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Clinical Consensus for Refractive Surgery

  The document was compiled as a consensual recommended procedure, without the use of the rigorous analytical methods (Delphi method, formal group technique or method RAND/ UCLA/), on which the methodology is nevertheless based. A team of refractive surgeons was chosen by the board of directors of the Czech Society of Refractive and Cataract Surgery (CSRCS) in such a manner as to represent workers from clinics, hospitals and private centres.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Benefits and Negatives of Corticosteroid Therapy in Corneal Patients

Introduction: Corticosteroid therapy is very beneficial in many types of eye diseases. Corticosteroids are used in the treatment of inflammatory and immunological diseases of the eye. Purpose: The aim is to present basic informations about effects of steroids in tissues, their side effects and treatment strategy. Methods and results: Authors process overview of local and systemic steroids and their dosage forms. They refer to the most common problems associated with corticosteroid therapy. Conclusion: Although corticosteroids include medicine across to one of the most frequently prescribed drugs at all, it is always necessary to treat very carefully indicate any corticosteroid preparation and prior to its administration to eliminate all infectious diseases, take a thorough anamnesis and complete examine the patient.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Steroid-induced Glaucoma as a Complication of Atopic Eczema Local Treatment

  The authors present case reports of two young women, who visited the outpatient Department of Ophthalmology clinic, University Hospital in Hradec Králové with lacklustre subjective eye complaints lasting over few weeks. It the beginning high values of intraocular pressure in both eyes and severe glaucomatous damage of the optic nerve head were find out, which was confirm using perimetry and OCT (optical coherence tomography). The anamnesis has shown that both patients have been treated for atopic eczema since their childhood.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Selective Laser Trabeculoplasty – Implication for Medicament Glaucoma Treatment Interruption in Pregnant and Breastfeeding Women

  During the period of the last six years (2010-2016), the authors performed Selective Laser Trabeculoplasty (SLT) in 32 women (64 eyes); pregnant women patients with primary open angle glaucoma were referred to the Department of Ophthalmology, First Medical Faculty, Charles University, and Central Military Hospital in Prague, Czech Republic, European Union, to perform this procedure with the goal to interrupt their antiglaucomatic treatment by means of eye drops during the pregnancy and the breastfeeding period.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Intracranial Pressure Evaluation by Ophthalmologist

  The value of ICT is important in diagnosis of the diseases of the eye and orbit Methods for direct measurement of intracranial pressure (ICT) are exact, but they are invasive and there is some risk of infection and damage of the tissue. Currently there are 2 valid indirect methods of mesurement of IKT. Digital Ophthalmodynamometry (D-ODM) and Transcranial Doppler ultrasonography (TDU). D-ODM is a non-invasive method for measuring of the Pulsating Venous Pressure (VPT). We can measure VPT by the pulse phenomena.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Translaminar Gradient and Glaucoma

Objective: The cribriform plate is a threshold of the intraocular pressure (VOT) and of the intracranial pressure (IKT). The difference between the VOT and IKT is referred to as translaminar gradient (TLG). The goal was to evaluate the Glaucoma progression (visual field, fundus examination, HRT) with / without topical anti-glaucomatous therapy) in relation to the TLG. Patients and methods: the significance of TLG has been studied in two groups. I. Group: 57 patients diagnosed and treatment of Primary Open-Angle Glaucoma (PGOU), 10 patients with Ocular hypertension (OH), 7 patients with Normal-Tension Glaucoma (NTG), and 75 healthy without glaucoma.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

Original article

Two-year follow-up Results of Patients with Macular Edema due to Retinal Vein Occlusion Treated with Ranibizumab

Purpose: To evaluate 2-year follow-up results of patients with macular oedema (ME) caused by central (CRVO) and branch (BRVO) retinal vein occlusion treated with intravitreal ranibizumab at the Department of Ophthalmology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. Methods: Retrospective study.Results: The 2-year follow-up was completed by 18 patients with ME caused by CRVO and 16 patients with ME caused by BRVO. In CRVO group mean age at diagnosis was 63 years, mean interval from diagnosis to the beginning of treatment was 3,6 months.
>>>Read more ...Published in Czech and Slovak Ophthalmology: 2/2017
Published on website: 16. 11. 2017

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