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Biomedical subjects

W Andrzejewska

Publications and source records attributed to W Andrzejewska.

At least 19 recordsLinked to original sources

[Results of retinal detachment surgery in aphakic and pseudo-aphakic eyes].

PURPOSE: The authors present results of conventional treatment of a patient with the retinal detachment in the aphakic and pseudophakic eyes. MATERIAL AND METHODS: The group consisted of 34 persons: 10 women and 24 men, aged from 40-79 years. Earlier the intracapsular (in 24 eyeballs) and extracapsular (in 3 eyeballs), lens extraction had been performed. The intraocular lens was inserted into 7 eyes. The following surgical technics were performed: cerclage in 16 eyes, screlar invagination in 5 eyes, scleral invagination with an extrascleral implant in 7 eyes, the extrascleral implant alone in 6 eyes. RESULTS: Total retinal reattachment was attained in 85% in aphakic eyes and 100% in pseudophakic eyes.

Adult↗

[Treatment of infantile strabismus with eye movement disorders].

PURPOSE: Possibilities of application of localization method in the treatment of infantile strabismus in a very early period are presented. MATERIAL AND METHODS: The authors applied treatment with hypercorrective and compensating prisms in 17 children with infantile strabismus. The age of the children ranged from 0.5 to 5 years, mean age-1 year. All children were found to have no motility or limited motility of eyes toward the temples. Initially, the children's eyes were alternately occluded in prisms whose strength prevalently was 30-40 pr dptr before each eye, with base toward the temple. After 1-3 months motility of the eyes appeared. Next, glasses compensating the squint angle were worn, without covering the eyes, starting with 1/2 hour 3 times a day and gradually prolonging the wearing time. Hypercorrective prisms were further used with alternate occlusion of the eyes. RESULTS: In all children partial or complete correction of motility was achieved. Further treatment of strabismus followed the rules of the localization method.

Child, Preschool↗

[Analysis of early results of combined treatment with glucocorticoids and telecobalt therapy for Graves' disease ophthalmopathy].

Early results of combined use of glucocorticoid administration and irradiation with radioactive cobalt for treatment of oedematous-infiltrative ophthalmopathy associated with Graves' disease have been analyzed in a group of 33 patients including 28 women and 5 men of age between 25 and 66 years (mean age 47.3 years). The combined therapy was a modification of the original method of Bartalena et al. which consisted in the gradual increase of the initial dose of glucocorticoids and prolongation of the period of administration of the drug. The ophthalmic lesions were assessed by thorough ophthalmologic examination and classified according to Werner. The ophthalmopathy index was calculated according to Donaldson. Satisfactory results of treatment have been obtained in 32 patients, with 9 patients being completely relieved from any objective or subjective ophthalmic symptoms (very good results), and 23 patients having still small afflictions originating from the soft tissues of the eye socket, exophthalmos, diplopia during marginal vision and a decreased visual acuity (good results). The clinical recovery was mostly connected with the improvement in the condition of soft tissues of the eye socket, cornea and external ocular muscles and, to a smaller extent, exophthalmos which persisted to some degree and acuity of vision not always attaining normal values. In one person the results of treatment were unsatisfactory despite some improvement. Very good and good results obtained in 97% of patients indicate that the administration of glucocorticoids combined with the irradiation of retrobulbar tissues with radioactive cobalt can now be regarded as the most effective method of treatment of the progressive oedematous-infiltrative ophthalmopathy.

Adult↗

[Prevention of retinal detachment. I. Cryopexy before cataract extraction. Preliminary report].

The authors discuss the results of cryopexy applied prophylactically in 32 eyes. The freezing was executed at least 6 weeks before the cataract extraction in eyes endangered by retinal detachment. This were the high myopia eyes, so called fellow eyes and eyes in persons aged between 30 and 40 years. Retinal detachment did not occur in either of the observed eyes in the period of 1-5 years.

Adult↗

Age-related changes in the extracellular matrix of the human optic nerve head.

By using immunofluorescent staining we were able to characterize the age-related changes in the macromolecules making up the extracellular matrix of the lamina cribrosa of the human optic nerve head. As the cores of the cribriform plates enlarged with age, there were age-related increases in the apparent density of collagen types I and III and elastin that constituted the connective tissue support of the nerve bundles. Collagen type IV coated the cribriform plates as basement membranes and was also present within the cores as a fine filamentous network, which increased in density with age as the cribriform plates expanded. As this tissue ages, individual differences leading to more or less of a particular macromolecule of the extracellular matrix may alter the support function of the lamina cribrosa and influence the degeneration of the optic nerve associated with glaucoma.

Aging↗

[Late results of goniotrephining using the Elliot-Fronimopoulos method].

One hundred and four eyes were operated in 86 patients: 65 eyes with an open angle glaucoma, 20 eyes with narrow or closed angle glaucoma and 19 eyes with secondary glaucoma. Normalization of the IOP was attained in 72.4 p.c. of patients from the 1st group, in 90 p.c. from the 2nd and in 57 p.c. from the 3rd group; after an additional pharmacological treatment respectively in 98.5 p.c., 100 p.c. and 89.5 p.c. Normal visual acuity or an improvement was observed in 75.4 p.c. of patients from the 1st group, in 60 p.c. from the 2nd and in 57.9 p.c. from the 3rd group. The visual field deteriorated in 23.2 p.c. of patients from the 1st group, in 25 p.c. from the second one and in 31.5 p.c. from the 3rd group. The good results obtained are encouraging for the employment of the Elliot-Fronimopoulos operation in all types of glaucoma.

Adult↗