A relacao entre o comprimento dos processos ciliares medidos pela biomicroscopia ultra-sonica e a duracao, localizacao e gravidade das uveítes



Título del documento: A relacao entre o comprimento dos processos ciliares medidos pela biomicroscopia ultra-sonica e a duracao, localizacao e gravidade das uveítes
Revista: Arquivos brasileiros de oftalmologia
Base de datos: PERIÓDICA
Número de sistema: 000290134
ISSN: 0004-2749
Autores: 1
2
3
4
Instituciones: 1Universidade Federal do Rio de Janeiro, Rio de Janeiro. Brasil
2Cleveland Clinic Foundation Setor de Uveítes, Cleveland, Ohio. Estados Unidos de América
3Universidade Federal do Rio de Janeiro, Departamento de Oftalmologia, Rio de Janeiro. Brasil
4Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais. Brasil
Año:
Periodo: May-Jun
Volumen: 69
Número: 3
Paginación: 383-388
País: Brasil
Idioma: Portugués
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés PURPOSE: To determine the relationship between the length of ciliary processes as measured by ultrasound biomicroscopy and the duration, localization and severity of uveitis. METHODS: We analyzed in this prospective study, 58 individuals including patients with different stages of uveitis and normal patients (112 eyes including 18 normal), between August 2001 and August 2002, at the Cleveland Clinic Foundation - Ohio - USA. All patients were referred to ultrasound biomicroscopy by the Uveitis Department, after a complete ophthalmological examination. A 50 MHz-transducer UBM model 840 (Zeiss-Humphrey) was used under topical anesthesia and immersion technique. RESULTS: The most frequent etiology was idiophatic uveitis (27.8%). Recurrent, aggressive and diffuse uveitis lead to significant damage of the ciliary processes. The most significant loss of the ciliary processes was found in the inferior quadrant and the highest in normal patients and in the temporal quadrant. Hypotonic eyes have their ciliary processes reduced. CONCLUSIONS: Ultrasound biomicroscopy has proved to be useful in evaluating anatomical changes of ciliary processes in uveitis and in ocular hypotony, and provides a basis to, make recomendations regarding to baseline screening of uveitis patients. Patients who are found to have atrophy of the ciliary processes may need a more aggressive treatment for any signs of inflammation to prevent further damage and eventual hypotony
Disciplinas: Medicina
Palabras clave: Oftalmología,
Cámara anterior,
Microscopía,
Uveítis,
Cuerpo ciliar,
Hipotension ocular
Keyword: Medicine,
Ophthalmology,
Anterior chamber,
Microscopy,
Uveitis,
Ciliary body,
Ocular hypotension
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