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Biomedical subjects

F Clement Fernández

Publications and source records attributed to F Clement Fernández.

3 recordsLinked to original sources

[Benign concentric annular macular dystrophy: two cases].

CLINICAL CASE: We present two cases of two sisters with the presumed diagnosis of benign concentric annular macular dystrophy. Age was 16 and 22 years old respectively. They presented with decrease in visual acuity and annular atrophy of the macular retinal pigment epithelium. The fluorescein angiography showed < > pattern and the electrophysiologic tests were normal. DISCUSSION: The prognosis of this dystrophy is fairly good, therefore it is important to make an accurate diagnosis to be able to distinguish it from others entities, mainly those presenting < > pattern in fluorescein angiography. We emphasize the usefulness of fluorescein angiography and electrophysiologic test (electroretinogram and electrooculogram).

Adolescent↗

[No X-chromosome linked juvenile foveal retinoschisis].

PURPOSE: To describe the clinical characteristics of two cases of juvenile foveal retinoschisis in women with an atypical hereditary pattern, no X-chromosome linked. An autosomal recessive inheritance is proposed. METHODS: Two generations of a family (5 members) in which only two sisters were evaluated. The complete examination of these two cases includes retinography, fluorescein angiography, automated perimetry, color vision testing, electroretinogram, electrooculogram and visually evoked potentials. RESULTS: Comparing our cases with the classic form of X-linked juvenile retinoschisis, they are less severely affected. The best visual acuity and the less disturbed or even normal electroretinogram confirm this fact. We emphasise the existence of isolated plaques of retinal pigment epithelium atrophy with perivascular pigment clumps without foveal schisis in one patient, which could represent an evolved form of this entity. CONCLUSIONS: The hereditary foveal juvenile retinoschisis in women suggests an autosomal inheritance (autosomal recessive in our cases) and presents less severe involvement (Arch Soc Esp Oftalmol 2002; 77: 443-448).

Adolescent↗

[Polypoidal choroidal vasculopathy in a patient with a melanocytoma of the optic nerve].

PURPOSE/METHOD: The choroidal neovascularization (CNV) may be associated with several types of choroidal tumors. The polypoidal choroidal vasculopathy (PVC) is a variant of the choroidal neovascularization. We present a case of PCV associated with melanocytoma of the optic nerve. RESULTS/CONCLUSIONS: Although we cannot rule out that these two entities are independent of each other, the reported cases of choroidal tumors with CNV, the publication of a similar case and the epidemiological similarity between melanocytoma and PCV leads us to think that they may be related. We confirm the efficacy of laser argon treatment (Arch Soc Esp Oftalmol 2002; 77: 455-458).

Choroidal Neovascularization↗