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Romanian Journal of Ophthalmology

Alina-Cristina Stamate, Marian Burcea, Mihail Zemba
OBJECTIVES: To report a rare case of unilateral pigmentary retinopathy and describe the clinical and visual field characteristics of this particular case. METHODS: We present the case of a 30-year-old male patient with a gradual loss of the visual field on his left eye (LE) for the past 10 years, with further gradual painless loss of his central visual field in the last year, and no similar symptoms in his right eye. His past medical and ocular history were unremarkable...
January 2016: Romanian Journal of Ophthalmology
Stanca T Horia, Tabacaru Bogdana, Elena Suvac
We present a case of Retinitis Pigmentosa with atypical aspect of fundus (Punctata Albescens), associated with Cystoid Macular Oedema and Optic Disc Drusen.
January 2016: Romanian Journal of Ophthalmology
Stan Cristina, Vlăduţiu Cristina, Popovici Mihaela
Acanthamoeba keratitis is a rare, chronic, mainly contact lens-related infection caused by a free-living amoeba found ubiquitously in water and soil. A case of a 9-year-old child, who presented to our clinic with painful, red left eye, associated with photophobia, and decreased visual acuity, wais reported. The clinical examination revealed a discoid opacity inferiorly bounded by a dense, gray infiltrate. The progressive nature of the corneal infiltrate, the epithelial defect, and the lack of response to treatment was highly suggestive for Acanthamoeba keratitis...
January 2016: Romanian Journal of Ophthalmology
Catalina Ionescu, Dana Dascalescu, Miruna Cristea, Speranta Schmitzer, Miruna Cioboata, Raluca Iancu, Catalina Corbu
UNLABELLED: Abstract PURPOSE: We present the clinical, paraclinical and therapeutic features in a patient with secondary congenital aphakia. METHODS: A 2-year-old patient, diagnosed with congenital rubella syndrome including sensorineural deafness, congenital heart disease, intellectual disability, microcephaly, microphthalmia, and congenital cataract, presented to our clinic for the surgical treatment of cataract. RESULTS: During the surgery, the absence of the lens' cortex was observed, hence, the final diagnose was of secondary congenital aphakia...
January 2016: Romanian Journal of Ophthalmology
Daniel Constantin Brănişteanu, Andrei Bilha, Andreea Moraru
UNLABELLED: Abstract PURPOSE: To assess the anatomical and functional results after vitreoretinal surgery, in a large number of patients with complications due to diabetic retinopathy. Also, to compare the 23G vs. the 20G surgical procedures in these cases, regarding efficacy, facility, safety, and postoperative recovery. METHODS: Interventional, retrospective, comparative study of cases operated for different complications of diabetic retinopathy between January 2000 and December 2014...
January 2016: Romanian Journal of Ophthalmology
Barac Ileana Ramona, Corbu Catalina, Merticariu Andrei, Stefan Daciana, Tataru Calin
OBJECTIVE: The evaluation of the efficiency of corneal cross linking in the management of corneal ulcers. METHOD: A prospective study that included 10 patients, 10 eyes, with chronic corneal ulcer, bacterial and/ or fungal. The patients were divided into two groups. Group A included 5 patients with unperforated corneal ulcer and group B included 5 patients with perforated corneal ulcer. These patients were treated with general and local antibiotic and antifungal drugs, but the response was poor after two weeks...
January 2016: Romanian Journal of Ophthalmology
Banc Ana, Stan Cristina, Chiselita Dorin
OBJECTIVE: The objective of this study was to evaluate the peripheral binocular visual field (PBVF) in patients with glaucoma using the threshold strategy of Humphrey Field Analyzer. METHODS: We conducted a case-control pilot study in which we enrolled 59 patients with glaucoma and 20 controls. All participants were evaluated using a custom PBVF test and central 24 degrees monocular visual field tests for each eye using the threshold strategy. The central binocular visual field (CBVF) was predicted from the monocular tests using the most sensitive point at each field location...
January 2016: Romanian Journal of Ophthalmology
Mircea Filip, Miruna Nicolae, Andrei Filip, Cristina Antonescu, Carmen Dragne, Grigorios Triantafyllidis, Raluca Moisescu, Irina Lutic, Ileana Ungureanu, Anamaria Teodorov
The purpose of the study was to evaluate the refractive results on a large cohort of patients who were implanted spherical or toric multifocal IOL's for cataract surgery or for refractive purpose. Preoperative refractive investigations included auto refractometer topography, pentacam, contact and noncontact biometry and many non-refractive investigations. The target in multifocal IOL usage was emmetropia and it was achieved in most cases. Ametropia occurrence involved correction in different ways.
January 2016: Romanian Journal of Ophthalmology
István Cseke, Péter Vámosi, Mária Bausz
AIM: To present the early experience with the implantation technique, safety and efficiency of STARflo device for open angle glaucoma (OAG). METHODS: referring intra- and postoperative clinical experience with a series of seven cases in three glaucoma centers in Hungary. RESULTS: No intraoperative complications were observed. Postoperative inflammatory signs disappeared rapidly. The mean IOP reduction was from 27.6 ± 5.0 mmHg to 18.9 ± 3...
January 2016: Romanian Journal of Ophthalmology
Malciolu Radu Alexandru, Nica Maria Alexandra
Age-related macular degeneration (AMD) is referred to as the leading cause of irreversible visual loss in developed countries, with a profound effect on the quality of life. The neovascular form of AMD is characterized by the formation of subretinal choroidal neovascularization, leading to sudden and severe visual loss. Research has identified the vascular endothelial growth factor (VEGF) as an important pathophysiological component in neovascular AMD and its intraocular inhibition as one of the most efficient therapies in medicine...
January 2016: Romanian Journal of Ophthalmology
Nicolae Miruna, Filip Andrei, Filip Mircea Vasile, Eugen Rotaru
Our paper is an introduction in this new generation of Laser vision correction, called SMILE. It also reveals our experience in the past year, since we started to perform this new procedure in our patients. Small Incision Lenticule Extraction technique is the 3rd generation of Laser vision correction that completely redefines refractive surgery. Being performed entirely with femtosecond laser, SMILE is tissue preserving and very gentle for the eye. In 2011, it was launched internationally. We have started with SMILE in October 2014...
January 2016: Romanian Journal of Ophthalmology
Alina Gheorghe, Monica Pop, Fildis Mrini, Ramona Barac, Iulia Vargau
The purpose of our review was to familiarize the readers with the new concepts in ocular surface diseases and reconstruction. Limbal stem cell deficiency is characterized by the progressive invasion of conjunctival epithelial cells onto the cornea, superficial vascularisation, destruction of the corneal basement membrane, and chronic inflammatory cell infiltration. Depending on the severity of the disease and the time passed from the primary injury amniotic membrane transplantation, keratolimbal allograft and autograft are the available treatments hoping that, in the nearest future, stem cell transplantation and tissue engineering will become the usual therapeutic choices...
January 2016: Romanian Journal of Ophthalmology
Cornel Stefan, Mehdi Batras, Adriana Iliescu Daniela, Mihaela Timaru Cristina, Algerino De Simone, Jalaladin Hosseini-Ramhormozi
The purpose of this study is to review current surgical treatment and new and better alternatives for patients with glaucoma. Glaucoma refers to a group of related eye disorders that have in common an optic neuropathy associated with visual function loss. It is one of the leading causes of irreversible blindness worldwide. Optic nerve damage and glaucoma-related vision loss can be prevented or limited by early diagnosis and treatment. Surgery offers a better control of the intraocular pressure then medical therapy...
July 2015: Romanian Journal of Ophthalmology
Crenguta Ioana Feraru, Anca Delia Pantalon, Dorin Chiselita, Daniel Branisteanu
Plateau iris is characterized by closing the anterior chamber angle due to a large ciliary body or due to its anterior insertion that alters the position of iris periphery in respect to the trabecular meshwork. There are two aspects that need to be differentiated: plateau iris configuration and plateau iris syndrome. The first describes a situation when the iris root is flat and the anterior chamber is not shallow, the latter refers to a post laser iridotomy condition in which a patent iridotomy has removed the relative pupillary block, but goniscopically confirmed angle closure recurs without central shallowing of the anterior chamber...
July 2015: Romanian Journal of Ophthalmology
Monica Gavriş, Ioan Horge, Elena Avram, Roxana Belicioiu, Ioana Alexandra Olteanu, Hanga Kedves
Frequently, in literature and curent practice, accessory iris membrane (AIM) and persistant pupillary membrane (PPM) are confused. Both AIM and PPM are congenital iris anomalies in which fine or thick iris strands arrise form the collarette and obscure the pupil. AIM, which is also called iris duplication, closely resembles the normal iris tissue in color and thickness and presents a virtual second pseudopupil aperture in the centre while PPM even in its extreme forms presents as a translucent or opaque membranous structure that extends across the pupil and has no pseudopupil...
July 2015: Romanian Journal of Ophthalmology
Mihail Zemba, Alina-Cristina Stamate, Ioana Avram Corina, Radu Malciolu, Raluca Neacsa, Stefan Oprea, Gabriela Ivascu Diana, Marian Burcea
PURPOSE: to show how we diagnosed and treated a rarer form of angle-closure glaucoma; the pathogenic mechanism was angle crowding through thick peripheral iris roll. METHODS: we show the investigations: biomicroscopy of the fundus, tonometry, pachymetry, gonioscopy, perimetry, ultrasound biomicroscopy, optical coherence tomography of the anterior segment--that helped us to diagnose the angle-closure glaucoma and its pathogenic mechanism; we also show our choice for surgery--lens extraction--and our arguments for this choice...
July 2015: Romanian Journal of Ophthalmology
Andreea Dana Fişuş, Doina Suzana Pop, Monica Blanka Rusu, Florina Vultur, Karin Ursula Horvath
Retinal vein occlusion (RVO) is the second most common retinal vein disease with significant visual loss via thrombus or compression of vein wall. Thrombophilia is the predisposition to vascular thrombosis with the existence of genetic defect that leads to blood hypercoagulability. This report describes the case of a 55 year old male patient, with an active life who presented himself at the emergency room with acute visual lose, insidious and progressive visual field constriction, without any known history of neurological or vascular diseases...
July 2015: Romanian Journal of Ophthalmology
Andrei Olaru, Denissa-Greta Olaru, Andreea Nicolcescu, Cristian Olaru, Mihaela Popescu, Andreea-Gabriela Deca, Carmen Mocanu
The diagnosis of RAP is similar with the diagnosis of the AMD, but PED, exudate and superficial hemorrhages are more common in RAP. A 75-year-old male presented himself at the Ophthalmology Department of the Emergency County Hospital in Craiova in January 2015, with a 4 months history of vision loss. In his right eye the visual acuity was 4/50 eye non-optical correctable and 5/5 with optical correction in the left eye. According to the FA and OCT that were performed in both eyes, in the right eye was found intraretinal neovascularization and sub and intraretinal fluid...
July 2015: Romanian Journal of Ophthalmology
Ana Banc, Cristina Stan
Synchysis scintillans is a vitreous condition in which multiple golden brown opacities are formed as a result of chronic vitreous hemorrhage. Anterior chamber synchysis scintillans was described in patients with afakia or lens subluxation. We report a case of a 63-year-old man with a history of left eye trauma and complete loss of vision, who presented for left eye discomfort. The slit lamp examination revealed crystals of synchysis scintillans and rare inflammatory cells in the anterior chamber, stromal iris atrophy, circumferential posterior iris synechiae, and complete lens opacity...
July 2015: Romanian Journal of Ophthalmology
Monica Gavriş, Ioan Horge, Elena Avram, Roxana Belicioiu, Ioana Alexandra Olteanu, Hanga Kedves
INTRODUCTION: Femtosecond Laser-assisted cataract surgery represents a modern technology that hopes to lower the risk of complications for patients suffering from Fuchs endothelial dystrophy by using a reduced level of energy that causes less damage to the endothelium, the main concern for patients with Fuchs endothelial dystrophy. The femtosecond laser performs 3 important steps in cataract surgery: corneal incisions, capsulorhexis and nucleus fragmentation without intraocular instrument manipulation...
July 2015: Romanian Journal of Ophthalmology
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