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J González-Martín-Moro, M Castro-Rebollo, J Zarallo-Gallardo, F J Muñoz-Negrete
CASE REPORT: A 35-year-old man suffered a severe hipotension maculopathy after being kicked in his left eye. He presented a broad area of iridodialisis. Gonioscopy, ultrasound biomicroscopy and optic coherence tomography were not able to locate the suspected cyclodialysis. Medical treatment was ineffective. Five months later the patient received transcleral diode laser cyclophotocoagulation with clinical resolution. DISCUSSION: Transscleral diode laser constitutes an effective treatment, with low iatrogenia, that can solve cases of ocular hypotension, even when the location of the cyclodialysis has not been determined...
May 19, 2017: Archivos de la Sociedad Española de Oftalmología
Abelardo García de Lorenzo Y Mateos
Following any aggression, the body starts an infl ammatory response, mediated by humoral and cellular factors, intended to limit the process and eventually to heal. In some cases, either due to the intensity or the duration of the aggression or due to an inadequate response of the host, secondary to genetic polymorphisms, malnutrition or other causes, a state of hyper activation of infl ammatory cells is originated, with liberation of immature cells and activation of monocytes and macrophages, which liberate very powerful pro infl ammatory mediators that induce a state of generalized systemic infl ammation...
February 1, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
S Goñi Esarte, J M Zozaya Urmeneta, M Goñi Esarte, J I Úriz Otano, I Idoate Santesteban, M T Beunza Pujol
Ischemic hepatitis (IH) is a rare entity, usually associated with hypoperfusion secondary to low cardiac output (congestive heart failure, acute myocardial infarction or dilated cardiomyopathy), followed in frequency by respiratory insufficiency and sepsis. A 49-year-old man presented at the emergency room with progressive dyspnea and hypotension, objectifying a significant increase in transaminases (aspartate transferase 5.550 U / L, alanine transferase 3.826 U / L) and LDH (10.375 U / L). Liver Doppler ultrasound was normal...
December 30, 2016: Anales del Sistema Sanitario de Navarra
N A Pozdeeva, N Iu Gorbunova, N P Pashtaev
Results of 5 Akhmed valve implantations in patients with secondary glaucoma various time after artificial iridolenticular diaphragm implantation after concomitant iris and lens trauma were analyzed. Surgery allowed to achieve reliable IOP decrease when severe scar deformation of drainage zone of the anterior chamber prevents traditional hipotensive procedures because of their ineffectiveness. Besides visual acuity stabilization a safe performance of subsequent reconstructive procedures can become possible as well...
July 2011: Vestnik Oftalmologii
Iu V Evstigneeva
The problem of surgical treatment of refractory glaucoma (RG) in patients with corneal disease is studied. Glaucoma prior to penetrating keratoplasty is a significant risk factor for postkeratoplastic glaucoma that results in graft failure. The main tendency of RG surgery is implantation of draining devices. The aim of our study was to evaluate the efficacy of glaucoma surgery with collagen implant in patients with RG associated with severe corneal disease. 42 operations were analyzed. This operation technique let us achieve persistent hipotensive effect and corneal improvement...
January 2011: Vestnik Oftalmologii
Iwona Helemejko, Joanna Jurowska-Liput
We report the use of bevacizumab (Avastin) as an additional strategy in angle closure glaucoma based on the case of 47 years old male qualified to cataract removal as anti-glaucoma procedure, in whom we observed iris and lens neovascularization. As a first step we administered 1.25 mg of bevacizumab into the anterior chamber. Iris as well as lens neovasularization completely disappeared after 48 hours later. Finally after lens removal we achieved deeper anterior chamber, reduction and stabilization of intraocular pressure without necessity of administration hipotensive agents, and improvement of visual acuity...
2010: Klinika Oczna
Gheorghe Burnei, Anca Burnei, Dan Hodorogea, Isabela Drăghici, Ileana Georgescu, Costel Vlad, Stefan Gavriliu
INTRODUCTION: Renovascular hypertension in children is a very rare illness. It occurs as a result of the imbalance between hypotensive and hypertensive systems. Renal ischaemia (95% of the cases) and the shortening of hipotensive factors (5% of the cases) are responsible for the production mechanism of renovascular hypertension in children. In order to make an early diagnosis regarding the renovascular hypertension in all children suffering from renovascular illnesses, blood pressure must be taken correctly and repeatedly...
January 2009: Journal of Medicine and Life
A Rodríguez Lorenzo, F Martelo Villar
Necrotizing fascitiis due to Streptococcus Pyogenes has a high mortality rate. Detection of the infection before it developes to the streptococcal toxic shock syndrome is quite challenging and its one of the main goals of its management because at this final stage the treatment is in most of the cases ineffective. In a secuence of events of the progression of the infection to shock, renal failure occurs before hipotension very often. We report the case of a 38-year-old patient affected by a fulminant necrotizing fascitiis by Streptococcus Pyogenes which presented at admission with lower leg cellulitis and acute renal failure...
June 2008: Anales de Medicina Interna: Organo Oficial de la Sociedad Española de Medicina Interna
D Călugăru, M Călugăru
Fixed combinations represent a combination of two ocular hypotensive agents into one single ophthalmic solution. Current commercially available fixed combinations used in glaucoma treatment include Combigan, Cosopt, Xalcom, Duotrav and Ganfort. Statistically significant superiority of the ocular hipotensive efficacy of the fixed combinations vs monotherapy with the two individual constituents is present connected with Cosopt and Xalcom. It also exists vs timolol ophthalmic solution relative to Combigan, Duotrav and Ganfort but is missing within these fixed combinations vs brimonidine, travatan and bimatoprost respectively...
2008: Oftalmologia
Antonieta Antunes Pereira Minello, João Antonio Prata Junior, Paulo Augusto de Arruda Mello
PURPOSE: To analyze and compare the effects on intraocular pressure (IOP) of several topic hypotensive agents after posterior capsulotomy with Nd:YAG laser in non glaucoma patients. METHODS: 145 pseudophakic eyes underwent to Nd:YAG laser posterior capsulotomy. Before capsulotomy. 21 were treated with apraclonidine, 20 with brimonidine, 23 with dorzolamide, 20 with latanoprost, 20 with pilocarpine, and 20 with timolol. Controls (21 eyes) received placebo. IOP measurements (Goldmann applanation tonometry) were taken under masked conditions 1 hour before procedure and after 1 and 2 hours...
September 2008: Arquivos Brasileiros de Oftalmologia
Paweł Petkow-Dimitrow
Angiotensin-converting enzyme inhibitors (ACE-I) and angiotensin receptor blockers (ARB) posses multiple beneficial effects such as cardioprotection, cerebroprotection, nephroprotection which provide opportunity to select the most suitable drug for the target vascular bed (e.g. coronary, or cerebral circulation). In some clinical settings, combined therapy ACE-I with ARB (double blockage of the renin-angiotensin-aldosteron system) may appear the most effective. These drugs (especially ARB) may successfully prevent atrial fibrillation and play a protective role in metabolic syndrome...
April 2007: Polskie Archiwum Medycyny Wewnętrznej
A Perini, F Capelli, G Bozzi
This investigation was undertake to study some of the renal haemodynamic changes produced by istamine in the man. Experiments were carried out on ten adult subjects and histamine (20 gamma) was injected intravenously. The diuresis, the glomerular filtration and the plasmatic kidney output decrease during the fifteen minutes succeeding the injection and the recovery was complete thirty minutes after histamine. Because no changes in heart rate and blood pressure were observed after the histamine injection the renal vasocostriction may perhaps act initially to antagonize the hipotensive effects of this drug...
September 1969: Archivio Per le Scienze Mediche
Dorota Drozdz, Andrzej Rudziński, Zbigniew Kordon, Maciej Drozdz, Katarzyna Zachwieja, Jacek A Pietrzyk, Monika Miklaszewska, Aleksandra Dziedzic
UNLABELLED: Renal replacement therapy has become a recognized treatment modality of children with chronic renal failure (CRF). Despite of unquestionable progress in heamodialysis treatment quite high morbidity and mortality still remain a serious problem among pediatric patients. The most common cause of death in haemodialyzed and transplanted patients are cardiovascular complications. The main aim of the study was an echocardiographic (ECHO) assessment of selected cardiac parameters in heamodialyzed children...
2006: Przegla̧d Lekarski
M A Valdovinos Díaz, C Flores, M T Facha, J Koller Lucio
BACKGROUND DATA: Hipotensive lower esophageal sphincter (HLES) has been considered the most frequent finding in patients with gastroesophageal reflux disease (GERD). Recently it has been published that esophageal dismotility (ED) has a higher prevalence in GERD. OBJECTIVE: To compare the prevalence of HLES with ED in patients with GERD. MATERIAL AND METHODS: Consecutive patients with endoscopic esophagitis grade II or higher and abnormal esophageal acid exposure time in pH-monitoring were evaluated...
January 1999: Revista de Gastroenterología de México
J Ocón Pujadas, J I Merello
A group of 39 patients has been divided in three categories according to their plasmatic renine activity and the correlation of the hipotensive answer to the Timolol Maleate (betadrenergic blocking). The control is more favourable in the normorreninemic than in the hiporreninemic patients and, paradoxically, even more than in the hyperreninemic. This unexpected answer is probably due to the lowest sodium intake of this last group. Hyperreninemia is more than a factor determining their basal hypertension: it is a regulation factor by hiposodic diet and probably, drug resistant...
September 10, 1980: Medicina Clínica
B Błaszczyk, J Giełdanowski, J Patkowski, S H Kowalczyk-Bronisz
Preclinical pharmacological studies of two acridine derivatives, dihydrochloride N10-oxide 1-nitro-9-/3-dimethylaminopropylamino/-acridine (C-666) and dihydrochloride 1-nitro-9-[(2-dimethylamino)-1-methylethylamino]-acridine (C-829) are reported. Both compounds are characterized by biological activity, poor absorption from the gastrointestinal tract and local irritant action. Quality differences in an effect of both investigated acridine derivatives on the central nervous system were noted. C-666 proved to be deprived of the effect typical of the central component compounds while C-829 demonstrated mostly sedative activity...
1979: Archivum Immunologiae et Therapiae Experimentalis
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