[Cataract surgery in nanophthalmic eyes].

Purpose: The aim of this study was to determine the prevalence of nanophthalmos among cataract patients and to evaluate intraoperative and postoperative complications in nanophthalmic eyes.

Patients And Methods: Medical and operating records of all 3287 patients who had undergone clear cornea phacoemulsification cataract surgery with foldable acrylic IOL implantation during a period of two years (January 2009 to December 2010) were retrospectively reviewed. Nanophthalmos was diagnosed according to a shorter axial length than 20 mm, a shallow anterior chamber, hyperopia and scleral thickness greater than 1.

[Ocular symptoms as the initial signs of Wegener's granulomatosis].

Objective: Wegener's granulomatosis (WG) is a systemic, necrotising, granulomatous vasculitis of unknown aetiology. Ocular involvement is present in up to 60 %. The aim of our study was firstly to evaluate the presence of ophthalmic manifestations as the first sign of WG in patients without obvious systemic manifestations of WG, and secondly to evaluate the clinical manifestation of ocular symptoms as the initial signs of WG.

[Hyperopia as a risk factor in patients with non-arteritic anterior ischaemic optic neuropathy].

Background: The aim of this study was to review the refractive errors of non-arteritic anterior ischaemic optic neuropathy (NAION) patients, especially with regard to hyperopia as an additional risk for NAION.

Patients And Methods: The medical records of detailed ophthalmic examinations of 45 patients with acute NAION who were admitted to our department between January 1, 2002 and January 1, 2007 were reviewed retrospectively. Refractive errors were measured with an autorefractometer.

[Optical coherence tomography findings in hemodialysis patients].

Background: The aim of the present prospective study was to compare retinal thickness between normal healthy subjects and chronic renal failure patients treated with maintenance hemodialysis (HD) as well as to determine whether there was any correlation between age and duration of HD treatment.

Patients And Methods: A total of 24 eyes of 12 HD patients and 32 eyes of 16 controls underwent optical coherence tomographic scanning (OCT) in the central disc of 6000 mum in diameter.

Results: The mean retinal thickness was measured in the inner temporal, superior, nasal and inferior quadrants.

[Predictive factors of successful selective laser trabeculoplasty in open-angle glaucoma].

Background: The aim of this study was to determine factors that predict successful selective laser trabeculoplasty (SLT) in open-angle glaucoma (OAG).

Patients And Methods: In 122 eyes suffering from OAG, treatment was carried out with a frequency-doubled, Q-switched Nd:YAG laser (532 nm). The intraocular pressure (IOP) was measured before the treatment and 1, 3, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78 and 84 months thereafter.

[Traumatic wound dehiscence following penetrating keratoplasty].

Background And Purpose: Blunt ocular trauma to a corneal transplanted eye represents a higher risk for wound rupture at the donor-recipient interface. We have evaluated the causes, clinical characteristics, treatment and outcome, particularly the graft's clarity, in patients with traumatic wound dehiscence after penetrating keratoplasty.

Methods: Between March 1996 and April 2006, over a period of 10 years, 4 patients who had previously undergone successful penetrating keratoplasty and subsequently sustained traumatic wound dehiscence were treated at our department.

[Changing indications for penetrating keratoplasty over a 20-year period, 1985-2004].

Background: The aim of the study was to determine the changing indications for penetrating keratoplasty (PK) over the 20 years from 1.1.1985 through 31.

[Changes of retinal light sensitivity after YAG-laser capsulotomy].

Background: The aim of this prospective study was firstly to investigate the changes of retinal light sensitivity of the central visual field in patients with posterior capsule opacification (PCO) after YAG-laser capsulotomy and secondly to determine the correlation between changes in retinal light sensitivity and patient's age and the diameter of posterior laser capsulotomy.

Patients And Methods: Our study includes 25 eyes (25 patients) with PCO after phacoemulsification and intraocular lens implantation. In all patients YAG-laser capsulotomy was performed.

[Repair of an extensive corneoscleral perforation in a case of ocular rosacea with a keratoplasty].

Background: A 58-year-old female patient with rosacea and a 7year history of eye trouble presented with a spontaneous corneoscleral perforation of the left eye.

Methods: The persisting ocular hypotonia with retinal folds made a closure of the leakage area necessary. Covering with a corneal transplant was chosen from among several possibilities available for the repair of eye-surface defects.

[Long-term follow-up of selective laser trabeculoplasty in primary open-angle glaucoma].

Background: Our aim was to investigate the outcomes of selective laser trabeculoplasty (SLT) for the treatment of primary open-angle glaucoma (POAG) in a prospective clinical study.

Patients And Methods: In 90 eyes suffering from POAG, treatment was carried out with a frequency-doubled, Q-switched Nd:YAG laser (532 nm). The intraocular pressure (IOP) was measured before the treatment and 1, 3, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66 and 72 months after.

Phacoemulsification in isolated endogenous Candida albicans anterior uveitis with lens abscess in an intravenous methadone user.

We report the clinical course of a 31-year-old former intravenous drug user on methadone substitution therapy who injected methadone mixed with orange juice. She developed isolated metastatic Candida albicans anterior uveitis, which was treated with adequate systemic and local antifungal therapy. The uveitis regressed, but despite adequate local and systemic treatment, a lens abscess developed.

[Pseudomonas-keratoconjunctivitis in a contact lens wearer, the therapy and keratoplasty á chaud].

Background: Eye infections in contact lens wearers can cause severe complications. Especially dangerous is Pseudomonas aeruginosa.

Patient: A 18-year-old patient who received her first soft contact lens from a optician two years ago without an ophthalmological examination, will be presented.

[Posterior capsule opacification after phacoemulsification in patients with rheumatoid arthritis].

Purpose: To assess the posterior capsule opacification (PCO) rate after phacoemulsification with polyacrylic intraocular lens (IOL) implantation in patients with rheumatoid arthritis (RA) compared with the controls, and to assess whether preoperative activity of RA is associated with a higher incidence of PCO.

Methods: 24 eyes of 20 RA patients operated in a period of 4 years were included in our study. A control group of 20 eyes from 20 health subjects were also included in our study.

[The outcome of phacoemulsification in eyes after filtering glaucoma surgery].

Background: Our aim was to evaluate the outcome of phacoemulsification in eyes after filtering glaucoma surgery.

Patients And Methods: Thirty eyes of 30 patients with different forms of glaucoma in which phacoemulsification after filtering glaucoma surgery was done were included in this retrospective study. Intraocular pressure (IOP) was measured before and one week, 1, 3, 6, 12, 18, 24, 30, 36 and 42 months after phacoemulsification.

[The surprising finding and removal of a large plastic foreign body through the corneal wound from the vitreous cavity with good outcome].

Background: Presented is a patient whose history showed that during a hammer-blow on a piece of iron something had flown into his left eye. Clinical investigation revealed a 9-mm long, horizontal, paracentrally located, penetrating corneal wound. Temporally in the same region the iris was torn in its entire width.

Bilateral eye injury caused by a high-pressure water jet from a fire hose.

We present a case of bilateral eye injury caused by a high-pressure water jet from a fire hose. Eye injury secondary to high-pressure water jets are relatively rare, but invariably result in severe damage to all ocular structures. A 51-year-old woman was admitted to our ophthalmologic department for treatment following a direct hit in the face by a water jet from a fire hose from a distance of about one meter.

[Cause and repair of a corneoscleral fistula in two patients].

Background: A slowly progressing bulbar hypotension with maculopathy in a male patient as well as an endophthalmitis in a female patient both required surgical repair of posttraumatic leaks.

Patients And Methods: In a 32-year-old male patient, a filtration bleb leak occurred 4 months after a penetrating stab wound in the corneoscleral region. Persistent bulbar hypotension demanded microsurgical revision, revealing a 1 x 1 mm scleral defect.

[Efficacy of selective laser trabeculoplasty in the treatment of primary open-angle glaucoma].

Background: Our aim was to investigate the efficacy of selective laser trabeculoplasty (SLT) for the treatment of primary open-angle glaucoma (POAG) in a prospective clinical study.

Patients And Methods: In 36 eyes of 36 patients suffering from uncontrolled POAG, treatment was carried out with a frequency-doubled, Q-switched Nd:YAG laser (532 nm). The intraocular pressure (IOP) was measured before the treatment and one day, one week, one month and 3, 6, 12, 18, 24, 30, 36, 42 and 48 months after.

[Siderosis bulbi. Is it still a problem?].

Background: Siderosis bulbi (SB) is caused by un-removed intraocular iron-containing foreign bodies. Our retrospective study was designed to establish the number of patients treated for SB at our ophthalmology department within the past 10 years, and to find out why SB occurred.

Patients And Methods: Retrospectively, we analyzed the documentation of every patient treated at our department for ocular injury due to an intraocular metal foreign body between 1.

Indirect traumatic optic neuropathy--two case report.

The aim of the study was to evaluate the treatment of indirect traumatic optic neuropathy (ITON). ITON is defined as traumatic loss of vision that occurs without external or initial ophthalmoscopic evidence of injury to the eye or its nerve. The optimal management of ITON remains controversial.

Surgical repair of Descemet's membrane detachment.

The aim of the study was to demonstrate a successful repair of Descemet membrane detachment (DMD). A 73-year-old woman with pseudoexfoliative glaucoma underwent phacoemulsification with flexible posterior chamber intraocular lens implantation. Because of inadequate pupillary dilatation flexible iris retractors were used.

[Primary congenital glaucoma. Long-term success after goniotrepanation with scleral flap].

Background: The long-term success of primary goniotrephining with scleral flap was evaluated in the treatment of primary congenital glaucoma.

Patients And Methods: Retrospective analysis was carried out in 31 eyes of 18 patients with primary congenital glaucoma (mean follow-up 63 months, range 10-161). Surgical success was defined by an intraocular pressure less than 18 mmHg without medication, stabilization, or reduction in horizontal corneal diameter and stabilization or reversal of disc cupping.

Postoperative inflammation after cataract surgery in patients with rheumatoid arthritis.

The purpose of the present study was to assess the influence of preoperative activity of rheumatoid arthritis (RA) on early postoperative anterior chamber inflammation after phacoemulsification and intraocular lens implantation. Twenty-three eyes in 18 patients were included in our study. On the first postoperative day, anterior chamber inflammation was observed in 11 eyes (47.

Visual field loss following blunt ocular trauma.

14 patients (14 eyes) who sustained hyphema after blunt ocular trauma underwent visual field testing on a Humphrey field analyzer. The severity of field defects based on mean deviation (MD) and corrected-pattern standard deviation (CPSD) p values was correlated with age, presence of hyphema and the extent of angle recession. Over 60% of eyes with blunt ocular trauma suffer from a significant visual field loss (MD < 5%).

Conjunctival and corneal changes in chronic renal failure patients treated with maintenance hemodialysis.

Conjunctival and corneal depositions of calcium salts are common complications in hemodialysis (HD) patients. We examined 14 HD patients; in 11 (79%), typical conjunctival and corneal calcifications were found. Patients with calcifications were older than those without.