Oftalmología

Oftalologo í a
  • 文章类型: Case Reports
    方法:一名22岁女性主诉在心肺呼吸骤停后出现视力模糊。她的双侧视力较低(“数指”),并且没有眼科或视觉通路的变化。她也明显缺乏对赤字的认识。磁共振成像(MRI)显示两个枕叶的缺血性改变。因此,她被诊断出患有Anton-Babinski综合征.
    结论:这是一种罕见的疾病,应该在奇怪或不一致的视力丧失时被怀疑。这通常是由于大脑这个区域的缺血损伤,表现为患者无法感知的低视力(视觉虚构)。它可以模拟非器质性视力丧失或精神疾病。
    METHODS: A 22 year-old woman complained about blurred vision after an episode of recovered cardiorespiratory arrest. She had bilateral low visual acuity («count fingers») and no ophthalmological or visual pathways changes. She also had an apparent lack of awareness of the deficit. The Magnetic Resonance Imaging (MRI) showed ischaemic changes in both occipital lobes. As a result, she was diagnosed with Anton-Babinski syndrome.
    CONCLUSIONS: This is a rare disease that should be suspected in strange or poorly congruent visual loss. It is usually due to an ischaemic injury in this region of brain, manifesting itself with low vision not perceived by the patient (visual confabulation). It can simulate a non-organic visual loss or psychiatric disease.
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  • 文章类型: Case Reports
    Toxoplasmosis is an infection of worldwide distribution caused by Toxoplasma gondii, and infects a large proportion of the world population. Only under certain circumstances of severe immunosuppression can the parasite reactivate and cause disease. The most common form of presentation of this pathology in patients with positive HIV is the brain abscess. One of the extra-cerebral forms is toxoplasmic chorioretinitis, which could lead to a chronic active form of a slowly progressive retinitis. Diagnosis is made by observing the eye fundus and confirmed by the scarring obtained after specific treatment. We report a case of a patient with diabetes and positive HIV, in whom a toxoplasmic scar injury was detected in the annual retinography follow-up. A conservative therapeutic approach was decided, with regular check-ups for possible detection of disease activation.
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