Topical NSAIDs impact on macular oedema and visual outcome after phacoemulsification: systematic review of RCTs with network meta-analysis.

The aim of this Network Meta-analysis was to compare the efficacy of the different topical Nonsteroidal anti-inflammatory drugs (NSAIDs) when added or not to topical steroids in preventing the thickening of the macula and their impact on visual acuity and intraocular pressure after phacoemulsification. Five electronic databases were searched, including PubMed, Embase, Scopus, Cochrane Library, and ClinicalTrials.gov.

Comparative Analysis of Retinal Structural and Angiographic Parameters in Diabetic Patients, Alzheimer's Disease Patients, and Healthy Controls: An OCT-Based Study.

This study aimed to investigate the potential connections between Alzheimer's Disease (AD) and diabetes. This is a cross-sectional study in which AD and diabetes patients sent by the Psychiatry and Diabetes Departments for ophthalmological screening were observed for inclusion/exclusion criteria. Patients were divided into two comparison groups.

Surgical management of an adult patient with Cataract and bilateral Ectopia Lentis: a case report.

A 48-year-old female patient presented to the Ophthalmology Clinic with gradual loss of vision in both eyes over the last year. Upon slit lamp examination, cortical and nuclear opacities of the lens in BE and a 180-degree zonular dehiscence with moderate bilateral superotemporal dislocation of the lens were revealed. After a series of necessary investigations, the patient was admitted for surgery.

IRIDEX MicroPulse P3: innovative cyclophotocoagulation.

To present the new IRIDEX MicroPulse P3 (MP3) technology in patients with refractory glaucoma and our preliminary results at 1 week and 1 month postoperatively. IRIDEX MP3 laser cyclophotocoagulation was performed in 7 eyes of 7 patients under retrobulbar anaesthesia with lidocaine 2% in the operating room. Each eye received two treatments of 80-90s over the superior and inferior hemisphere, avoiding the temporal- and nasal-most clock hours.

Penetrating corneal wound with traumatic cataract and intraocular foreign body-case report.

Open globe injuries complicated with the presence of an intraocular foreign body mostly affect young males and represent a vision threatening condition. We presented the case of a 48-year-old male who presented to our emergency service due to ocular pain and blurred vision in his right eye. A metallic foreign body situated between 1 and 12 o'clock, near the corneoscleral limbus, that perforated the cornea, the iris, the anterior capsule of the lens and the lens, was detected at the slit-lamp examination.

Is Laser Assisted Capsulotomy better than standard CCC?

To compare the safety and intraoperative difficulties of two capsulorhexis techniques for white intumescent cataract: Femtolaser-assisted capsulorhexis and manual capsulorhexis performed in 2-3 stages, with the Utrata forceps. A prospective comparative study that included 28 eyes divided into 2 equal groups in which capsulorhexis was performed by using the 2 methods. In the first group, the capsulorhexis was executed by using LenSx Femtolaser.

PERSISTENT PUPILLARY MEMBRANE OR ACCESSORY IRIS MEMBRANE?

Frequently, in literature and curent practice, accessory iris membrane (AIM) and persistant pupillary membrane (PPM) are confused. Both AIM and PPM are congenital iris anomalies in which fine or thick iris strands arrise form the collarette and obscure the pupil. AIM, which is also called iris duplication, closely resembles the normal iris tissue in color and thickness and presents a virtual second pseudopupil aperture in the centre while PPM even in its extreme forms presents as a translucent or opaque membranous structure that extends across the pupil and has no pseudopupil.

FUCHS ENDOTHELIAL CORNEAL DYSTROPHY: IS FEMTOSECOND LASER-ASSISTED CATARACT SURGERY THE RIGHT APPROACH?

Introduction: Femtosecond Laser-assisted cataract surgery represents a modern technology that hopes to lower the risk of complications for patients suffering from Fuchs endothelial dystrophy by using a reduced level of energy that causes less damage to the endothelium, the main concern for patients with Fuchs endothelial dystrophy. The femtosecond laser performs 3 important steps in cataract surgery: corneal incisions, capsulorhexis and nucleus fragmentation without intraocular instrument manipulation.

Purpose: The purpose of this study is to determine the efficiency of Femtosecond Laser-assisted cataract surgery in Fuchs endothelial dystrophy.

THE ADVANTAGES OF FEMTOSECOND LASER-ASSISTED CATARACT SURGERY.

Purpose: To present the advantages of performing femtosecond laser-assisted (Alcon-LenSx Inc.) cataract surgery.

Methods: Cataract surgery was performed with the LenSx femtosecond laser (Alcon-LenSx Inc.

[Retinal pneumopexy in the treatment of rhegmatogenous retinal detachment].

Purpose: To evaluate the efficiency of retinal pneumopexy in patients with rhegmatogenous retinal detachment.

Methods: This clinical prospective study unrolled between november 2010-june 2012 in the Ophthalmology Department of the Military Hospital in Cluj-Napoca and Satu Mare Emergency Hospital included 20 patients (20 eyes) with rhegmatogenous retinal detachment. Patients were treated with retinal pneumopexy followed by laser photocoagulation.

The bone tissue of children and adolescents with Down syndrome is sensitive to mechanical stress in certain skeletal locations: a 1-year physical training program study.

The systemic complications of Down syndrome (DS) attenuate the osteogenic response to physical activity in DS patients. Through an interventional study we showed the effects of physical training on development of bone mineral content (BMC) and density (BMD) as well as on quantitative bone ultrasound (QUS) parameters in individuals with DS. A total of 42 children with DS were randomly assigned to either an exercising (DS-E, n=20, age 16 ± 1.

[Toric intraocular lens implantation in cataract patients--6 months results].

Unlabelled: The purpose of this paper is to evidence the advantages of artificial Acrysof Toric IOL implantation in patients with cataract and corneal astigmatism.

Material And Methods: Prospective clinical study on 30 patients with cataract operated on with phacoemulsification and implantation of Acrysof Toric IOL on 32 eyes, between September 2007- March 2008.

Results: The predictability between estimated and obtained astigmatism is 96.

[Our experience with Acrysof Natural intraocular lens].

Unlabelled: The purpose of this paper is to appreciate the Acrysof Natural IOL comportment during the implantation after phacoemulsification, and to evaluate the visual acuity at 2 months and 2 years postoperative.

Material And Methods: Prospective clinical study which comprises 48 patients( 48 eyes) with cataract operated on with phacoemulsification and implantation of Acrysof Natural IOL with the Monarch II injector and the implantation forceps.

Results: The patients' age was between 4- 82 years; The IOLs were introduced with the Monarch II injector in 47 cases and with the implantation forceps in 1 case; No IOL was damaged during the implantation; The unfolding and the rotation of the IOL were possible in all cases, without incidents; The visual acuity appreciated 2 months and 2 years postoperative was good in the most of the cases; the chromophore pigment did not influence the quality of vision and the color perception.

[Combined surgery--cataract and glaucoma].

We present the case of a 70 years old female patient with bilateral senile cataract, more advanced at the RE; Primary open angle glaucoma, poor compensation with drugs at the RE (with timolol 0.5% and xalatan 0.005%).

[Mechanisms of laser photocoagulation in diabetic retinopathy].

The aim of laser photocoagulation in diabetic retinopathy is to stop the development of retinal neovessels and even to determine their involution. Early applied, laser photocoagulation can significantly reduce the risk of severe visual loss. The knowledge of the multiple mechanisms of laser photocoagulation leads to the possibility to introduce a well dosed treatment that is appropriate for the clinical stage of the retinopathy.

[Phacoemulsification with Advan-Tec system and Neosonix handpiece].

Purpose: The comparative analyses of the standard Legacy 20000 efficiency and the AdvanTec Legacy efficiency take into consideration the effective phacoemulsification time, power, and the postoperative clinical outcomes.

Material And Methods: Retrospective clinical study which comprises 2 groups of patients operated on with phacoemulsification: 200 eyes were operated on using the classic handpiece of the Legacy 20000 system; 200 eyes were operated on using the AdvanTec Legacy system and the NeoSoniX handpiece.

Results: The effective phacoemulsification time in the standard Legacy group was under 0.

[Phacoemulsification in posterior polar cataract].

Purpose: To evaluate the technical particularities of phacoemulsification and the intraoperative complications in posterior polar cataract.

Material And Methods: Prospective study which comprises 10 eyes with posterior polar cataract (8 patients), operated on between May 2001 and April 2004 in the ophthalmology department of the Military Hospital Cluj-Napoca, by the same surgeon. Phacoemulsification with low parameters was performed in all cases, and acrylic and PMMA intraocular lenses were implanted in 9 eyes.

[Phacoemulsification and intraocular lens implantation in myopic eye].

Unlabelled: The purpose of this study is to estimate the technical difficulties and the intraoperative complications which appear in patients with high myopia who had been operated on cataract through phacoemulsification technique; to establish the IOL refractive power and to estimate the functional results at 45 days postoperative.

Material And Method: We performed a study on 44 eyes with high myopia and cataract operated in the Emergency Military Hospital from Cluj-Napoca during 15th of January -15th of June 2003. We analyzed the patients' age, the technical difficulties and intraoperative complications, the IOLs choosing and the functional results.

[Cataract surgery in biphakia patients].

Introduction: Although the IOL implantation was used initially just for cataract surgery, in the last period IOLs are used in treating myopia more than -12D and hyperopia more than +4D, in phakic eyes, when the indications of excimer laser are limited.

Observation: We present the case of a 40 years old patient with the diagnosis: biphakia, complicated cataract and high myopia in both eyes. VA-RE = 2/50 cc, VA-LE = 3/50 cc, IOP-RE:15 mmHg, IOP-LE:16 mmHg.

[Phacoemulsification in white cataract].

Purpose: The study presents the technical difficulties of the capsulorhexis and phacoemulsification in the white, intumescent cataract and the incidences occurred during the foldable IOL implantation with the Monarch II injector.

Methods: The clinical study comprises a number of 70 eyes with white intumescent cataract operated during 15 January-15 December 2003 by the same surgeon. The surgical intervention consisted of lens extraction by phacoemulsification with clear corneal incision, using the Monarch II injector for the foldable IOL implantation.

[Phacoemulsification--personal experience on my first 507 cases].

Purpose: The evaluation of the intra and post operative early complications of the phacoemulsification with posterior chamber artificial lens implant on my first 507 cases.

Methods: A retrospective study on 507 eyes operated by cataract through phacoemulsification technique at the Emergency Military Hospital from Cluj-Napoca during the 1st of May-30th of June 2002. The surgeries were performed by the same surgeon through a corneal or a scleral incision using rigid and foldable artificial lenses.

Idiopathic cardiac asystole presenting as epileptic seizures.

Cardiac asystole has been associated with partial or generalized seizures (anoxic seizure) but, despite the previous descriptions, is still an underdiagnosed entity. The authors report 2 cases of cardiac asystole mimicking seizure disorder. The apparent cause of seizures in both cases was primary cardiac asystole caused by sinus node dysfunction.

[Current therapeutic management in retinoblastoma with invasion of the optic nerve--a case report].

Introduction: Retinoblastoma is the most frequent primitive intraocular tumour in children. The extension of retinoblastoma at the optic nerve level gives a dark prognosis implying a complex treatment and a long period of supervision.

Observation: An eleven-months-old child, female, is taken in the hospital with the suspicion of retinoblastoma left eye.

[Carcinomas of the inner canthus--combined treatment].

It is described a therapeutical protocol which combines surgery and radiotherapy in a "particular" way for carcinomas of the medial palpebral canthus. This consist of a surgical excision of tumors without covering the denuded area after 2-3 weeks of external radiotherapy--Chaoul type.