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Malignant glaucoma: disease course and treatment 恶性青光眼:病程和治疗
Pub Date : 2024-07-22 DOI: 10.24292/01.ot.120624
Natalie Papachristoforou, Ismael Alsoubie, Anthony Ueno, Aneta Pyza, Julia Kaczmarek, Natalia Wolińska, Jakub Piórek, Katarzyna Sajak-Hydzik, Ilona Pawlicka, Agnieszka Piskorz, Maciej Kozak, A. Roszkowska
Diagnosis of malignant glaucoma presents a challenge due to subtle symptoms in early stages of the disease, making increased intraocular pressure a pivotal indicator, often accompanied by inflammation and corneal edema. Diagnostic modalities, including ultrasound biomicroscopy and anterior segment optical coherence tomography, play crucial roles in visualizing anatomical changes in the ciliary body and anterior chamber. The classic slit lamp examination, complemented by tonometry, remains a fundamental diagnostic tool. A stepwise therapeutic approach is essential, beginning with pharmacological interventions aimed at intraocular pressure reduction and subsequent restoration of the anterior chamber configuration. The first stage of treatment is pharmacotherapy. Laser therapies, such as iridotomy and Nd:YAG laser treatment, address angle closure. In resistant cases, a surgical approach, such as irydo-zonulo-hialoidotomy may be considered.
恶性青光眼早期症状不明显,眼压升高是一个关键指标,通常伴有炎症和角膜水肿,因此诊断恶性青光眼是一项挑战。包括超声生物显微镜和前段光学相干断层扫描在内的诊断方法在观察睫状体和前房的解剖变化方面发挥着至关重要的作用。经典的裂隙灯检查和眼压测量仍是基本的诊断工具。必须采取循序渐进的治疗方法,首先进行药物干预,降低眼压,然后恢复前房形态。治疗的第一阶段是药物治疗。激光疗法,如虹膜切开术和 Nd:YAG 激光治疗,可解决闭角问题。对于耐药病例,可考虑采用手术方法,如虹膜带状角膜切开术。
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引用次数: 0
Diagnosis and treatment of corneal ulcers in the course of systemic autoimmune diseases 系统性自身免疫性疾病过程中角膜溃疡的诊断与治疗
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.210323.4
Kinga Czarnacka, Alicja Chmura-Hołyst, Ismael Alsoubie, Oliwia Cwalina, Ada Pandey, Dominika Prokop, Małgorzata Gawlak, Bartosz Kuźlik, Katarzyna Guzek, K. Sajak-Hydzik, Iwona Pawlicka, Agnieszka Piskorz, M. Kozak, A. Roszkowska
Peripheral ulcerative keratitis is an inflammatory condition, usually crescent shaped and occurring in the corneal stromal region, where it is always associated with corneal stromal thinning. Peripheral ulcerative keratitis often occurs in the course of rheumatic diseases but is most commonly associated with rheumatoid arthritis. Peripheral ulcerative keratitis is also seen in granulomatosis with polyangiitis, polyarteritis nodosa, relapsing chondritis, and systemic lupus erythematosus. These diseases are analyzed in the article in relation to peripheral ulcerative keratitis with a discussion of individual treatment methods in specific cases.
周围性溃疡性角膜炎是一种炎症性疾病,通常呈新月形,发生在角膜间质区,通常与角膜间质变薄有关。周围性溃疡性角膜炎常发生在风湿性疾病的病程中,但最常与类风湿关节炎相关。周围性溃疡性角膜炎也见于肉芽肿性多血管炎、结节性多动脉炎、复发性软骨炎和系统性红斑狼疮。本文分析了这些疾病与周围性溃疡性角膜炎的关系,并讨论了具体病例的个别治疗方法。
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引用次数: 0
When a large refractive defect is found in a child, should electroretinography be ordered immediately? 当发现儿童有较大的屈光缺陷时,是否应立即进行视网膜电图检查?
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.240323.2
Mateusz Zabochnicki, D. Pojda-Wilczek
Electroretinography is a useful tool used in diagnosing retinal disorders. Refractive errors are a common and increasing group of abnormalities, which, if undiagnosed, may lead to complications. Physiologically, i.e., refraction of the child’s eye, evolves from myopic or hyperopic after birth, towards emmetropic. However, high refractive errors tend to present with retinal diseases. Early electroretinography is a great diagnostic test that allows its detection. Because of that, it can help avoid loss of eyesight and prevent future implications. Unfortunately, low accessibility and interpretational difficulties are main barriers in wider implementation of that method.
视网膜电图是诊断视网膜疾病的有效工具。屈光不正是一种常见且日益增多的异常,如果不及时诊断,可能会导致并发症。生理上,即孩子的眼睛的屈光,从出生后的近视或远视发展到远视。然而,高度屈光不正往往表现为视网膜疾病。早期视网膜电图是一个很好的诊断测试,可以发现它。正因为如此,它可以帮助避免视力下降,防止未来的影响。不幸的是,低可及性和解释上的困难是广泛实施这种方法的主要障碍。
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引用次数: 0
Efficacy of oral steroid therapy in the treatment of acute maculopathy in the course of hand, foot and mouth disease – 3 case reports 口服类固醇治疗手足口病病程中急性黄斑病变3例疗效观察
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.310323.3
Adam Cywiński, Daniela Ferda-Lewińska, M. Gacek
Oral steroid therapy was administered in three patients with skin symptoms, diagnosed with hands, mouth and foot disease (HMFD, commonly known as “Boston’s disease”) and in the course of which there was a rapid deterioration of vision in one eye. Each of the patients had previous contact with a person with disease. Hospitalization of the first patient, during which general antibiotic therapy, antiviral drugs and short-term intravenous steroid therapy were used, brought only a slight improvement in visual acuity. Given the accompanying colour discrimination dysfunction, oral steroid therapy was introduced in this patient, already in the outpatient setting. The therapy brought a significant improvement in visual acuity in a short time and restored the ability to distinguish colours. This form of treatment was used in another two patients with similar, good result.
对三名被诊断为手、口和足病(HMFD,通常称为"波士顿病")的皮肤症状患者进行口服类固醇治疗,在此过程中,一只眼睛的视力迅速恶化。每位患者之前都曾与患者有过接触。第一位患者住院期间,使用了一般抗生素治疗、抗病毒药物和短期静脉类固醇治疗,视力仅略有改善。考虑到伴随的颜色识别功能障碍,口服类固醇治疗在这个病人中被引入,已经在门诊设置。该疗法在短时间内显著改善了视力,恢复了辨别颜色的能力。这种形式的治疗在另外两名患者中也得到了类似的良好效果。
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引用次数: 0
Risk factors for central serous chorioretinopathy 中枢性浆液性脉络膜视网膜病变的危险因素
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.290323.2
M. Gawęcki
Central serous chorioretinopathy is a well-described ocular disorder affecting primarily young individuals. As chronic forms of central serous chorioretinopathy are often leading to significant visual impairment, potential risk factors for its development are constantly analyzed in numerous studies. Review of available research shows that predominant risk factors for central serous chorioretinopathy include male gender, steroid intake, pregnancy, Cushing syndrome, chronic or acute stress, maladaptive personal traits, and increased choroidal thickness. Other factors, such as hypertension, gastric ulcer and reflux or genetic predispositions probably increase the risk of central serous chorioretinopathy onset, but its quantification remains the question of debate.
中枢性浆液性脉络膜视网膜病变是一种主要影响年轻人的眼部疾病。由于慢性中枢性浆液性脉络膜视网膜病变常常导致严重的视力损害,许多研究不断分析其发展的潜在危险因素。对现有研究的回顾表明,中枢性浆液性脉络膜视网膜病变的主要危险因素包括男性、类固醇摄入、妊娠、库欣综合征、慢性或急性应激、适应不良的个人特征和脉络膜厚度增加。其他因素,如高血压、胃溃疡和反流或遗传易感性可能增加中心性浆液性脉络膜视网膜病变发病的风险,但其量化仍存在争议。
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引用次数: 3
Macular hemorrhage – therapy 黄斑出血-治疗
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.220323.5
Małgorzata Gawlak, Katarzyna Guzek, Bartosz Kuźlik, Ada Pandey, Dominika Prokop, Oliwia Cwalina, Kinga Czarnacka, Alicja Chmura-Hołyst, Isamel Alsoubie, K. Sajak-Hydzik, I. Pawlicka, Agnieszka Piskorz, M. Kozak, A. Roszkowska
Submacular hemorrhage treatment is still an important issue in ophthalmology. At present we lack algorithms of treatment that could be used in clinical practice. Efficacy of every treatment method seems to differ by individual factors simultaneously existing in each patient. Therefore, anti-VEGF agents remain crucial in treating patients with coexisting vasculopathy, while in posttraumatic hemorrhage we should lean towards other approaches, like pneumatic displacement. Operative methods, despite being more invasive and burdened with higher potential risk, are indispensable in large hemorrhages, significantly speeding up clot removal. The primary aim of this work is to collect recent data regarding this issue and to determine usefulness of treatment methods in specific cases, regarding factors such as hemorrhage pathophysiology. The following article pertains to currently used treatment methods, such as: pneumatic displacement, anti-VEGF therapy, rtPA and operative methods.
黄斑下出血的治疗仍然是眼科的一个重要问题。目前,我们缺乏可用于临床实践的治疗算法。每一种治疗方法的疗效似乎因每个患者同时存在的个体因素而有所不同。因此,抗vegf药物在治疗共存血管病变患者中仍然至关重要,而在创伤后出血患者中,我们应该倾向于其他方法,如气动置换。手术方法虽然侵入性更大,潜在风险更高,但对于大出血是不可缺少的,可以显著加快血块的清除。这项工作的主要目的是收集有关这一问题的最新数据,并根据出血病理生理等因素确定治疗方法在特定病例中的有效性。以下文章涉及目前常用的治疗方法,如:气动置换、抗vegf治疗、rtPA和手术方法。
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引用次数: 0
Corneal biomechanical changes after myopic and hyperopic laser vision correction 近视眼和远视眼激光视力矫正后角膜生物力学变化
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.250323.7
Zofia Pniakowska, P. Jurowski, J. Wierzbowska
Laser vision correction became a popular method of refractive error treatment. The laser vision correction techniques influence the corneal biomechanical properties including corneal hysteresis and corneal resistance factor. The ocular response analyzer and Corvis ST devices are used in clinical practice to measure the corneal biomechanics. Reasonable laser treatment planning, taking into account the impact on corneal biomechanics, may potentially improve the safety of the refractive procedures. Thicker caps in refractive lenticule extraction and thinner flaps in flap-related procedures promote better corneal biomechanics preservation. The myopic refractive treatment appears to have a greater effect on corneal biomechanics weakening than hyperopic correction.
激光视力矫正已成为一种流行的屈光不正治疗方法。激光视力矫正技术对角膜生物力学性能的影响包括角膜滞后和角膜阻力因子。临床应用眼反应分析仪和Corvis ST仪器测量角膜生物力学。合理的激光治疗计划,考虑到对角膜生物力学的影响,可能会提高屈光手术的安全性。在屈光小晶状体摘取术中较厚的角膜帽和在角膜瓣相关手术中较薄的角膜瓣可促进更好的角膜生物力学保存。与远视矫正相比,近视屈光治疗对角膜生物力学减弱的影响更大。
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引用次数: 0
Glaucoma – new possibilities, new research 青光眼——新的可能性,新的研究
Pub Date : 2023-03-31 DOI: 10.24292/01.ot.200323.1
D. Szumny, M. Mulak
Research efforts to develop effective and safe antiglaucoma drugs have been ongoing for many years. The cornerstone of treatment is still baroprotection, as this is virtually the only method available to protect the optic nerve and slow glaucoma progression, which can be easily controlled by an ophthalmologist. Research is also being conducted in the direction of neuroprotection, where new compounds are being evaluated, as well as those that have been used for years as adjunctive treatments. The greatest hope lies in gene therapy, which still has many problems to be solved, but it is the only one that offers hope for the patient’s complete recovery.
开发安全有效的抗青光眼药物的研究工作已经进行了多年。治疗的基础仍然是气压保护,因为这实际上是唯一可用的方法来保护视神经和减缓青光眼的进展,这可以很容易地由眼科医生控制。在神经保护方面的研究也在进行,新的化合物正在被评估,以及那些已经被用作辅助治疗多年的化合物。最大的希望在于基因治疗,虽然还有很多问题需要解决,但这是唯一能让患者完全康复的方法。
{"title":"Glaucoma – new possibilities, new research","authors":"D. Szumny, M. Mulak","doi":"10.24292/01.ot.200323.1","DOIUrl":"https://doi.org/10.24292/01.ot.200323.1","url":null,"abstract":"Research efforts to develop effective and safe antiglaucoma drugs have been ongoing for many years. The cornerstone of treatment is still baroprotection, as this is virtually the only method available to protect the optic nerve and slow glaucoma progression, which can be easily controlled by an ophthalmologist. Research is also being conducted in the direction of neuroprotection, where new compounds are being evaluated, as well as those that have been used for years as adjunctive treatments. The greatest hope lies in gene therapy, which still has many problems to be solved, but it is the only one that offers hope for the patient’s complete recovery.","PeriodicalId":112284,"journal":{"name":"OphthaTherapy. Therapies in Ophthalmology","volume":"770 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129562455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association Between ALR2 -106C>T Gene Polymorphisms and Diabetic Retinopathy Susceptibility In Diabetes Mellitus Patient: A Systematic Review and Meta-Analysis 糖尿病患者ALR2 -106C>T基因多态性与糖尿病视网膜病变易感性的关系:一项系统综述和荟萃分析
Pub Date : 2023-03-27 DOI: 10.24292/01.ot.230323.1
Indah Sagitaisna Putri, Bastomy Eka Rezkita, Steven Irving, Akhmad Azmiardi
Aldose reductase gene polymorphisms has been indicated to be associated with diabetic retinopathy (DR). The research data were from PubMed and EMBASE. We identified -106C > T single nucleotide polymorphism (SNP). Pool odds ratio (OR) with 95% CI were calculated. Nine studies were included. ALR2 106C > T gene polymorphisms was associated with the increased risk of DR in T1DM (C vs. T, OR = 2.07, p = 0.001; CC vs. CT + TT, OR = 2.56, p = 0.005). T allele and TT genotype were associated with decreased risk of DR in T1DM (OR = 0.48, p = 0.0001 and OR = 0.12, p = 0.0005). In conclusion, C allele and CC genotype may be a risk factor, while T allele and TT genotype may serve as protective factor for DR in T1DM patient.
醛糖还原酶基因多态性与糖尿病视网膜病变(DR)有关。研究数据来自PubMed和EMBASE。我们发现-106C > T单核苷酸多态性(SNP)。计算池优势比(OR), 95% CI。纳入了9项研究。ALR2 106C > T基因多态性与T1DM患者发生DR的风险增加相关(C vs. T, OR = 2.07, p = 0.001;CC vs CT + TT, OR = 2.56, p = 0.005)。T等位基因和TT基因型与T1DM患者发生DR的风险降低相关(OR = 0.48, p = 0.0001和OR = 0.12, p = 0.0005)。综上所述,C等位基因和CC基因型可能是T1DM患者发生DR的危险因素,T等位基因和TT基因型可能是T1DM患者发生DR的保护因素。
{"title":"The association Between ALR2 -106C>T Gene Polymorphisms and Diabetic Retinopathy Susceptibility In Diabetes Mellitus Patient: A Systematic Review and Meta-Analysis","authors":"Indah Sagitaisna Putri, Bastomy Eka Rezkita, Steven Irving, Akhmad Azmiardi","doi":"10.24292/01.ot.230323.1","DOIUrl":"https://doi.org/10.24292/01.ot.230323.1","url":null,"abstract":"Aldose reductase gene polymorphisms has been indicated to be associated with diabetic retinopathy (DR). The research data were from PubMed and EMBASE. We identified -106C > T single nucleotide polymorphism (SNP). Pool odds ratio (OR) with 95% CI were calculated. Nine studies were included. ALR2 106C > T gene polymorphisms was associated with the increased risk of DR in T1DM (C vs. T, OR = 2.07, p = 0.001; CC vs. CT + TT, OR = 2.56, p = 0.005). T allele and TT genotype were associated with decreased risk of DR in T1DM (OR = 0.48, p = 0.0001 and OR = 0.12, p = 0.0005). In conclusion, C allele and CC genotype may be a risk factor, while T allele and TT genotype may serve as protective factor for DR in T1DM patient.","PeriodicalId":112284,"journal":{"name":"OphthaTherapy. Therapies in Ophthalmology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132870436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systemic contraindications for laser vision correction – an overview 激光视力矫正的全身禁忌症综述
Pub Date : 2022-12-31 DOI: 10.24292/01.ot.311222.7
Zofia Pniakowska, P. Jurowski, J. Wierzbowska
Laser vision correction (LCV) is a common corneal surgery for the treatment of refractive errors. The rapid development of LVC techniques make this procedures safe and efficient. Despite the high safety profile of corneal refractive surgery, there are however some clinical conditions that constitute absolute or relative contraindication for this procedures. The aim of the paper was to overview and summarise the currently known systemic contraindications for LVC.
激光视力矫正(LCV)是治疗屈光不正的常见角膜手术。LVC技术的快速发展使得这一过程安全高效。尽管角膜屈光手术具有很高的安全性,但仍有一些临床条件构成绝对或相对禁忌症。本文的目的是概述和总结目前已知的LVC的系统性禁忌症。
{"title":"Systemic contraindications for laser vision correction – an overview","authors":"Zofia Pniakowska, P. Jurowski, J. Wierzbowska","doi":"10.24292/01.ot.311222.7","DOIUrl":"https://doi.org/10.24292/01.ot.311222.7","url":null,"abstract":"Laser vision correction (LCV) is a common corneal surgery for the treatment of refractive errors. The rapid development of LVC techniques make this procedures safe and efficient. Despite the high safety profile of corneal refractive surgery, there are however some clinical conditions that constitute absolute or relative contraindication for this procedures. The aim of the paper was to overview and summarise the currently known systemic contraindications for LVC.","PeriodicalId":112284,"journal":{"name":"OphthaTherapy. Therapies in Ophthalmology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114647551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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OphthaTherapy. Therapies in Ophthalmology
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