Revista de chirurgie, oncologie, radiologie, o. r. l., oftalmologie, stomatologie. Seria: Oftalmologie最新文献

The paper reports on the case of a 6-year-old child with OD congenital glaucoma and increase of the ocular globe volume with ruptures of Descemet's membrane. VARE = 1/8 non correcting, VALE = 34 mmHg, RE--divergent strabismus. The left microphthalmus with the corneal diameter of 9 mm. Normal karyotype. Trabeculectomy was performed at the right eye. Good postsurgical evolution. This is a case of phenocopy because in the development and formation of the iridocorneal angle in the sixth month of pregnancy, a series of extrinsic teratogenous factors appeared: measles, influenza, toxemia of pregnancy that produced modifications of the trabecula.

The study was carried out on a group of 127 patients, admitted into the Cluj-Napoca Clinic of Ophthalmology, suspected of primary glaucoma with open angle. The complex antiglaucomatous investigation confirmed the diagnosis in 57 cases.

The paper presents several remarks on opportunity and usefulness of the centre for outpatient follow up of glaucoma within the "Colţea" Ophthalmology Clinic and of the Bucharest Municipal Hospital. The unconfirmed, suspected patients were not considered glaucomatous. The exam of the eye has to be complete, to include the systematic investigation of the ocular tension, and of the visual field, by evidencing scotoma in Bjerrum's area photometric disharmonies and chromatic alterations. A special attention must be paid to the low pressure glaucoma, as a peculiar evolution form of glaucoma with open angle.

Are the ocular hypertension and glaucoma two different clinical entities? Recent researches show that ocular hypertension can have an evolution period, of about five years, without clinical manifestations of glaucoma. In ocular hypertension, the atrophy of the retinal nerve precedes with many years the appearance of the perimetric deficits. Retinographies in non-erythro light show a destruction, up to 40%, of the nerve fibres of the retina without evident perimetric modifications. The conclusion is reached that intraocular hypertension is only an incipient stage of a glaucoma not yet detected by the clinical means available.

The paper presents the sensitive and sensorimotor development of the premature and term children. The visual acuity is examined by determination of the optokinetic nystagmus, use of the evoked potential and preferential sight.

The authors report on an experimental model of data base set up for glaucoma with possibilities of statistical-mathematical processing. The application is designed for miniprocessors of the INDEPENDENT or CORAL type in FORTRAN 77. The paper presents the level structure of the display, and the ways of using the information under the form of assisted diagnosis and prognosis, according to which the attention is then directed to the rhythm and detailed content of the future examination.

Glaucoma low tension in the clinical result of an important haemodynamic ocular imbalance of frequently arteriosclerotic etiology, characterized by decrease of the ciliary gradient, with evolution in the aged patients within a characteristic clinical context, dominated by the presence of arterial hypotension and increase of plasmatic fibrinogen.

The author surveys, on the basis of some personal observations, the bibliographic data referring to the role of the iris in excretion of the aqueous humor. The second part of the paper reports on the authors clinical material, with emphasis on the great number of cases of atrophy of the iris periphery in the simple glaucoma and that appearing in the advanced age. The book concludes with references on the etiopathogenic correlations between the structural modifications of the iris root and the changes of intraocular tension.

The paper reports on the author's own experience in the surgical treatment of the traumatic cataract in children. The authors consider that implantation of the artificial crystalline must not be a general implantation method, in any eye. It has to be made discriminatingly and take into consideration the posttraumatic inflammatory reactions and the local state of each eye.

The paper reports on two cases of rare palpebral tumours--pilomatrixomas--existent in two children under the age of two years.