[Aspects of optical coherence tomography in diabetic retinopathy]. / Aspecte ale tomografiei în coerenta optica în retinopatia diabetica.

Optical coherence tomography is a new and very useful technique for diabetic patients. It is used to determine the early changes in diabetic retinopathy and to help the ophthalmologist to choose the appropriate therapy.

[Retinal tumors of the adult--two case reports]. / Tumorile retiniene ale adultului exemplificate în doua cazuri clinice.

Most frequently, retinal tumors that affect adults are rare, benign lesions that arise from vascular structures (hemangioma), neuroglial structures (astrocytoma, massive gliosis of the retina) or neuroepithelial cells (occasional forms of retinoblastoma that spontaneously stop growing and do not achieve or lose their malignant character). Retinal metastasis might be encountered but the settling of cancer cells at this level is very rare. Retinal tumors have frequently systemic associations and in this case they are included in the phacomatoses syndrome; nevertheless, they can also occur as a nonsyndromic pathological disorder. Even if the incidence is rare and the variety limited, issuing a diagnosis proves difficult because retinal tumors look like other lesions or due to a low visibility of the ocular fundus. Hereunder we shall present you two cases of retinal tumors that were difficulty diagnosed and treated by surgical excision of the tumor.

[Branch retinal arterial occlusions--clinical case]. / Obstructia de ram arterial retinian--consideratii pe marginea unui caz clinic.

Branch retinal arterial occlusion is an ophthalmological emergency, presenting with features of sudden and painless loss of vision and visual field defect. Even if the diagnosis is easy to make, the ophthalmologist is, most of the times, unable to improve the prognosis. We present a clinical case of unilateral branch retinal arterial occlusion with unusual evolution.

[Modern treatment in venous retinal obstruction]. / Tratamentul modern în obstructiile venoase retiniene.

This article is a general view of modern methods of treatment în venous retinal obstruction. In the last years, medical treatment and LASER therapy have been replaced by early surgical approach. The main advantage of the last one is removal the cause of the disease not its effects.

[Retinal detachment with giant tears]. / Dezlipirile de retina cu rupturi gigante.

Retinal detachments are one of the greatest challenge for the vitreoretinal surgeon. Giant tears have a special place among them because they need a special equipment and experience. We are presenting here our experience concerning this type of tears.

[Age related macular degeneration surgery]. / Chirurgia degenerescentei maculare senile.

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?

[Ophthalmic cysticercosis-case report]. / Cisticercoza oculara--caz clinic.

This paper presents a particular case regarding ophthalmic cysticercosis with subretinian localization associated with large subretinian hemorrhage, surgically addressed.

[Internal tamponade in proliferative diabetic retinopathy surgery]. / Tamponamentul intern în chirurgia retinopatiei diabetice proliferante.

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.