Bulletin de la Société belge d'ophtalmologie
-
Bull Soc Belge Ophtalmol · Jan 2002
Review Case Reports[Optic neuropathy in Strumpell-Lorrain disease: presentation of a clinical case and literature review].
This report describes a 36-year-old female with bilateral optic atrophy. Physical examination was normal except for subclinical signs of lower limbs spasticity. Her father was affected of Strumpell-Lorrain disease. ⋯ Most patients are asymptomatic, but signs of optic nerve dysfunction are evident at clinical examination. According to some authors, there is an inverse relationship between the impairment of walking and the visual dysfunction. This was also noted in our case.
-
Bull Soc Belge Ophtalmol · Jan 2002
Case ReportsCat scratch disease (CSD) in patients with stellate neuroretinitis: 3 cases.
This case series describes three patients with a similar clinical picture: unilateral abrupt visual loss, optic nerve edema, and a macular star exudate. In all cases we found significant antibody titers to Bartonella henselae, the causative agent of cat scratch disease. ⋯ A review of the pertinent literature shows that serologic evidence of B. henselae is sufficient to confirm the diagnosis given the low incidence of significant titers in the general population. Cat scratch disease is usually a self limiting disorder in immunocompetent patients, but treatment with doxycycline is recommended.
-
Bull Soc Belge Ophtalmol · Jan 2002
ReviewTreatment of postoperative pain after ophthalmic surgery.
For ophthalmic surgery we have to deal with a wide range of different patient characteristics. We treat young healthy children, in some cases even neonates, but on the other hand we have debilitated aging patients with multiple concomitant diseases. Treatment of postoperative pain is imperative for inpatients, but is even more important for patients who are treated on an outpatient basis. ⋯ We can administer analgesics by mouth or parenterally. Acetaminophen or paracetamol is widely used and can be supplemented with NSAIDs or opioids. Especially for children one has to use optimal doses of minor analgesics by an adequate route of administration in order to achieve a timely and efficient analgesia.
-
Postherpetic ophthalmic neuralgia is the final stage of a varicella zoster infection. Many years after chickenpox infection, patients can develop herpes zoster in one or more specific dermatomal regions. The ophthalmic branch of the trigeminal nerve and the thoracic nerves are most commonly affected. ⋯ Neurodestructive procedures are not recommended as they enhance destruction and neuropathic pain. Sympathetic nerve blocks can be helpful. Neurostimulation is the last therapeutic resort.
-
Bull Soc Belge Ophtalmol · Jan 2002
Case ReportsCorneal hydrops associated with vernal conjunctivitis as a presenting sign of keratoconus in a Congolese child.
To report a case of unilateral corneal hydrops associated with vernal conjunctivitis as a presenting sign of keratoconus. ⋯ Hereditary and environmental factors may contribute to the etiology of keratoconus and corneal hydrops.