Publications by authors named "Alexandr Stepanov"

Age-related macular degeneration (AMD) is a progressive chronic disease causing visual impairment or central vision loss in the elderly. We hypothesized that successful rheopheresis would be associated with positive changes in soluble endoglin (sENG), PSCK9, alpha-2-macroglobulin (A2M), and hs-CRP levels. 31 elderly patients with the dry form of AMD, treated with rheopheresis with a follow-up period of at least 5 years and an average age of 68 ± 4 years, were evaluated.

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Objectives: Studies of schizophrenia endophenotypes may help clinicians better understand the etiopathogenesis and treatment of this mental disorder. The aim of the study was to determine if retinal arteriolar or venular abnormalities are an endophenotype of schizophrenia.

Design: We performed a one-time cross-sectional study.

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Background: The aim of our study was to find a possible association between retinal microvascular abnormality and major depression in a non-geriatric population.

Method: The participants with major depression were hospitalised at the University Hospital in Hradec Kralove, Department of Psychiatry. Retinal images were obtained using a stationary Fundus camera FF450 by Zeiss and a hand-held camera by oDocs.

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Aim: To evaluate the incidence of ocular adverse events after loading phase of the brolucizumab therapy in patients with neovascular age-related macular degeneration (nAMD) in real-life clinical practice - in treatment-naive patients and in patients after switching from another anti-VEGF agent. Another aim was to evaluate treatment outcomes in patients with adverse events.

Methods: This is a multicentre, retrospective, observational study from 16 application centres in the Czech Republic.

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(1) Background: The components of the fibrinolytic system and its main component, plasminogen, play a key role in the first months of pregnancy. The effect of autoantibodies interacting with plasminogen in the formation of retrochorial hematoma is unknown. The aim of our study was to determine the role of plasminogen and IgA, IgM, and IgG, which bind to plasminogen, in retrochorial hematoma.

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Choroidal neovascularization (CNV) is a rare complication of the Multiple Evanescent White Dot Syndrome (MEWDS). It can develop after resolving of the disease when there is already no evident inflammatory activity. Therefore, a long-term follow-up of such patients is important.

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The differential diagnosis of prostate cancer is problematic due to the lack of markers with high diagnostic accuracy. We previously demonstrated the increased binding of IgG to human plasminogen (PLG) in plasma of patients with prostate cancer (PC) compared to healthy controls. Heavy and light chains of PLG (PLG-H and PLG-L) were immobilized on 96-well plates and the binding of IgG to PLG-H and PLG-L was analyzed in serum from 30 prostate cancer (PC) patients, 30 patients with benign prostatic hyperplasia (BPH) and 30 healthy controls using enzyme-linked immunosorbent assay (ELISA).

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Aims: We present a familial hereditary macular dystrophy, resembling North Carolina Macular Dystrophy. In members of a family, we describe the development of diagnostic-therapeutic approaches and their impact on the prognosis of those whose vision was affected.

Methods: The macular dystrophy of varying degrees of severity was diagnosed in 3 consecutive generations in different family members, both men and women.

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A 3D finite element model of the mandible dentition was developed, including 14 teeth, a periodontal ligament (PDL), and a splint made of polymethylmethacrylate (PMMA). The study considered three design options: 1-the case of splint absence; 2-the case of the splint presence installed after manufacture; and 3-the case of splint presence installed after correction (grinding) performed to ensure a uniform distribution of occlusal force between the teeth. For cases of absence and presence of splint, three measurements of the functional load were performed using the T-Scan III software and hardware complex (TekScan, Boston, MA, USA).

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For many years, clinical research in Alzheimer's disease (AD) has focused on attempts to identify the most explicit biomarker, namely amyloid beta. Unfortunately, the numerous therapies that have been developed have failed in clinical practice. AD arises as a consequence of multiple factors, and as such it requires a more mechanistic analytical approach than statistical modeling.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of aflibercept in treating neovascular age-related macular degeneration (nAMD) over two years, focusing on the response of different types of choroidal neovascular membranes (CNV).
  • A total of 135 patients were involved, receiving a fixed injection regimen in the first year and a PRN approach in the second year, with visual acuity and retinal thickness assessed at multiple time points.
  • Results showed improvements in best corrected visual acuity (BCVA) and reductions in central retinal thickness (CRT) across the CNV types over the 24-month period, indicating positive treatment responses.
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Aim: A retrospective evaluation of the results of treatment of myopic choroidal neovascularization (mCNV) with intravitreal injections of ranibizumab in a (PRN) regimen in three groups of patients distributed according to axial length.

Methods: The paper presents a retrospective multicenter study carried out with the cooperation of several Departments of Ophthalmology in the Czech Republic. The study included 60 eyes of 60 patients suffering from mCNV, divided according to axial length into three groups.

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(S/R)-Ketoprofen (KP) is considered to be the strongest photosensitizer among nonsteroidal anti-inflammatory drugs. The photosensitizing reactions are caused by a substituted benzophenone chromophore. It produces various toxic effects through the formation of active paramagnetic intermediates and photoproducts able to attack biological substrates.

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Article Synopsis
  • The study evaluated the effectiveness of aflibercept in treating treatment-naive patients with neovascular age-related macular degeneration (nAMD) by analyzing three types of choroidal neovascular membranes: Type 1 (occult), Type 2 (classic), and Type 4 (minimally classic).
  • A total of 135 eyes from 135 patients were studied over 48 weeks, receiving three initial injections every four weeks followed by injections every eight weeks, with measurements of best-corrected visual acuity (BCVA) and central retinal thickness (CRT) taken at multiple follow-up points.
  • Results showed an improvement in BCVA and a decrease in CRT for Type
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Article Synopsis
  • The study evaluated the efficiency, safety, and pain levels of a single-session retinal laser treatment using a pattern scanning laser system (Pascal) compared to traditional multiple-session laser therapy for diabetic retinopathy.
  • Conducted on 60 eyes from 30 patients, the results showed that the Pascal method was significantly less painful while maintaining similar effectiveness in treating the condition.
  • The findings suggest that single-session laser treatment is not only equally effective but also better tolerated by patients, potentially reducing time and costs involved in the treatment process.
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Introduction: The objective of this article is to provide an overview of the current situation with the use of intraoperative optical coherence tomography (iOCT), and to present our own experience with this technology.

Methodology: retrospective evaluation of case reports of typical pathologies of the retina which were resolved by means of standard pars plana vitrectomy (PPV) with the use of intraoperative optical coherence tomography (iOCT) integrated into the surgical microscope OPMI Lumera 700 / Rescan 700 (Zeiss). Auxiliary techniques: best corrected visual acuity (BCVA) was tested on ETDRS tables, biomicroscopy was performed with a 78D lens and optical coherence tomography (OCT) with a Zeiss Cirrus instrument.

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Branch retinal artery occlusion (BRAO) is a prevalent vascular occlusive disorder of the eye. In transient BRAO, an embolus temporarily blocks the vessel and then moves on resulting in recovery of blood circulation. In this case, we have documented migration of the embolus with recovery of perfusion of the retina and improvement of visual acuity in a patient with transient BRAO.

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Background And Aims: Epiretinal membrane (ERM) refers to a semi-translucent tissue layer found on the inner surface of the retina especially in older people. Surgical treatment remains controversial, optimal timing for such treatment is difficult to determine and data on the natural evolution of this disorder are limited. In this study we evaluated the natural course of idiopathic epimacular membrane in 49 patients (53 eyes).

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Purpose: To evaluate the success of a mini-invasive technique for operation of idiopathic macular hole (IMH).

Methods: We retrospectively examined 29 patients (30 eyes) in whom 25-G pars plana vitrectomy (PPV), peeling of the inner limiting membrane (ILM), and application of air tamponade were performed. The group of the patients included 7 males and 22 females (76%), age range 57-79 years (median 70).

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Article Synopsis
  • - The text discusses a case where a dexamethasone implant (Ozurdex®) used for treating macular edema migrated into the front part of the eye (anterior chamber) in a pseudophakic patient after a specific eye surgery (basal iridectomy).
  • - A pseudophakic patient is someone who has a replaced lens due to cataract surgery, and in this case, they developed complications like corneal swelling (edema) and increased eye pressure due to the implant migration.
  • - The findings suggest that certain patients who have undergone previous eye surgeries, especially those with basal iridectomy, are particularly vulnerable to this type of implant migration.
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Article Synopsis
  • The study aimed to evaluate the occurrence of posterior capsule opacification (PCO) after cataract surgery using two different phacoemulsification methods: AquaLase and NeoSoniX, over an 8-year period.
  • It included a randomized trial with patients undergoing surgery on both eyes, using AquaLase on one eye and NeoSoniX on the other, with follow-up assessments at 1, 3, and 8 years post-surgery.
  • Results showed minimal differences in PCO levels between the two methods, indicating that neither technique significantly prevented the progression of PCO over time.
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Background: Retinal artery occlusion is an extremely rare diagnosis in the pediatric population and the etiology with risk factors of retinal artery occlusion are poorly understood in younger individuals.

Methods And Results: This case report a rare case of transient branch retinal artery occlusion (BRAO) in a healthy young girl. A fifteen-year-old girl presented with painless decreased vision in her right eye.

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Background: Persistent idiopathic macular hole (IMH) after initial pars plana vitrectomy (PPV) appears in approx. 12% of cases. It is, therefore, one of the most common complications.

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