The cost-effectiveness of different visual acuity screening strategies in three European countries: A microsimulation study.

Childhood vision screening programmes in Europe differ by age, frequency and location at which the child is screened, and by the professional who performs the test. The aim of this study is to compare the cost-effectiveness for three countries with different health care structures. We developed a microsimulation model of amblyopia.

Implementation of paediatric vision screening in urban and rural areas in Cluj County, Romania.

Background: In 2018 and 2019, paediatric vision screening was implemented in Cluj County, Romania, where universal paediatric vision screening does not yet exist. We report on the preparation and the first year of implementation.

Methods: Objectives, target population and screening protocol were defined.

Acanthamoeba keratitis challenges a case report.

Acanthamoeba keratitis is a rare, chronic, mainly contact lens-related infection caused by a free-living amoeba found ubiquitously in water and soil. A case of a 9-year-old child, who presented to our clinic with painful, red left eye, associated with photophobia, and decreased visual acuity, wais reported. The clinical examination revealed a discoid opacity inferiorly bounded by a dense, gray infiltrate.

Characterization of human retinal vessel arborisation in normal and amblyopic eyes using multifractal analysis.

Aim: To characterize the human retinal vessel arborisation in normal and amblyopic eyes using multifractal geometry and lacunarity parameters.

Methods: Multifractal analysis using a box counting algorithm was carried out for a set of 12 segmented and skeletonized human retinal images, corresponding to both normal (6 images) and amblyopia states of the retina (6 images).

Results: It was found that the microvascular geometry of the human retina network represents geometrical multifractals, characterized through subsets of regions having different scaling properties that are not evident in the fractal analysis.

[Mobius syndrome].

Mobius syndrom, an anomaly in cranial nerve developement, presents with a remarkable clinical polymorphism. The rare occurence of this pathology and the questions raised by the diagnosis and treatment determined us to make this presentation.

[The role of diagnostic imaging in pediatric ophthalmology].

The paper underlines the importance of the imagistic examination in the diagnosis and the therapeutical orientation in an orbital injury in a four-year-old child. The orbital injury ends with a foreign body (fragment of a pencil) in the orbit. The situation and the orientation of the foreign body was revealed by the computer tomography and the MIMICS program.

[Therapeutic schedule in ambliopia--experience of Eye Clinic Cluj].

The Purpose: To establlsh a protocol for the treatment of amblyopia and the methods used to maintain the results (visual acuity).

Material And Methods: Fifty children with amblyopia were treated in the Pediatric Ophthalmology Department of the Ophthalmological Cllnic in Cluj. Full time occlusion was used in all children.

[Role of diagnostic imaging in pediatric ophthalmology].

The paper underlines the importance of the imagistic examination in the diagnosis and the therapeutical orientation in an orbital injury in a four year old child. The orbital injury ends with a foreign body (fragment of a pencil) in the orbit. The situation and the orientation of the foreign body was reveled by the computer tomography and the MIMICS program.

[Therapeutic options in thyroid ophthalmopathy].

Unlabelled: One of the most important features in Graves disease is thyroid myopathy. This condition accompanies the thyroid dysfunction, that can lead to hyper-, hypo- or euthyroidism. The thyroid myopathy is the most common cause of acquired double vision in adults.

[Laser photocoagulation in retinopathy of prematurity--preliminary results].

Purpose: The present study aims to reveal, on one hand, the efficiency of the laser photocoagulation in the Retinopathy of Prematurity (ROP) and, on the other one, to answer two questions: 1. Why do some ROPs still go wrong, in spite of laser therapy? 2. What can we do about it?

Material/method: A retrospective study has been performed, including the 21 prematurely newborns that have been treated by laser photocoagulation, for ROP, in Cluj-Napoca, between April 2006-September 2007.

[Assessment of retinopathy of prematurity].

Purpose: The study aims to evaluate the ROP, the factors that influence this disease in very low birth weight newborns that are included in the neonatal screening program.

Material And Method: It is a retrospective study performed on 82 preterm newborns managed by The Neonatology Department of Obstetrics and Gynecology Clinic I from Cluj over a period of 15 months. There were assessed: prenatal factors, birth, perinatal pathology, therapy received, incidence of ROP and the necessity for laser therapy The statistical analysis has been performed in Epi 6.

[Major steps in strabismus surgery].

The paper analyzes the situations when, in strabismus surgery, major gestures (important muscular displacement) are indicated. It is emphasized the surgical strategy and the results in 35 patients operated on in the Ophthalmologic Clinic in Cluj between June 2005 and June 2006.

[Diplopia through toxic myopathy after cataract surgery].

Unlabelled: Cataract surgery is one of the most successful procedures in the last decades. In this paper we present the evolution and the treatment results in four cases of post cataract surgery diplopia, analyzing the causes influencing the outcome of strabismus.

Material And Method: In the last three years, four cases of post cataract surgery diplopia have been diagnosed in the Ophthalmological Clinic of Cluj.

[New method of prismatic prescription in diplopia].

This paper presents the case of a man with resulting diplopia due to multiple lesions of the extraocular muscles after an orbital trauma. The intact ocular globe has an horizonto-vertical strabismus. Purpose was the reduction of diplopia in primary gaze.

[Diagnostic and therapeutic difficulties in double depressors paralysis--DDP].

Unlabelled: Double depressor palsy is a rare monolateral condition showing a down gaze difficulty, associated sometimes with a superior lid retraction.

Material And Method: The paper presents the clinical situation and the surgical treatment in a patient with the symptoms of double depressors palsy. The surgical treatment consisted in deinsertion of the inferior oblique, recession of the medial rectus, and advancement of the lateral rectus 6.

[Postoperative secondary hypertropia].

The paper illustrates the case of a patient that developed a hypertropia after having removed an episcleral tumour. The data of the functional and objective ocular exam are presented. The pre and intraoperatory arguments that decided the surgical treatment are analyzed.