Publications by authors named "A Kopecky"

Purpose:  To analyze patients with optic disc drusen (ODD), with emphasis on modern diagnostics.

Materials And Methods:  Research of the literature was conducted, together with a retrospective statistical analysis of patients with ODD. The group included individuals with ODD diagnosed using at least one of the following (ultrasound - USG, optical coherence tomography - OCT, fundus autofluorescence - FAF).

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  • - The study aimed to evaluate the consistency of macular architecture measurements in patients with glaucoma, ocular hypertension, and healthy individuals using spectral-domain optical coherence tomography (SD-OCT), while also examining the effect of intraocular pressure (IOP) fluctuations during the day.
  • - A total of 394 eyes underwent two SD-OCT and IOP measurements on the same day, with results showing that measurements were highly reproducible across all groups, with high intraclass correlation coefficients (ICC > 0.90).
  • - Although significant differences in measurements were found between the glaucoma and control groups, and a weak positive correlation was noted between IOP fluctuations and the ganglion cell layer, the overall variability in measurements did not appear to be
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  • A 74-year-old kidney transplant patient developed iatrogenic Kaposi's sarcoma (KS) affecting his lower eyelids and later confirmed in the left forearm and suspected in the lungs.
  • The tumor on the eyelids was surgically removed with clean margins, while the forearm lesion was also excised. The patient received radiotherapy for lung issues and adjustments to his immunosuppressive therapy.
  • The case underscores the need for early detection of KS, thorough histological diagnosis, surgical removal, and teamwork among medical professionals for effective treatment outcomes.
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Congenital divided melanocytic nevi of the upper and lower eyelid are rare pigmented changes of the eyelids. These processes are also known as "kissing nevi," "panda nevi," and "split ocular nevi," and were first described by Fuchs in 1919. About 120 cases have been described in the literature so far.

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In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings.

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