Objetivo: Determinar el impacto del tiempo en que fue instaurado el tratamiento quirúrgico y el resultado visual final postoperatorio, en pacientes con trauma ocular a globo abierto en el Instituto nacional de Oftalmología en el periodo 2011. Tipos de estudio: Estudio observacional, descriptivo, retrospectivo. Métodos y procesamientos: Se revisaron 111 historias clínicas de pacientes que acudieron al servicio de Emergencia del Instituto nacional de Oftalmología en el periodo 2011, por trauma ocular a globo abierto. Variables: Edad, sexo, hora en la que sucedió el trauma, momento en que se realizó el procedimiento quirúrgico, tiempo que transcurrió entre el trauma y el procedimiento quirúrgico, agudeza visual al ingreso hospitalario y la del último control postoperatorio, área anatómica comprometida. Resultados: El 82,9% fue de sexo masculino, 60 % está en el grupo etario de...

El objetivo fue conocer las características ultrabiomicroscópicas de pacientes con cierre angular que acuden al Instituto Nacional de Oftalmología en el periodo 2016-2017. Se realizó un estudio observacional, descriptivo, transversal y prospectivo de casos con cierre angular sometidos a ultrabiomicroscopía. Se registraron dimensiones de cámara anterior, longitud anteroposterior del cristalino, vaultcristaliniano, mecanismo de cierre angular, antecedente de glaucoma, tipo de tratamiento, características del tratamiento y principales características epidemiológicas. Se analizaron 45 ojos, siendo la media de edad 62,4 años, el sexo femenino fue del 80%, la media de profundidad de cámara anterior fue 2,01 mm (DS 0,34), la media de longitud anteroposterior del cristalino fue 4,76 mm. Hubo una relación inversa entre la profundidad de cámara anterior y el vaultcristaliniano. En pac...

Introduction: Ghost cell glaucoma (GCG) is a very rare secondary open angle glaucoma, in which there is a sustained increase in intraocular pressure (IOP) due to obstruction of the trabecular meshwork (TM) due to the passage of ghost cells (GC) from the vitreous into the anterior chamber, after a vitreous hemorrhage (VH). Clinical Case: We present the case of a male patient with a history of vitreous hemorrhage and sustained IOP elevation in the right eye (RE). Medical treatment was insufficient, for this reason surgical treatment was required. Postoperative evolution was favorable. Conclusion: This pathology should prefer the differential diagnosis of traumatic glaucomas, correlating high clinical suspicion and histological confirmation.

Objective: To know the ocular clinical manifestations in patients diagnosed with herpes zoster ophthalmicus (HZO) at the Carlos Alberto Seguín Escobedo National Hospital of EsSalud - Arequipa, in 2021. Material and methods: Observational and descriptive study. The population included all patients diagnosed with HZO who underwent a thorough eye examination. The data was processed and analyzed using the statistical program SPSS v24 and presented through tables and descriptive graphs. Results: 16 patients were included in the study. The average age was 73 years. 8 cases had high blood pressure, 6 cases had type II diabetes mellitus, and 2 cases had some type of neoplasm.The mean time between the manifestation of the skin rash and the search for medical help was 6 days. The most described ocular symptom was pain (62.5 %). Hutchinson’s sign was present in 12 patients (75 %), and they repor...

Introduction: Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris. Clinical case: We present the case of a 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient, for this reason a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable. Conclusion: We should suspect this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-...

Introduction: Tractional-regmatogen combined retinal detachment occurs when traction from an adjacent area of fibrovascular proliferation causes retinal rupture. Clinical case: A 56-year-old male patient was admitted with decreased visual acuity in OD, associated with myodesopsias, metamorphopsias and photopsias. The evaluation found a visual acuity of perception of hand movement at 10 cm in OD; anterior segment biomicroscopy with slit lamp showed an opacity of crystalline C2 P2 and an intraocular pressure of 10 mmHg. Optical funduscopy found an optic nerve with nasal neovascularization, decreased macular brightness, with zones of fibrovascular proliferation around the 4 vascular arcades, Detachment of the traction and regmatogen retina with 1 peripheral tear between hours 11 and 12. The ultrasound showed an ocular globe with preserved contours, with traction zones, undulating membrane c...