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Romanian Journal of Ophthalmology

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https://www.readbyqxmd.com/read/30505995/cystoid-macular-edema-secondary-to-gyrate-atrophy-in-a-child-treated-with-sub-tenon-injection-of-triamcinolone-acetonide
#1
Şahin Alparslan, Mehmet Türkcü Fatih, Şahin Muhammed, Yıldırım Adnan
Purpose: Gyrate atrophy (GA) of the fundus is a rare, progressive metabolic disease secondary to the deficiency of the pyridoxal phosphate-dependent enzyme, ornithine aminotransferase. GA may lead to cystoid macular edema (CME) resulting from chronic inflammation. We aimed to report a child case with CME secondary to gyrate atrophy. Methods: Herein we presented a GA case treated with posterior sub-Tenon triamcinolone acetonide injection. Results: Optical coherence tomography examination revealed the disappearance of the macular edema that is a vision-threatening complication in GA...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505994/non-arteritic-anterior-ischemic-optic-neuropathy-case-report
#2
Monica Bordas, Bogdana Tabacaru, Tudor Horia Stanca
We present a case of Non-Arteritic Anterior Ischemic Optic Neuropathy (NA-AION) with uncertain etiology but a good recovery with a total gain of central visual acuity.
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505993/bilateral-combined-anterior-and-posterior-lenticonus-in-alport-s-syndrome
#3
Uma Sharan Tiwari, Ankita Aishwarya, Rashmi Kujur
Alport's syndrome is an inherited disease characterized by hearing loss, progressive renal failure and ocular abnormalities like anterior lenticonus, corneal opacities, cataract, fleck retinopathies, and temporal retinal thinning. To have anterior and posterior lenticonus in the same eye in this syndrome is a rare finding and only a few such reports are available. Hereby, we report a case of a 22-year-old male with bilateral combined anterior and posterior lenticonus with sensorineural deafness and nephritis leading to the diagnosis of Alport's syndrome...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505992/macular-pigment-density-changes-in-central-serous-chorioretinopathy
#4
Ruxandra Tudosescu, Cristina Mihaela Alexandrescu, Sinziana Luminita Istrate, Alexandra Vrapciu, Radu Constantin Ciuluvica, Liliana Mary Voinea
Aim: To present a series of 2 cases of central serous chorioretinopathy and the changes in the macular pigment optical density during the evolution of the disease. Material and methods: A 32-year-old patient presented himself for blurred vision on his LE. The SD OCT imaging revealed serous macular detachment of the neurosensory retina on the LE. The MPOD results were 0.72 on RE and 0.91 on LE. After treatment and resorption of the subretinal fluid, the MPOD values were 0.72 on the RE and 0.82 on the LE. The second patient was a 36-year-old male with metamorphopsia on LE and serous macular detachment on this eye...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505991/macular-serpiginous-choroiditis-case-report
#5
Roxana Cozubas, Emil Ungureanu, Sinziana Luminita Instrate, Cristina Alexandrescu, Razvan Vladimir Nanu, Laura Carstocea, Liliana Mary Voinea, Radu Ciuluvica
Serpiginous choroiditis represents an inflammation, often asymmetric, situated at the level of the inner choroid, which is related to the retinal pigment epithelium and the choriocapillaris. It is known as a primarily idiopathic, but there are authors who consider it an autoimmune process. Many times, fundus autofluorescence is the investigation which is guiding the diagnosis, the management, also the follow-up together with the determination of the progressive visual prognosis. Local treatment is proven to be sometimes an adjunctive treatment often effective...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505990/short-term-effect-of-intravitreal-bevacizumab-for-diabetic-macular-edema-associated-with-epiretinal-membrane
#6
Ashraf Khorasani Maryam, Mohammadi Tafgeh, Motallebi Mahmoud, Anvari Pasha, Sedaghat Ahad, Ghasemi Falavarjani Khalil
Purpose: To evaluate the effect of intravitreal bevacizumab (IVB) injection on central macular thickness (CMT) in patients with diabetic macular edema (DME) associated with epiretinal membrane (ERM) and compare the results to those with DME without ERM. Methods: 54 eyes of 54 patients with DME were included in this prospective comparative case series. Twenty-eight patients had ERM. All patients received 2.5 mg/ 0.1 ml IVB. The primary outcome measure was the change in central macular thickness (CMT) and the secondary outcome measure was the change in best corrected visual acuity (BCVA), one month after the IVB injection...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505989/investigation-of-importance-of-the-structural-parameters-of-the-eyeball-and-of-the-technical-parameters-of-cataract-surgery-on-corneal-endothelial-changes
#7
Razvan Vladimir Nanu, Emil Ungureanu, Sinziana Luminita Istrate, Alexandra Vrapciu, Roxana Cozubas, Laura Carstocea, Liliana Mary Voinea, Radu Ciuluvica
The aim of the here presented study was to look into the importance of the structural parameters of the eyeball, in relationship with the technical parameters of cataract surgery regarding the corneal endothelial changes made by it. Material and method: The paper refers at a prospective study in which we included eighty-eight consecutive eyes from eighty-six different patients having age-related cataract and a visual acuity of a values less than 0.8 considering best possible correction with it. The patients didn't have other obvious causes for the decreased visual acuity...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505988/don-t-cry-over-spilt-milk-a-review-on-consumer-based-corporate-reputation-in-private-ophthalmology-services
#8
REVIEW
Consuela-Mădălina Gheorghe, Victor Lorin Purcărea, Iuliana-Raluca Gheorghe
A growing interest has been identified in defining and measuring corporate reputation in both business and academia. Monitoring and managing the intangible assets of an organization is an important matter and the most investigated intangible asset is reputation. In healthcare services, and implicitly, in ophthalmology services, corporate reputation has generated many controversial debates, due to their characteristics such as intangibility, variability, perishability, and inseparability. Reputation can be defined as a synthesis of opinions, perceptions, and attitudes of an organization's stakeholders...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505987/an-overview-of-the-influence-and-design-of-biomaterial-of-the-intraocular-implant-of-the-posterior-capsule-opacification
#9
REVIEW
Razvan Vladimir Nanu, Emil Ungureanu, Sinziana Luminita Instrate, Alexandra Vrapciu, Roxana Cozubas, Laura Carstocea, Liliana Mary Voinea, Radu Ciuluvica
Posterior capsule opacification remains till nowadays one of the most hypothetical problems concerning the cataract surgery. When it comes in preventing PCO, this complication is made in multiple ways that concern, along with the surgery steps, the choice for the biomaterial of the intraocular implant lens. The concern of influence of the type of the used material (hydro-phob/ hydro-philic), of the design of the implant (1-piece IOL = monobloc vs. 3 - piece IOL - multipiece) and with the design at the edge, they all have been considered in multiple studies...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505986/similarities-and-differences-between-three-different-types-of-white-dot-syndrome-and-the-therapeutic-possibilities
#10
REVIEW
Roxana Cozubas, Emil Ungureanu, Sinziana Luminita Instrate, Cristina Alexandrescu, Razvan Vladimir Nanu, Laura Carstocea, Liliana Mary Voinea, Radu Ciuluvica
White dot syndromes consists a group of inflammatory eye diseases with an unknown etiology involving the external retina, retinal pigment epithelium, choroid or combinations of them. They affect one or both eyes, at the same time or not. White dot syndromes are often self-limited, with a variable prognosis, depending on the type of the disease. The purpose of this article was to look at the similarities and the differences between the different types of syndromes and the therapeutic possibilities existing at present...
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30505985/ebo-accredited-first-centre-in-romania
#11
EDITORIAL
Zemba Mihail
No abstract text is available yet for this article.
July 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206563/stromal-corneal-dystrophy-possible-schnyder-s-dystrophy-with-peripheral-corneal-degeneration-diagnostic-and-therapeutic-challenges
#12
Mihail Zemba, Raluca Neacsa, Bogdan Ion Cucu
Purpose: to highlight the diagnostic and therapeutic challenges in a case with central and peripheral corneal lesions. Methods: We present the preoperative investigations: anterior segment optical coherence tomography and ultrasound biomicroscopy; The excised cornea has been examined histopathologically. Results: Preoperative assessment showed that peripheral lesion was not ectatic; Histopathological examination points to a possible corneal degeneration, with posttraumatic or infectious etiology for the peripheral lesion and gives some reasons to sustain the diagnosis of Schnyder's dystrophy for the central lesion...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206562/bilateral-papillary-oedema-case-report
#13
Cristina Culea, Bogdana Tăbăcaru, Tudor Horia Stanca
OBJECTIVE: We report one case of malignant high blood pressure with no systemic signs but with ocular complaints. METHODS: The paper presents the case of a 31-year-old male who complained of sudden loss of visual acuity in both eyes. The ophthalmological examination revealed bilateral papillary oedema. General and cardiological examinations revealed he was suffering from malignant high blood pressure. RESULTS: The pathogenic treatment resulted in resolution of signs and symptoms with favourable ophthalmological evolution and almost entirely functional recovery...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206561/injecting-botulinum-toxin-into-the-treatment-of-blepharospasm
#14
Marius Nicolae Popescu, Stella Ioana Popescu, Corina Cristina Cernat, Ana Maria Boariu, Edward Călin, Ana Vieru, Ovidiu Muşat
The present paper is an introduction to this category of therapy, the injection of botulinum toxin into blepharospasm and, at the same time, an attempt to familiarize our readers with this concept. Our activity in this field started in 2014; the favorable results we have obtained since then have made us write this article. Abbreviations: BEB = Abnormal Benign Essential Blepharospasm, TXB = Botulinum Toxin.
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206560/a-referable-clinical-pattern-of-spondyloarthritis-associated-uveitis
#15
Costin Traian Mitulescu, Claudiu Costinel Popescu, Constantin Laurențiu Oprea, Denisa Predețeanu, Sînziana Istrate, Radu Ciuluvică, Liliana-Mary Voinea
Objective. The aim of the study was to identify a clinical pattern of spondyloarthritis (SpA)-associated uveitis in order to facilitate proper rheumatologic referral by ophthalmologists. Methods. Demographic data were recorded and acute phase reactants were measured using standard methods between May and August 2017, for all adult patients (age > 18 years) presenting with acute uveitis (standardization of uveitis nomenclature). Afterwards, they were referred to a rheumatology clinic to be screened for the 2009 Assessment of SpondyloArthritis International Society (ASAS) classification criteria of SpA...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206559/the-importance-of-corneal-biomechanics-in-assessing-first-degree-family-members-of-keratoconus-patients
#16
Ioana Catalina Ionescu, Catalina Gabriela Corbu, Cristina Nicula, Valeria Coviltir, Vasile Potop, Mihaela Constantin, Dana Dascalescu, Miruna Burcel, Veronica Strehaianu, Radu Ciuluvica, Liliana-Mary Voinea
Aim: to determine the values of biomechanical parameters (corneal hysteresis - CH, corneal resistance factor - CRF and keratoconus match index - KMI) in patients with keratoconus and their first degree family members. The purpose of the present study was to investigate the importance of assessing corneal biomechanics in subjects at risk of developing the primary ectasia. Materials and methods: 48 participants divided into three groups were analyzed in an observational study after a complete ophthalmological exam with the primary focus on Ocular Response Analyzer...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206558/choroidal-thickness-increase-after-micropulse-transscleral-cyclophotocoagulation
#17
Ramona Barac, Maria Vuzitas, Florian Balta
Glaucoma, the affliction that results in optic nerve damage and vision loss, is the main cause of irreversible blindness. The goal of this study was to describe our experience and OCT findings regarding glaucoma patients who underwent MicroPulse Transscleral Cyclophotocoagulation. A variety of glaucoma patients treated with MP-TSCPC were included in our study. LASER settings were 2000mW of 810nm infrared diode micropulse LASER, 31.3% duty cycle and the duration of treatment was between 80-130 s per hemisphere to each eye, at 3 mm of corneoscleral limbus, spearing the nasal and temporal clock hours and also the region with previous filtration surgeries (trabeculectomy)...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206557/peripapillary-retinal-nerve-fiber-layer-and-macular-ganglion-cell-complex-thickness-in-patients-with-chronic-phase-of-nonarteritic-anterior-ischemic-optic-neuropathy
#18
Muhammed Şahin, Alparslan Şahin, Fatih Mehmet Türkcü, Hamza Aslanhan, Harun Yüksel
Objective: We aimed to investigate the peripapillary retinal nerve fiber layer (pRNFL) and macular ganglion cell complex (mGCC) thickness in patients with chronic phase of nonarteritic anterior ischemic optic neuropathy (crNAION) analyzed by spectral domain optical coherence tomography (SD-OCT). Methods: Patients with crNAION, and healthy control subjects were enrolled in the study. All participants underwent SD-OCT for measurement of pRNFL, mGCC, and central macular thickness (CMT). The measurements of the eyes of the patients with crNAION were compared with those of the control subjects and unaffected fellow eyes...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206556/phacoemulsification-in-adult-patients-with-post-uveitis-complicated-cataract
#19
Sorin Simion Macarie, Daniela Mariana Macarie
Objective: To evaluate the difficulties, complications and outcome of cataract surgery in patients with complicated cataract after anterior uveitis. Methods: A retrospective study on 37 patients who suffered phacoemulsification surgery for post-uveitis complicated cataract in the period 2009-2014 was performed. 43 eyes underwent surgery. Results: Posterior synechiae were present in 25 eyes. Posterior synechiolysis ensured large pupil in 15 eyes, and, in 14 eyes, the use of iris hooks or pupil expansion ring was necessary for surgery...
April 2018: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30206555/a-marketing-perspective-on-consumer-perceived-competition-in-private-ophthalmology-services
#20
REVIEW
Consuela-Mădălina Gheorghe, Victor Lorin Purcărea, Iuliana-Raluca Gheorghe
Competition in health care services has been considered as a core component in the consumer value mechanism. In Romania, the emergence of private ophthalmology services has as outcome a positive-sum competition which focuses on prevention, diagnosis and treatment of eye related diseases and disorders and improved value. The purpose of this paper was to provide an insight into the knowledge used by consumers when they make a decision regarding a private ophthalmology service with a specific interest on competition...
April 2018: Romanian Journal of Ophthalmology
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