Necrosis retinal aguda. Dos casos clínicos
Niurka Pérez Vázquez, Gelsy Castillo Bermúdez, Adonis Márquez Falcón
Resumen
La necrosis retinal aguda es una afección grave que amenaza la visión. Es frecuente en adultos, tanto inmunocompetentes como inmunocomprometidos. Se presentan dos pacientes, uno de 38 años, con antecedentes de salud anterior que acude a consulta con síntomas y signos de necrosis retinal aguda en el ojo izquierdo, la que fue diagnosticada luego; y otro de 48 años de edad con antecedentes de infección por herpes zóster, tres meses antes de los síntomas oculares, que concluyó con igual diagnóstico. No existió evolución satisfactoria, a pesar del tratamiento adecuado, lo que demostró que independientemente de datos estadísticos y estudios realizados que demuestran lo infrecuente de esta enfermedad, se diagnosticaron dos casos en el periodo de un año, dato que nos exhorta al estudio y práctica de alternativas diagnósticas y terapéuticas para minimizar las consecuencias devastadoras de esta afección.
Palabras clave
síndrome de necrosis retiniana aguda; herpesvirus humano 1; herpesvirus humano 2; vitreorretinopatía proliferativa.
Este artículo está licenciado bajo la licencia
Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(2), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-analytics.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(2), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2