ABSTRACT
AIM: To describe clinical findings in patients with sudden decrease of visual functions according to the solar maculopathy appearance after watching the partial solar eclipse and results of the changes follow-up after 7 weeks. MATERIAL AND METHODS: Medical records of five women (6 eyes) with solar maculopathy associated with watching partial solar eclipse on March 20th, 2015 were retrospectively evaluated. The diagnosis of solar maculopathy was established according to the medical history, ophthalmologic examination of the fundus in artificial mydriasis, and confirmed by means of spectral domain optic coherence tomography examination of the macula. The follow-up period of the patients in the study group was 7 weeks. RESULTS: All patients described the presence of relative central scotoma and decrease of the central visual acuity (VA) of different extension in the involved eye. The average best-corrected visual acuity (BCVA) of women in our group was 6/9 (range, 6/6 partially - 6/18). In one patient, the involvement was bilateral, in the other cases the involvement was unilateral. The biomicroscopic examination of the fundus revealed yellowish to yellow-whitish lesions with brightness of the pigment layer in the center of the foveola in all patients. The optic coherence tomography examination of the macula confirmed the irregularities of the retinal pigment layer and photoreceptors outer segment with hyper-reflective focus of the neuroretina in the center of the foveola. CONCLUSION: During the follow-up period, we recorded improvement of the central visual acuity in all women with unilateral involvement. In the woman with bilateral retinal involvement, the best-corrected visual acuity of the right eye remains without any improvement. The optic coherence tomography examination after 7 weeks shows regression of the findings in three eyes. In all other cases, slight structural changes in the center of the macula persist.
Subject(s)
Eye Burns/complications , Macula Lutea/radiation effects , Retinal Diseases/etiology , Sunlight/adverse effects , Visual Acuity , Adolescent , Adult , Eye Burns/diagnosis , Female , Fluorescein Angiography , Fundus Oculi , Humans , Macula Lutea/pathology , Male , Retinal Diseases/diagnosis , Retrospective Studies , Tomography, Optical Coherence , Young AdultABSTRACT
Liver transplantation was performed in 3 patients with hepatitis B infection in 1999-2004 years. Combination of hepatitis B immunoglobulin (HBIg) and lamivudine are used for prevention of hepatitis B recurrence. HBIg is administered in dose 2 000 international units (IU) with tendency to maintain anti-HBs antibodies above 100 IU/litre. Average interval between HBIg administrations was 22, 32 and 32 days, yearly price of treatment was 0.45-0.65 million Czech crowns. Three patients with HBIg and lamivudine therapy are still without recurrence of hepatitis B at the end of 2006 year.
Subject(s)
Hepatitis B/prevention & control , Immunization, Passive , Immunoglobulins/therapeutic use , Liver Transplantation , Antiviral Agents/therapeutic use , Hepatitis B/surgery , Humans , Lamivudine/therapeutic use , Male , Secondary PreventionABSTRACT
Account of the course and conclusions of a working session of the Paediatric Society devoted to laryngeal obstruction in children. The participants discussed in particular the differential diagnosis of subglottic laryngitis and epiglottitis in children.
