Archivos de la Sociedad Española de Oftalmología
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Arch Soc Esp Oftalmol · Sep 2002
Case Reports[Bilateral lagophthalmos in lepromatous leprosy. Case report].
A case of bilateral facial palsy with paralytic ectropion, lagophthalmos and corneal damage secondary to corneal exposure in a long-standing patient with lepromatous leprosy is presented. Correction of paralytic ectropion was performed by medial cantoplasty, tarsal strip and Medpor lower eyelid spacer implantation. Lagophthalmos was corrected by gold weight implant in the upper tarsus. ⋯ Ocular findings in leprosy appear in 72% of patients. Facial nerve palsy occurs in 3-19.8%, being bilateral in 5%. In long standing cases with corneal complications secondary to exposure, surgical treatment is required.
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Arch Soc Esp Oftalmol · Jun 2002
Comparative Study[Ocular sarcoidosis. Retrospective study of 18 cases].
To assess the clinical and epidemiological characteristics, diagnostic and therapeutic methods, and the final visual outcome of a group of patients with ocular sarcoidosis. ⋯ An adequate control of ocular inflammation may improve the prognosis in patients with ocular sarcoidosis. Posterior segment involvement (posterior uveitis, macular edema or epiretinal membrane) may be associated with a worse visual prognosis.
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To determine the need for anesthesiology in cataract surgery. ⋯ Anesthetist intervention was requiered in one third of cataract surgery cases. This is why the anesthetist care seems to be justified in cataract surgery under local anesthesia.