Subxiphoid Mediastinoscopic Autonomous Double Fenestration.

The coexistence of pleural and pericardial effusions in frail patients with or without confirmed neoplasia necessitates the use of a minimally invasive technique that has a minor impact on the patient's general status and allows for fast fluid evacuation and biopsy sampling if necessary. We present a subxiphoid mediastinoscopic autonomous (simultaneous noncommunicating) double fenestration approach for these patients with both diagnostic and therapeutic advantages in selected cases. Using the mediastinoscope alone through the subxiphoid incision can considerably reduce the duration of operation, allow for fluid evacuation, and significantly alleviate the patient's symptoms.

Is fecal microbiota transplantation a useful therapeutic intervention for psychiatric disorders? A narrative review of clinical and preclinical evidence.

The therapeutic management of psychiatric disorders is currently confronted with a critical need to find new therapeutic interventions due to the high rates of non-responsivity or low responsivity in the key pathologies, e.g. schizophrenia spectrum disorders, alcohol use disorders, or major depressive disorder.

[Ocular ischemic syndrome--a case report].

Ocular ischemic syndrome, also known as hypoperfusion/ hypotensive retinopathy or as ischemic oculopathy is a rare ocular disease determined by chronic arterial hypoperfusion through central retinal artery, posterior and anterior ciliary arteries. It is bilateral in 20% of the cases. Most often it appears due to severe occlusion of the carotid arteries (ICA, MCA>ECA), described in 1963 by Kearns and Hollenhorst.

[Minimally invasive surgery in the treatment of malignant pleuro-pericardial effusions].

Introduction: Malignant pleuro-pericardial effusions (MPPEs) are a common problem in the treatment of patients with cancer and may occur with any malignancy.

Methods: Between 01.01.

[Pituitary adenoma--clinical case].

This is a case report of pituitary adenoma diagnosed by a deep ophthalmological examination. We identified a serious neurosurgical and endocrinological condition, potentially lethal, starting from an ocular symptom. The patient did not pay attention to the hormonal changes as they were developing slowly.

[Ocular surface in glaucoma patients with topical treatment].

Purpose: Our study is trying to establish the prevalence of Dry Eye Syndrome in glaucoma patients treated with topical medication.

Material And Method: We investigated 40 patients (21 females and 19 males), age over 50, treated with topical antiglaucoma medication for at least one year. The control group was consisted of 40 healthy adults, 20 female and 20 males, age over 50, who didn't took any ocular treatment in the last three months.

[Cornea in diabetus mellitus].

Diabetus mellitus is associated with numerous ocular complications. Diabetic keratopathy occurs in response to a neuropathy of the ophthalmic division of the trigeminal nerve, but also as a result of epithelial subclinical abnormalities, limbal vasculopathy and decrease in tear production. It comprises several symptomatic corneal conditions inducing superficial punctate keratopathy and persistent corneal epithelial erosions; the latter can progress to corneal ulceration and is often resistant to routine clinical management.

[The secret of red eyes].

"Red eye" is a sign and the same time a symptom frequently met in the ophthalmological practice. The "red eye" is not always the clinical manifestation of a common conjunctivitis. We will present a case report of a patient who accused conjunctival hyperemia, lacrimation, foreign--body sensation; she was also describing recurrent conjunctivitis for the past year.

[Compliance and ignorance in glaucoma in Romanian patients].

The compliance to treatment of glaucoma patient has a big importance on the long term vision preservation, as well as on the quality of life of our patients. Unknowing and misunderstanding of disease real implications and the importance of the treatment are present in out every day practice in our patients. We want to identify and analyze these aspects in a glaucoma group of Romanian patients, knowing the implications of socio-economic aspects.

[Glomus tumor with diplopia].

This paper highlights the case of a 46-year-old female patient who seeks ophthalmic medical advice for her complaint about double vision on right gaze. Patient's medical history reveals several symptoms like headaches, progressive hearing loss on right side and dysphonia for which all investigations proved irrelevant. Thourough clinical examination, lab exams and imaging techniques revealed the cause for this symptoms i.

[Specular microscopy and pseudoexfoliative syndrome].

Focal production of pseudoexfoliative material is a stress to the endothelial cells, leading to a secondary degeneration and corneal decompensation. This typically occurs as a bilateral, asymmetrical, slowly progressive corneal endotheliopathy, more frequent in women, after the seventh decade of age. A severe decrease of endothelial cell density occurs--shown by specular microscopy.

[Foreign bodies in the urogenital tract--between iatrogeny and autoerotism].

Introduction: Our objective was to evaluate the cause, diagnosis and management of foreign bodies in the urogenital tract reviewing a 7 years experience.

Materials And Methods: From 2000 to 2007, 12 patients were treated in our department because of foreign bodies localized in the urogenital tract. We retrospectively analyzed the data regarding presentation, diagnosis and management.

[Retinal venous occlusion and intraocular pressure].

Purpose: To highlight the etiopathogenic correlations between the changes of intraocular pressure (IOP) and the retinal venous occlusion (RVO).

Method: A prospective clinical study for a period of 2 years (01.01.

[Hepatic actinomycosis--pseudotumoral form].

Hepatic actinomycosis is a pretty rare anatomo-clinical entity that often induces a wrong pre-operative diagnosis. By presenting a case of hepatic actinomycosis, apparently primitive and diagnosed pre-operatively as a neoplastic lesion, the authors discuss the diagnosis and treatment of this disease, mentioning that in the solid, tumoral forms, the hepatic resection is necessary. The authors consider that the post-operative addition of antibiotherapy (mega doses of penicillin) is useful for the eradication of inflammatory residual hepatic parenchyma as well as for the cicatrisation of the parietal fistulae.

[Structural and immunohistochemical changes of conjunctiva induced by topical glaucoma medication].

Purpose: The topical medication represents the first line therapy for the primary open angle glaucoma. The study is aimed at assessing the structural and immunohistochemical changes of conjunctiva induced by topical glaucoma medication.

Methods: For this purpose, we carried out a 40 weeks, prospective, experimental, epidemiological-operational and randomized study enrolling 18 patients (36 eyes) with recently primary open angle glaucoma.

[Decontamination of ocular globes--comparison of three methods].

Purpose: Determination of the success degree of the three decontamination methods for the purpose of choosing the decontamination method before the prelevation of the cornea for its best preservation.

Material And Method: The studied decontamination methods were: 1. Immersion of the ocular globe in Betadina (polividon--iod) 2.

[Primary open angle glaucoma evolution after surgery].

The authors present a four year (01.02.1998-01.

[The role of Brinzolamide 1% ophtalmic suspension in corneal edema].

Purpose: The study is aimed at assessing the efficacy and safety of topical carbonic anhydrase inhibitor (IAC--i.e. ophthalmic suspension of brinzolamide 1%--Azopt) in the treatment of corneal edema.

[Interpretation of visual field with Humphrey Zeiss Analyser].

In the beginning of the article where are defined the notions of the soft of automated perimetry: threshold, kind of tests, the strategy of automated perimetry. Then are shown the steps of automated perimetry interpretation: kind of test and strategy, evaluation of patient reliability, interpretation of the visual field defects (artifacts or no) and statistical analysis.

[Ocular injuries due to allergic mechanism].

The paper presents the main ocular injuries due to allergic mechanism and it point out the actual data about etiopathogenesis of type 1 hypersensitivity and immunologic mechanism involved in allergic keratoconjunctivitis. Then are exposed the classification of ocular allergy, the main signs and symptoms, the paraclinical methods of diagnosis and the actual agents of therapy.