Biomedical subjects
Publications and source records attributed to B Cârstocea.
This paper presents a few theoretical considerations about the posttraumatic posterior luxation of the nucleus. We discuss the evolution and surgical treatment of a clinical case, and we remark once more that the posterior luxation of the nucleus is considered to be an delayed surgical emergency.
This paper presents the most used glucocorticoids in the ophthalmic treatment, topic, periocular and systemic administrations, as well as the indications, contraindications and complications of this therapy.
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This paper presents a few theoretical considerations about the causes and treatment of endophthalmitis, about the high role of endophthalmitis vitrectomy. We discuss the evolution and treatment in 3 different clinical cases.
Choroidal neovascularization (CNV) may occur in any ocular condition affecting the integrity of the choriocapillaris-Bruch's membrane-retinal pigment epithelium-outer retinal layer complex. CNV in the macula is a major cause of severe central visual loss. A variety of clinical symptoms suggest the diagnosis of CNV. Fluorescein and indocyanine green angiography play a very important role in the detection and precise localization of CNV in relation to the centre of the foveal avascular zone. In the present, CNV benefits by many treatment possibilities. The goal of treatment is specifically to decrease the risk of visual acuity loss.
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Our paper present a clinical case of inclusion cyst of the anterior chamber. We discuss the clinical course, the specific investigations, the surgical management and the histopathologic diagnosis.
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In the beginning, the paper presents some general words about the main intraoperative complications of the phacoemulsification and some practical attitudes patient in front of the rupture of the posterior capsule. The second part presents the case of a 63 years old patient who was intended to be operated for cataract by phacoemulsification and who suffered a complication during this procedure--the rupture of the posterior capsule with the luxation of the majority of the nucleus into the vitreous body.
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In some ocular diseases may occur the corneal perforation. This condition requires an emergency penetrating keratoplasty. We show in this paper the conditions, surgical techniques and the complications in this kind of surgical intervention, with examples from our clinical cases.
The therapeutically approach of glaucoma still represent a problem of the ophthalmology. Latanoprost, a new prostaglandin derivative, fall the intraocular pressure as good in the night as during the day by its special way of action. Since January 1998, in the Eye Clinic of the Central Military Hospital, we studying the ocular hypotensive effects of the latanoprost. Our results seems to confirm the efficacy of this prostaglandin analogue.
Starting from a clinical case, the paper presents a rare complication of the strabismus and retinal detachment surgery: the anterior segment ischemia syndrome. In this context, we discuss the clinical and pathogenetic circumstances of apparition, underlining the great importance of primary prophylaxis.
After a theoretic presentation, the authors show the results of a study on 11 patients with cytomegalovirus retinitis. We observed the slowing of the evolution of the retinal lesions. Of 11 patients, 8 comes the first time to the physician for ocular symptoms. The CMV retinitis may predict the presence of HIV infection.
The inflammatory and infectious circumstances involving the orbit are known as 'orbitopathies' Considering the progress of immunology and imagistical investigations, it has been proposed a new classification of these entities. This classification divides the orbithopathies in specific and nonspecific. This paper brings up the case of a 65 year old female patient, showing unilateral proptosis with progressive evolution for about one year. The local examination and paraclinical investigations (computerised tomography and thyroid gland scintigram) sustained the diagnosis of Basedow disease. The ophthalmopathy in Basedow disease is a specific orbital involvement. Considering it's high rate of occurrence among the exophthalmic eyes (10%) it rests a severe disease, with a not yet fully understood physiopathology and a controversial treatment. The basedowian ophthalmopathy is, as well, an autoimmune disease, which requires the presence of T lymphocytes at the level of the orbital tissue. The computerised tomography gives us a direct visualisation of the enlarged muscles in hyperthyroidism (the muscles can increase 8 times their normal size), that is why we have to recommend it every time we are facing a patient with proptosis, especially unilateral.
The authors report the case of a 72-year-old patient with a sudden loss of the visual acuity of her unifunctional right eye. The ophthalmoscopy and the angiofluorography of the right eye showed a vascular tumour that is situated paramacular inferior, a long temporal arterial branch. Clinical and biochemical investigations permitted the diagnostic of arterial aneurysm developed on systemic hypertension and vascular fragility of the patient. It is very possible that an occlusive or a spastic downstream component to be at the origin of the aneurysm.