Survey of patient satisfaction after bilateral cataract surgery.

Objective: Postoperative assessment of patients diagnosed with binocular cataract, who underwent two phacoemulsification treatments at different times, in terms of subjective experience of the two procedures. Material and method: The investigation is a prospective study based on patients of Ophthalmology Clinic of Mária Street in Budapest and the Ophthalmology Department in Târgu Mures, between January 2020 and April 2021. After surgery, the patients were surveyed using questionnaires. A total of 53 responses from patients who had undergone cataract removal in both eyes were processed. Data was processed using Microsoft Office Excel and GraphPad Prism 8.0.1. Results: A statistically significant difference (p = 0.0008) in pain was found between the two interventions, with patients reporting greater pain after the second surgery compared to the first treatment. The subjective increase of visual acuity was significantly different (p=0.0156) between the two surgeries. After the first treatment, 37 patients affirmed that their visual acuity met their expectations, but, by the second operation, this had dropped to 31. There was also a statistically significant difference between the individually perceived duration of the two treatments (p=0.0013), with the most frequently reported duration of the first phacoemulsification treatment being 10 minutes (43.4%), and the second eye treatment being 20 minutes (37.7%). Assessing the asymptomaticity, a significant difference (p = 0.009) was registered between the two treatments, the asymptomatic reduction for the second operation being decreased by 28.1%. Conclusion: Patients treated for binocular cataract had significantly worse subjective symptoms during the second treatment.

Fanconi anemia with cleft palate.

UNLABELLED: Fanconi anemia (FA) is a rare plurimalformative syndrome (1/350,000 newborns) presenting a large phenotypic heterogeneity, chromosomal instability and autosomal recessive inheritance (OMIM 227650). CASE PRESENTATION: Male patient followed in the genetics service since infancy, till death. The child was referred for multiple congenital anomalies: bilateral aplasia of the radius and thumb, left kidney agenesis, cardiac malformation cleft palate, bilateral cryptorchidism, ear anomalies, which were associated, in time, with facial hyperpigmentation, anomalies of dental eruption, nasal septum deviation, and lumbar scoliosis. By the age of 10 years, he develop progressive pancytopenia, aplastic anemia. The diagnosis was completed by medulogram, immunogram, and karyotype. Treatment was primarily hematologic with substitution products, immunosuppressive, marrow stimulants, antibiotic therapy. Death occurred at age of 16 by infection and pulmonary hemorrhage occurred in severe pancytopenia. CONCLUSIONS: It is presented a rare case of Fanconi anemia customized by the clinical association with cleft palate and instructive clinical and evolutionary complexity.