ABSTRACT
PURPOSE: To assess the need of /P system use in soft cataract METHODS: prospective study--40 eyes with soft cataract (+/++); surgery with Infinity system, Ozil handpiece; in 20 eyes we used low levels (max 70%) of torsional ultrasound power and IP system; in 20 eyes we used higher levels of torsional ultrasound power without IP system; we assessed: the CME value and the presence of cornela edema. RESULTS: In cases with tosional ultrasound only: average value of CME--2.4; maxim value of CME--4.3; all corneas without edema. In cases with torsional ultrasound and IP system; average value of CME--3.6; maxim value of CME--7.2; 4 eyes with decemetic folds in central cornea. CONCLUSIONS: In soft cataracts is better to not use IP system
Subject(s)
Phacoemulsification/instrumentation , Cataract/pathology , Cataract Extraction/instrumentation , Humans , Phacoemulsification/adverse effects , Phacoemulsification/methods , Prospective Studies , Visual AcuityABSTRACT
PURPOSE: To assess the efficacy and safety of intravitreal triamcinolone acetonide in diabetic macular oedema. METHODS: prospective study; 76 patients, 102 eyes; preoperative assessment: visual acuity, intraocular pressure, fundus biomicroscopy fluoresceine angiography, sometimes OCT; postoperative assessment: visual acuity, intraocular pressure, fundus biomicroscopy, fluoresceine angiography, sometimes OCT. RESULTS: Visual acuity improvement in 42% cases; subjective improvement of visual acuity in 72% of cases CONCLUSIONS: Triamcinolon acetonide may play a role in treatment of diabetic macular oedema.
Subject(s)
Diabetic Retinopathy/drug therapy , Glucocorticoids/administration & dosage , Macular Edema/drug therapy , Triamcinolone Acetonide/administration & dosage , Diabetic Retinopathy/complications , Follow-Up Studies , Humans , Intravitreal Injections , Macular Edema/etiology , Postoperative Care , Preoperative Care , Prospective Studies , Risk Assessment , Treatment Outcome , Visual AcuityABSTRACT
"Red eye" is a sign and the same time a symptom frequently met in the ophthalmological practice. The "red eye" is not always the clinical manifestation of a common conjunctivitis. We will present a case report of a patient who accused conjunctival hyperemia, lacrimation, foreign--body sensation; she was also describing recurrent conjunctivitis for the past year. After an detailed ophthalmologic examination and interdisciplinary consultations. She was diagnosed with Basedow Disease and paraselar meningioma with invasion in the pterigoid fossa. The authors are suggesting that there is an indirect left carotid - cavernous fistula.
Subject(s)
Carotid-Cavernous Sinus Fistula/diagnosis , Conjunctival Diseases/diagnosis , Glaucoma, Open-Angle/diagnosis , Meningeal Neoplasms/diagnosis , Meningioma/diagnosis , Sella Turcica/pathology , Carotid-Cavernous Sinus Fistula/etiology , Carotid-Cavernous Sinus Fistula/therapy , Conjunctival Diseases/etiology , Conjunctival Diseases/therapy , Diagnosis, Differential , Female , Glaucoma, Open-Angle/etiology , Glaucoma, Open-Angle/therapy , Graves Disease/complications , Humans , Meningeal Neoplasms/therapy , Meningioma/therapy , Middle Aged , Treatment RefusalABSTRACT
We show a clinical case of siderosis bulbi with absolute secondary glaucoma. The initial diagnosis was primary open angle glaucoma in both eyes, and the patient was treated with eye drops for 4 years. After reassessment of anamnesis, clinical and paraclinical investigations we find that one eye is normal and the real diagnosis in the involved eye.
Subject(s)
Eye Diseases/complications , Eye Foreign Bodies/complications , Eye Injuries, Penetrating/complications , Glaucoma, Open-Angle/etiology , Iron , Lens, Crystalline/injuries , Siderosis/complications , Antihypertensive Agents/therapeutic use , Eye Diseases/diagnosis , Eye Diseases/physiopathology , Eye Diseases/surgery , Eye Diseases/therapy , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/therapy , Eye Injuries, Penetrating/diagnosis , Eye Injuries, Penetrating/therapy , Fundus Oculi , Glaucoma, Open-Angle/diagnosis , Glaucoma, Open-Angle/therapy , Humans , Intraocular Pressure/drug effects , Lens, Crystalline/surgery , Light Coagulation/methods , Male , Microscopy, Acoustic , Middle Aged , Prognosis , Siderosis/diagnosis , Siderosis/physiopathology , Siderosis/therapy , Tomography, Optical Coherence , Visual AcuityABSTRACT
This paper highlights the case of a 46-year-old female patient who seeks ophthalmic medical advice for her complaint about double vision on right gaze. Patient's medical history reveals several symptoms like headaches, progressive hearing loss on right side and dysphonia for which all investigations proved irrelevant. Thourough clinical examination, lab exams and imaging techniques revealed the cause for this symptoms i.e. glomic tumour with middle ear extention. We find this case to be exceptional as ocular symptoms led to the diagnose of a non-ocular serious, possible life threatening condition, bearing in mind that previously occured non-ocular symptoms couldn't elucidate the cause.
Subject(s)
Diplopia/etiology , Ear Neoplasms/complications , Glomus Jugulare Tumor/complications , Deglutition Disorders/etiology , Diplopia/diagnosis , Diplopia/radiotherapy , Dysphonia/etiology , Ear Neoplasms/diagnosis , Ear Neoplasms/radiotherapy , Ear, Inner/pathology , Ear, Middle/pathology , Female , Glomus Jugulare Tumor/diagnosis , Glomus Jugulare Tumor/radiotherapy , Hearing Loss/etiology , Humans , Infratentorial Neoplasms/complications , Middle Aged , Neoplasm Invasiveness , Treatment OutcomeABSTRACT
PURPOSE: To clarify the diagnosis of open-angle glaucoma in an atypic case. METHOD: Assessment of intraocular pressure, the aspect of optic nerve head and automated perimetry show interpretable values. We assess the head of optic disc and the visual field in both mother and daughter of the patient. RESULTS: The optic disc and the automated perimetry in both relatives was normal reassessment of visual field at the patient show a normal appearance. CONCLUSIONS: When the diagnosis of open-angle glaucoma is unclear, the assessment of members of family may be useful.
Subject(s)
Family , Glaucoma, Open-Angle/diagnosis , Optic Disk/pathology , Adult , Child , Diagnosis, Differential , Female , Fundus Oculi , Humans , Intraocular Pressure , Male , Middle Aged , Mothers , Nuclear Family , Vision Screening , Visual Field Tests/methodsABSTRACT
PURPOSE: To reassess the diagnosis in a group of patients with diagnosis and treatment for open-angle glaucoma. METHOD: Group of 100 patients with diagnosis and treatment for open-angle glaucoma, sent in our clinic for automated perimetry. We assess: intraocular pressure, automated perimetry, the head of optic disc; sometimes we stopped the treatment and reassess the intraocular pressure; sometimes pahimetry. We confirm or not the diagnosis of open-angle glaucoma. RESULTS: In 41 patients the diagnosis of open-angle glaucoma was not real. CONCLUSIONS: The diagnosis of open-angle glaucoma is made often without clear medical evidences.
Subject(s)
Diagnostic Errors , Glaucoma, Open-Angle/diagnosis , Glaucoma, Open-Angle/pathology , Glaucoma, Open-Angle/physiopathology , Humans , Intraocular Pressure , Ophthalmoscopy , Optic Disk/pathology , Retinal Ganglion Cells/pathology , Retrospective Studies , Tonometry, Ocular/methods , Visual Acuity , Visual Field Tests/methods , Visual FieldsSubject(s)
Carbon Dioxide , Cornea , Hot Temperature , Incubators , Organ Preservation/methods , Animals , Atmosphere , Organ Preservation Solutions , Swine , Time Factors , Tissue Banks/standardsABSTRACT
The authors present the case of a patient with ocular pain and visual impairment after an ocular trauma. The ophthalmologic exam and the complementary exams show atypical aspects of the traumatic ocular pathology.
Subject(s)
Eye Injuries/complications , Eye Neoplasms/diagnosis , Hyphema/diagnosis , Hyphema/etiology , Meningeal Neoplasms/diagnosis , Meningioma/diagnosis , Aged , Diagnosis, Differential , Eye Neoplasms/complications , Eye Neoplasms/pathology , Eye Neoplasms/surgery , Female , Glaucoma/etiology , Humans , Hyphema/complications , Hyphema/surgery , Meningeal Neoplasms/complications , Meningeal Neoplasms/pathology , Meningeal Neoplasms/surgery , Meningioma/complications , Meningioma/pathology , Meningioma/surgery , Treatment Outcome , Vision, Low/etiologySubject(s)
Meningeal Neoplasms/diagnosis , Meningeal Neoplasms/surgery , Meningioma/diagnosis , Meningioma/surgery , Sphenoid Bone , Adult , Exophthalmos/etiology , Female , Humans , Male , Meningeal Neoplasms/complications , Meningioma/complications , Neurosurgical Procedures/methods , Radiosurgery/methods , Treatment OutcomeABSTRACT
PURPOSE: To assess the efficacy of amniotic membrane transplantation for the improvement of symptoms in bullous keratopathy. MATERIAL AND METHOD: Prospective study. 14 patients were operated between 01.02.2003 - 01.02.2006. the follow-up period: between 6 and 42 months with an average of 18 months. The following parameters were evaluated: corneal re-epithelialisation appearance of epithelial bullae, pain, photophobia. RESULTS: In 11 cases there was an improvement of the symptomatology: complete in 8 cases and partial in 3 cases. CONCLUSIONS: Amniotic membrane transplantation is an efficient palliative treatment for bullous keratopathy.
Subject(s)
Amnion/transplantation , Blister/surgery , Corneal Diseases/surgery , Blister/pathology , Corneal Diseases/diagnosis , Humans , Palliative Care , Prospective Studies , Treatment Outcome , Wound HealingABSTRACT
The authors present the case of a patient having both toxic keratopathy and maculopathy after a medication with amiodarone. Some of the ocular damages are irreversible, even while amiodarone medication is stopped, which recommends the screening as an efficient tracking method for ocular reversible injuries, avoiding major loss of visual function.
Subject(s)
Amiodarone/adverse effects , Anti-Arrhythmia Agents/adverse effects , Chorioretinitis/chemically induced , Keratitis/chemically induced , Aged, 80 and over , Amiodarone/administration & dosage , Anti-Arrhythmia Agents/administration & dosage , Arrhythmias, Cardiac/drug therapy , Female , Fluorescein Angiography , Humans , Macular Degeneration/chemically inducedABSTRACT
This case present the consequences of performing the cataract surgery on an eye with intraocular tumor, pointing the importance of a detailed and complete examination, even for the benign and easy to diagnostic diseases.
Subject(s)
Cataract Extraction , Choroid Neoplasms/diagnosis , Eye/pathology , Melanoma/diagnosis , Choroid Neoplasms/diagnostic imaging , Choroid Neoplasms/pathology , Choroid Neoplasms/surgery , Diagnosis, Differential , Eye Enucleation , Humans , Male , Melanoma/diagnostic imaging , Melanoma/pathology , Melanoma/surgery , Middle Aged , UltrasonographyABSTRACT
The paper's aim is to evidence the quantitative and qualitative modifications of the tear film before and after operation, in accordance with the presents of the pseudoexfoliative syndrome at the cataract operated patients.
