Diagnosing the Dry Eye Syndrome in modern society and among patients with glaucoma: a prospective study.

The dry eye syndrome (DES) is a disease of the ocular surface, which can become a social issue in our country, given the changes in lifestyle as a consequence of the economic and technological developments of the last decade. A current problem is the prevalence of DES in patients with glaucoma. The glaucoma treatment, especially the prolonged instillation of preservative-containing medicines, is an important factor in DES morbidity, especially in people aged over 40. In this paper, we presented the findings of our study, which was aimed at assessing the prevalence of DES in the Republic of Moldova and the effect of this impairment on the quality of life. 353 patients (706 eyes) were investigated using the data provided by the visual acuity (VA) and slit-lamp examinations, Schirmer's test results, and the Ocular Surface Disease Index (OSDI) score. Our findings showed a high estimate of signs and symptoms of DES (67.4%) and their impact on the quality of life. Simultaneously, we aimed to analyze the issue of DES in patients with glaucoma. To this end, we examined 30 cases with primary open angle (POA) glaucoma. We also presented a clinical case, in which the prospect of associating the two pathologies in a patient was considered.

[Diabetic retinopathy, practical value of classification]. / Retinopatia diabetica, valoarea practica a clasificarii. (Reviu de literatura).

THE AIM: In this work will be exposed the modern classification of diabetic retinopathy (DR). The aim is to familiarize ophthalmologist, endocrinologist and therapeutic doctors with the newest and unique tendency of diagnosis of this pathology. MATERIALS AND METHODS: It was effectuated a special literature (recent edited, post 2000) study. The DR classification evolution was studied and the last and to the most common accepted classification the attention was attracted. RESULTS AND DISCUSSIONS: The unique in our days validated classification is ETDRS (Early Treatment Diabetic Retinopathy Study). One of recent appeared classifications is ALFEDIAM (Association de Langue Francaise pour l'Etude du Diabete et des Maladies Metaboliques) in 1996, derived and simplified from ETDRS classification, in this moment is utilized in France. Non proliferative diabetic retinopathy (NPDR) can be mild, moderate or severe. Proliferative diabetic retinopathy can be early, moderate, severe, complicated. Maculopathy classification by Brescnic adopted in 1983 include focal macular edema, diffuse macular edema, ischemic maculopathy. CONCLUSIONS: ALFEDIAM classification, derived and simplified from the unique international validated classification of DR on our days ETDRS is accessible to all ophthalmologists, and their collaboration with endocrinologist and therapist doctors. The use of ALFEDIAM classification give the possibility of interaction of effectuated work with the materials of international literature.

[Epstein Barr and cytomegaloviruses in ocular pathology]. / Virusuri Epstein-Barr si cytomegalovirus in patologia oculara.

Epstein-Barr virus (EBV) and Citomegalovirus (CMV) are Herpesviridae family representative and presents a real danger for human. A very high infect risk of population farther the danger The ocular pathology induced by them can affect all media and tunics of optic analyzer. An etiologic differentiation is necessary for the mentioned viruses induced diseases. The etiologic differentiation has like purpose the enforcement of an effective and optimal antiviral and immunomodulating therapy.