sarcoidoisis ocular: presentación de un caso ocular sarcoidosis: a case report

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ID: 251417
2010
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Abstract
La sarcoidosis es una enfermedad granulomatosa multifactorial que afecta principalmente ganglios linfaticos, pulmones, piel, ojos, hígado, bazo y parótidas. Con menor frecuencia también puede afectar el sistema nervioso central, corazón, tracto respiratorio alto y hueso. No es frecuente en Pinar del Río observar complicaciones oftalmológicas en la sarcoidosis. Objetivo: Reportar el primer caso de sarcoidosis con complicaciones oculares y tratamiento de las mismas. Presentación de caso: Paciente masculino de 55 años que fue ingresado por un síndrome general y que se diagnosticó como portador de sarcoidosis en la UCI del Hospital General Docente Abel Santamaría Cuadrado que además presentaba complicaciones oftalmológicas graves tales como: atalamia bilateral, hipotonía ocular, ausencia de lágrimas, queratitis, desdoblamiento corneal con degeneración del tercio inferior de la misma, cataratas, sinequias posteriores y disminución de la agudeza visual bilateral. Ante la gravedad del estado ocular se recurrió a medidas quirúrgicas como la aplicación intra cameral de sustancia visco elástica para reponer el tono ocular; se usaron además lágrimas artificiales, esteroides sistémicos y tópicos, midriáticos. Se logró preservar la morfología ocular y poder posteriormente, tratar las cataratas, preservándole una visión útil, con alta calidad de vida.
Sarcoidosis is a multifactorial granulomatose disease that affects lymphatic ganglia, lungs, skin, eyes, liver, spleen and parotids. It rarely affects central nervous system, heart, upper respiratory tract and bones. Ophthalmic-sarcoidosis complications are not frequently found in Pinar del Rio province, Cuba. Objective: To report the first case presented with sarcoidosis with ocular complications and treatment. Case: A 55 years-old male patient was admitted in the ICU ("Abel Santamaria Cuadrado" University Hospital) presenting a general syndrome and diagnosed as a carrier of Sarcoidosis with severe ophthalmic complications such as: bilateral athalamia, ocular hypotonia, absence of tears, keratitis, corneal unfold with degeneration of the inferior third of it, cataracts, posterior synechia and decrease of the bilateral visual acuteness. Due to the severity of the ocular conditions surgical measures were taken: an intra-chamber elastic-viscous substance was applied to replace the ocular tone; using also artificial tears, systemic, topic and mydriatic steroids. Ocular morphology was protected to facilitate the treatment of cataracts and preserving the usefulness of vision with quality of life.
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gutirrez2010revistasarcoidoisis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Odalys Paula Gutiérrez;Nayaris Gómez Martínez;Raúl Alonso Cabrera;Jacinto Ortuza Mauri;José G Sanabria Negrín;Yamilka Moreno Martínez
Journal Frontiers in endocrinology
Year 2010
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942010000100027
Keywords
granuloma complicaciones sarcoidosis eye diseases complicationsmedicinemedicine (general)

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