Base de dados : MEDLINE
Pesquisa : C10.292.562.887.300 [Categoria DeCS]
Referências encontradas : 2327 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 233 ir para página                         

  1 / 2327 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28463575
[Au] Autor:Hashemi H; Nabovati P; Yekta A; Ostadimoghaddam H; Behnia B; Khabazkhoob M
[Ad] Endereço:a Noor Research Center for Ophthalmic Epidemiology , Noor Eye Hospital , Tehran , Iran.
[Ti] Título:The Prevalence of Strabismus, Heterophorias, and Their Associated Factors in Underserved Rural Areas of Iran.
[So] Source:Strabismus;25(2):60-66, 2017 Jun.
[Is] ISSN:1744-5132
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the prevalence of different types of strabismus and heterophoria and their associated factors in underserved rural areas of Iran. METHODS: Two rural areas in the north and southwest of Iran were randomly sampled using multistage cluster sampling. Individuals aged over 1 year, totaling 3851, were invited to participate in the study. In addition to collecting demographic data, optometric examinations were performed for each participant. Unilateral and alternating cover tests were performed at far (6 m) and near (40 cm) to detect tropia and phoria, respectively, and the magnitude of the deviation was measured using alternating cover test and prism bar. Tropia was defined as the presence of constant unilateral or alternating horizontal strabismus (exotropia or esotropia) at either far or near fixation distances. Far and near exophoria were defined as more than 3 prism diopters (PD) and 9 PD of exophoria at far and near fixation distances, respectively. Far esophoria was defined as more than 1 PD of esophoria at far. Near esophoria was defined as any amount of esophoria at near. RESULTS: Of 3851 selected individuals, 3314 (86.5%) participated in the study. After excluding those who met the exclusion criteria or had missing data, eventually there were 3248 subjects available for this analysis. The prevalence of tropia and phoria was 4.3% (95% CI: 3.28-5.33) and 28.37% (95% CI: 19.12 -37.61), respectively. The prevalence of exotropia and esotropia was 3.87% (95% CI: 2.77-4.98) and 0.43% (95% CI: 0.19-0.67), respectively. The prevalence of near exophoria, far exophoria, near esophoria, and far esophoria was 25.96 (95% CI: 16.71-35.2), 4.82% (95% CI: 0.23-9.41), 0.47% (95% CI: 0.2-0.75), and 0.34% (95% CI: 0.06-0.63), respectively. In this study, the prevalence of tropia had no significant association with age, sex, living place, and refractive errors (all P values >0.05), while the prevalence of phoria increased significantly with increasing age (P<0.001) and was also significantly associated with living place (P<0.001). CONCLUSION: The prevalence of tropia and phoria was high in our study. Moreover, the prevalence of exotropia and exophoria was higher than esotropia and esophoria. The prevalence of phoria was significantly higher in older age groups and in the participants living in the southern villages.
[Mh] Termos MeSH primário: População Rural/estatística & dados numéricos
Estrabismo/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos Transversais
Esotropia/diagnóstico
Esotropia/epidemiologia
Exotropia/diagnóstico
Exotropia/epidemiologia
Feminino
Seres Humanos
Irã (Geográfico)/epidemiologia
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Estrabismo/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/09273972.2017.1317820


  2 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29233124
[Au] Autor:Lyu IJ; Park KA; Oh SY
[Ad] Endereço:Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
[Ti] Título:Increase in esodeviation under cycloplegia with 0.5% tropicamide and 0.5% phenylephrine mixed eye drops in patients with hyperopia and esotropia.
[So] Source:BMC Ophthalmol;17(1):247, 2017 Dec 12.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUD: To evaluate the manifestations of increased esodeviation under cycloplegia with 0.5% tropicamide and 0.5% phenylephrine in children with hyperopia and esotropia. METHODS: We reviewed the medical record of 34 children with hyperopia and esotropia who underwent a prism alternate cover test before and after instillation of mixed eye drops containing 0.5% tropicamide and 0.5% phenylephrine between November 2014 and October 2015. Increased angle of deviation was defined as 10 prism diopters (PD) or greater deviation after cycloplegia. The factors related to increased angle of deviation were evaluated using univariable and multivariable logistic regression analysis. RESULTS: The median age was 5.0 years (interquartile range, 3.75 to 5.0) and 12 patients (35.3%) were male. The median manifested refractive (MR) was +2.13 diopters (D) (+0.92 to +4.47) and cycloplegic refractive (CR) was +3.50 D (+1.72 to +5.66). The median difference between MR and CR was +0.88 D (+0.50 to +1.28). Thirteen patients (38.2%) showed increased esodeviation under cycloplegia and all had accommodative esotropia. A larger difference between MR and CR was the only significant factor affecting increased esodeviation in both univariable (OR = 4.72, P = 0.029) and multivariable (OR = 5.22, P = 0.047) analyses. CONCLUSION: Children with hyperopia and esotropia often showed an increased angle of deviation after instillation of 0.5% tropicamide and 0.5% phenylephrine. This phenomenon reminded the clinicians that cycloplegics can have a different effect on esodeviation and suggested that increased angle of esodeviation may help to reveal the latent deviation in some patients with hyperopia and esotropia.
[Mh] Termos MeSH primário: Esotropia/tratamento farmacológico
Hiperopia/tratamento farmacológico
Midriáticos/uso terapêutico
Fenilefrina/uso terapêutico
Refração Ocular/efeitos dos fármacos
Tropicamida/uso terapêutico
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Esotropia/fisiopatologia
Seres Humanos
Hiperopia/fisiopatologia
Modelos Logísticos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Mydriatics); 1WS297W6MV (Phenylephrine); N0A3Z5XTC6 (Tropicamide)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0644-7


  3 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29197374
[Au] Autor:Fieß A; Kölb-Keerl R; Schuster AK; Knuf M; Kirchhof B; Muether PS; Bauer J
[Ad] Endereço:Department of Ophthalmology, Helios Dr. Horst Schmidt Klinik, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Germany. Achim.Fiess@gmail.com.
[Ti] Título:Prevalence and associated factors of strabismus in former preterm and full-term infants between 4 and 10 Years of age.
[So] Source:BMC Ophthalmol;17(1):228, 2017 Dec 02.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Limited data exist collating most of the associated factors for strabismus in one analysis. The aim of this study was to assess the prevalence of strabismus and to analyse associated factors in former preterm and full-term infants. METHODS: In this cross-sectional study, 239 former preterm infants with gestational age (GA) ≤ 32 weeks and 264 former full-term born infants with GA ≥ 37 weeks underwent detailed ophthalmologic examination in the age of 4-10 years and perinatal data assessment for risk factor analysis. Ophthalmologic examinations included cover testing, best corrected visual acuity, cycloplegic objective refraction, slit lamp as well as fundus examinations. For association analysis with strabismus, the following data was collected and included in multivariable analysis: sex, age at examination, anisometropia, myopic and hyperopic refractive error (≥ 3 dioptres), astigmatism, birth weight percentile, gestational age, retinopathy of prematurity occurrence, maternal age at childbirth, mother smoking, breastfeeding < 3 months, artificial ventilation, intraventricular bleeding, and other perinatal adverse events. RESULTS: Overall, 4/264 (2%) full-term infants, 15/125 (12%) preterm-infants with GA 29-32 weeks without ROP, 13/59 (22%) preterm infants with GA ≤ 28 weeks without ROP and 14/55 (26%) with GA ≤ 32 weeks with retinopathy of prematurity were affected by strabismus. In the multivariable regression model strabismus was associated with GA (OR = 0.84 per week; p = 0.001), hyperopic refractive error (OR = 4.22; p = 0.002) and astigmatism (OR = 1.68; p = 0.02). CONCLUSION: This investigation highlights that low gestational age and refraction of the eye are independent risk factors for strabismus, while the other factors show less independent influence.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Estrabismo/epidemiologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Estudos Transversais
Esotropia/fisiopatologia
Exotropia/fisiopatologia
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Masculino
Análise Multivariada
Prevalência
Estudos Prospectivos
Retinopatia da Prematuridade/complicações
Fatores de Risco
Estrabismo/etiologia
Estrabismo/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171204
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0605-1


  4 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29059315
[Au] Autor:Issaho DC; Carvalho FRS; Tabuse MKU; Carrijo-Carvalho LC; de Freitas D
[Ad] Endereço:Hospital de Olhos do Parana, Curitiba, Brazil.
[Ti] Título:The Use of Botulinum Toxin to Treat Infantile Esotropia: A Systematic Review With Meta-Analysis.
[So] Source:Invest Ophthalmol Vis Sci;58(12):5468-5476, 2017 Oct 01.
[Is] ISSN:1552-5783
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: The purpose of this review was to examine the efficacy of botulinum toxin in the treatment of infantile esotropia and to evaluate the average response of BT and its complication rates. Methods: A research was performed in the Latin American and Caribbean Literature on Health Sciences (LILACS), MEDLINE, and Cochrane Central Register of Controlled Trial (CENTRAL). The database was searched between December 28, 2016 and January 30, 2017. The selection was restricted to articles published in English, Spanish, or Portuguese. There were no date restrictions in the search. Results: Nine studies were eligible for inclusion. The grouped success rate of BT treatment in infantile esotropia was 76% (95% confidence interval [CI]: 61%-89%). For the success rate, I2 of 94.25% was observed, indicating a high heterogeneity (P < 0.001). The complication rates were also analyzed. The grouped consecutive exotropia (XT) rate was 1% (95% CI: 0%-2%). The grouped ptosis rate was 27% (95% CI: 21%-33%). The grouped vertical deviation rate was 12% (95% CI: 4%-22%). The mean change of the deviation after BT injection was -30.7 (95% CI: -37.7, -23.8), demonstrating a significant improvement in alignment. Conclusions: Botulinum toxin injection into medial recti muscles reveals to be a safe procedure and a valuable alternative to strabismus surgery in congenital esotropia, especially in moderate deviations.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/uso terapêutico
Esotropia/tratamento farmacológico
Fármacos Neuromusculares/uso terapêutico
[Mh] Termos MeSH secundário: Toxinas Botulínicas Tipo A/administração & dosagem
Toxinas Botulínicas Tipo A/efeitos adversos
Pré-Escolar
Seres Humanos
Lactente
Injeções Intramusculares
Fármacos Neuromusculares/administração & dosagem
Fármacos Neuromusculares/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
0 (Neuromuscular Agents); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE
[do] DOI:10.1167/iovs.17-22576


  5 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28774524
[Au] Autor:Mikhail M; Flanders M
[Ad] Endereço:Department of Ophthalmology, Faculty of Medicine, McGill University, Montreal, Que.
[Ti] Título:Clinical profiles and surgical outcomes of adult esotropia.
[So] Source:Can J Ophthalmol;52(4):403-408, 2017 Aug.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to describe the clinical features and surgical outcomes of teenage and adult patients with esotropia undergoing strabismus surgery with adjustable sutures. METHODS: Seventy-three patients were included in this retrospective, cohort study. Patients were stratified into group 1 (35 with childhood-onset esotropia [CET]) and group 2 (38 with adult-onset esophoria-tropia [EPT]). Preoperative immediate, 2-week, and 4-6-month postoperative measurements of ocular alignment, as well as fusional testing, were performed. Postoperative success was defined as distant (6 m) and near (33 cm) alignment within 12 prism diopters (PDs) of orthotropia in the primary position at 2 weeks and at 4-6 months with a single surgery. RESULTS: Patients with CET more frequently had hyperopia and amblyopia and were more likely to present for surgery because of psychosocial strabismus-related problems. Patients with EPT predominantly had myopia and were more likely to experience diplopia and asthenopia. In group 1, the mean preoperative distance deviation improved from 30 PDs to 4 PDs at 2 weeks and to 4 PDs at 4-6 months (p < 0.001). In group 2, mean preoperative distance alignment improved from 22 to 3 PDs at 2 weeks and to 3 PDs at 4-6 months (p < 0.001). The mean objective, single-surgery success rate at 2 weeks was 88% and 97% in groups 1 and 2, respectively. At 4-6 months, postoperative success was 71% in group 1 and 80% in group 2. The majority of patients reported subjective improvement. CONCLUSIONS: There are distinct preoperative differences between CET and EPT patients. Adjustable, strabismus surgery in this cohort is safe and effective in achieving subjective and objective success.
[Mh] Termos MeSH primário: Esotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Técnicas de Sutura/instrumentação
Suturas
Visão Binocular
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Músculos Oculomotores/fisiopatologia
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
Acuidade Visual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170805
[St] Status:MEDLINE


  6 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28738831
[Au] Autor:Kim E; Choi DG
[Ad] Endereço:Department of Ophthalmology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Shingil-ro 1, Youngdeungpo-gu, Seoul, 07441, South Korea.
[Ti] Título:Outcomes after the surgery for acquired nonaccommodative esotropia.
[So] Source:BMC Ophthalmol;17(1):130, 2017 Jul 24.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To analyze the surgical outcomes for patients diagnosed with acquired nonaccommodative esotropia (ANAET). METHODS: In this retrospective study, the medical records of 35 patients who had undergone the surgery for ANAET with a postoperative follow-up period of 6 months or more were reviewed. The main outcome measures were postoperative esodeviation angle, final success rate, and factors affecting surgical outcome. Surgical success was considered to be an alignment within 8 prism diopters (PD) at distance and near. RESULTS: The preoperative mean esodeviation angles were 37.3 ± 13.7 PD at distance and 38.6 ± 16.6 PD at near. The postoperative mean esodeviation angles at distance were as follows: 4.2 PD at day 1, 4.0 PD at month 1, 3.9 PD at month 3, 4.9 PD at month 6, 4.7 PD at year 1, and 4.8 PD at final follow-up. There was no statistically significant difference in angle of esodeviation between the initial postoperative period (day 1 to month 6) and the final follow-up day (p > 0.05). The surgical success rate at final follow-up was 65.7% (23/35). Among the 12 patients for whom the surgery failed, 9 (24.3%) showed esotropia and 3 (8.1%) exotropia of more than 8 PD. Six patients (16.2%) underwent reoperation (4 for esotropia and 2 for exotropia). There was no factor influencing surgical outcome (p > 0.05). CONCLUSIONS: The surgical outcome in patients with ANAET was relatively favorable: the final success rate was 65.7% and the reoperation rate was 17.1%.
[Mh] Termos MeSH primário: Acomodação Ocular
Esotropia/cirurgia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
Acuidade Visual
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Esotropia/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Lactente
Masculino
Meia-Idade
Músculos Oculomotores/fisiopatologia
Período Pós-Operatório
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0527-y


  7 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28724831
[Au] Autor:Murthy SR
[Ad] Endereço:Sankara Eye Hospital, Varthur Main Road, Kundlahalli Gate, Bengaluru, Karnataka, India.
[Ti] Título:No split, no tenotomy transposition procedure for complete abducens palsy.
[So] Source:Indian J Ophthalmol;65(7):636-638, 2017 Jul.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Abducens palsy is one of the commonly encountered cranial nerve palsies in strabismus clinic. For large-angle esotropia, due to complete abducens palsies, various vertical recti transposition (VRT) procedures have been described. Hummelsheim and Jensen's procedure are especially popular among them. Risk of anterior segment ischemia and induced vertical deviation postVRT prompt to search for better procedures to correct the esotropia and also improve the abduction. Modified Nishida's procedure (no split, no tenotomy transposition) is one of the newly described procedure in this direction. We describe three cases of complete abducens nerve palsy treated by this procedure.
[Mh] Termos MeSH primário: Doenças do Nervo Abducente/complicações
Esotropia/cirurgia
Movimentos Oculares
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Doenças do Nervo Abducente/diagnóstico
Doenças do Nervo Abducente/fisiopatologia
Criança
Esotropia/etiologia
Esotropia/fisiopatologia
Feminino
Seres Humanos
Músculos Oculomotores/fisiopatologia
Cápsula de Tenon
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_768_16


  8 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28724819
[Au] Autor:Jethani JN; Shah N; Amin S; Jethani M
[Ad] Endereço:Pediatric Ophthalmologist and Squint Specialist, The Eye Clinic, Synnove Enclave, Vadodara, Gujarat, India.
[Ti] Título:Stability and effects of muscle transplantation for very large angle esotropia: A study of 22 patients.
[So] Source:Indian J Ophthalmol;65(7):607-609, 2017 Jul.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: A very large angle esotropia is characterized by an angle more than 80 prism diopters (pd). A single eye surgery would not correct such a large angle. Supramaximal recessions and resection would lead to restriction of ocular motility. We present a series of 22 patients with large angle esotropia treated with muscle transplantation. METHODS: A total of 22 patients (14 males and 8 females) were included in the study. All the patients had a minimum of 80 base out deviation in primary position. All patients underwent thorough preoperative orthoptic checkup and refraction. The patients were followed up on day 1, day 30, at 6 months, at 1 year, and 2 years. All the patients underwent standard muscle transplantation, where the resected extra stump of lateral rectus was transplanted to the medial rectus using 6-0 prolene which was recessed by a standard recession technique. RESULTS: The mean age of the 22 patients was 32.21 ± 13.1 years. The mean preoperative angle was 92.4 ± 13.5 pd base out. The mean postoperative angle at 2-year follow-up was 12.3 ± 9.9 pd. The average correction achieved per mm was 4.1 ± 0.3 pd. The adduction restriction was <1 in all the patients at the end of 2 years except one patient. The abduction was normal in all the patients. CONCLUSION: The true muscle transplantation is a safe alternate option for large angle esotropia when uniocular surgery is desired. The surgical results are stable in long-term and therefore a viable option.
[Mh] Termos MeSH primário: Esotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/transplante
Procedimentos Cirúrgicos Oftalmológicos/métodos
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Adulto
Esotropia/diagnóstico
Esotropia/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Masculino
Músculos Oculomotores/fisiopatologia
Estudos Retrospectivos
Índice de Gravidade de Doença
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_54_17


  9 / 2327 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28665442
[Au] Autor:Patel SB; Reddy N; Hogan RN; Cao JH
[Ti] Título:A Case of Endophthalmitis After Bilateral Medial Rectus Recession.
[So] Source:J Pediatr Ophthalmol Strabismus;54:e37-e41, 2017 Jun 29.
[Is] ISSN:1938-2405
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 9-month-old male infant with a history of Down syndrome underwent bilateral medial rectus recession. Two weeks postoperatively, he developed leukocoria of the left eye with a white opacity posterior to the lens, numerous undulations, necrosis, and hemorrhages in the retrolental space. His contralateral eye had white retinal lesions nasally. Ultrasound examination of the left eye showed a funnel retinal detachment, loculated debris, and a small, central, hyperechoic area concerning for calcification. He underwent enucleation because retinoblastoma could not be definitively ruled out. Given this patient's low visual potential, enucleation was a definitive and safe treatment option. Ocular pathology showed significant inflammation and necrosis. There was an area of scleral perforation by a suture adherent to the retina and vitreous, surrounded by inflammatory cells. This case uniquely demonstrates pediatric endophthalmitis following strabismus surgery, secondary to scleral perforation confirmed by histopathological analysis. Care must be taken during scleral passage of sutures to prevent inadvertent scleral perforation and the potential complication of endophthalmitis. [J Pediatr Ophthalmol Strabismus. 2017;54:e37-e41.].
[Mh] Termos MeSH primário: Endoftalmite/etiologia
Esotropia/cirurgia
Músculos Oculomotores/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/efeitos adversos
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Anti-Inflamatórios/uso terapêutico
Biópsia
Endoftalmite/diagnóstico
Endoftalmite/tratamento farmacológico
Seres Humanos
Lactente
Imagem por Ressonância Magnética
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.3928/01913913-20170531-07


  10 / 2327 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28526001
[Au] Autor:Kim JH; Hwang JM
[Ad] Endereço:Department of Radiology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
[Ti] Título:Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report.
[So] Source:BMC Ophthalmol;17(1):75, 2017 May 19.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Duane retraction syndrome (DRS) consists of abduction deficit, globe retraction and upshoots or downshoots with adduction. The abducens nerve on the affected side is absent in type 1 DRS. After bilateral medial rectus muscle recession in unilateral type 1 DRS may improve the abduction limitation, but still more than -3 limitation remains. CASE PRESENTATION: A 6-month-old boy presented with esotropia which had been noticed in early infancy. He showed limited abduction, fissure narrowing on attempted adduction and a small upshoot OS. Left abducens nerve was not identified on magnetic resonance imaging compatible with Duane retraction syndrome type 1. He showed full abduction after bilateral medial rectus recession of 6.0 mm at the age of 9 months, and remained orthotropia with full abduction OU 2 years postoperatively. He is my only patient with Duane retraction syndrome who showed full abduction after bilateral medial rectus recession. CONCLUSIONS: A patient with the type 1 Duane retraction syndrome rarely may show full abduction after bilateral medial rectus recession mimicking infantile esotropia.
[Mh] Termos MeSH primário: Nervo Abducente/anormalidades
Síndrome da Retração Ocular/cirurgia
Esotropia/cirurgia
Movimentos Oculares/fisiologia
Músculos Oculomotores/cirurgia
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Síndrome da Retração Ocular/diagnóstico
Síndrome da Retração Ocular/fisiopatologia
Esotropia/etiologia
Esotropia/fisiopatologia
Seres Humanos
Lactente
Imagem por Ressonância Magnética
Masculino
Músculos Oculomotores/fisiopatologia
Período Pós-Operatório
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170521
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0475-6



página 1 de 233 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde