Diagnostic ability of all imaging techniques showed better performance than subjective assessment of the ONH by general ophthalmologists, but not by a glaucoma expert. Objective RNFL measurements may provide improvement in glaucoma detection when combined with subjective assessment of the optic disc by general ophthalmologists or by a glaucoma expert.
We described the clinical, surgical details and results (motor and sensory) of the retrieving procedure of traumatically avulsed muscles in three patients with no pre vious history of strabismus or diplopia seen in the Department of Ophthalmolo gy, State University of Campinas, Brazil. The slipped muscle portion was reinserted at the original insertion and under the remaining stump, which was sutured over the reinserted muscle. For all three cases there was recovery of single binocular vision and stereopsis.
Syndrome in question
CASE REPORTA 32-year-old female patient has presented skin lesions for five months. Upon examination, there were well-delimited achromic patches, which were symmetrically located in the temporal and eyebrow regions, dorsum of hands and shoulders. She had poliosis circumscribed to eyelashes, eyebrows and scalp (Figures 1 e 2).One month before the onset of skin lesions, she presented one episode of intense headache and fever, followed by dysacusia, conjunctival hyperemia and bilateral amaurosis. Therefore, she had to be admitted to hospital and bilateral uveitis was the confirmed diagnosis ( Figure 3). CSF analysis revealed meningitis with mononuclear (lymphocytic) infiltration and brain CT scan showed diffuse cerebral edema. At hospital she was given high doses of systemic steroids and recovered from neurological and ophthalmologic conditions after 20 days.
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