[Horton disease--ophthalmologic involvement]. / Boala Horton implicatii oftalmologice - caz clinic.

The authors present the case of a female patient with giant cell arteritis diagnosed after an ophthalmologic examination.

[Central serous chorioretinopathy--clinical aspects and course]. / Corioretinita seroasa centrala - aspecte clinice si evolutive.

PURPOSE: To investigate and to identify the clinical aspects and outcomes in military patients with central serous chorioretinopathy (CSC). METHODS: Prospective, comparative, observational case series study during 01.01.2004-31.12.2005 on two groups with central serous chorioretinopathy: group A (12 eyes) from military environment compared with group B (9 eyes) from civil patients. The evaluations were performed based on visual acuity, functional symptoms, fundus biomicroscopy, fluorescein angiography and optical coherence tomography. The relationship of CSC to the age, gender, psychosomatic symptoms, personality profiles, systemic associated diseases or risk factors and the rate of recurrence were evaluated. The statistical Anova multivariate analysis was performed. RESULTS: There were no significant differences between the two groups regarding distribution to the age and gender. In the military patients, by use of a multivariate analysis steroid use, infection with Helicobacter pylori and type A behavior pattern were strongly associated with CSC. The mean duration of disease was significant prolonged in the group A as compared with group B (p=0,0012). In the military patients, there were 5 cases (41,66%) with recurrence and 1 case (11,11%) in the civil patients (p=0,0009). Laser photocoagulation was used in 3 cases (25%), respectively 1 case (11,11%) in the group B. CONCLUSIONS: Although CSC usually resolves spontaneously, the associated diseases and risk factors, the clinical aspects and outcomes in military patients may be different, with residual visual deficits, despite recovering normal visual acuity.

[IOP diurnal fluctuations in patients presenting pseudoexfoliative syndrome]. / Fluctuatiile diurne ale presiunii intraoculare la pacientii cu sindrom pseudoexfoliativ.

PURPOSE: To analyze the IOP diurnal fluctuations in patients presenting pseudoexfoliative syndrome (PEX) compared to those without PEX. METHOD: A clinical observational prospective study, one year, on 2 groups of patients: group A (13 patients)--with pseudoexfoliative syndrome (PEX) and group B, control, (11 patients)--without PEX. The groups were homogeneous about the age and sex distribution. At each visit 4 IOP measurements were taken using Goldmann aplanotonometry. RESULTS: In PEX patients the IOP had greater values during the study period compared to the control group. By comparing the two groups have been observed significant differences about the maximum IOP, the mean IOP and the diurnal fluctuations, also about the incidence of the complications. CONCLUSIONS: The IOP diurnal fluctuations in PEX patients are significantly greater than the physiological ones and therefore influence the therapeutic attitude and the prognostic. The significant fluctuations in the IOP diurnal curve are an important predictive factor for the eyes that will develop secondary glaucoma. The pseudoexfoliative syndrome is an independent risk factor for glaucoma in patients with intraocular hypertension.

[Protein C reactive and glaucoma]. / Proteina C reactiva si glaucomul.

PURPOSE: To observe the possible implications of the C reactive protein in pathogenesis of the glaucoma. METHODS: A clinical observational prospective study on 2 groups: group A 14 glaucomatous patients and group B--control (12 normal subjects) without history of ocular pathology or general pathology known to be associated with high plasma levels of CRP. The groups were homogeneous about the age and sex distribution. CRP levels were evaluated by tests with high specificity. RESULTS: The plasma CRP level reveals important differences (p < 0,0001) on the two groups: 3,87 +/- 0,8 mg/dl in the group A and 0,68 +/- 0,13 mg/dl in the control group. CONCLUSIONS: Glaucoma is associated with high plasma levels of CRP. In the complex pathogenesis of glaucoma, in which the vascular factor has his well known place, the inflammatory vascular modifications may represent an important component.

[Refractive stability of foldable intraocular lenses]. / Stabilitatea refractiva a cristalinelor artificiale foldabile.

PURPOSE: To compare the refractive stability of different kind of foldable intraocular lenses. METHOD: There was performed a two years (mean follow-up 7,4 +/- 1,2 months) prospective interventional case series study on 108 with senile cataract, without another ocular pathology which underwent cataract surgery by phacoemulsification and implantation of foldable intraocular lens (the same surgeon). Each patient had their refractive status measured at the 1-month postoperative visit, 3-months and at the 6-months follow-up visit. The results have been statistically analyzed using the Wilcoxon test. RESULTS: The postoperative refractive results were correlated with IOL design and material. The acrylic hydrophobic foldable intraocular lens with rigid haptics was more likely to move to hypermetropia and the acrylic hydrophobic foldable intraocular lens with pliable haptics showed minimal myopic movement. CONCLUSIONS: On long-term, the 1-piece acrylic hydrophobic IOL with soft acrylic loops had the most stable refractive results.