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.

[Refractive stability of artificial lens in Acrysof TORIC].

Objectives: This study evaluates the efficiency of toric artificial intraocular lenses in correcting the astigmatism of pacients operated by facoemulsification.

Methods: A retrospective study was carried in which took part during the following period: february 2008 - february 2010. The study was carried on a number of 37 eyes.

[Penetrating ocular trauma with intraocular foreign body].

We present the case of a 65 years old pacient which was admitted for the sudden decrease of visual acuity in the left eye, accompanied by ocular pain and conjunctival hiperemia, simptoms appeared after an ocular trauma. After the clinical and paraclinical examination we determined the diagnosis of OS: Penetrating ocular trauma with retention of a foreign body; posttraumatic cataract. Surgical treatement was warrented and we performed OS : Facoemulsification + PFK implant in sulcus + 23 Ga posterior vitrectomy + peeling of the posterior hyaloid membrane + extraction of the foreign body + LASER endofotocoagulation + transscleral cryotherapy + SF6 gas injection.

[Pathophysiology and treatment of ARMD].

Purpose: A review regarding the pathophysiology of AMD as shown in the literature

Results: Targets in AMD treatment include: 1. Protection against oxidative stress; 2. Prevention of the accumulation of lipofuscin; 3.

[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.

[Normal corneal wound healing].

Corneal wound healing is divided into several phases that, in reality are part of a continuous process, involving the corneal epithelium and stroma, corneal nerves, inflammatory cells, lacrimal glands. The layers of the cornea interact through autocrine and paracrine modulation, mediated by cytokines, growth factors, proteolytic enzymes. Corneal healing is affected by many factors, including: wound size and depth, causative agent, age, medication, preexisting diseases.

[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.

[Posterior vitrectomy--ground principles].

In this paper, we present the principles of posterior vitrectomy and describe the devices used for this type of surgery.

[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.

[Complications of posterior capsule tear].

Posterior capsule tears occur in every cataract surgeon's practice. If the tear is properly managed, however the surgeon will likely be able to complete the procedure and place a posterior chamber intra-ocular lens (PCIOL). Proper complication management, including a posterior capsule tear, depends first on the surgeon's ability to maintain composure and operating room decorum.

[Current trends in keratoplasty].

The article presents current keratoplasty options available worldwide, indications and limits for each type of surgical procedure, as well as postoperative treatment, including immunomodulation therapies, some of whom are still in an experimental stage, available for use in selected clinics.

[Visually evoked potential].

The visual evoked potential (VEP) is a recording of electrical activity of the visual cortex created by stimulation of the retina. The main indications are monitoring of visual function in babies and the investigation of optic neuropathy, particularly when associated with demyelination. It can also be used to monitor macular pathway function.

[Age related macular degeneration and C-reactive protein].

C-reactive protein (CRP) is a systemic inflammatory marker associated with the cardiovascular risk profile. Some of the cardiovascular risk factors are linked with the development of age related macular degeneration (AMD), but the correlation between CRP and AMD is not yet well documented. Our current study is trying to emphasize the correlation between plasma CRP levels and the risk for AMD.

[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.

[Left paraduodenal hernia with particular evolution].

Paraduodenal hernia is a rare situation, less than 400 cases being published in literature. This condition is difficult to explore, diagnose appear within an occlusive syndrome. The etiopathology involves perturbation of intestinal rotation during the intrauterine life, producing paraduodenal fossa, which generates conditions for internal hernias and occlusive situations.

[Normotensive glaucoma].

Normal tension glaucoma is a form of primary open angle glaucoma where the intraocular pressure remains within the normal range. In this case the main challenge is to establish the correct diagnosis. The clinical evaluation of a patient suspected of a normal tension glaucoma must answer two questions: 1) is the intraocular pressure normal and 2) is it a glaucomatous optic neuropathy or another type of optic neuropathy?

[Ginkgo biloba in glaucoma].

The two principal directions in the therapy of the primary open angle glaucoma (POAG) are lowering intraocular pressure medication and the surgical way. None of these two therapeutic modalities act on independent pressure risk-factors Thinking in this direction the neuro-protection concept should be in our minds all the time in the treatment of this disorder.