Biomedical subjects

W Omulecki

Publications and source records attributed to W Omulecki.

At least 19 recordsLinked to original sources

PubMed2003

Congenital blepharoptosis: Part I. Evaluation of the results of surgical treatment for congenital blepharoptosis.

A retrospective clinical analysis of 69 of 118 patients with congenital blepharoptosis aged from 2 to 48, who underwent surgical corrections at the Department of Plastic Surgery of Lódź between 1977 and 2001, was reviewed. Included cases were analysed on the base of the type of primary defect, degree of ptosis, and surgical method. The aim of this study was to estimate aesthetic and functional results of surgical treatment in 39 patients corrected by Mustarde's modified method, in 17 by Mustarde's method, in 7 by Everbusch's method, in 4 by Blascovic's method, and in 2 by frontalis suspension. Comparable acceptable results of Mustarde's modified and Mustarde's method were achieved. Postoperatively 13 patients (18.8%) exhibited lagophthalmos.

Adolescent↗

PubMed2003

Congenital blepharoptosis: Part II. Visual disorders coexisting with congenital blepharoptosis.

A retrospective ophthalmic analysis 44 of 118 patients with congenital blepharoptosis aged from 2 to 48, who underwent surgical correction at the Department of Plastic Surgery of Lódź between 1977 and 2001, was reviewed. Patients with congenital blepharoptosis were investigated by ophthalmologists in the pre and postoperative period, and their medical ophthalmological notes were also analysed. The aim of this study was to assess the presence, type, and severity of visual disorders coexisting with ptosis. We found in 42 patients (95%) ophthalmologic disorders, of which we noted amblyopia in 19, astigmatism in 30, anisometropia in 5, and strabismus in 30 cases.

Adolescent↗

PubMed2000

[Implantation of black diaphragm intraocular lenses in congenital and traumatic aniridia].

PURPOSE: To evaluate the safety and efficacy of the black diaphragm intraocular lens (IOL) implantation for the treatment of congenital and traumatic aniridia. MATERIAL AND METHODS: Seven black diaphragmatic IOLs were implanted in the eyes of 6 patients between 1997 and 1998. There were 5 males and 1 female. The mean age of them was 42.8 years (range: 22-54 years). Follow-up ranged from 9 to 20 months (mean: 14.2 months). Traumatic aniridia was present in 4 eyes and congenital aniridia in 3 eyes. Pars plana vitrectomy was combined with the simple outside-in method of scleral fixation of IOLs in 6 cases. Three of these eyes were aphakic (all with traumatic aniridia) and in 3 eyes (two congenital cases, one traumatic case) subluxated lens was simultaneously removed. In one case of congenital aniridia with mature cataract, ECCE and ciliary sulcus implantation without scleral fixation were performed. RESULTS: There were very few complications. Ciliary sulcus bleeding appeared in 2 cases during scleral fixation. Transient post-operative corneal oedema was observed in 2 eyes, raised intraocular pressure in 3 eyes, and dispersed blood in vitreous cavity in 2 eyes. All IOLs were well centred. The improvement in best corrected visual acuity was achieved in 5 cases, while good pre-operative best corrected visual acuity was maintained in 2 cases. CONCLUSIONS: Diaphragmatic IOL can be fixated to the sclera in cases without capsular support or it can be implanted into ciliary sulcus after ECCE. Reconstruction of 5 mm pupil and intraocular correction of aphakia enable good visual rehabilitation of patients. The combined procedure of pars plana vitrectomy and scleral fixation of diaphragmatic lens is safe and effective in traumatic and congenital aniridia.

Adult↗

PubMed2000

[Secondary glaucoma in patients with lens subluxation or luxation].

AIM: To estimate the frequency of secondary glaucoma appearance and the influence of surgical treatment on intraocular pressure (IOP) in patients with posterior lens dislocation. MATERIAL AND METHODS: The study concerned 152 patients (57 females and 95 males, age range: 19 to 91 years, mean--58 years). Secondary glaucoma was found in 62 patients (41%). Trauma was the cause of lens dislocation in 81% of these cases, while it was the cause in only 69% of cases in the whole material. Pars plana vitrectomy with limbal intracapsular lens extraction or lentectomy were performed in all cases. In 24 cases perfluorocarbon liquid was used. Scleral fixation PC IOLs were implanted in 85 eyes (group A), AC IOLs in 27 eyes (group B), and 40 eyes remained aphakic (group C). The follow-up time ranged from 6 months to 5 years, mean 22 months. RESULTS: Raised IOP was found preoperatively in 46 cases (30.3%). It was raised in 21 (24.7%) eyes in group A (24-60 mm Hg, mean 37.1 mm Hg), and it has normalized postoperatively in 14 eyes, while topical medication was necessary in 7 remaining cases. In group B raised IOP (26-60 mm Hg, mean 41.4 mm Hg) was found preoperatively in 8 (29.6%) eyes. It has normalized postoperatively in 5 eyes, while topical medication was necessary in 3 eyes. The respective values in group C were: 17 (42.5%), 24-80 mm Hg, mean 43.2 mm Hg. In 7 eyes IOP was normal after surgery, 10 patients required topical treatment, and in 3 of these cases trabeculectomy had to be performed. In 16 eyes with normal preoperative IOP it has raised postoperatively in different periods of time (from 1 week to 6 months). CONCLUSIONS: Secondary glaucoma is a frequent complication of the posterior lens dislocation, and it is more often related with traumatic cases. The dislocated lens removal with the use of vitrectomy causes IOP normalization in most of the cases. The periodical examination of IOP is necessary after the dislocated lens removal also in cases with normal preoperative IOP, because secondary glaucoma may appear in different time after surgery.

Adult↗

PubMed1999

[Intraocular lens implantation in traumatic cataract].

PURPOSE: The evaluation of postoperative results and complications after traumatic cataract extraction with intraocular lens implantation. MATERIAL AND METHODS: Forty two eyes of 41 patients (31 male and 10 female) aged from 10 to 66 years (mean 37.8) with traumatic cataract were the subject of our study. They were operated on between 1996 and 1997. A penetrating injury in 33 eyes (78.6%) and blunt trauma in 9 eyes (21.4%) caused the cataract. The interval between trauma and cataract surgery ranged from 1 day to 40 years. The mean follow up was 13.5 months. Despite of cataract corneal scars, pupil deformations, posterior and anterior synechiae were observed in most of the eyes. Extracapsular cataract extraction was performed in all cases. Posterior chamber IOLs were implanted in 33 eyes. Anterior vitrectomy and anterior chamber IOL implantation was performed in 9 eyes due to the lack of capsular support. RESULTS: Very good or good visual acuity (5/5-5/16) was achieved in 71.4% of cases. Low visual acuity (below 5/50) was observed in 6 eyes (14.3%) because of severe damage to the retina, optic nerve atrophy or amblyopia. Fibrin reaction in anterior chamber (30.9%), hyphaema (19%) and haemophtalmus (4.8%) were the most severe postoperative complications. CONCLUSIONS: An intraocular lens implantation in traumatic cataract, despite many postoperative complications, enables most of the patients to achieve satisfactory and useful vision. Patients with severe posterior segment damage do not benefit functionally from cataract surgery.

Adolescent↗

PubMed1998

Pars plana vitrectomy, lensectomy, or extraction in transscleral intraocular lens fixation for the management of dislocated lenses in a family with Marfan's syndrome.

BACKGROUND AND OBJECTIVES: Congenital lens subluxation may be a difficult therapeutic problem. Surgical treatment options include iris manipulation or lens decision, aspiration, intracapsular or extracapsular extraction, and lensectomy through the pars plana. It is not established which kind of aphakic correction is the most appropriate in these cases. PATIENTS AND METHODS: A father and his two sons with Marfan's syndrome were operatively treated for lens dislocation in both eyes. Pars plana vitrectomy was done in all eyes. Dislocated lenses were removed by lensectomy in three eyes and with an intracapsular method in three eyes. The outside-in scleral fixation technique was used for primary posterior chamber intraocular lens (PC IOL) implantation in all cases. RESULTS: All eyes achieved good visual acuity (20/20-20/25). Time of observation ranged between 8 and 20 months. There were no intraoperative or post-operative complications. CONCLUSION: Pars plana vitrectomy and primary scleral-fixated IOL implantation is a safe procedure and gives good visual rehabilitation in adult patients with Marfan's syndrome.

Adult↗

PubMed1998

[Astigmatism after extracapsular cataract extraction with intraocular posterior lens implantation].

PURPOSE: To evaluate early and late astigmatism appearing after extracapsular cataract extraction with PC IOL implantation. MATERIAL AND METHODS: Astigmatism was examined in one hundred consecutive patients before operation and one week, 6 months and 12 months postoperatively. RESULTS: During the first week after surgery most patients (82%) had with the rule astigmatism, which decreased gradually from 3.95 D cyl (mean value) to 0.08 D cyl after a year. Against the rule astigmatism was present in 14% of cases and increased from 2.40 D cyl (mean value) to 3.07 D cyl in the same period of time. On the last examination 35% of patients didn't use any astigmatic correction. CONCLUSIONS: Traditional ECCE with PC IOLs causes postoperative astigmatism in most patients. Majority of them has with the rule astigmatism, which decreases gradually during the first postoperative year and may change into against the rule astigmatism.

Aged↗

PubMed1998

[Secondary intraocular lens implantation].

PURPOSE: To analyse results of secondary intraocular lens implantation in aphakic eyes. MATERIAL AND METHODS: Sixty five eyes of 63 patients (23 females and 40 males) had secondary intraocular lens (IOL) implantation, from December 1996 to April 1997. Follow-up was from 1 to 21 months. An anterior chamber lens was used in 51 eyes (78.5%) and a posterior chamber lens in 14 eyes (21.5%); these included 6 cases of trans-scleral fixated lenses. The most common reason for secondary implantation was to relieve the discomfort caused by spectacles or contact lenses. RESULTS: Final postoperative visual acuity of 20/40 or better was achieved in 77% of the eyes. The most common postoperative complications were: pupil deformation, transient corneal edema and hyphema. One eye developed endophthalmitis requiring pars plana vitrectomy and one eye had cystoid macular edema.

Adolescent↗

PubMed1998

[Corneal sensitivity in patients undergoing extracapsular cataract extraction with posterior chamber intraocular lens implantation].

PURPOSE: To evaluate pre- and postoperative corneal sensitivity in patients undergoing ECCE with PC IOL implantation. SETTING: Department of Ophthalmology, Medical University of Lódź. MATERIAL AND METHODS: One hundred and twenty patients (age range: 33-92 years) were examined for corneal sensitivity with electroaesthesiometer before surgery and after 4, 14 days, and 3, 6 months postoperatively. The measurements were performed in 5 different locations of the cornea in each case. In 41% of patients we found coexisting diseases such as glaucoma, myopia, diabetes and other. RESULTS: Corneal sensitivity decreased postoperatively. The lowest mean value was observed 3 months after surgery. It increased after next 3 months, but was still lower than preoperatively. The preoperative sensitivity was lower in the group of patients with coexisting diseases, while its postoperative decrease was relatively smaller.

Adult↗

PubMed1998

[The use of perfluorocarbon liquid in the surgical removal of lenses luxated to the vitreous cavity].

BACKGROUND: Removal of lenses dislocated to the vitreous cavity can be hazardous. The use of perfluorocarbon liquids during pars plana vitrectomy may reduce the risk of intraoperative and postoperative complications. We report our experience in using this surgical technique. MATERIAL AND METHODS: The authors describe a series of 14 patients in whom a posteriorly dislocated crystalline (11 eyes) or intraocular (3 eyes) lens was successfully removed with the use of perfluorodecalin through the limbal incision. Simultaneously, posterior chamber, scleral fixation IOLs were implanted in 10 cases and anterior chamber IOL in one case. In one patient AC IOL was implanted secondarily. RESULTS: With a minimum follow-up of one month (average, 8 months), the visual acuity improved in 4 eyes, remained the same in 10, and worsened in one eye. Very good visual acuity (5/5-5/10) was achieved in 86% of patients. Complications were not frequent and not severe despite one case of retinal detachment. CONCLUSIONS: Application of pars plana vitrectomy and the use of liquid perfluorocarbon allow for the safe management of eyes with luxated lenses.

Aged↗

PubMed1997

[Extracapsular cataract extraction with intraocular lens implantation after glaucoma surgery].

PURPOSE: To analyse results of cataract surgery with intraocular lens implantation in eyes with previous glaucoma surgery. MATERIAL AND METHODS: In the years 1994-1996 in 44 eyes of 39 patients (13 males and 26 females) cataract surgery was performed. The follow-up ranged from 3 to 12 months (mean 8.5 months). The time interval between glaucoma surgery and cataract surgery ranged from 1 month to 40 years. The most frequent kind of glaucoma surgery was trabeculectomy (77.3%). An inverse corneal incision and envelope capsulotomy was performed in every eye, thirty eight percent required synechiolysis and twenty percent iridoplastic surgery. RESULTS: Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss and 4 mild hemorrhages into anterior chamber. The most common postoperative complications were Descemet's membrane folds (36.4%), fibrinous exudate in anterior chamber (27.3%) and transient corneal oedema (9.2%). Fifty percent of eyes achieved the best corrected visual acuity-5/8 and better. Postoperative astigmatism mostly with the rule was observed in 86.4% eyes. Postoperative intraocular pressure was unchanged in 81.8% eyes, and in 13.8 percent of eyes preoperative glaucoma medication was no longer required. CONCLUSIONS: The technique of extracapsular cataract extraction with intraocular lens implantation is a safe procedure giving good visual rehabilitation and having no influence on glaucoma control in patients who had previous glaucoma surgery.

Aged↗

PubMed1997

[Removal of the dislocated lens in patients with funnel-shaped retinal detachment].

PURPOSE: Presentation of two cases of crystalline lens posterior dislocation with concomitant, total, funnel-shaped retinal detachment. MATERIAL AND METHODS: The described patients were myopes and both had lost vision of the other eye earlier due to the same cause. The operation of dislocated lens removal through the limbal incision with the use of pars plana vitrectomy and simultaneous retinal detachment surgery were performed. RESULTS: In one patient almost full visual acuity was achieved, and in the second case visual acuity was improved to 3/50. CONCLUSION: The use of vitrectomy methods, including subretinal fluid drainage and intraocular silicone oil tamponade, enables efficient treatment of patients with dislocated lenses even in cases with total retinal detachment.

Aged↗

PubMed1997

[Posterior chamber implants with scleral fixation in patients with lens subluxation or luxation].

PURPOSE: To present the operative technique and results of scleral fixation posterior chamber IOL implantations in eyes with lens dislocation. MATERIAL AND METHODS: Pars plana vitrectomy technique was combined with the outside-in method for scleral fixation of PC IOL. Forty eyes of 36 patients were operated on between December 1994 and December 1996. Time of observation ranged from 1 to 24 months (mean 10.3 months). RESULTS: The best corrected postoperative visual acuity was between 6/6 and 6/8 in 32 eyes, between 6/12 and 6/18 in 5, and between 6/24 and 1/60 in 3 eyes. Preoperative ocular hypertension was normalized in all 9 cases, although topical glaucoma therapy was necessary in 5 eyes. In one myopic patient retinal detachment occurred postoperatively. We observed one case of IOL decentration. No other severe complications were found. CONCLUSION: Pars plana vitrectomy for the dislocated lens removal may be combined with simultaneous scleral fixation IOL implantation. The procedure is safe and gives good visual rehabilitation.

Adult↗

PubMed1997

[Cataract surgery with intraocular lens implantation in cyclopia patients].

PURPOSE: To analyse results and complications of cataract surgery with IOL implantation in monopic patients. MATERIAL AND METHODS: 41 monopic patients underwent cataract surgery with IOL implantation during the period of 1995-1997. The follow up time ranged from 3 to 28 months (mean 16 months). RESULTS: Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss. Postoperatively, transient hypertonia in 4 eyes, Descemet's membrane folds in 15 eyes, and fibrinous reaction in anterior chamber in 2 eyes were observed. 71% of patients achieved visual acuity of 5/5-5/12. CONCLUSION: Monopia should not be considered as a contraindication for IOL implantation, although special attention should be paid to choosing the proper time of operation, which should be performed extremely carefully by an experienced surgeon.

Adult↗

PubMed1996

[Surgical management of intraocular lens dislocation into the vitreous cavity].

PURPOSE: To present our experiences in the management of intraocular lenses (IOLs) dislocated into the vitreous cavity. MATERIAL AND METHODS: The authors report three cases with posteriorly dislocated IOLs in which pars plana vitrectomy techniques and limbal incision were used for IOLs removal. In one of these eyes perifluorocarbon liquid was injected after vitrectomy to float the IOL off the retina to the retropupillary space and transclerally sutured ciliary sulcus fixation IOL was implanted simultaneously. Anterior chamber IOLs were implanted in the two other cases. RESULTS: Best corrected postoperative visual acuity was between 5/5 and 5/10 in all eyes. No important complications were observed. CONCLUSIONS: Application of vitreoretinal microsurgical techniques allows for the safe removal of dislocated IOLs. Primary or secondary IOL re-implantation gives quick visual rehabilitation.

Eye Foreign Bodies↗

PubMed1994

Bilateral uveal melanoma presenting simultaneously.

A case of bilateral uveal melanoma in a 54-year-old man is described. On admission of the patient for a choroidal melanoma of the left eye, an asymptomatic ciliary-body tumour was detected in his right eye. A thorough general examination did not reveal any metastases. The left eye was enucleated and local excision of the tumour in the right eye was performed 2 months later. Histology confirmed the presence of malignant melanomas in both eyes. The tumours were of similar A/B spindle-cell type. The patient remained healthy, showing no sign of metastasis or local recurrence of melanoma 9 months after the date of diagnosis. The visual acuity in his remaining eye remained 6/6. Immunological assessment of the blood serum revealed abnormally high interleukin 1 beta (IL-1 beta) and IL-2 levels. Possible implications of these findings are discussed.

Choroid Neoplasms↗

PubMed1994

[Surgical treatment of lenses dislocated to the vitreous cavity].

Removal of the lens dislocated to the vitreous body is one of the most difficult problems in ophthalmic surgery. The authors present 8 consecutive cases in which the lenses luxated to the vitreous were removed. Pars plana vitrectomy was used to free the lenses from the surrounding adhesions and to carry them over to the pupillary region. Then the limbal incision was performed to remove them from the eye. Good anatomical and functional results achieved in the described cases point to the suitability of this operative method.

Adult↗

PubMed1993

[Abuse of local anesthetics in ophthalmology].

Surface anaesthesia is applied in ophthalmology for minor surgery, diagnostics tests and also in cases of corneal or conjunctival inflammation and injuries. The abuse of such anaesthetics may cause serious complications. The authors emphasize the necessity for their careful application.

Anesthesia, Local↗