Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series

Detalhes bibliográficos
Autor(a) principal: Casella, Antonio Marcelo Barbante
Data de Publicação: 2010
Outros Autores: Farah, Michel Eid [UNIFESP], Souza, Eduardo Cunha de [UNIFESP], Belfort, Rubens Junior [UNIFESP], Oguido, Ana Paula Miyagusko Taba
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-27492010000200017
http://repositorio.unifesp.br/handle/11600/5669
Resumo: PURPOSE: To report the findings of optical coherence tomography (OCT) in three cases of diffuse unilateral subacute neuroretinitis (DUSN). METHODS: Three young patients with confirmed diagnosis of diffuse unilateral subacute neuroretinitis were followed-up using Stratus® OCT. RESULTS: Optical coherence tomography findings included retinal nerve fiber layer atrophy and focal edema where the worm was initially lodged. In two patients we could identify the worm by optical coherence tomography as an area of hiper-reflectivity. The worms were laser photocoagulated and post-treatment optical coherence tomography scanning revealed improvement of edema, nerve fiber layer thinning and a retinal hyper-reflectivity where laser had been applied. CONCLUSION: The main finding reported here is the potential of optical coherence tomography in detecting the presence of retinal nerve fiber layer atrophy and focal retinal edema in areas affected by the worm. Optical coherence tomography can be used to distinguish diffuse unilateral subacute neuroretinitis from other mimicking diseases like punctate outer retinitis, when there are no retinal fiber layer atrophy.
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spelling Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case seriesAtrofia das camadas de fibras nervosas da retina como característica relevante na neurorretinite subaguda difusa unilateral (DUSN): série de casosRetinitisOptic neuritisEye infectionsparasiticLaser therapyOptic nerveOptic atrophyRetinaCase reportsRetiniteNeurite ópticaNervo ópticoInfecções oculares parasitáriasTerapia a laserAtrofia ópticaRetinaTomografia de coerência ópticaRelatos de casosPURPOSE: To report the findings of optical coherence tomography (OCT) in three cases of diffuse unilateral subacute neuroretinitis (DUSN). METHODS: Three young patients with confirmed diagnosis of diffuse unilateral subacute neuroretinitis were followed-up using Stratus® OCT. RESULTS: Optical coherence tomography findings included retinal nerve fiber layer atrophy and focal edema where the worm was initially lodged. In two patients we could identify the worm by optical coherence tomography as an area of hiper-reflectivity. The worms were laser photocoagulated and post-treatment optical coherence tomography scanning revealed improvement of edema, nerve fiber layer thinning and a retinal hyper-reflectivity where laser had been applied. CONCLUSION: The main finding reported here is the potential of optical coherence tomography in detecting the presence of retinal nerve fiber layer atrophy and focal retinal edema in areas affected by the worm. Optical coherence tomography can be used to distinguish diffuse unilateral subacute neuroretinitis from other mimicking diseases like punctate outer retinitis, when there are no retinal fiber layer atrophy.OBJETIVO: Demonstrar os achados da tomografia de coerência óptica em três casos de neurorretinite subaguda difusa unilateral (DUSN). MÉTODOS: Os pacientes com diagnóstico confirmado de neurorretinite subaguda difusa unilateral realizaram seguimento pré e pós-tratamento por meio da tomografia de coerência óptica, Stratus® OCT. RESULTADOS: Os achados marcantes da tomografia de coerência óptica foram a atrofia das camadas de fibras nervosas da retina e edema da retina localizado em áreas nas quais a larva esteve. Em dois pacientes pôde-se localizar a larva no espaço sub-retiniano por meio da tomografia de coerência óptica, que se traduziu por pequena área densa (hiperrefletividade). As larvas foram fotocoaguladas a laser e os achados da tomografia de coerência óptica após o tratamento demonstrou melhora do edema, afinamento das camadas de fibras nervosas e hiperrefletividade no local da aplicação do laser. CONCLUSÃO: Os principais achados na tomografia de coerência óptica foram a atrofia difusa das camadas de fibras nervosas e o edema localizado nas áreas afetadas pela larva. A tomografia de coerência óptica pode ser usado para diferenciar neurorretinite subaguda difusa unilateral de doenças que a simulam, como retinite punteada externa, que não manifesta alterações das camadas de fibras nervosas.State University of LondrinaFederal University of São PauloUNIFESPUELUNIFESPSciELOConselho Brasileiro de OftalmologiaState University of LondrinaUniversidade Federal de São Paulo (UNIFESP)UELCasella, Antonio Marcelo BarbanteFarah, Michel Eid [UNIFESP]Souza, Eduardo Cunha de [UNIFESP]Belfort, Rubens Junior [UNIFESP]Oguido, Ana Paula Miyagusko Taba2015-06-14T13:41:36Z2015-06-14T13:41:36Z2010-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion182-185application/pdfhttp://dx.doi.org/10.1590/S0004-27492010000200017Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 73, n. 2, p. 182-185, 2010.10.1590/S0004-27492010000200017S0004-27492010000200017.pdf0004-2749S0004-27492010000200017http://repositorio.unifesp.br/handle/11600/5669engArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T10:58:35Zoai:repositorio.unifesp.br/:11600/5669Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T10:58:35Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
Atrofia das camadas de fibras nervosas da retina como característica relevante na neurorretinite subaguda difusa unilateral (DUSN): série de casos
title Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
spellingShingle Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
Casella, Antonio Marcelo Barbante
Retinitis
Optic neuritis
Eye infections
parasitic
Laser therapy
Optic nerve
Optic atrophy
Retina
Case reports
Retinite
Neurite óptica
Nervo óptico
Infecções oculares parasitárias
Terapia a laser
Atrofia óptica
Retina
Tomografia de coerência óptica
Relatos de casos
title_short Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
title_full Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
title_fullStr Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
title_full_unstemmed Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
title_sort Retinal nerve fiber layer atrophy as relevant feature for diffuse unilateral subacute neuroretinitis (DUSN): case series
author Casella, Antonio Marcelo Barbante
author_facet Casella, Antonio Marcelo Barbante
Farah, Michel Eid [UNIFESP]
Souza, Eduardo Cunha de [UNIFESP]
Belfort, Rubens Junior [UNIFESP]
Oguido, Ana Paula Miyagusko Taba
author_role author
author2 Farah, Michel Eid [UNIFESP]
Souza, Eduardo Cunha de [UNIFESP]
Belfort, Rubens Junior [UNIFESP]
Oguido, Ana Paula Miyagusko Taba
author2_role author
author
author
author
dc.contributor.none.fl_str_mv State University of Londrina
Universidade Federal de São Paulo (UNIFESP)
UEL
dc.contributor.author.fl_str_mv Casella, Antonio Marcelo Barbante
Farah, Michel Eid [UNIFESP]
Souza, Eduardo Cunha de [UNIFESP]
Belfort, Rubens Junior [UNIFESP]
Oguido, Ana Paula Miyagusko Taba
dc.subject.por.fl_str_mv Retinitis
Optic neuritis
Eye infections
parasitic
Laser therapy
Optic nerve
Optic atrophy
Retina
Case reports
Retinite
Neurite óptica
Nervo óptico
Infecções oculares parasitárias
Terapia a laser
Atrofia óptica
Retina
Tomografia de coerência óptica
Relatos de casos
topic Retinitis
Optic neuritis
Eye infections
parasitic
Laser therapy
Optic nerve
Optic atrophy
Retina
Case reports
Retinite
Neurite óptica
Nervo óptico
Infecções oculares parasitárias
Terapia a laser
Atrofia óptica
Retina
Tomografia de coerência óptica
Relatos de casos
description PURPOSE: To report the findings of optical coherence tomography (OCT) in three cases of diffuse unilateral subacute neuroretinitis (DUSN). METHODS: Three young patients with confirmed diagnosis of diffuse unilateral subacute neuroretinitis were followed-up using Stratus® OCT. RESULTS: Optical coherence tomography findings included retinal nerve fiber layer atrophy and focal edema where the worm was initially lodged. In two patients we could identify the worm by optical coherence tomography as an area of hiper-reflectivity. The worms were laser photocoagulated and post-treatment optical coherence tomography scanning revealed improvement of edema, nerve fiber layer thinning and a retinal hyper-reflectivity where laser had been applied. CONCLUSION: The main finding reported here is the potential of optical coherence tomography in detecting the presence of retinal nerve fiber layer atrophy and focal retinal edema in areas affected by the worm. Optical coherence tomography can be used to distinguish diffuse unilateral subacute neuroretinitis from other mimicking diseases like punctate outer retinitis, when there are no retinal fiber layer atrophy.
publishDate 2010
dc.date.none.fl_str_mv 2010-04-01
2015-06-14T13:41:36Z
2015-06-14T13:41:36Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-27492010000200017
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 73, n. 2, p. 182-185, 2010.
10.1590/S0004-27492010000200017
S0004-27492010000200017.pdf
0004-2749
S0004-27492010000200017
http://repositorio.unifesp.br/handle/11600/5669
url http://dx.doi.org/10.1590/S0004-27492010000200017
http://repositorio.unifesp.br/handle/11600/5669
identifier_str_mv Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 73, n. 2, p. 182-185, 2010.
10.1590/S0004-27492010000200017
S0004-27492010000200017.pdf
0004-2749
S0004-27492010000200017
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos Brasileiros de Oftalmologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 182-185
application/pdf
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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