Romanian journal of ophthalmology最新文献

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Visual evoked potential evaluation following brain injury in school-aged children. 学龄儿童脑损伤后的视觉诱发电位评估。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.05
Victoria Verejan
{"title":"Visual evoked potential evaluation following brain injury in school-aged children.","authors":"Victoria Verejan","doi":"10.22336/rjo.2024.05","DOIUrl":"https://doi.org/10.22336/rjo.2024.05","url":null,"abstract":"<p><p><b>Aim:</b> The research aimed to establish reference values of visual evoked potentials among school-aged children after brain injury. <b>Methods:</b> Eighteen patients with persisting visual symptoms after brain injury have been examined. A pattern-VEP test has been used during the examination. <b>Results:</b> The prolongation of the N2 wave in 55,6%-66,6%, P wave in 55,7%-66,7%, and N3 wave in 16,7%-22,2% was determined in the research group. Likewise, the decrease in the amplitude of the P wave was determined in the case of 16,7%-33,3%. According to the topography, we concluded that the prechiasmatic alteration was predominantly determined as bilateral in the optic pathways, with emphasis equally on the right and left. <b>Conclusions:</b> VEP evaluation remains one of the most credible methods of examination. In the case of moderate or severe traumatic optic neuropathy, it allows the detection of damage to the optic pathways before the appearance of organic changes that are often irreversible. The possibility of early detection of such modifications could justify the initiation of a dosed stimulatory treatment, to avoid damage to the optic pathways that would induce secondary optic atrophy. <b>Abbreviations:</b> VEP = visual evoked potentials, MRI = magnetic resonance imaging.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute calcareous corneal degeneration in a patient with chronic graft-versus-host disease. 一名慢性移植物抗宿主疾病患者的急性钙化性角膜变性。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.10
Marta Gema Solaz Ruiz, Lorena Azorín Pérez, Carlos Cauto Picazo, Laura Sánchez Sanz, Ana Hervás Ontiveros, Enrique España Gregori
{"title":"Acute calcareous corneal degeneration in a patient with chronic graft-versus-host disease.","authors":"Marta Gema Solaz Ruiz, Lorena Azorín Pérez, Carlos Cauto Picazo, Laura Sánchez Sanz, Ana Hervás Ontiveros, Enrique España Gregori","doi":"10.22336/rjo.2024.10","DOIUrl":"https://doi.org/10.22336/rjo.2024.10","url":null,"abstract":"<p><p><b>Objective:</b> To describe acute calcareous corneal degeneration as a complication of chronic graft-versus-host disease. <b>Materials and methods:</b> Clinical case and review of the literature. <b>Results:</b> We presented a case of bilateral acute calcareous corneal degeneration in a patient with chronic graft-versus-host disease. <b>Conclusions:</b> Chronic graft-versus-host disease (cGVHD) occurs in 50-70% of bone marrow transplantation patients, the most frequent ocular complication being keratoconjunctivitis sicca (KCS). Calcareous corneal degeneration is a type of calcium deposition that can be secondary to chronic ocular inflammation or dry eye, but there are few cases reported of acute calcareous corneal degeneration and recurrent perforation in cGVHD. <b>Abbreviations:</b> GVHD = Chronic graft-versus-host disease, aGVHD = Acute graft-versus-host disease, cGVHD = Chronic graft-versus-host disease, KCS = Keratoconjunctivitis sicca, PKP = Penetrating keratoplasty, AMT = Amniotic membrane transplantation, PRGF = Plasma rich in growth factors, OD = Right eye, OS = Left eye.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A challenging differential diagnosis - Leber's Hereditary Optic Neuropathy. 具有挑战性的鉴别诊断--勒伯遗传性视神经病变。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.13
Raluca Eugenia Iorga, Răzvana Sorina Munteanu-Dănulescu, Ciprian Danielescu
{"title":"A challenging differential diagnosis - Leber's Hereditary Optic Neuropathy.","authors":"Raluca Eugenia Iorga, Răzvana Sorina Munteanu-Dănulescu, Ciprian Danielescu","doi":"10.22336/rjo.2024.13","DOIUrl":"https://doi.org/10.22336/rjo.2024.13","url":null,"abstract":"<p><p>Leber's hereditary optic neuropathy (LHON) is the most common maternally inherited disease linked to mitochondrial DNA (mtDNA). The patients present with subacute asymmetric bilateral vision loss. Approximately 95% of the LHON cases are caused by m.3460G>A (<i>MTND1</i>), m.11778G>A (<i>MTND4</i>), and m.14484T>C (<i>MTND6</i>) mutations. The hallmark of hereditary optic neuropathies determined by mitochondrial dysfunction is the vulnerability and degeneration of retinal ganglion cells (RGC). We present the case of a 28-year-old man who came to our clinic complaining of a subacute decrease in visual acuity of his left eye. From his medical history, we found out that one month before he had the same symptoms in the right eye. From the family history, we noted that an uncle has had vision problems since childhood. We carried out complete blood tests, including specific antibodies for autoimmune and infectious diseases. Laboratory tests and MRI were within normal limits. A blood test of the mtDNA showed the presence of 11778 G>A mutation on the mtND6 gene. The medical history, the fundus appearance, the OCT, and the paraclinical investigations, made us diagnose our patient with Leber's hereditary optic neuropathy. As soon as possible, we began the treatment with systemic idebenone, 900 mg/day. We examined the patient 2, 6, and 10 weeks after initiating the treatment. <b>Abbreviations:</b> LHON = Leber's Hereditary Optic Neuropathy, mtDNA = mitochondrial DNA, VA = visual acuity, RE = right eye, LE = left eye, OCT = Optical coherence tomography, pRNFL = peripapillary retinal nerve fiber layer, GCL = retinal ganglion cells layer, MRI = magnetic resonance imaging, VEP = visual evoked potentials, VEP IT = VEP implicit time, VEP A = VEP amplitude.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses. 后瞳孔虹膜固定与缝合巩膜固定眼内透镜。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.04
Rozaliya Hristova, Denitsa Cholakova, Alexander Oscar, Bogumil Wowra, Dimitar Dzhelebov, Yani Zdravkov
{"title":"Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses.","authors":"Rozaliya Hristova, Denitsa Cholakova, Alexander Oscar, Bogumil Wowra, Dimitar Dzhelebov, Yani Zdravkov","doi":"10.22336/rjo.2024.04","DOIUrl":"https://doi.org/10.22336/rjo.2024.04","url":null,"abstract":"<p><p><b>Aim:</b> To compare the anatomical and functional results and patient satisfaction following retropupillary implantation of Artisan Aphakia iris-fixated intraocular lens (rAAIF) and sutured scleral fixated intraocular lens (SFIOL). <b>Subjects and methods:</b> We presented a prospective double-arm non-blinded study. Forty-one eyes with acquired aphakia, no age-related macular degeneration, no previous keratoplasty, no combined procedures, no AC reaction (cells, fibrin), normal intraocular pressure, no history of endothelial corneal dystrophy in relatives or fellow eye were included. Indications, complications, corrected distance visual acuity (CDVA), endothelial cell density (ECD), and patient satisfaction score were assessed. <b>Results:</b> Retropupillary AAIF was implanted in 21 (51.22%) eyes and SFIOL in 20 (48.78%) eyes. The most common indication was complicated cataract surgery in 18 cases (43.90%), followed by trauma in 16 (39.02%), and spontaneous dislocation in 7 (17.07%). No difference between rAAIF and SFIOL in terms of sex, laterality (χ=0.13, <i>p</i>=0.72), indications (χ=0.78, <i>p</i>=0.68), previous ocular history, and comorbidities was observed. The complications and the visual outcomes at 6 months postoperatively were similar between the two groups (<i>p</i>=0.95 and <i>p</i>=0.321, respectively). The ECD loss in the two groups was also similar (<i>p</i>=0.89). The patient satisfaction score was 58.67±8.80 in the rAAIF and 56.69±11.50 in the SFIOL group, which was statistically similar (<i>p</i>=0.764). <b>Conclusion:</b> Retropupillary AAIF and SFIOL showed similar results concerning visual acuity, endothelial cell loss, and patient satisfaction. Careful preoperative individual assessment is required to have optimal results with either technique. <b>Abbreviations:</b> AAIF = Artisan Aphakia iris-fixated intraocular lens, rAAIF = retropupillary Artisan Aphakia iris-fixated intraocular lens, CDVA = corrected distance visual acuity, ECD = endothelial cell density, IOL = intraocular lens, SD = standard deviation, SFIOL = scleral fixated intraocular lens.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Limbal reconstruction in uveitic glaucoma patient with exposed Ahmed valve coincident with corneal melting and iris prolapse using multiple corneoscleral allografts. 使用多例角巩膜异体移植,为阿赫迈德瓣外露并伴有角膜融化和虹膜脱垂的葡萄膜性青光眼患者重建角膜缘。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.12
Stylianos Artemios Kandarakis, Leonidas Doumazos, Marios Timpilis, Georgia Karageorgiou, Petros Petrou, Ilias Georgalas
{"title":"Limbal reconstruction in uveitic glaucoma patient with exposed Ahmed valve coincident with corneal melting and iris prolapse using multiple corneoscleral allografts.","authors":"Stylianos Artemios Kandarakis, Leonidas Doumazos, Marios Timpilis, Georgia Karageorgiou, Petros Petrou, Ilias Georgalas","doi":"10.22336/rjo.2024.12","DOIUrl":"https://doi.org/10.22336/rjo.2024.12","url":null,"abstract":"<p><p><b>Aim:</b> To present a complex case of Ahmed tube exposure 6 months after the implantation associated with corneal melting and iris prolapse, and the surgical reposition that required multiple allografts and limbal reconstruction. <b>Methods:</b> A 60-year-old patient arrived at the emergency room with tube exposure combined with corneal melting and iris prolapse from a previously placed Ahmed valve 6 months prior. Our approach was to use one corneoscleral graft to repair the melted cornea and avoid further iris prolapse and a second scleral graft to cover the repositioned tube. Upon completion of conjunctival dissection, cleaning and deepithelization of the melted cornea and the tube by application of alcohol 100% followed. A new entry point was made for the tube and was covered using an alcohol-preserved scleral allograft and the previous entry point was repaired using a corneoscleral allograft with the corneal aspect restoring the limbus and avoiding further iris protrusion. <b>Results:</b> 6 months follow-up of the patient showed excellent recovery, anatomical restoration, and IOP normalization. <b>Conclusion:</b> Surgical repair of these cases can be very demanding, and requires surgical improvisation and prolonged surgical time. The literature remains very limited on how a surgeon should approach similar cases, which are the crucial tips, and which are the missteps that should be avoided. In this case, we used multiple scleral/corneoscleral allografts in a specific orientation and different sutures to reconstruct the damaged limbal area and restore the anatomy. <b>Abbreviations:</b> VA = Visual Acuity, GDD = Glaucoma Drainage Device, IOP = Intra Ocular Pressure.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multiple ocular manifestations in a patient diagnosed with herpes zoster ophthalmicus: case report. 一名被诊断为带状疱疹眼炎患者的多种眼部表现:病例报告。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.16
David-Ionuț Beuran, Mioara-Laura Macovei, Ioana Ruxandra Boca
{"title":"Multiple ocular manifestations in a patient diagnosed with herpes zoster ophthalmicus: case report.","authors":"David-Ionuț Beuran, Mioara-Laura Macovei, Ioana Ruxandra Boca","doi":"10.22336/rjo.2024.16","DOIUrl":"https://doi.org/10.22336/rjo.2024.16","url":null,"abstract":"<p><p><b>Objective:</b> Our purpose was to present a case of a patient diagnosed with herpes zoster ophthalmicus with multiple ocular manifestations. <b>Case presentation:</b> A 70-year-old Caucasian male presented to the hospital for headache and skin hyperesthesia on the scalp and forehead on the left side. The diagnoses of herpes zoster ophthalmicus and acute conjunctivitis were made for the left eye. The patient was followed up for 6 months and during that period the following diagnoses were made for the same eye: peripheral sterile corneal infiltrates, episcleritis, and hypertensive anterior uveitis. <b>Discussions:</b> Herpes zoster ophthalmicus occurs when the reactivation of the dormant virus involves the ophthalmic division of the trigeminal nerve. The most frequent ocular presentations are conjunctivitis, keratitis, uveitis, episcleritis, and scleritis. The standard therapy consists of antivirals, such as acyclovir, valacyclovir, and famciclovir to limit the replication of the virus. The patient's risk factors, the course of treatment, and the severity of the disease, all affect the prognosis, which is highly variable. Prevention of the disease consists of vaccination with one of the following two vaccines, Zostavax and Shingrix. <b>Conclusions:</b> Final visual acuity for the left eye remained 1 despite numerous manifestations of the disease. <b>Abbreviations:</b> VZV = Varicella-zoster virus, BCVA = best-corrected visual acuity, OU = both eyes, OD = right eye, OS = left eye, IOP = intraocular pressure, NCT = non-contact tonometer, ZVX = Zostavax vaccine.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of oculo-orbital complications of odontogenic sinusitis in adults. 成人牙源性鼻窦炎眼眶并发症的治疗。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.09
Mihai Alexandru Preda, Codruț Sarafoleanu, Gabriela Mușat, Andreea-Alexandra Preda, Daniel Lupoi, Ramona Barac, Monica Pop
{"title":"Management of oculo-orbital complications of odontogenic sinusitis in adults.","authors":"Mihai Alexandru Preda, Codruț Sarafoleanu, Gabriela Mușat, Andreea-Alexandra Preda, Daniel Lupoi, Ramona Barac, Monica Pop","doi":"10.22336/rjo.2024.09","DOIUrl":"https://doi.org/10.22336/rjo.2024.09","url":null,"abstract":"<p><p><b>Introduction:</b> Odontogenic maxillary sinusitis (OMS) is an infectious inflammatory pathology caused by a dental condition. Considering the anatomical relations with the orbit, maxillary sinus infection can easily spread, evolving into severe oculo-orbital complications that can sometimes be life-threatening. <b>Material and methods:</b> We performed a retrospective study of over 2 years, examining the data of 18 patients diagnosed with OMS with oculo-orbital complications. The patients were evaluated regarding their dental history, symptoms, clinical and endoscopic findings, ophthalmologic evaluation, bacteriologic tests, computed tomography (CT) imaging, medical and surgical treatment, and outcomes. <b>Results:</b> The age of the patients was between 24 and 65 years old with an almost equal gender distribution: 10 female and 8 male patients. From the total, 7 patients had type II diabetes, 2 of whom were insulin-dependent, 1 patient had thrombophilia and 2 patients had renal failure with peritoneal dialysis. Regarding the type of oculo-orbital complications, 10 patients were diagnosed with preseptal cellulitis and 8 with orbital cellulitis. Just 5 patients with orbital cellulitis required surgical treatment and orbitotomy was performed, followed by endonasal endoscopic drainage. The evolution after surgical treatment was favorable for all operated patients. <b>Discussions:</b> Oculo-orbital complications of OMS are typically more severe than those of rhinogenic sinusitis because anaerobic bacteria are involved. Immunosuppression represents a favorable environment for the development of OMS and its complications, diabetes being the most common risk factor. A negative prognostic feature is the appearance of ophthalmological symptoms in both eyes, so visual function may be reduced. The treatment of oculo-orbital complications of OMS is urgent and depends on a broad-spectrum antibiotic therapy associated or not with surgical intervention. <b>Conclusions:</b> The diagnosis of oculo-orbital complications of OMS is complex and requires clinical experience as well as extensive medical knowledge to treat both the cause and the consequences of the conditions quickly and effectively. The proper management of oculo-orbital complications is based on a multidisciplinary team: ophthalmology, ENT, dentistry, imaging, and laboratory. <b>Abbreviations:</b> OMS = odontogenic maxillary sinusitis, CT = computed tomography, ENT = ear-nose-throat, MRI = magnetic resonance imaging, HNS = head and neck surgery.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The surgical management of a patient with Fuchs endothelial dystrophy and cataracts. 福氏内皮营养不良症和白内障患者的手术治疗。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.15
Alina Gabriela Gheorghe, Ana Maria Arghirescu, Andrei Coleașă, Ancuța Georgiana Onofrei
{"title":"The surgical management of a patient with Fuchs endothelial dystrophy and cataracts.","authors":"Alina Gabriela Gheorghe, Ana Maria Arghirescu, Andrei Coleașă, Ancuța Georgiana Onofrei","doi":"10.22336/rjo.2024.15","DOIUrl":"https://doi.org/10.22336/rjo.2024.15","url":null,"abstract":"<p><p><b>Objective:</b> To report the two different surgical approaches in the case of a patient with Fuchs endothelial dystrophy with low endothelial cell count and advanced cataracts. <b>Methods:</b> The chosen surgical approach differed between eyes, with the right eye undergoing a combined approach consisting of cataract surgery, intraocular lens implantation, and penetrating keratoplasty in 2022. One year later, for the left eye, a different approach was decided: cataract surgery followed by Descemet membrane endothelial keratoplasty (DMEK). The Descemet membrane graft was prepared by the surgeon using the liquid bubble technique. AS-OCT was used to monitor the patient before and after surgery. <b>Results:</b> Visual recovery was excellent for both eyes, however, visual acuity improved quickly in the left eye (DMEK), while, in the right eye (PK), the best corrected visual acuity was reached after several months post-surgery. <b>Conclusion:</b> Advanced stages of Fuchs dystrophy patients will most likely need corneal transplantation. Each type of corneal transplantation procedure comes with unique challenges, both intraoperative and postoperative. DMEK is a very good treatment option for patients with Fuchs endothelial dystrophy, with excellent visual recovery and good graft survival at the 10-year mark. <b>Abbreviations:</b> DMEK = Descemet membrane endothelial keratoplasty, PK = penetrating keratoplasty, AS-OCT = anterior segment optical coherence tomography, FECD = Fuchs endothelial corneal dystrophy, BCVA = best corrected visual acuity, US = ultrasound, CDE = cumulative dissipated energy, IOL = intraocular lens.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sterile endophthalmitis after intravitreal injection of triamcinolone acetonide: case report and literature review. 玻璃体内注射曲安奈德后的无菌眼内炎:病例报告和文献综述。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.02
David-Ionuț Beuran, Mioara-Laura Macovei, Cătălin Cornăcel, Ioana Ruxandra Boca
{"title":"Sterile endophthalmitis after intravitreal injection of triamcinolone acetonide: case report and literature review.","authors":"David-Ionuț Beuran, Mioara-Laura Macovei, Cătălin Cornăcel, Ioana Ruxandra Boca","doi":"10.22336/rjo.2024.02","DOIUrl":"https://doi.org/10.22336/rjo.2024.02","url":null,"abstract":"<p><p><b>Objectives:</b> The first purpose is to present the diagnosis and therapeutic approach in a patient with sterile endophthalmitis associated with triamcinolone acetonide injection. The secondary objective is to assess the incidence of this complication and to summarize the risk factors described in the literature. <b>Case presentation:</b> A 76-year-old male patient presented for painless, unilateral, decreased visual acuity, four days after cataract surgery and simultaneously intravitreal triamcinolone acetonide injection for diabetic macular edema in the right eye. The diagnosis of sterile endophthalmitis was made. Eight days after the presentation, the symptoms subsided, the maximum corrected visual acuity reaching that before the procedures. <b>Discussions:</b> The incidence of sterile endophthalmitis varies in the literature between 0% and 23.8%. Visual prognosis is good, although the pathogenesis is not fully understood. Preservatives in injectable solutions have been suggested, however, there are studies in which inflammation was also present with preservative-free products. The particle size of triamcinolone was analyzed, demonstrating an association between smaller particles and an increased frequency of adverse reactions of this type. History of uveitis, posterior capsule rupture following cataract surgery, and Irvine-Gass syndrome are other associations described. <b>Conclusion:</b> The physiopathological mechanism of sterile endophthalmitis is not fully understood. However, the visual prognosis is good, the final vision being dependent on the underlying pathology.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Internet of Things (IoT) technology and its application in Ophthalmology. 物联网技术及其在眼科中的应用。
Romanian journal of ophthalmology Pub Date : 2024-01-01 DOI: 10.22336/rjo.2024.01
Consuela-Mădălina Gheorghe
{"title":"Internet of Things (IoT) technology and its application in Ophthalmology.","authors":"Consuela-Mădălina Gheorghe","doi":"10.22336/rjo.2024.01","DOIUrl":"https://doi.org/10.22336/rjo.2024.01","url":null,"abstract":"","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"68 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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