[Clinical and functional considerations in some cases of postoperative endophthalmitis]. / Consideratii clinice si functionale pe marginea unor cazuri de endoftalmita postoperatorie.

We present 3 cases of postsurgery endophthalmitis, with good initial operatory technique, which were admitted in our hospital within variable time, to which a second surgery was performed, with good postoperative evolution, without any inflammatory signs and preserving the eye. We analyse the pre and post-operative treatment of endophthalmitis, but also the ways to prevent the appearance of this post-operative complication.

[Pathophysiology and treatment of ARMD]. / Fiziopatologia si tratamentul DMLV.

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. Reduction or elimination of chronic inflammation; 4. Changes involving the participation of complement inflammatory phenomena; 5. Changes in the phenomena of chronic inflammation which do not involve the participation of complement (eg. Mitochondria and extracellular matrix). The Neovascularization process includes: 1. Production of angiogenic factor; 2. Release of angiogenic factor; 3. The binding of factors to extracellular receptors and activation of intracellular signaling; 4. Activation of endothelial cells with basement membrane degradation; 5. Endothelial cell proliferation; 6. Endothelial cell migration; 7. Remodeling of extracellular matrix; 8. Tube formation; 9. Vascular stabilization. CONCLUSIONS: Therapy inAMD, based on physiological characteristics of early and late stages, is possible nowadays. It is possible to apply a specific treatment for each stage of AMD, but effective treatment requires combinations of specific therapeutic remedies involving different pathophysiological pathways.

[Penetrating ocular trauma with intraocular foreign body]. / Traumatism ocular penetrant cu retentie de corp strain.

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. The post-operatory evolution was favorable.

[Refractive stability of artificial lens in Acrysof TORIC]. / Stabilitatea refractiva a cristalinelor artificiale 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. The pacients were evaluated by: refractometry, keratometry, corneal topography biometry, biomicroscopic examination of the eye (anterior and poterior poles), aplanotonometry the calculation of the IOL dioptric value and implantation axes with the help of the Alcon-acrysof calculator. RESULTS: AV without correction > 1/2 in 98 % of cases. AV without correction > 2/3 in 62 % of cases. AV with correction > 5/6 in 85 % of cases. Medium residual astigmatism between 0,25-0,75D CONCLUSIONS: The implant of toric IOL is a viable option in the treatement of preoperative astigmatism in selected cases.

[Clinical and functional considerations in some cases of postoperative endophthalmitis]. / Consideratii clinice si functionale pe marginea unor cazuri de endoftalmita postoperatorie.

We present 3 cases of postsurgery endophthalmitis, with good initial operatory technique, which were admitted in our hospital within variable time, to which a second surgery was performed, with good postoperative evolution, without any inflamatory signs and preserving the eye. We analyse the pre and post-operative treatment of endophthalmitis, but also the ways to prevent the appearance of this post-operative complication.

[Contusive ocular trauma--case report]. / Traumatism ocular contuziv--caz clinic.

We present the case of a 48 year old man who was admitted for the decreased visual acuity of the left eye for about 20 years, when a left sided facial trauma had occured. Clinical examination and lab exams revealed the cause of this change: ocular contusive posttraumatic status for about 20 years (anamnestic), iridodialysis, corectopie, traumatic cataract, PVR, tractional retinal detachment. Surgical treatment was warranted. We performed cataract extraction, posterior vitrectomy with laser fotocoagulation and injection of silicon oil 1000. We followed the pacient's post-operative evolution and we extracted of the silicone oil six months later. The evolution was favorable.

[Intraocular hypertension after retinal detachment surgery]. / Hipertensiune intraoculara postchirurgia decolarii de retina.

This papers presents a case of a patient with retinal detachment, 3 days ago operated (posterior vitrectomy, internal tamponament with silicon oil 1000) who developed increased ocular pressure following silicon oil output in the anterior chamber.

[Ocular hypertension after surgery for retinal detachment]. / Hipertensiune intraoculara postchirurgia decolarii de retina.

This papers presents a case of a patient with retinal detachement, 3 days ago operated (posterior vitrectomy internal tamponament with silicon oil 1000) who develop increased ocular pressure following silicon oil output in the anterior chamber.

[Rhegmatogenous retinal detachment--clinical case]. / Decolare de retina regmatogena--caz clinic.

We present the case of a 57 years old woman which was admitted for the amputation of the infero-nasal visual field of the right eye, change observed by the pacient for 2 weeks. Clinical examination and lab exams revealed the cause of this change: a rhegmatogenous retinal detachment in the superior temporal quadrant. Surgical treatement was warranted. We did a posterior vitrectomy with trans-scleral crioapplications and injection of silicone oil 1000. We followed the patient's evolution post-operative and we observed the development of a complicated cataract which was treated in a second surgery together with the extraction of the silicone oil. The evolution was favorable.