RESUMO
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
Assuntos
Facoemulsificação/instrumentação , Catarata/patologia , Extração de Catarata/instrumentação , Humanos , Facoemulsificação/efeitos adversos , Facoemulsificação/métodos , Estudos Prospectivos , Acuidade VisualRESUMO
"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.
Assuntos
Fístula Carótido-Cavernosa/diagnóstico , Doenças da Túnica Conjuntiva/diagnóstico , Glaucoma de Ângulo Aberto/diagnóstico , Neoplasias Meníngeas/diagnóstico , Meningioma/diagnóstico , Sela Túrcica/patologia , Fístula Carótido-Cavernosa/etiologia , Fístula Carótido-Cavernosa/terapia , Doenças da Túnica Conjuntiva/etiologia , Doenças da Túnica Conjuntiva/terapia , Diagnóstico Diferencial , Feminino , Glaucoma de Ângulo Aberto/etiologia , Glaucoma de Ângulo Aberto/terapia , Doença de Graves/complicações , Humanos , Neoplasias Meníngeas/terapia , Meningioma/terapia , Pessoa de Meia-Idade , Recusa do Paciente ao TratamentoRESUMO
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.
Assuntos
Oftalmopatias/complicações , Corpos Estranhos no Olho/complicações , Ferimentos Oculares Penetrantes/complicações , Glaucoma de Ângulo Aberto/etiologia , Ferro , Cristalino/lesões , Siderose/complicações , Anti-Hipertensivos/uso terapêutico , Oftalmopatias/diagnóstico , Oftalmopatias/fisiopatologia , Oftalmopatias/cirurgia , Oftalmopatias/terapia , Corpos Estranhos no Olho/diagnóstico , Corpos Estranhos no Olho/terapia , Ferimentos Oculares Penetrantes/diagnóstico , Ferimentos Oculares Penetrantes/terapia , Fundo de Olho , Glaucoma de Ângulo Aberto/diagnóstico , Glaucoma de Ângulo Aberto/terapia , Humanos , Pressão Intraocular/efeitos dos fármacos , Cristalino/cirurgia , Fotocoagulação/métodos , Masculino , Microscopia Acústica , Pessoa de Meia-Idade , Prognóstico , Siderose/diagnóstico , Siderose/fisiopatologia , Siderose/terapia , Tomografia de Coerência Óptica , Acuidade VisualRESUMO
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.
Assuntos
Erros de Diagnóstico , Glaucoma de Ângulo Aberto/diagnóstico , Glaucoma de Ângulo Aberto/patologia , Glaucoma de Ângulo Aberto/fisiopatologia , Humanos , Pressão Intraocular , Oftalmoscopia , Disco Óptico/patologia , Células Ganglionares da Retina/patologia , Estudos Retrospectivos , Tonometria Ocular/métodos , Acuidade Visual , Testes de Campo Visual/métodos , Campos VisuaisAssuntos
Exoftalmia/diagnóstico , População Branca/estatística & dados numéricos , Adulto , Estudos de Casos e Controles , Técnicas de Diagnóstico Oftalmológico , Exoftalmia/etnologia , Feminino , Humanos , Masculino , Valores de Referência , Reprodutibilidade dos Testes , Romênia/epidemiologia , Distribuição por SexoRESUMO
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.
Assuntos
Âmnio/transplante , Vesícula/cirurgia , Doenças da Córnea/cirurgia , Vesícula/patologia , Doenças da Córnea/diagnóstico , Humanos , Cuidados Paliativos , Estudos Prospectivos , Resultado do Tratamento , CicatrizaçãoRESUMO
Breast medullary carcinoma are heavily infiltrated by B-lymphocytes and associated with a good prognosis despite their high histological grade. We investigated the Ig repertoire of B-lymphocytes infiltrating one such tumour. A single cell suspension was obtained from a tumor specimen by enzymatic digestion. VH, Vkappa, and Vlambda regions were amplified by RT-PCR using mixtures of primers optimized to maximize the diversity of the PCR products. They were then cloned and sequenced. Analysis of 9 VH, 5 Vkappa, and 10 Vlambda sequences using the Kabat database indicated that several VH and VL region subgroups (I, II and III) are expressed by B-lymphocytes infiltrating this tumor. The analysis of CDR3 regions also showed a variability, although some VH and VL clones exhibited identical or nearly identical sequences. Thus, the B-cell infiltration observed in this breast medullary carcinoma does not reflect a monoclonal proliferation and represents an oligoclonal or a polyclonal B-cell proliferation.
