ABSTRACT
We present the case of a 54 year old patient diagnosed with rhegmatogenous retinal detachment and perforating keratoplasty. Surgery is recommended and we performed posterior vitrectomy, endolaser, and internal heavy oil tamponade. The post-operative course was favorable.
Subject(s)
Keratoplasty, Penetrating/adverse effects , Laser Therapy , Retinal Detachment/etiology , Retinal Detachment/therapy , Silicone Oils/administration & dosage , Vitrectomy , Humans , Male , Middle Aged , Retinal Detachment/drug therapy , Retinal Detachment/physiopathology , Retinal Detachment/surgery , Scleral Buckling/methods , Treatment Outcome , Visual Acuity , Vitrectomy/methodsABSTRACT
We present the case of a 43 year old patient diagnosed with rhegmatogenous retinal detachment and retinoschizis, a rare case of disease association. Surgery is recommended and we practice 23 gauge vitrectomy, laser retinopexy, criopexy in the periphery and internal heavy oil tamponade. Postoperatory evolution was favorable.
Subject(s)
Retinal Detachment/complications , Retinal Detachment/surgery , Retinoschisis/complications , Retinoschisis/surgery , Vitrectomy , Adult , Female , Follow-Up Studies , Humans , Laser Therapy , Retinal Detachment/therapy , Silicone Oils/administration & dosage , Treatment Outcome , Visual AcuityABSTRACT
We present 3 cases of postsurgery endophthalmitis, with good initial operatory technique, which were admitted in our hospital within variable time, to which a second surgery was performed, with good postoperative evolution, without any inflammatory signs and preserving the eye. We analyse the pre and post-operative treatment of endophthalmitis, but also the ways to prevent the appearance of this post-operative complication.
Subject(s)
Cataract Extraction/adverse effects , Endophthalmitis/surgery , Anti-Infective Agents/therapeutic use , Drug Therapy, Combination , Endophthalmitis/drug therapy , Endophthalmitis/etiology , Endophthalmitis/prevention & control , Female , Glucocorticoids/therapeutic use , Humans , Middle Aged , Postoperative Period , Treatment Outcome , Visual AcuityABSTRACT
PURPOSE: A review regarding the pathophysiology of AMD as shown in the literature RESULTS: Targets in AMD treatment include: 1. Protection against oxidative stress; 2. Prevention of the accumulation of lipofuscin; 3. Reduction or elimination of chronic inflammation; 4. Changes involving the participation of complement inflammatory phenomena; 5. Changes in the phenomena of chronic inflammation which do not involve the participation of complement (eg. Mitochondria and extracellular matrix). The Neovascularization process includes: 1. Production of angiogenic factor; 2. Release of angiogenic factor; 3. The binding of factors to extracellular receptors and activation of intracellular signaling; 4. Activation of endothelial cells with basement membrane degradation; 5. Endothelial cell proliferation; 6. Endothelial cell migration; 7. Remodeling of extracellular matrix; 8. Tube formation; 9. Vascular stabilization. CONCLUSIONS: Therapy inAMD, based on physiological characteristics of early and late stages, is possible nowadays. It is possible to apply a specific treatment for each stage of AMD, but effective treatment requires combinations of specific therapeutic remedies involving different pathophysiological pathways.
Subject(s)
Aging , Antioxidants/therapeutic use , Glucocorticoids/therapeutic use , Macular Degeneration/drug therapy , Macular Degeneration/physiopathology , Aged , Angiogenesis Inhibitors/therapeutic use , Antibodies, Monoclonal, Humanized/therapeutic use , Drug Therapy, Combination , Humans , Macular Degeneration/metabolism , Nerve Growth Factors/therapeutic use , Randomized Controlled Trials as Topic , Treatment OutcomeABSTRACT
We present the case of a 65 years old pacient which was admitted for the sudden decrease of visual acuity in the left eye, accompanied by ocular pain and conjunctival hiperemia, simptoms appeared after an ocular trauma. After the clinical and paraclinical examination we determined the diagnosis of OS: Penetrating ocular trauma with retention of a foreign body; posttraumatic cataract. Surgical treatement was warrented and we performed OS : Facoemulsification + PFK implant in sulcus + 23 Ga posterior vitrectomy + peeling of the posterior hyaloid membrane + extraction of the foreign body + LASER endofotocoagulation + transscleral cryotherapy + SF6 gas injection. The post-operatory evolution was favorable.
Subject(s)
Cataract Extraction , Cataract/therapy , Eye Foreign Bodies/surgery , Eye Injuries, Penetrating/surgery , Laser Coagulation , Lens Implantation, Intraocular , Vitrectomy , Aged , Cataract/diagnosis , Cataract/etiology , Cryotherapy , Eye Foreign Bodies/complications , Eye Injuries, Penetrating/complications , Eye Injuries, Penetrating/diagnosis , Eye Injuries, Penetrating/etiology , Humans , Injections, Intraocular , Laser Coagulation/methods , Male , Phacoemulsification , Sulfur Hexafluoride/administration & dosage , Treatment Outcome , Vision, Ocular , Vitrectomy/methodsABSTRACT
OBJECTIVES: This study evaluates the efficiency of toric artificial intraocular lenses in correcting the astigmatism of pacients operated by facoemulsification. METHODS: A retrospective study was carried in which took part during the following period: february 2008 - february 2010. The study was carried on a number of 37 eyes. The pacients were evaluated by: refractometry, keratometry, corneal topography biometry, biomicroscopic examination of the eye (anterior and poterior poles), aplanotonometry the calculation of the IOL dioptric value and implantation axes with the help of the Alcon-acrysof calculator. RESULTS: AV without correction > 1/2 in 98 % of cases. AV without correction > 2/3 in 62 % of cases. AV with correction > 5/6 in 85 % of cases. Medium residual astigmatism between 0,25-0,75D CONCLUSIONS: The implant of toric IOL is a viable option in the treatement of preoperative astigmatism in selected cases.
Subject(s)
Astigmatism/surgery , Cataract Extraction , Cataract/therapy , Lens Implantation, Intraocular , Lenses, Intraocular , Adult , Astigmatism/physiopathology , Biometry , Corneal Topography , Female , Humans , Male , Manometry , Microscopy, Acoustic , Prosthesis Design , Refraction, Ocular , Retrospective Studies , Treatment Outcome , Visual AcuityABSTRACT
This papers presents a case of a patient with retinal detachement, 3 days ago operated (posterior vitrectomy internal tamponament with silicon oil 1000) who develop increased ocular pressure following silicon oil output in the anterior chamber.
Subject(s)
Iridectomy , Ocular Hypertension/etiology , Ocular Hypertension/therapy , Retinal Detachment/surgery , Silicone Oils/adverse effects , Vitrectomy/adverse effects , Adult , Anti-Bacterial Agents/administration & dosage , Drug Therapy, Combination , Glucocorticoids/administration & dosage , Humans , Iridectomy/methods , Male , Ocular Hypertension/drug therapy , Ocular Hypertension/surgery , Ophthalmologic Surgical Procedures , Retinal Detachment/etiology , Silicone Oils/administration & dosage , Treatment Outcome , Visual AcuityABSTRACT
We present 3 cases of postsurgery endophthalmitis, with good initial operatory technique, which were admitted in our hospital within variable time, to which a second surgery was performed, with good postoperative evolution, without any inflamatory signs and preserving the eye. We analyse the pre and post-operative treatment of endophthalmitis, but also the ways to prevent the appearance of this post-operative complication.
Subject(s)
Endophthalmitis/etiology , Endophthalmitis/therapy , Phacoemulsification/adverse effects , Anti-Bacterial Agents/administration & dosage , Anti-Infective Agents/administration & dosage , Drug Therapy, Combination , Endophthalmitis/diagnosis , Endophthalmitis/physiopathology , Endophthalmitis/prevention & control , Female , Humans , Middle Aged , Postoperative Period , Reoperation , Treatment Outcome , Vitrectomy/methodsABSTRACT
We present the case of a 48 year old man who was admitted for the decreased visual acuity of the left eye for about 20 years, when a left sided facial trauma had occured. Clinical examination and lab exams revealed the cause of this change: ocular contusive posttraumatic status for about 20 years (anamnestic), iridodialysis, corectopie, traumatic cataract, PVR, tractional retinal detachment. Surgical treatment was warranted. We performed cataract extraction, posterior vitrectomy with laser fotocoagulation and injection of silicon oil 1000. We followed the pacient's post-operative evolution and we extracted of the silicone oil six months later. The evolution was favorable.
Subject(s)
Cataract/etiology , Cataract/therapy , Contusions/complications , Eye Injuries/complications , Retinal Detachment/etiology , Retinal Detachment/therapy , Cataract/diagnosis , Cataract Extraction/methods , Contusions/etiology , Eye Injuries/etiology , Humans , Intravitreal Injections , Laser Coagulation , Lens Implantation, Intraocular/methods , Male , Middle Aged , Reoperation , Retinal Detachment/diagnosis , Silicone Oils/administration & dosage , Treatment Outcome , Visual Acuity , Vitrectomy/methodsABSTRACT
This papers presents a case of a patient with retinal detachment, 3 days ago operated (posterior vitrectomy, internal tamponament with silicon oil 1000) who developed increased ocular pressure following silicon oil output in the anterior chamber.
Subject(s)
Iridectomy , Ocular Hypertension/etiology , Ocular Hypertension/therapy , Retinal Detachment/surgery , Silicone Oils/adverse effects , Vitrectomy/adverse effects , Adult , Anti-Bacterial Agents/administration & dosage , Drug Therapy, Combination , Glucocorticoids/administration & dosage , Humans , Iridectomy/methods , Male , Ocular Hypertension/surgery , Reoperation , Retinal Detachment/etiology , Silicone Oils/administration & dosage , Treatment Outcome , Visual AcuityABSTRACT
We present the case of a 57 years old woman which was admitted for the amputation of the infero-nasal visual field of the right eye, change observed by the pacient for 2 weeks. Clinical examination and lab exams revealed the cause of this change: a rhegmatogenous retinal detachment in the superior temporal quadrant. Surgical treatement was warranted. We did a posterior vitrectomy with trans-scleral crioapplications and injection of silicone oil 1000. We followed the patient's evolution post-operative and we observed the development of a complicated cataract which was treated in a second surgery together with the extraction of the silicone oil. The evolution was favorable.
Subject(s)
Cataract Extraction , Cataract/etiology , Retinal Detachment/diagnosis , Retinal Detachment/surgery , Silicone Oils/adverse effects , Visual Fields , Vitrectomy/adverse effects , Female , Humans , Middle Aged , Reoperation , Retinal Detachment/etiology , Treatment OutcomeABSTRACT
BACKGROUND: Presbyastasis is a term used to describe the balance deficiences that appear in older individuals. One of the main features of presbyastasis is the bilateral vestibular hipofunction. The bilateral vestibular hipofunction affects the vestibulo-ocular reflex (VOR) leading to oscillopsia. MATERIAL AND METHOD: A comparative study between two groups ofpatients: a group of 16 patients diagnosed with presbyastasis and a second control group includind 11 healthy subjects. The aim of the study was to asses the disturbances of the visual acuity in pacients with presbyastasis. The static visual acuity and the dynamic visual acuity were measured using a Snellen chart. RESULTS: The dynamic visual acuity was severely impaired in patients with presbyastasis in wich the difference between the static and the dynamic visual acuity represented more then four lines. CONCLUSION: The dynamic vizual acuity can be used in the diagnostic protocol of the balance impairments that appear in bilateral vestibulopaties, such as presbyastasis.
Subject(s)
Reflex, Vestibulo-Ocular , Vestibular Diseases/diagnosis , Vestibular Function Tests , Visual Acuity , Adult , Aged , Aged, 80 and over , Case-Control Studies , Diagnosis, Computer-Assisted , Eye Movements , Female , Humans , Male , Middle Aged , Vestibular Diseases/physiopathology , Vestibular Function Tests/methods , Vision Tests/methodsABSTRACT
The present paper is a revue of the basic terms related to the neuroprotection, an up-to-date on the pathophysiology of glaucoma. There are emphasized some of the main directions of evolution in the antiglaucomatous and neuroprotective treatment.
Subject(s)
Glaucoma/complications , Neuroprotective Agents/therapeutic use , Optic Nerve Diseases/etiology , Optic Nerve Diseases/prevention & control , Disease Progression , Glaucoma/physiopathology , Humans , Neuroprotective Agents/administration & dosage , Retinal Ganglion Cells/drug effects , Treatment OutcomeABSTRACT
PURPOSE: To evaluate the results of AcrySof Toric intraocular lens (Alcon) implantation to correct pre-existing astigmatism and rotational stability in patients having cataract surgery or not. METHODS: Retrospective study three surgical teams, between February 2009-August 2010, included 37 eyes with more than 1 diopter (D) of preexisting corneal astigmatism having or not cataract surgery. RESULTS: Rotation at 6 M post-op: 32 patients (87%)--> rotation between aprox. 0-5 degrees, 4 patients (11%)--> rotation between A 5-10 degrees, 1 patient (2%) rotation of A 20 degrees. The mean refractive cylinder decreased significantly after surgery: 34 (91.90%) of cases between 0.25-0.75 D--2 (5.40%) of cases 1.5 D--1 (2.70%) of cases > 1.5 D. CONCLUSIONS: In conclusion the results indicate that TheAcrySof Toric IOL is a viable option of preoperative corneal astigmatism in carefully selected cases. The Toric IOL showed good rotational stability The most frequent cause of turnover is the: viscoelastic left in the capsular bag (early rotation); fibrosis of the bag (late rotation).
Subject(s)
Astigmatism/surgery , Cataract Extraction , Cataract/therapy , Lens Implantation, Intraocular , Lenses, Intraocular , Phacoemulsification , Acrylic Resins , Humans , Prosthesis Design , Retrospective Studies , Treatment Outcome , Visual AcuityABSTRACT
The paper presents up-to-date information about the action of the tumor necrosis factor in inflammatory pathology. It underlines the fact that a new category of medicines appeared: anti-TNF monoclonal antibodies which can offer new therapeutic perspective in the treatment of intraocular inflammation.
Subject(s)
Inflammation/metabolism , Tumor Necrosis Factor-alpha/metabolism , Antibodies, Monoclonal/therapeutic use , Eye Diseases/drug therapy , Humans , Inflammation/immunology , Tumor Necrosis Factor-alpha/antagonists & inhibitorsABSTRACT
The lesions of the pancreas represent a very interesting chapter of its pathology. Although they seem very much alike, the different anatomo- pathological forms have well defined individual features, which impose the therapeutical attitude. The authors have analyzed a group of 62 patients, admitted in our clinic between 1974 and 2003. Most of them had pancreatic pseudocysts (54-86%); 6 (10%) had cystadenomas; 1 (2%)--cystadenocarcinoma and 1 (2%)--solid and papillary cystic tumour. The diagnostic methods are largely presented and compared to the literature; it is emphasized the importance of imaging procedures and of the histo-pathological examination. The different therapeutical procedures, their advantages and limits are also analyzed--the necessity of a conservative attitude, with the total or partial preservation of the pancreas, is almost unanimously recognized.
Subject(s)
Pancreatectomy , Pancreatic Cyst/diagnosis , Pancreatic Cyst/surgery , Adult , Aged , Cystadenocarcinoma/diagnosis , Cystadenocarcinoma/surgery , Cystadenoma/diagnosis , Cystadenoma/surgery , Female , Humans , Male , Middle Aged , Pancreas/diagnostic imaging , Pancreas/pathology , Pancreatectomy/methods , Pancreatic Cyst/diagnostic imaging , Pancreatic Neoplasms/diagnosis , Pancreatic Neoplasms/surgery , Pancreatic Pseudocyst/diagnosis , Pancreatic Pseudocyst/surgery , Retrospective Studies , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Age related macular degeneration (ARMD) is a disease in which the retinal pigment epithelium (RPE) is damaged in the central retinal area. In the exudative form, the vision loss is due to choroidal neovascularization, while in the nonexudative or atrophic form, there is a vision loss because of the retinal pigment epithelium atrophy. Treatment which proved to be efficient in lowering the risk of severe vision loss in the exudative form includes laser photocoagulation, photodynamic therapy, transpupilary thermotherapy and as surgical treatment, the controversial subretinal membrane extraction. In all these situations the RPE is damaged by the disease itself and by the therapeutic procedure too. Retinal translocation is a surgical procedure that intends to remove the neurosensory retina from an area with damaged RPE to an healthy RPE area, through a 360 degrees retinotomy or through a limited one. This paper present some ARMD cases treated by subretinal membrane extraction and one by limited retinal translocation. The question which is still remaining is which are the risks and benefits for the following treatment procedures: laser photocoagulation, photodynamic therapy, transpupilary thermotherapy and surgical approach?
Subject(s)
Choroidal Neovascularization/surgery , Laser Coagulation , Macular Degeneration/surgery , Aged , Choroidal Neovascularization/etiology , Humans , Treatment OutcomeABSTRACT
Vitreous hemorrhage has been the most common indication of posterior vitrectomy in diabetic retinopathy. Now, the leader is tractional retinal detachement and many others: rhegmatogenous retinal detachement, fibrovascular proliferations membranes, huge premacular hemorrhage. During vitrectomy procedure it may be necessary internal tamponade using air, expanding gases, silicon oil and/or perfluorocarbon liquids.
Subject(s)
Diabetic Retinopathy/surgery , Retinal Detachment/prevention & control , Vitrectomy/adverse effects , Air , Fluorocarbons/administration & dosage , Gases/administration & dosage , Humans , Silicone Oils/administration & dosage , Treatment Outcome , Vitrectomy/methodsABSTRACT
The authors analyze 13 cases of small bowel tumors. There are emphasized the difficulties of diagnosis, which is rarely established before the laparotomy. In the same time, clinical features are few and operations are often performed too late, in emergency, due to tumors complications (perforation, bleeding, occlusion). There are also presented new etiopathogenic hypothesis, recently mentioned in literature. Surgical treatment is followed by many post-operative complications. Five-years survival is low, under 40% of patients.
Subject(s)
Adenocarcinoma/diagnosis , Carcinoid Tumor/diagnosis , Ileal Neoplasms/diagnosis , Jejunal Neoplasms/diagnosis , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Romania/epidemiology , Survival Rate , Treatment OutcomeABSTRACT
We present two cases of hemangiopericytoma, which are analyzed according to medical literature, although only few cases have been reported. Clinical, imagistic and histological findings of these rare vascular tumors are discussed.