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[Ocular cicatricial pemphigoid].
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2020-02-10 DOI: 10.32388/b1a6z7
F. Bîrjovanu
{"title":"[Ocular cicatricial pemphigoid].","authors":"F. Bîrjovanu","doi":"10.32388/b1a6z7","DOIUrl":"https://doi.org/10.32388/b1a6z7","url":null,"abstract":"Ocular cicatricial pemphigoid is a systemic disease of autoimmune etiology, belonging to the category of acquired oculo-muco-cutaneous bullous dermatosis. Although it is a disease primarily involving the conjunctiva, it frequently affects other mucous membranes (oropharynx, genitalia, anus), and the skin is involved as well in approximately 15% of the cases. The ocular manifestations, during the acute stage, consist of conjunctival bullous, which quickly lead to ulcerous lesions. During the chronic stage the disturbances of the palpebral statics and dynamics, ocular dryness syndrome and corneal lesions will develop. Being a relative less frequent disease, the observation of 3 patients is presented.","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"238 1","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77668782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Usher syndrome]. (亚瑟综合征)。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2020-02-08 DOI: 10.32388/m8es6u
M. Preda, C. Damian, A. Irimia, Mihaela Sollosy, C. Ciuca, M. Totolin
{"title":"[Usher syndrome].","authors":"M. Preda, C. Damian, A. Irimia, Mihaela Sollosy, C. Ciuca, M. Totolin","doi":"10.32388/m8es6u","DOIUrl":"https://doi.org/10.32388/m8es6u","url":null,"abstract":"We present the case report of two brothers, PF-21 years old and PN-19 years old, to whom the fundus examination, perimetry and dark adaptation established the diagnosis of Retinitis Pigmentosa. The otorhinolaryngology exam and the audiogram revealed, in both cases, bilateral sensorineural deafness. The simultaneous presence of these two conditions completes the clinical findings of Usher syndrome. The common ectodermic origin of the retina and the inner ear could explain this pathological association.","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"12 1","pages":"40-3"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85322723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hypopyon]. 眼前房积脓。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2020-02-07 DOI: 10.32388/g7wut6
H. Stanca
{"title":"[Hypopyon].","authors":"H. Stanca","doi":"10.32388/g7wut6","DOIUrl":"https://doi.org/10.32388/g7wut6","url":null,"abstract":"The hypopyon represents an anterior chamber exudative syndrome which has important clinical and prognostic implications. It is very important to be able to differentiate between the sterile and infectiouos hypopyon and also to separate it by pseudohypopyon. A clear view over the etiology is strongly correlated with the therapeutical approach and the patient evolution.","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"2 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83680845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[When and how we start the treatment in patients with ocular hypertension or in glaucoma suspects?]. [我们何时以及如何开始治疗高眼压或疑似青光眼的患者?]
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
Cornel Stefan, Lavinia Ene, Constantin Ovidiu Coravu
{"title":"[When and how we start the treatment in patients with ocular hypertension or in glaucoma suspects?].","authors":"Cornel Stefan,&nbsp;Lavinia Ene,&nbsp;Constantin Ovidiu Coravu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The therapeutic decision should be a collaboration between us the doctor and the patient. Patients have different tolerance and education levels, ranging from the highly cautious to the careless one. Treatment initiation in glaucoma is based on intraocular pressure levels, age, race, life expectancy, family history, progression risk, associated pathology. The therapeutic effort is aiming to maintain both quality of life and sight, through sustainable costs. Now we have the proof that intraocular pressure is just another risk factor among many others, lowering-pressure treatment being able to reduce the individual risk of progression. Still, only the high-risk ocular hypertension will be treated, considering other risk factors. There is a fine line between early glaucoma and ocular hypertension, the therapeutic decision and monitoring algorithm varying with the individual risk of progression.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 1","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Retinal vascular changes--predictive and prognostic factor in systemic disease]. 【视网膜血管改变——全身性疾病的预测和预后因素】。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
Anca Delia Vicol, Tudor Bogdănici, Camelia Bogdănici
{"title":"[Retinal vascular changes--predictive and prognostic factor in systemic disease].","authors":"Anca Delia Vicol,&nbsp;Tudor Bogdănici,&nbsp;Camelia Bogdănici","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The retinal circulation represents a unique window for the direct, non invazive in vivo status of the systemic mycrocirculation, but it can also offer scientific support for theories related strictly to ocular diseases, such as glaucoma (vascular theory). The interaction between intraocular pressure, retinal vessels and cerebrospinal fluid pressure located at the retrolaminar part of the optic nerve has been of great interest for both ophthalmologists or neuroscientists, both clinicians and researchers. The retinal vascular bed has structural and functional similarities with other vascular teritories such as Central Nervous System (CNS), kidneys and heart, so as for the ophthalmologist any vascular change in the retina can signalize a systemic disease (diabetes mellitus, stroke, arterial hypertension) that is more or less symptomatic for the patient. The purpose of this meta-analysis was to reviview recent literature data related to the connections between different hemodynamic structures and their impact on the retinal blood flow.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 1","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Ocular involvement in spondylarthritis--new mechanisms, new therapies]. [颈椎炎的眼部受累——新机制，新疗法]。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
T C M Itulescu, Cristina Alexandrescu, Liliana-Mary Voinea
{"title":"[Ocular involvement in spondylarthritis--new mechanisms, new therapies].","authors":"T C M Itulescu,&nbsp;Cristina Alexandrescu,&nbsp;Liliana-Mary Voinea","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spondyloarthrites (SPA) represent a group of heterogenous rheumatic diseases (ankylosing spondylitis/SA, psoriatic arthritis/PsA, reactive arthritis/ReA, spondyloarthritis in bowel inflammatory diseases/BID, undifferentiated spondyloarthritis/undif SpA) with distinct clinical features and common genetic predisposition (HLA-B27). SpA may also affect other organs, ocular involvement, represented by uveitis and conjunctivitis, being one of the most important extraskeletal manifestations. Pathogenic mechanisms of ocular involment in SpA are not entirely known; nevertheless, the inflammatory process which characterizes the main rheumatic diseases seems to be responsible for this extraskeletal manifestation. SpA treatment targeted at clinical remission has a favourable effect not only on articular but also on ocular involvement. The discovery of new pathogenic mechanisms of both rheumatic and eye disease in SpA have contributed to identification of new pathogenic therapies. The interdisciplinary team work of rheumatologists and ophtalmologists have prove essential for the management of SpA patients with ocular manifestations.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 1","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The results of intravitreal bevacizumab in subretinal neovascularisation in angioid streaks]. [玻璃体内贝伐单抗治疗血管样条纹视网膜下新生血管的结果]。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
D Brănişteanu, Andreea Moraru
{"title":"[The results of intravitreal bevacizumab in subretinal neovascularisation in angioid streaks].","authors":"D Brănişteanu,&nbsp;Andreea Moraru","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the anatomical and functional results after intravitreal bevacizumab administration in choroidal neovascularization (CNV) due to angioid streaks; To assess the safety and results stability;</p><p><strong>Methods: </strong>Prospective, nonrandomized, interventional case study on choroidal neovascularization due to angioid streaks treated with intravitreal bevacizumab (AVASTIN). Intravitreal injection was repeated, if needed, at 4-6 weeks until leakage stopped. In all cases fluorescein angiograms and Spectral 3D OCTs were performed. Visual acuity was measured with ETDRS optotype. Cases were followed-up at least 6 months. Statistical analysis was performed using ANOVA and Wilcoxon tests.</p><p><strong>Results: </strong>8 cases with CNV associated to angioid streaks were evaluated between January 2007 and January 2013. Mean age of patients in the study was 52,36 +/- 4,33 years (ranging 42-64 years). The mean number of intravitreal injections was 4.64 +/- 0,42 (ranging between 3-8 injections). Mean visual acuity improved significantly in all cases after 3 intravitreal injections with a gain of more than 15 letters in 6 out of 8 cases (75%). OCT confirmed reduced depth of lesion and also a reduced lesion volume after treatment. No major local or systemic side-effects were noted. At 6 months follow-up the CNV reoccurred in 5 out of 8 cases (62.5%) requiring additional treatment. 3 out of 8 cases finally lost more than 5 letters due to subretinal fibrosis.</p><p><strong>Conclusions: </strong>These results confirm the efficacy and safety of intravitreal bevacizumab in controlling the CNV due to angioid streaks. High recurrence rate and quick lesion progression to subretinal fibrosis might be responsible for long-term poor functional results in this type of CNVs. More cases are needed for validation.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 1","pages":"48-55"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32605601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pathology of the vitreomacular interface]. [玻璃体黄斑界面病理学]。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
Monica Pop, Alina Gheorghe
{"title":"[Pathology of the vitreomacular interface].","authors":"Monica Pop,&nbsp;Alina Gheorghe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vitreous role in the pathophysiology of retinal diseases has increased importantly over the recent years. This was possible using Optical Coherence Tomography which reviewed the way the vitreoretinal interface should be looked at and defined and classified new pathologies such as Vitreoretinal Traction Syndrome. Vitreous is not an empty space but an important anatomical structure with role in ocular physiology. With age biochemical changes occur so that vitreous starts to liquefy. Once the vitreous is liquefied (sinchisis) it collapses and passes in the retrohialoid space (sineresis). In complete PVD besides sinchisis there is a weakness of the adherence between the posterior cortex and ILM with total detachment of posterior cortex. Abnormal adhesions are associated with incomplete PVD. The definition and understanting of vitreoretinal pathology is an active and continuous process, PVD being the trigger of a lot of retinal pathologies: epiretinal membrane, macular hole, tractional macular oedema, VMTS, myopic traction maculopathy, exacerbations of exudative ARMD.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 2","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32733656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Ocular toxocariasis--case report]. 眼弓形虫病1例报告。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
Andreea Moraru, Madălina Panfil, Geanina Totolici, Daniel Brănişteanu, Dănut Costin, Speranţa Schmitzer
{"title":"[Ocular toxocariasis--case report].","authors":"Andreea Moraru,&nbsp;Madălina Panfil,&nbsp;Geanina Totolici,&nbsp;Daniel Brănişteanu,&nbsp;Dănut Costin,&nbsp;Speranţa Schmitzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ocular Toxocariasis is a parasitosis caused by Toxocara catis/canis larvae localized in the eye. The most frequent clinical manifestations are the central retinal granuloma, peripheral retinal granuloma and chronic endophthalmitis. Secondary complications due to the presence of parasite in the posterior segment of the eye may have significant consequences on visual function. We present the case of a 23 years old patient, admitted for progressive decrease of the right eye BCVA during the last 6 months. After performing clinical examination and serological tests we established the diagnosis of ocular Toxocariasis. The patient presented a particular form of the disease consisting in the presence of both a central retinal granuloma and a peripheral one. We performed 23G pars plana vitrectomy and membrane peeling. VA improved as soon as the first month after surgery.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 4","pages":"30-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33426440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Criticism of the gonioscopic classifications of the glaucoma: with particular reference to the classification issued by the European Glaucoma Society in 2008]. [对青光眼的镜下分类的批评:特别参考欧洲青光眼协会2008年发布的分类]。
Oftalmologia (Bucharest, Romania : 1990) Pub Date : 2014-01-01
Constantin Dan Bordeianu
{"title":"[Criticism of the gonioscopic classifications of the glaucoma: with particular reference to the classification issued by the European Glaucoma Society in 2008].","authors":"Constantin Dan Bordeianu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To critically analyze the gonioscopic classifications of glaucoma, especially of the classification issued by the European Glaucoma Society in 2008, in order to reveal its advantages and shortcomings.</p><p><strong>Methods: </strong>The paper tries to determine the extent to which this classification is clear (being based on a coherent and consistently followed set of criteria), is comprehensive (framing all forms of glaucoma), helps to understand the sickness (using a logical framing system), and facilitates therapeutic decision making (offering direct therapeutic suggestions).</p><p><strong>Results and conclusion: </strong>The paper shows that, compared with all the previous classifications, the 2008 European Glaucoma Society classification is one step ahead (in the way of classifying the group of secondary angle-closure glaucomas), two steps behind (in rejecting two useful categories of congenital glaucoma), and similar in several respects: that it is based on criticizable fundamental and secondary criteria that cannot cover all forms of sickness gathered at a particular crossing; that it uses several equally weighted criteria for one single crossing (division); that it frames one clinical entity in several clinical categories; that it does not reflect reality in some aspects; and that it does not offer direct therapeutic suggestions: after framing a case in a scheme built on the basis of gonioscopic observation, it requires a second stage of pathogenic analysis, so that the ophthalmologist is able to decide the correct treatment only in the third stage. This tortuous thinking pathway, with successive stages - that are not followed by all doctors, explains many of the erroneous therapeutic decisions. All these considerations justify the efforts to find a new classification, able to correct the abovementioned shortcomings.</p>","PeriodicalId":77309,"journal":{"name":"Oftalmologia (Bucharest, Romania : 1990)","volume":"58 3","pages":"7-22"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33189144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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