RESUMEN

PURPOSE: To assess the need of /P system use in soft cataract METHODS: prospective study--40 eyes with soft cataract (+/++); surgery with Infinity system, Ozil handpiece; in 20 eyes we used low levels (max 70%) of torsional ultrasound power and IP system; in 20 eyes we used higher levels of torsional ultrasound power without IP system; we assessed: the CME value and the presence of cornela edema. RESULTS: In cases with tosional ultrasound only: average value of CME--2.4; maxim value of CME--4.3; all corneas without edema. In cases with torsional ultrasound and IP system; average value of CME--3.6; maxim value of CME--7.2; 4 eyes with decemetic folds in central cornea. CONCLUSIONS: In soft cataracts is better to not use IP system

Asunto(s)

Facoemulsificación/instrumentación , Catarata/patología , Extracción de Catarata/instrumentación , Humanos , Facoemulsificación/efectos adversos , Facoemulsificación/métodos , Estudios Prospectivos , Agudeza Visual

RESUMEN

"Red eye" is a sign and the same time a symptom frequently met in the ophthalmological practice. The "red eye" is not always the clinical manifestation of a common conjunctivitis. We will present a case report of a patient who accused conjunctival hyperemia, lacrimation, foreign--body sensation; she was also describing recurrent conjunctivitis for the past year. After an detailed ophthalmologic examination and interdisciplinary consultations. She was diagnosed with Basedow Disease and paraselar meningioma with invasion in the pterigoid fossa. The authors are suggesting that there is an indirect left carotid - cavernous fistula.

Asunto(s)

Fístula del Seno Cavernoso de la Carótida/diagnóstico , Enfermedades de la Conjuntiva/diagnóstico , Glaucoma de Ángulo Abierto/diagnóstico , Neoplasias Meníngeas/diagnóstico , Meningioma/diagnóstico , Silla Turca/patología , Fístula del Seno Cavernoso de la Carótida/etiología , Fístula del Seno Cavernoso de la Carótida/terapia , Enfermedades de la Conjuntiva/etiología , Enfermedades de la Conjuntiva/terapia , Diagnóstico Diferencial , Femenino , Glaucoma de Ángulo Abierto/etiología , Glaucoma de Ángulo Abierto/terapia , Enfermedad de Graves/complicaciones , Humanos , Neoplasias Meníngeas/terapia , Meningioma/terapia , Persona de Mediana Edad , Negativa del Paciente al Tratamiento

RESUMEN

We show a clinical case of siderosis bulbi with absolute secondary glaucoma. The initial diagnosis was primary open angle glaucoma in both eyes, and the patient was treated with eye drops for 4 years. After reassessment of anamnesis, clinical and paraclinical investigations we find that one eye is normal and the real diagnosis in the involved eye.

Asunto(s)

Oftalmopatías/complicaciones , Cuerpos Extraños en el Ojo/complicaciones , Lesiones Oculares Penetrantes/complicaciones , Glaucoma de Ángulo Abierto/etiología , Hierro , Cristalino/lesiones , Siderosis/complicaciones , Antihipertensivos/uso terapéutico , Oftalmopatías/diagnóstico , Oftalmopatías/fisiopatología , Oftalmopatías/cirugía , Oftalmopatías/terapia , Cuerpos Extraños en el Ojo/diagnóstico , Cuerpos Extraños en el Ojo/terapia , Lesiones Oculares Penetrantes/diagnóstico , Lesiones Oculares Penetrantes/terapia , Fondo de Ojo , Glaucoma de Ángulo Abierto/diagnóstico , Glaucoma de Ángulo Abierto/terapia , Humanos , Presión Intraocular/efectos de los fármacos , Cristalino/cirugía , Fotocoagulación/métodos , Masculino , Microscopía Acústica , Persona de Mediana Edad , Pronóstico , Siderosis/diagnóstico , Siderosis/fisiopatología , Siderosis/terapia , Tomografía de Coherencia Óptica , Agudeza Visual

RESUMEN

PURPOSE: To reassess the diagnosis in a group of patients with diagnosis and treatment for open-angle glaucoma. METHOD: Group of 100 patients with diagnosis and treatment for open-angle glaucoma, sent in our clinic for automated perimetry. We assess: intraocular pressure, automated perimetry, the head of optic disc; sometimes we stopped the treatment and reassess the intraocular pressure; sometimes pahimetry. We confirm or not the diagnosis of open-angle glaucoma. RESULTS: In 41 patients the diagnosis of open-angle glaucoma was not real. CONCLUSIONS: The diagnosis of open-angle glaucoma is made often without clear medical evidences.

Asunto(s)

Errores Diagnósticos , Glaucoma de Ángulo Abierto/diagnóstico , Glaucoma de Ángulo Abierto/patología , Glaucoma de Ángulo Abierto/fisiopatología , Humanos , Presión Intraocular , Oftalmoscopía , Disco Óptico/patología , Células Ganglionares de la Retina/patología , Estudios Retrospectivos , Tonometría Ocular/métodos , Agudeza Visual , Pruebas del Campo Visual/métodos , Campos Visuales

Asunto(s)

Exoftalmia/diagnóstico , Población Blanca/estadística & datos numéricos , Adulto , Estudios de Casos y Controles , Técnicas de Diagnóstico Oftalmológico , Exoftalmia/etnología , Femenino , Humanos , Masculino , Valores de Referencia , Reproducibilidad de los Resultados , Rumanía/epidemiología , Distribución por Sexo

RESUMEN

PURPOSE: To assess the efficacy of amniotic membrane transplantation for the improvement of symptoms in bullous keratopathy. MATERIAL AND METHOD: Prospective study. 14 patients were operated between 01.02.2003 - 01.02.2006. the follow-up period: between 6 and 42 months with an average of 18 months. The following parameters were evaluated: corneal re-epithelialisation appearance of epithelial bullae, pain, photophobia. RESULTS: In 11 cases there was an improvement of the symptomatology: complete in 8 cases and partial in 3 cases. CONCLUSIONS: Amniotic membrane transplantation is an efficient palliative treatment for bullous keratopathy.

Asunto(s)

Amnios/trasplante , Vesícula/cirugía , Enfermedades de la Córnea/cirugía , Vesícula/patología , Enfermedades de la Córnea/diagnóstico , Humanos , Cuidados Paliativos , Estudios Prospectivos , Resultado del Tratamiento , Cicatrización de Heridas

RESUMEN

Breast medullary carcinoma are heavily infiltrated by B-lymphocytes and associated with a good prognosis despite their high histological grade. We investigated the Ig repertoire of B-lymphocytes infiltrating one such tumour. A single cell suspension was obtained from a tumor specimen by enzymatic digestion. VH, Vkappa, and Vlambda regions were amplified by RT-PCR using mixtures of primers optimized to maximize the diversity of the PCR products. They were then cloned and sequenced. Analysis of 9 VH, 5 Vkappa, and 10 Vlambda sequences using the Kabat database indicated that several VH and VL region subgroups (I, II and III) are expressed by B-lymphocytes infiltrating this tumor. The analysis of CDR3 regions also showed a variability, although some VH and VL clones exhibited identical or nearly identical sequences. Thus, the B-cell infiltration observed in this breast medullary carcinoma does not reflect a monoclonal proliferation and represents an oligoclonal or a polyclonal B-cell proliferation.

Asunto(s)

Linfocitos B/inmunología , Neoplasias de la Mama/inmunología , Carcinoma Medular/inmunología , Región Variable de Inmunoglobulina/genética , Linfocitos Infiltrantes de Tumor/metabolismo , Secuencia de Aminoácidos , Diversidad de Anticuerpos/genética , Linfocitos B/metabolismo , Secuencia de Bases , Neoplasias de la Mama/genética , Carcinoma Medular/genética , Clonación Molecular , Reordenamiento Génico de Cadena Pesada de Linfocito B , Reordenamiento Génico de Cadena Ligera de Linfocito B , Humanos , Cadenas Pesadas de Inmunoglobulina/biosíntesis , Cadenas Pesadas de Inmunoglobulina/genética , Cadenas Ligeras de Inmunoglobulina/biosíntesis , Cadenas Ligeras de Inmunoglobulina/genética , Región Variable de Inmunoglobulina/biosíntesis , Datos de Secuencia Molecular , Familia de Multigenes/inmunología , Células Tumorales Cultivadas