Adriana Dávila Camargo, Moises Enghelberg, Guillermo Vera Pan Am J Ophthalmol 2018, 17:36 (1 January 2018)
Plasmablastic lymphoma (PBL) is a subtype of a rare and aggressive, non-Hodgkin’s lymphoma. It is usually associated with immunosuppression, HIV, or Epstein Barr virus and with a poor prognosis. It is characterized by a loss of the typical markers of mature B cells such as CD20 and expression of activated B-cell immunopheno-types associated with plasma cells. We present a case report of an HIV negative 21-year-old male with plasmablastic lymphoma of the right lower eyelid who underwent surgical resection and chemotherapy. Given the minimal accounts of PBL in the eyelid, the authors attempt to review the literature and cross match similarities with previous accounts of ocular involvement related to this malignancy.
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Angélica Barros, João Chibante-Pedro, Lilianne Duarte Pan Am J Ophthalmol 2018, 17:31 (1 January 2018)
A 43-year-old man presented with a decrease of vision in the left eye after blunt ocular trauma. Visual acuity was of 20/20 in the right eye and 20/100 in the left eye. Fundus examination revealed a choroid rupture and submacular hemorrhage. Three months after the trauma, it was evident the development of choroidal neovascularization (CNV). A serie of intravitreal injections of ranibizumab were initiated. The optical coherence tomography angiography (OCTA) demonstrated to be better than fluorescein angiography (FA) to show evidence of CNV, and was essential to follow up the progression and guide therapeutic decisions. Decision for treatment based on OCTA findings lead to an excellent visual acuity outcome with visual acuity of 20/25 seven months after the trauma.
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Belkys Rodríguez-Suárez, Pablo Javier Arellano-Tapia, Juan Raúl Hernández-Silva, Eneida de la Caridad Pérez-Candelaria, Zucell Ana Veitía-Rivirosa, Iraisi Francisca Hormigó.Puertas, Ana María Méndez-Duque de Estrada Pan Am J Ophthalmol 2018, 17:16 (1 January 2018)
Introduction: The increasingly demanding modern life and the need not to depend on the glasses, make patients seek for surgery to improve their quality of life, based on visual quality. Different quality of life tests are adaptable to ophthalmology. The use of the NEI VFQ questionaire allows to access the clinical response and the degree of patient satisfaction, elements that corroborate with psychophysical studies.
Material and method: A prospective longitudinal descriptive study was conducted on 70 presbyopic hyperopic patients, submitted to surgery from January to December 2016, to whom the NEI VFQ-25 questionnaire, chromatic sensitivity, stereopsis and contrast studies were carried out. pre and post surgery. For the processing of statistical information, the SPSS version 11.5 program for Windows was used.
Results: Pacients average age was 54.67 years, predominantly female and Caucasian. There was an evident improvement of the vision and the quality of life, in the chromatic discrimination and the sensitivity to the contrast, as well as the stereopsis. All the elements explored by the test were better in the postoperative period, with a score of 93.25 points as a total result, being statistically significant.
Conclusions: Presbyopic hypermetropic patients, operated with refractive lensectomy, clinically and statistically improved their quality of life relative to visual function.
Resumen
Introducción: La vida moderna cada vez más exigente y la necesidad de no depender de los espejuelos, hacen que los pacientes busquen la cirugía para mejorar su calidad de vida, basada en su calidad visual. Diferentes test de calidad de vida son adaptables a la Oftalmología, el uso del NEI VFQ permite conocer la respuesta clínica y el grado de satisfacción del paciente, elementos que se corroboran con estudios psicofísicos.
Material y método: Se realizó un estudio descriptivo longitudinal prospectivo a 70 pacientes hipermétropes présbitas, operados en el periodo de enero a diciembre 2016 a los que se les aplicó el cuestionario NEI VFQ-25, se realizaron estudios de sensibilidad cromática, estereopsia y contraste, pre y postcirugía. Para el procesamiento de la información estadística se utilizó el programa SPSS versión 11.5 para Windows.
Resultados: La edad promedio fue de 54,67 años, predominó el sexo femenino y color de la piel blanca. Hubo una mejoría evidente de la visión y la calidad de vida, en la discriminación cromática y la sensibilidad al contraste, así como la estereopsia. Todos los elementos explorados por el test, fueron mejores en el postoperatorio, con un puntaje de 93,25 puntos como resultado total siendo un estudio clínico y estadísticamente significativo.
Conclusiones: Los pacientes hipermétropes présbitas, operados de lensectomía refractiva mejoraron clínica y estadísticamente su calidad de vida relativa a la función visual.
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