ABSTRACT
Ocular electrophysiology investigations come back in actuality with new elements; current functional tests involve bias (VF) and require the use of investigations with a high degree of objectivism: full field ERG, pattern ERG, for early detection and monitoring of certain ophthalmic diseases.
Subject(s)
Electroretinography , Glaucoma/diagnosis , Glaucoma/physiopathology , Disease Progression , Humans , Intraocular Pressure , PrognosisABSTRACT
This article evaluated the efficacy of intravitrean injection of anti VEGF agents and triamcinolon in the treatment of macular telangiectasis. The patients were followed six months. We practiced fluorescein angiography, optical coherence tomography. We measured the thickening of macular edema and best corrected of visual acuity.
Subject(s)
Angiogenesis Inhibitors/therapeutic use , Antibodies, Monoclonal/therapeutic use , Glucocorticoids/therapeutic use , Macular Edema/drug therapy , Telangiectasis/drug therapy , Triamcinolone Acetonide/therapeutic use , Adult , Angiogenesis Inhibitors/administration & dosage , Antibodies, Monoclonal/administration & dosage , Antibodies, Monoclonal, Humanized , Bevacizumab , Drug Therapy, Combination , Glucocorticoids/administration & dosage , Humans , Injections, Intraocular , Macular Edema/diagnosis , Male , Middle Aged , Telangiectasis/diagnosis , Tomography, Optical Coherence , Treatment Outcome , Triamcinolone Acetonide/administration & dosage , Visual AcuityABSTRACT
The authors present the case of a female patient, 72 years old, smoker for 50 years, with a complex pathology--cardiovascular (coronary artery disease with heart failure, hypercoagulable state and 40% left carotid artery stenosis) and breast carcinoma--surgically treated, who was admitted in the Ophthalmology Clinic of the Emergency Central Military Hospital Bucharest, with the diagnosis of Left Eye Branch Retinal Artery Occlusion (temporal inferior) acute form--which occurred 10 days ago. The reason of the hospital admission was left eye visual field deficit--horizontal (altitudinal), in the superior 1/2 of the visual field, but not accompanied by the left eye visual acuity decrease (left eye best-corrected visual acuity was 20/20--due to the particularity of the case by the existence of 2 cilio-retinal arteries at the left eye). Complete ocular and systemic work-up was performed. It was decided that at this stage from the beginning of the Branch Retinal Artery Occlusion, can be tempted trans-luminal photo-embolysis of the embolus located at the origin of the temporal inferior branch of the Central Retinal Artery with the Nd: YAG laser--technique which was used as national premiere in Romania.
Subject(s)
Embolectomy/methods , Laser Therapy/methods , Retinal Artery Occlusion , Acute Disease , Aged , Female , Humans , Retinal Artery Occlusion/complications , Retinal Artery Occlusion/diagnosis , Retinal Artery Occlusion/surgery , Treatment Outcome , Vision Disorders/etiology , Visual AcuityABSTRACT
I. SIMPLE MYOPIA: Simple refractive error, which is not associated with fundus changes; Optical correction/refractive surgery brings the patient to visual acuity=1. II. DEGENERATIVE MYOPIA: Refractive error which is associated with fundus changes (during the "fundus changes" progression, the visual acuity is getting worse); Myopic fundus changes-classification: A/ RETINA: Posterior staphyloma Chorioretinal atrophy. Optic disc changes = 1-3. Macula changes (Myopic maculopathy) = 1-7. Peripheral fundus changes = 1-6. B/ VITREOUS: Fundus examination should be performed on any myopic patient; Fundus fluorescein angiography allows the objective follow-up of the fundus lesions and also the evaluation of the treatment results; Optical correction/refractive surgery cannot bring the patient to visual acuity=1, due to fundus lesions; For some lesions--which can generate serious visual complications, it is necessary prophylactic treatment by ARGON laser photocoagulation or cryotherapy.
