ar nasal, baixa pressão aérea intra-oral, voz com qualidade hipernasal e fricativa faríngea no fonema /f/. A audiometria revelou uma ligeira perda auditiva condutiva bilateral à direita e moderada à esquerda. Nos resultados da nasofaringoscopia observou-se um fechamento velofaríngeo do tipo sagital com um pequeno gap durante a repetição de frases com fonemas plosivos, fricativos e fala espontânea; houve fechamento completo durante as provas terapêuticas para fonemas plosivos. Conclusão: A Síndrome otopalatodigital tipo 1 desencadeia alterações fonoaudiológicas do tipo morfológicas da face e dos órgãos fonoarticulatórios e, por causa da presença de fissura de palato, a disfunção velofaríngea com suas consequências passivas e ativas. As questões de fala que circundam a uma maior projeção vocal, articulação fonatória mais ampla, aumento da pressão aérea intraoral, promoção do fechamento velofaríngeo e redução, na medida do possível, da emissão de ar nasal, eram os maiores objetivos da terapia, os quais foram alcançados com sucesso, aumentando a inteligibilidade de fala do indivíduo em questão.
Acesso aberto (Open Access)
Case report of a metachronous multiple tumor: Mantle cell lymphoma in the orbital region associated with epithelial malignancies at other sites
(Conselho Brasileiro de Oftalmologia, 2014-01-01) Medrado, Juliana de Sá Freire [UNIFESP]; Dittrich, Mirtha Ramírez [UNIFESP]; Sousa, Jacqueline Martins de [UNIFESP]; Teixeira, Luiz F. [UNIFESP]; Manso, Paulo Góis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Here we report the case of a 73-year-old man who was diagnosed with metachronous, multiple primary tumors with non-Hodgkin B-cell mantle cell lymphoma involving the orbit on the basis of biopsy and immunohistochemistry in 2012. The patient had been diagnosed with non-Hodgkin small cell lymphoma and basal cell skin carcinoma in 2010 and intestinal adenocarcinoma with metastasis to the regional lymph nodes in 2011, thus representing a typical case of metachronous, multiple primary tumors. Mantle cell lymphoma is a rare disease and its prognosis is quite poor, particularly when it is associated with other metachronous malignancies. Therefore, physicians should consider mantle cell lymphoma as a differential diagnosis for neoplasms of the orbit.
Acesso aberto (Open Access)
Clinical treatment of corneal infection due to Fonsecaea pedrosoi: case report
(Conselho Brasileiro de Oftalmologia, 2005-04-01) Hofling-Lima, Ana Luisa [UNIFESP]; Guarro, Josep; Freitas, Denise de [UNIFESP]; Godoy, Patricio [UNIFESP]; Gené, Josepa [UNIFESP]; Souza, Luciene Barbosa de [UNIFESP]; Zaror, Luis; Romano, Andre C. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universitat Rovira I Virgili Facultat de Medicina I Ciencies de la Salut; University Austral de Chile Microbiology Unitat Clinic
To report an unusual case of fungus keratitis due to Fonsecaea pedrosoi that developed after corneal trauma. Case report: A 18-year-old male presented with a corneal ulcer in the right eye, 28 days after a trauma with glass fragments. Corneal scrapings were collected for smears and culture. Dematiaceous hyphae were seen on wet mounts of the scrapings and dark pigmented colonies grew repetitively on the culture media; all colonies were identical, and were subsequently identified as Fonsecaea pedrosoi. Treatment was initiated with topical natamycin at one hour intervals, 200 mg oral ketoconazole per day and later changed to a combination of 200 mg ketoconazole and amphotericin B. In humid tropical regions Fonsecaea pedrosoi is one of the primary causes of human chronic cutaneous mycosis, chromoblastomycosis. Combination of systemic and topical antifungal medications may provide the best option for cure in corneal chromoblastomycosis.
Acesso aberto (Open Access)
Conjuntivite granulomatosa atípica causada pela doença da arranhadura do gato: relato de caso
(Conselho Brasileiro de Oftalmologia, 2004-06-01) Oliveira, Alexandre Hassler Príncipe de [UNIFESP]; Pereira, Carlos Alberto Pires [UNIFESP]; Sousa, Luciene Barbosa de [UNIFESP]; Freitas, Denise de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
We report a case of a 23-year-old female patient, Brazilian, resident of Germany, who presented with a bilateral chronic granulomatous conjunctivitis, without lymphoadenopathy and irresponsive to topical treatment. Laboratorial work-up confirmed Bartonella henselae as the etiologic agent. The case shows that the absence of lymphoadenopathy does not exclude the diagnosis of cat-scratch disease.
Acesso aberto (Open Access)
Corpo estranho orgânico intra-orbitário: avaliação tomográfica e conduta
(Conselho Brasileiro de Oftalmologia, 2001-08-01) Casanova, Fábio Henrique Cacho [UNIFESP]; Mello Filho, Paulo Augusto de Arruda [UNIFESP]; Nakanami, Deise Mitsuko [UNIFESP]; Manso, Paulo Gois [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Purpose: The clinical presentation of orbital foreign bodies is variable. The management and prognosis depends on the composition, location and if there is or not secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, while organic foreign bodies can elicit an inflammatory reaction and leads to serious complications. It is frequently difficult to identify and localize organic intraorbital foreign bodies, despite modern imaging methods. Methods: Three patients with intraorbital organic foreign body after penetrating injury were evaluated. Results: All patients were submitted to removal of the foreign body presenting an improved clinical course. Computed Tomography (CT) was essential for evaluation, identification and localization of the foreign body. Conclusion: Preoperative identification of the foreign body in the orbit with the use of computed tomography was very helpful for patient management. The removal of the organic foreign body must be performed in order to avoid complications.
Acesso aberto (Open Access)
Correção cirúrgica da esotropia progressiva do alto míope pela técnica de Yamada: relato de dois casos
(Conselho Brasileiro de Oftalmologia, 2005-08-01) Ejzenbaum, Fábio [UNIFESP]; Goldchmit, Mauro; Souza-dias, Carlos R.; Universidade Federal de São Paulo (UNIFESP); Irmandade da Santa Casa de Misericórdia de São Paulo Faculdade de Ciências Médicas Departamento de Oftalmologia
Progressive esotropia fixus is a disease present in high myopic patients with a large angle esotropia associated with hypotropia with poor surgical results. This paper has the purpose to describe Yamada's surgical technique (hemitranspositions of the superior rectus and lateral rectus) applied to 2 patients with good surgical results.
Acesso aberto (Open Access)
Deep stromal mycobacterial keratitis: viable bacteria after six months of treatment: case report and literature review
(Conselho Brasileiro de Oftalmologia, 2005-08-01) Gusmão, Filipe Brandão Accioly de [UNIFESP]; Alvarenga, Lênio [UNIFESP]; Barbosa, Luciene [UNIFESP]; Sampaio, Jorge; Leao, Sylvia Cardoso [UNIFESP]; Hofling-Lima, Ana Luisa [UNIFESP]; Freitas, Denise de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Laboratório Fleury
To report the presence of viable mycobacteria in a patient with keratitis treated for 6 months. Species identification was performed using the PRA method (polymerase chain reaction followed by restriction endonuclease analysis). Clonality was evaluated with RAPD (randomly amplified polymorphic DNA) and ERIC-PCR (enterobacterial repetitive intergenic consensus - polymerase chain reaction) methods. The patient reported trauma due to a metallic foreign body 3 weeks prior to presentation. Initial corneal scraping cultures revealed Mycobacterium abscessus. After 6 months of topical and systemic treatment the patient presented with no active inflammation and was considered clinically cured. An optic penetrating keratoplasty was performed. Culture of the excised cornea revealed Mycobacterium abscessus. Both isolates had the same clonal origin. The most interesting finding of this case report was the positive culture of the excised cornea after 6 months of intensive specific topical therapy. To our knowledge, this is the first report in the literature showing this possibility in the treatment of Mycobacterial keratitis. Thus, Mycobacterium abscessus may present viable bacteria after long-term treatment and should be followed carefully for a long period of time after tapering the medication.
Acesso aberto (Open Access)
O diagnóstico do carcinoma metastático de coróide pela biópsia aspirativa com agulha fina (BAAF): relato de caso
(Conselho Brasileiro de Oftalmologia, 2003-01-01) Corrêa, Zélia Maria da Silva [UNIFESP]; Irion, Luciane Cristina Dreher; Marcon, Ítalo Mundialino; Goldhardt, Raquel; Travi, Giovanni Marcos; Universidade Federal de São Paulo (UNIFESP); Fundação Faculdade Federal de Ciências Médicas de Porto Alegre; Serviço de Oftalmologia da Santa Casa de Porto Alegre; Santa Casa de Porto Alegre
PURPOSE: To report a case of a patient with lung carcinoma in which the first detected metastasis was to the choroid, how it was diagnosed and confirmed. METHODS: A 35 year-old white male, while being treated for a solitary pulmonary condensation, reported sudden loss of vision, pain, discharge and red eye (right eye) for 10 days. During the ophthalmic examination a nonregmatogenous retinal detachment as well as multiple choroidal tumors were confirmed by diagnostic ocular ultrasound. Fine-needle aspiration biopsy (FNAB) was suggested to diagnose a possible metastatic disease. Fine-needle aspiration biopsy was performed under peribulbar anesthesia with sedation. A transvitreous route was chosen through a sclerotomy 4 mm from the limbus. The procedure was monitored via binocular indirect ophthalmoscopy. Two sample aspirates were obtained from different tumour foci. After fine-needle aspiration biopsy, the aspirates were sent for processing, fixation and stained with Papanicolaou and HE. RESULTS: Cytology confirmed the diagnosis of multiple metastatic tumors. Immunocytochemistry of ocular and lung aspirates revealed a common cell origin by a pankeratin (AE1/AE3) positive test. Regardless of systemic treatment with chemotherapy and improvement of the ocular status, the patient died 4 months after cytological diagnosis of metastatic carcinoma of the choroid. CONCLUSIONS: Fine-needle aspiration biopsy was efficient to diagnose and correlate ocular cytology with the primary tumor by imunohistochemical methods in this case. Fine-needle aspiration biopsy should still be used only in selected cases and further research will be necessary for it to become a standard diagnostic procedure in ophthalmology.
Acesso aberto (Open Access)
Direct cyclopexy surgery for post-traumatic cyclodialysis with persistent hypotony: ultrasound biomicroscopic evaluation
(Conselho Brasileiro de Oftalmologia, 2014-01-01) Murta, Fabiola [UNIFESP]; Mitne, Somaia [UNIFESP]; Allemann, Norma [UNIFESP]; Paranhos Junior, Augusto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Cyclodialysis is a relatively rare condition usually caused by ocular injury; however, it can also be caused iatrogenically during intraocular surgery. Hypotony maculopathy is the most important complication and the primary reason for visual loss. Clinical diagnosis using gonioscopy may be difficult, and ultrasound biomicroscopy (UBM) can be an alternative. There are different kinds of treatments, and the optimal one remains controversial. Here we describe a case of traumatic cyclodialysis with persistent ocular hypotony treated by direct cyclopexy, as illustrated by UBM performed before and after surgery.
Acesso aberto (Open Access)
Estenose bilateral de seio venoso transverso associado a papiledema: relato de caso
(Conselho Brasileiro de Oftalmologia, 2003-06-01) Gouveia, Enéias Bezerra; Lobato, Frederico José Corrêa; Veras, José Filho De Sousa Lobão; Nunes, João Claudio; Muccioli, Cristina [UNIFESP]; Melo Filho, Agenor De; Real e Benemérita Sociedade Portuguesa de Beneficência Hospital São Joaquim Serviço de Oftalmologia; Universidade Federal de São Paulo (UNIFESP)
The authors report the case of a female patient, 39 years old, presenting bilateral transverse venous sinus stenosis, associated with papilledema, visual acuity deficit and headache. Cerebral angiographic finding of bilateral transverse venous sinus stenosis elucidated the diagnosis. The patient was treated with cerebral angiographic stent implant, with consequent remission of ophthalmologic and neurological clinical findings.
Acesso aberto (Open Access)
Evolução da esclerite nodular com biomicroscopia ultrassônica: relato de caso
(Conselho Brasileiro de Oftalmologia, 2013-12-01) Martinez, Andrea Alejandra Gonzalez [UNIFESP]; Matos, Kimble Teixeira Fonseca [UNIFESP]; Trevisani, Virgínia Fernandes Moça [UNIFESP]; Hirai, Alcides [UNIFESP]; Allemann, Norma [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Santo Amaro Departamento de Medicina Urgência e Medicina Baseada em Evidências
To stablish evolutionary pattern of a case of nodular scleritis with high frequency ultrasound during treatment. Twenty-seven year old female, initial manifestation of intermediate uveitis, bilateral macular edema after clinical treatment with topical and oral steroids. After four months, we observed the formation of a scleral nodule in the right eye when patient underwent high frequency ultrasound (Paradigm, 50 MHz transducer, immersion technique). The lesion in right eye was characterized at high frequency ultrasound as a nodular lesion located at the anterior inferior temporal wall associated with localized reduction of scleral thickness. After intravitreal injection of triamcinolone for treatment of macular edema, clinical regression of the scleral nodule was observed in right eye, maintaining reduced scleral thickness. High frequency ultrasound assisted in the diagnosis of nodular scleritis during the phases of treatment and in the identify its characteristic sequel feature, the scleral thinning.
Acesso aberto (Open Access)
Fabry disease - importance of screening in cornea verticillata: case report
(Conselho Brasileiro de Oftalmologia, 2011-12-01) Yonamine, Fabio Yamasato [UNIFESP]; Arantes, Tiago Eugênio Faria e [UNIFESP]; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Fabry disease is an X-linked disease of glycosphingolipid (GL) metabolism. The accumulation of GL in tissues can affect multiple organ systems. Initial symptoms includes episodes of severe pain in the extremities, cornea verticillata and skin lesions. In late stages, kidney, heart and brain can be involved. This report attempts for importance of cornea verticillata in the diagnosis of Fabry disease in a young patient with pain in the lower limb extremities.
Acesso aberto (Open Access)
Glaucoma persistente secundário à injeção subtenoniana posterior de acetato de triancinolona (Kenalog®): relato de casos
(Conselho Brasileiro de Oftalmologia, 2003-01-01) Finamor, Luciana Peixoto; Dimantas, Maria Angélica P.; Campos, Vânia Ewert De; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
PURPOSE: To describe 3 cases of children submitted to posterior subtenon steroid injection (PSSI) of triamcinolone acetonide (Kenalog® 40mg) for the treatment of intermediate uveitis, with development of refractory glaucoma. METHODS: Case report. RESULTS: Three children with the diagnosis of intermediate uveitis were treated with PSSI of triamcinolone for the control of a chronic vitreous inflammation and/or cystoid macular edema. After treatment they developed refractory glaucoma and were submitted to surgery, for removal of the steroid deposit and/or filtering surgery to control the intraocular pressure (IOP). CONCLUSION: The use of PSSI can represent a high risk for development of secondary glaucoma, with difficult control in children. Surgery to remove the remaining steroid may control IOP, but in some cases filtering surgery may be necessary.
Acesso aberto (Open Access)
In vivo ultrathin Descemet stripping automated endothelial keratoplasty with a low-energy and high-frequency femtosecond laser
(Conselho Brasileiro de Oftalmologia, 2014-04-01) Victor, Gustavo; Nosé, Walton [UNIFESP]; Sousa, Sidney Júlio de Faria e; Forseto, Adriana dos Santos [UNIFESP]; Alves, Milton Ruiz; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
This case report describes the production of an ultrathin endothelial donor corneal lamella using a femtosecond laser with low energy and a high frequency. In addition, we report its use in vivo in an eye with pseudophakic bullous keratopathy. The outcomes were observed 3 months after surgery in terms of the change in endothelial donor lamella and full cornea thickness (including pachymetric mapping), visual acuity, and endothelial cell count.
Acesso aberto (Open Access)
Invasão do nervo óptico por melanoma peripapilar: relato de caso
(Conselho Brasileiro de Oftalmologia, 2003-06-01) Marback, Eduardo Ferrari [UNIFESP]; Arias, Victor Eduardo Aruá; Gonzaga, Renato Luiz [UNIFESP]; Pinto, Clóvis Antônio; Erwenne, Clélia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Fundação Antônio Prudente Hospital do Câncer Departamento de Anatomia Patológica; Universidade de São Paulo (USP)
Small-pigmented lesions over the optic disc are very rare and may represent a diagnostic challenge. To report a case of a small malignant choroidal melanoma invading the optic nerve. A 60-year-old male presents with low vision in the left eye due to a small, pigmented lesion over the optic disc. At first the patient refused enucleation. One month later, after further drop in visual acuity, the patient was seen at another service, diagnosed as having a retinal detachment, and pars plana vitrectomy was proposed but also refused by the patient. Returning to our service, the eye was enucleated and a final diagnosis of choroidal melanoma with post-laminar optic nerve invasion was made. Although rare, pigmented lesions over the optic disc may represent a malignant melanoma. The prognostic significance of optic nerve invasion by choroidal melanoma is not clear yet. The differential diagnosis in these cases is usually difficult but a solid lesion is clear at ultrasonography and serous retinal detachment may predict a active tumor lesion. The management of these cases needs accuracy to avoid the unpleasant consequences of dissemination.
Acesso aberto (Open Access)
Keratoconus and corneal stability after radial keratectomy in the fellow eye: case report
(Conselho Brasileiro de Oftalmologia, 2013-06-01) Sousa, Jacqueline Martins de [UNIFESP]; Hirai, Flávio Eduardo [UNIFESP]; Sato, Elcio Hideo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Keratoconus has usually been described as bilateral but asymmetric disease. Corneal ectasia is one of the long-term complications of modern refractive surgery, especially those submitted to laser in situ keratomileusis (LASIK). We describe a patient with keratoconus in the right eye that was submitted to radial keratectomy (RK) in the left eye 19 years ago with no progression of the ectatic cornea and no complications related to the refractive surgery. Because unilateral keratoconus is rare, we believe that RK was performed on an already ectatic cornea (not clinically detected) or with fruste keratoconus. However, neither corneal ectasia progressed, nor ectasia was induced by RK in the fellow eye.
Acesso aberto (Open Access)
Late-onset persistent retinal microvascular changes after bone marrow transplantation: 3-year follow-up
(Conselho Brasileiro de Oftalmologia, 2002-06-01) Muccioli, Cristina [UNIFESP]; Belfort, Rubens Junior [UNIFESP]; Jorge, Rodrigo; Farah, Michel Eid [UNIFESP]; Pereira, Mauricio B.; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Universidade Federal do Rio de Janeiro Faculdade de Medicina Setor de Retina
Purpose: To describe a case of persistent retinopathy after bone marrow transplantation in the absence of radiation therapy. Methods: Case Report. Results: A 42 year-old man developed bilateral visual loss 15 months after receiving a bone marrow transplant for acute leukemia. The patient was treated with a high dose of cyclosporin A and oral corticosteroids. No radiation therapy was given. Late-onset, multiple, bilateral cotton-wool spots developed 15 months after the bone marrow transplantation and still persist. After three years other cotton-wool spots arose in the absence of any immunosuppressive therapy. Conclusions: Bone marrow transplantation microvasculopathy of the retina may be related to certain combinations of chemotherapy drugs or immunosuppression itself and may persist in the absence of these immunosuppressive drugs.
Acesso aberto (Open Access)
Manifestações destrutivas da córnea e esclera associadas a doenças do tecido conectivo: relato de 9 casos
(Conselho Brasileiro de Oftalmologia, 2004-08-01) Santos, Namir Clementino [UNIFESP]; Sousa, Luciene Barbosa de; Trevisani, Virgínia Fernandes Moça [UNIFESP]; Freitas, Denise de [UNIFESP]; Vieira, Luis Antonio; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual do Piauí; Universidade Estadual do Piauí setor de Doenças Externas Oculares e Córnea
PURPOSE: To study the clinical features, diagnosis, treatment, and outcome of nine patients with corneal and scleral involvement associated to connective tissue disease. METHODS: Description of anterior segment abnormalities observed in nine patients with connective tissue disease, five of them previously diagnosed and four with the ocular involvement being the first manifestation of the disease. All patients were evaluated at the Corneal and External Diseases outpatient clinic of the Federal University of São Paulo - Escola Paulista de Medicina (UNIFESP-EPM) between July/1999 to December/2000 and were submitted to a complete ophthalmologic examination, clinical evaluation and laboratory investigation. Clinical or surgical treatment was indicated according to the ocular disease evolution. RESULTS: The clinical diagnoses of the patients with anterior segment inflammatory disease were rheumatoid arthritis in seven patients (77.8%), systemic sclerosis and Wegener´s granulomatosis in each of the remaining patients (22.2%). The most frequent ocular manifestation was scleritis (66.6%), followed by peripheral ulcerative keratitis (55.5%) and dry eye syndrome (44.4%). Eighty-nine percent (89%) of the patients required immunosuppressive therapy to control the ocular inflammatory disease. Remission of the ocular symptoms were observed after 3 months of the beginning of imunossupressive therapy on average. In 55.5% of the patients a surgical approach (conjunctival resection, application of cyanoacrylate tissue adhesive, penetrating keratoplasty and scleral patch graft) was necessary. CONCLUSION: The finding of corneal and scleral involvement associated with connective tissue disease is a sign of the disease activity and usually requires imunossupressive therapy. The ophthalmologists should be aware of these conditions in order to early diagnose and apply the appropriate treatment.
Acesso aberto (Open Access)
Medial rectus muscle myositis as an atypical presentation of mucosa-associated lymphatic tissue lymphoma: a case report
(Conselho Brasileiro de Oftalmologia, 2014-04-01) Medrado, Juliana de Sá Freire [UNIFESP]; Dittrich, Mirtha Alicia Ramirez [UNIFESP]; Sousa, Jacqueline Martins de [UNIFESP]; Teixeira, Luiz Fernando [UNIFESP]; Manso, Paulo Gois [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Here we describe the rare case of a 55-year-old man with medial rectus muscle myositis as an atypical presentation of non-Hodgkin B-cell mucosa-associated lymphoma (MALT). Pathology and immunohistochemistry of the affected muscle confirmed the diagnosis of a neoplasm. The primary etiology of orbital myositis is Graves' ophthalmopathy, but several other diseases may cause this clinical presentation. Therefore, the neoplastic causes must be eliminated from the differential diagnoses. non-Hodgkin B-cell mucosa-associated lymphoma is the most common histological type of lymphoma in the orbit, with the conjunctiva and lacrimal glands being the most commonly affected sites. However, it may also present in atypical forms involving others sites and tissues.
Acesso aberto (Open Access)
Metodologia inédita para medida da torção ocular reflexa
(Conselho Brasileiro de Oftalmologia, 2001-08-01) Barcellos, Ronaldo Boaventura; Alves, Carlos Alberto Rodrigues; Carvalho, Luiz Eduardo M. Rebouças De [UNIFESP]; Andrade, Eric Pinheiro De [UNIFESP]; Universidade de São Paulo (USP); Faculdade de Ciências Médicas da Santa Casa de São Paulo departamento de Oftalmologia; Universidade Federal de São Paulo (UNIFESP)
Purpose: To develop a methodology to evaluate ocular torsion reflex. Methods: Modifications of a Helmholtz keratometer were made in order to perform keratometry in the primary position and during head tilt (30 degrees to the right, 30 degrees to the left). A total of 16 patients (32 eyes) were examined. There was a mean astigmatism of 0.50 to 3.50 (mean 1.18 ± 0.61). Results: The mean recorded intortions (right eye 5.31 ± 4.23, left eye 5.22 ± 3.91) were slightly lower than the extortions (right eye 7.84 ± 4.79, left eye 7.78 ± 4.09) with no significant difference between both eyes. Conclusions: The modified Helmholtz keratometer allows new and simple method to quantify ocular counterrolling.