Publications by authors named "Dorota Wygledowska Promienska"

Article Synopsis
  • - Papilledema is a condition marked by optic disc swelling due to increased brain pressure, diagnosed using techniques like fundus imaging and graded by the Frisén scale.
  • - A systematic review of 21 studies evaluated the use of AI for detecting and grading papilledema, revealing high sensitivity (0.97) and specificity (0.98), with deep learning models outperforming traditional methods.
  • - AI demonstrates excellent diagnostic accuracy in identifying papilledema, often doing better than human experts in sensitivity, though challenges like sample bias and variability exist, indicating a need for refinement in clinical applications.
View Article and Find Full Text PDF
Article Synopsis
  • Age-related macular degeneration (AMD) is the top cause of blindness in older adults, linked to aging and influenced by genetic and environmental factors like diet and smoking.
  • Early AMD is marked by specific eye changes, while advanced stages show serious complications, making treatment difficult.
  • New medications, pegcetacoplan and avacincaptad pegol, have been approved for the dry form of AMD, and the preferred treatment for the neovascular form involves various anti-VEGF injections; research is ongoing for better delivery methods and therapies like gene and stem cell treatments.
View Article and Find Full Text PDF
Article Synopsis
  • Corneal neovascularization can negatively affect vision and overall quality of life, driven by factors like vascular endothelial growth factor (VEGF).
  • Various treatments for this condition include conventional anti-VEGF therapies, laser interventions, and exploring new options like immunosuppressive drugs, antifibrotic agents, and innovative drug-delivery systems.
  • Recent advancements also involve gene therapies that target specific genes related to angiogenesis, emphasizing the importance of combination treatments and ongoing research to improve therapeutic effectiveness and minimize side effects.
View Article and Find Full Text PDF
Article Synopsis
  • * A case study presents a 57-year-old man with a history of eye issues, which were also observed in his grandson, detailing symptoms like nystagmus and low visual acuity, along with findings from various eye examinations.
  • * Genetic testing revealed a specific mutation contributing to the patient's condition, suggesting that additional unidentified factors may influence the variability of symptoms observed in AIED and related disorders, pointing to a complex
View Article and Find Full Text PDF

Background: The etiology of keratoconus is unclear. Current evidence suggests that inflammatory and systemic mechanisms might play a role in its pathophysiology. The proper interaction of proteolytic enzymes-matrix metalloproteinases-and their specific tissue inhibitors (TIMPs) within the cornea is essential in maintaining its structure, transparency and healing processes.

View Article and Find Full Text PDF

The pattern dystrophies (PDs) are a group of primarily autosomal dominant inherited macular diseases that cause the deposition of lipofuscin in retinal pigment epithelium (RPE) and may lead to significant vision loss in later life. Patients can develop choroidal neovascularization (CNV) and/ or geographic atrophy (GA) and for this reason they are often misdiagnosed as age-related macular degeneration (AMD). We presented a case of a 66-year-old patient complaining of vision loss in the right eye (RE) for 8 months.

View Article and Find Full Text PDF

A 60-year-old white woman presented to the emergency department with painless decrease of visual acuity in the left eye (LE). The diagnosis of a non-arteritic anterior ischemic optic neuropathy in the LE was established based on the clinical picture and the results of static perimetry, fluorescein angiography, visual evoked potential, and magnetic resonance imaging (MRI) of the brain and orbit. Six months later, the patient reported visual impairment in the right eye (RE).

View Article and Find Full Text PDF

Cone-rod dystrophies (CRDs) are a heterogeneous group of inherited retinal diseases (IRDs) characterized by cone photoreceptor loss, that is followed by subsequent rod photoreceptor impairment. A 49-year-old man complaining of diminution of vision in both eyes (OU) was referred to our outpatient clinic. He reported visual loss for 5 years, but it was most progressive during the last few months.

View Article and Find Full Text PDF

(1) Background: To compare the results of a new intraoperative contactless device (INTEGRA Optomed, Poland) with the result of a manual method for determining the axis for toric intraocular lens implantation. (2) Material and Methods: This retrospective observational study included 60 eyes of 40 patients (17 men, 23 women) who had toric intraocular lenses implanted. A video recording of each surgery that used the INTEGRA system was made for the analysis.

View Article and Find Full Text PDF

Choroidal neovascularization (CNV) is a very rare but sight-threatening complication of ocular syphilis. We reported the case of a 51-year-old woman who presented with a 2-week history of visual loss in the right eye (RE). Fundus examination demonstrated vitritis and the optic disc margin blurring.

View Article and Find Full Text PDF
Article Synopsis
  • Long-term use of topical carbonic anhydrase inhibitors (CAIs), especially those preserved with benzalkonium chloride (BAC), can negatively affect the eye's surface due to increased oxidative stress.
  • The study involved four groups of patients categorized by their use of antiglaucoma medications, with oxidative stress biomarkers in tear films measured after 6-12 months of treatment.
  • Results showed that patients using BAC-preserved CAIs had higher levels of oxidative stress markers and lower total sulfhydryl groups compared to those not using these preservatives, indicating a significant increase in oxidative stress in the tear film.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess how different types of glaucoma medications, specifically those with preservatives, impact various oxidative stress markers and protein levels in patients' tear film.
  • - Patients were categorized into four groups based on their use of either preservative-free or BAC-preserved timolol and brimonidine, with a control group included for comparison.
  • - Results showed that patients using BAC-preserved medications had higher oxidative stress indicators and protein modifications, suggesting a potential link to increased risk of dry eye disease over time.
View Article and Find Full Text PDF

The aim of this study was to explore the efficacy, repeatability, and efficiency of a new intraoperative contactless device (INTEGRA Optomed, Chorzów, Poland) for determining the axis for toric intraocular lens implantation and then to compare this with that determined using a manual method.This study was conducted at the Ophthalmological Center for Children and Adults Optomed, Chorzów, Poland.This nonrandomized, retrospective, observational study included 20 eyes of 12 patients (5 males and 7 females) who had toric intraocular lens implanted.

View Article and Find Full Text PDF

Introduction: One of the major causes of cataract in diabetes is oxidative stress induced by reactive oxygen species (ROS). Nowadays, new substances with antioxidative properties that may prevent cataract development are needed. One such substance is caffeine - an alkaloid with well-documented antioxidative activity.

View Article and Find Full Text PDF

: Topically administered antiglaucoma medications, especially those containing benzalkonium chloride (BAC), may cause local adverse effects and compromise ocular surface. The aim of the study was to assess the effect of topical prostaglandin F2α analogs (PGAs): preservative-free latanoprost, BAC-preserved latanoprost, preservative-free tafluprost, and BAC-preserved bimatoprost, on selected oxidative stress parameters in the tear film. : The patients were divided into five groups: group C ( = 25) control group-subjects who did not use topical antiglaucoma medications, group L ( = 22)-patients using topical preservative-free latanoprost, group L+BAC ( = 25)-patients using topical BAC-preserved latanoprost, group T ( = 19)-patients using topical preservative-free tafluprost, and group B+BAC ( = 17)-patients using topical BAC-preserved bimatoprost.

View Article and Find Full Text PDF

The paper describes the development of the anterior capsulotomy from its early crude beginnings in the 18 century to the possibility of automated surgery today via continuous curvilinear capsulorhexis (CCC). The reasons for the opening of the capsule have changed from a roughly made tear to allow access to the nucleus for its extraction, to the creation of more regular openings to allow support for intraocular lenses. With the development of continuous circular tears it was possible to be certain to contain the intraocular lens (IOL) in the capsular bag.

View Article and Find Full Text PDF

Resveratrol is found in grapes, apples, blueberries, mulberries, peanuts, pistachios, plums and red wine. Resveratrol has been shown to possess antioxidative activity and a variety of preventive effects in models of many diseases. The aim of the study was to investigate if this substance may counteract the oxidative stress and polyol pathway in the lens of diabetic rats.

View Article and Find Full Text PDF

BACKGROUND Among many protocols for treatment of exudative AMD, combined therapy of anti-VEGF agents and non-steroidal anti-inflammatory drugs (NSAIDs) seems to be an ideal alternative to monotherapy based on ranibizumab or bevacizumab. The aim of this study was to evaluate the effectiveness of aflibercept and bromfenac in the treatment of exudative AMD. MATERIAL AND METHODS The study was conducted on a group of 27 patients with exudative AMD who were administered intravitreal aflibercept and topical bromfenac (study group) once a month.

View Article and Find Full Text PDF

Background: The "double-faced" effect of nitric oxide (NO) is thought to play an important role in triggering and progression of glaucoma.

Material/methods: Iris samples were obtained during iridectomy in 35 patients (mean age of 65.4±5.

View Article and Find Full Text PDF

Gamma Knife was designed by Lars Leksell in the early 1950's. It gave rise to a new discipline of medicine--stereotactic radiosurgery. Main use of Gamma Knife in ophthalmology--discussed in the first part of this paper--is non-invasive treatment of uveal melanoma.

View Article and Find Full Text PDF

The Gamma Knife was designed by Lars Leksell in the early 1950's. It gave rise to a new discipline of medicine--stereotactic radiosurgery. Primarily dedicated to neurosurgery, the Gamma Knife has become an alternative, widely used surgery technique.

View Article and Find Full Text PDF

Background: According to recent studies, the newest strategy for the treatment of exudative age-related macular degeneration is to combine anti-VEGF agents with non-steroid anti-inflammatory drugs (NSAIDs) such as nepafenac and bromfenac to decrease the frequency of intravitreal injections. Since most research has focused on ranibizumab, the aim of this study is to evaluate whether an alternative drug such as bevacizumab could lead to similar outcomes.

Material And Methods: The study was conducted on a group of 26 patients who were administered intravitreal bevacizumab and topical bromfenac (study group) and 26 patients with single bevacizumab therapy (control group).

View Article and Find Full Text PDF

Background: Previous reports have indicated the role of endothelium disturbances, as expressed by von Willebrand factor (vWF) release, in pathophysiology of glaucoma. The objective of this study was to investigate the vWF expression in iris vasculature of patients with primary open-angle glaucoma (POAG).

Material And Methods: Immunohistochemistry of vWF expression was performed on cryostat sections of samples collected at the time of peripheral iridectomy and controls collected from dead donors.

View Article and Find Full Text PDF