[abstract] HBO AND OPHTHALMOLOGICAL PROBLEMS: NECROTIZING UVEITIS - A CASE REPORT

Rubicon Research Repository/Manakin Repository

[abstract] HBO AND OPHTHALMOLOGICAL PROBLEMS: NECROTIZING UVEITIS - A CASE REPORT

Show full item record


Title: [abstract] HBO AND OPHTHALMOLOGICAL PROBLEMS: NECROTIZING UVEITIS - A CASE REPORT
Author: Heller, R; Lerch, M; Tauchert, A
Abstract: BACKGROUND: A 50-year-old female was admitted to the hospital due to progredient bilateral loss of vision after minor infection. Assuming a virus related chorioretinitis, despite a negative virus scan, a steroid therapy was administered. A restoration of vision could not be accomplished. Ophthalmological examination showed apart from edema, progredient scarring in the area of the macula. With a remaining vision of RA 0.16 and LA 0.2 the patient was transferred to HBO therapy as "ultima ratio" therapy. METHOD: The patient was treated for 40 days for 135 min./day with a pressure of 2.4 ATA. Pre-treatment, intermediate and post-treatment examination revealed no significant reduction in pulmonary function. Laboratory examination showed a positive level for ANA (1:40), anti-HbC positive, as well as changes in liver structure, which led to the theory of a immune vasculitis within a lupus erythematosus affecting retina and liver. These immunological changes caused a necrotizing uveitis of the macula region (right greater than left), which resulted in progredient loss of vision. RESULTS: During the therapy a transient myopia due to a "thinning" of the bulbus in the affected region was recognized. A demarcation of the necrosis with stabilization of compromised retinal tissue bordering the rim of the necrosis was achieved. Post-therapy and correction of the myopia (0.5 dptr.) resulted in a part of restoration of the vision with a binocular vision of 0.8 (right 0.2, left 0.8) which enables the patient to read and write with normal glasses. CONCLUSION: Postulating a chronic inflammatory disease, in this case an immune vasculitis, as the underlying cause for the necrotizing uveitis, and a hypoxic situation at the retina causing necrosis and scar tissue, hyperbaric oxygenation with its properties in stimulating the body's immunological defenses and delivering sufficient dissolved oxygen to the hypoxic region could be a vital adjunctive method to minimize visual loss.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/428
Date: 1997

Files in this item

Files Size Format View
abstract.txt 259bytes Text file View/Open

This item appears in the following Collection(s)

  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

Show full item record

Browse

My Account