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Romanian Journal of Ophthalmology

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
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
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
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
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
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
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
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
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
Traian-Costin Mitulescu, Marius Trandafir, Monica-Gabriela Dimăncescu, Radu-Constantin Ciuluvică, Viorela Popescu, Denisa Predețeanu, Sînziana Istrate, Liliana-Mary Voinea
Spondyloarthritis (SpA) is a heterogeneous group of diseases that includes ankylosing spondylitis (AS), psoriatic arthritis (PsA), reactive arthritis (ReA), inflammatory bowel disease-associated spondyloarthritis (IBD-SpA), and undifferentiated spondyloarthritis (unSpA). This group of diseases shares several clinical, imaging, and genetic features; the integration of these diseases in the group of SpA is needed for an early diagnosis and a prompt treatment. Uveitis is the most common extra-articular manifestation of SpA...
April 2018: Romanian Journal of Ophthalmology
Ilona Duica, Liliana-Mary Voinea, Costin Mitulescu, Sinziana Istrate, Ioana-Cristina Coman, Radu Ciuluvica
PURPOSE: Non-infectious uveitis has been long controlled with the use of corticosteroids with many side effects and poor control in some cases. The purpose of this paper was to assess the different biologic agents (in this case infliximab and adalimumab) and to compare their efficacy in the treatment of uveitis. RESULTS: Adalimumab has been proven very successful in replacing or aiding corticosteroid therapy in different autoimmune mediated uveitis (Juvenile Idiopathic Arthritis, Rheumatoid arthritis, sarcoidosis) whereas infliximab has been used intravenously and recently intravitreally with very promising results in controlling Behcet's related uveitis...
April 2018: Romanian Journal of Ophthalmology
Speranţa Schmitzer, Miruna Burcel, Dana Dăscălescu, Ioana Claudia Popteanu
Goldenhar syndrome (oculo-auriculo-vertebral dysplasia, OAVS) is a rare, congenital disease arising from the abnormal development of the first and second branchial arches. The incidence is between 1:3500 and 1:5600, with a male: female ratio of 3:2. The etiopathogenesis is multifactorial and dependent on genetic and environmental factors but there are still many unknown aspects. The classic features of Goldenhar syndrome include ocular anomalies - epibulbar dermoids, microphthalmia and coloboma, ENT features such as preauricular tragi, hearing loss, low implantation of the auricular pavilion, micrognathia, and vertebral anomalies such as scoliosis or hemivertebrae...
April 2018: Romanian Journal of Ophthalmology
Ionuţ Ciprian Săraru
The evolution of the modern Romanian society reveals an increasing trend as to the liability for medical malpractice, which in correlation with recent amendments of relevant legislation should make healthcare professionals increase their awareness in this matter. In the analysis below, malpractice was defined from a theoretical and practical perspective, and approached from its potential consequences. As liability for malpractice could be variable subject to the nature and importance of the damages incurred, the analysis herein describes the civil, administrative, and criminal liability in general, as well as the main causes for the occurrence of malpractice (e...
April 2018: Romanian Journal of Ophthalmology
C Daniel Brănișteanu
No abstract text is available yet for this article.
April 2018: Romanian Journal of Ophthalmology
Alina Gheorghe, Ancuţa Teodora Rosoga, Fildys Mrini, Iulia Vărgău, Florentina Gherghiceanu
This paper aims to discuss various therapeutical strategies (corneal cross-linking, amniotic membrane transplantation with or without autologous serum application, medical regenerative therapy) for treating ocular surface diseases according to medical indications, etiology, local and general status of the patient. Besides the evolution and treatment of the lesions induced by corneal foreign body, ocular burns, neurotrophic keratitis, pterygium removal, Mooren's ulcer, this paper also follows and evaluates the migration, stratification and development of corneal epithelium...
January 2018: Romanian Journal of Ophthalmology
Dănuţ Costin, Gabriela Mirela Pînzaru, Andra Mădălina Pătraşcu, Anca Moţoc, Andreea Dana Moraru
Ophthalmological and neurological signs and symptoms were assessed in a patient diagnosed with retrobulbar optic neuritis associated with multiple sclerosis (MS). The patient presented with progressive decrease of visual acuity, intermittent diplopia, paresthesia of the left arm and equilibrium disturbances. The complete ophthalmologic examination (clinical examination, visual field, optical coherence tomography) along with an MRI exam supported the diagnosis of MS with active lesions associated with retrobulbar optic neuritis...
January 2018: Romanian Journal of Ophthalmology
Oana Roxana Scripcă, Cristina Pădurariu, Neacșu Gheorghe Boricean, Loredana Botoș
A 42-year-old woman, without a specific medical history presented at the Department of Emergency Ophthalmology accusing marked decrease of vision for the left eye (VA 1/ 100). The eye examination revealed an optic neuropathy with multiple retinal hemorrhages at the level of both eyes, but more acutely on the left eye. The brain computer tomography (CT) excluded the suspicion of increasing intracranial pressure. The common blood tests such as complete blood count (CBC), erythrocyte sedimentation rate, and inflammatory markers raised a high suspicion of a malignant haematological disease...
January 2018: Romanian Journal of Ophthalmology
Raluca Eugenia Iorga, Ruxandra Mihailovici, Manuela Ramona Ozturk, Dănuţ Costin
Leber's hereditary optic neuropathy is the most common mitochondrial condition and is characterized by bilateral, painless, subacute visual loss that develops during young adult life. LHON is a rare condition and this lack of knowledge can make doctors suspect and treat for other causes of vision loss. Typically, a series of tests are performed to confirm LHON diagnosis or exclude any other conditions. We presented the case of two brothers, HB, of 40 years old and HF, of 38 years old, who presented with a decrease in visual acuity in both eyes...
January 2018: Romanian Journal of Ophthalmology
Iuliana Raluca Gheorghe, Consuela-Mădălina Gheorghe, Victor Lorin Purcărea
Nowadays, the competition registered on the Romanian markets regarding the activity of private ophthalmology organizations has raised their interest in developing consumer-oriented strategies. The key factor that assures a differentiation as well as a competitive advantage is the service quality from a marketing perspective. OBJECTIVES: From a marketing perspective, service quality is measured as a perceived discrepancy between the consumers' expectations and was actually performed in health care services...
January 2018: Romanian Journal of Ophthalmology
Camelia-Margareta Bogdănici, Ştefan Tudor Bogdănici, Diana Elena Săndulache, Carmen-Mariana Diaconu
The aim of the study was to highlight the medical and legal difficulties in framing low-vision patients for certification. We performed a retrospective observational study conducted from January 2013 to January 2016, on 63 patients with the mean age of 16.37±3.34 years, evaluated at the Ophthalmology Clinic from "Sf. Spiridon" Hospital, Iași, in order to release a medical certificate required at the Expertise Board. The clinical parameters observed were visual acuity (VA) with correction, objective refraction (in Spherical Equivalent - SEq), intraocular pressure, slit lamp examination of the anterior pole, fundus examination, orthoptic eye exam, and ocular ultrasonography (in selected cases)...
January 2018: Romanian Journal of Ophthalmology
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