RESUMEN
The retrospective study of cataract surgery with new technique, phacoemulsification, prove that the method implementation was a success in Ophthalmology Department of University Emergency Hospital Oradea. The phacoemulsification demonstrated it is superior in functional rehabilitation and in the socio/professional reintegration of patient. In year 2005 the number of patients with cataract with phacoemulsification surgery was 98 of total of 521 cataracts. The number of intervention increased from year to year to amount that the phacoemusification was practiced in all patients in 2009. The small incision reduced the risk of intra-operator incidents and some post-operator complications, the hospitalization period was reduced by half.
Asunto(s)
Facoemulsificación/estadística & datos numéricos , Extracción de Catarata/estadística & datos numéricos , Hospitales de Condado , Humanos , Tiempo de Internación , Implantación de Lentes Intraoculares , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Estudios Retrospectivos , Rumanía , Resultado del Tratamiento , Agudeza VisualRESUMEN
PURPOSE: The purpose of our study is to analyze the outcome of traumatic endophthalmitis, as revealed by our own experience. MATERIAL METHOD: We conducted a clinical retrospective study including all the consecutive cases with traumatic endophthalmitis that have been hospitalized in the University Ophthalmology Department from Cluj-Napoca (Romania), for a 28 months period of time (September the 1st 2007 - December the 31st 2009). RESULTS/DISCUSSION: The overall incidence of traumatic endophthalmitis has been 4.76% (5 out of 105 open globe injuries). The presence of an Intra Ocular Foreign Body has been associated with the highest risk of endophthalmitis (8%), followed by the penetrating ocular injuries (6.52%). We performed posterior vitrectomy combined with intravitreal antibiotic and steroid injections in 4 of the 5 traumatic endophthalmities (80%). Injection alone of the above mentioned drugs has been indicated in one early traumatic endophthalmitis (20%), with immediate positive response and the complete recovery of the visual acuity. The technical features of the posterior vitrectomy in the infected eyes are discussed, in comparison with the other clinical conditions in which it is indicated. Our results prove the achievement of visual acuities better than 20/40 in 80% of the post-traumatic endophthalmitis eyes. The failure in one case is explained mainly by the delayed vitrectomy (48 hours from the debut), but also by the circumstances of trauma (soil contamination, in a rural setting). CONCLUSION: Immediate action in traumatic endophthalmitis is crucial for the final visual prognosis.
Asunto(s)
Endoftalmitis/etiología , Endoftalmitis/cirugía , Cuerpos Extraños en el Ojo/cirugía , Infecciones Bacterianas del Ojo/cirugía , Lesiones Oculares Penetrantes/cirugía , Adulto , Antibacterianos/administración & dosificación , Quimioterapia Combinada , Endoftalmitis/epidemiología , Endoftalmitis/microbiología , Cuerpos Extraños en el Ojo/complicaciones , Cuerpos Extraños en el Ojo/tratamiento farmacológico , Cuerpos Extraños en el Ojo/epidemiología , Infecciones Bacterianas del Ojo/complicaciones , Infecciones Bacterianas del Ojo/tratamiento farmacológico , Infecciones Bacterianas del Ojo/epidemiología , Lesiones Oculares Penetrantes/complicaciones , Lesiones Oculares Penetrantes/epidemiología , Glucocorticoides/administración & dosificación , Humanos , Incidencia , Inyecciones Intravítreas , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Rumanía/epidemiología , Resultado del Tratamiento , Agudeza Visual , Vitrectomía/métodosRESUMEN
Non-Hodgkin conjunctival-orbital Malignant Lymphoma, there are rare tumors, difficult to be diagnosed. We've made a clinical and paraclinical retrospective study, along 15 years (1990-2005) period of time, analyzing from the point of view, clinical features and anatomo-pathological results, each of the 11 cases that we found.