[Keratotomy in astigmatism].
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Biomedical subjects
Publications and source records attributed to A Bieliková.
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Since 1991 the chief specialist evaluates different spheres of ophthalmology based on data provided by all departments in Slovakia. In the submitted article the author summarizes the 10-year period of refractive surgery in Slovakia.
The authors give an account of a case of sympathetic ophthalmia which was successfully managed by reoperation of the injured eye, corticoids and immunosuppressive drugs. Sympathetic ophthalmia developed after perforation of the cornea along with traumatic cataract one month following the accident. It was manifested by irritation of the anterior segment of both eyes and marked exudation into the area of the posterior pole of the sympathizing eye. On the injured eye surgical reconstruction of the anterior segment was performed and concurrently broad spectrum antibiotics and corticoids were administered. On this therapy the anterior segment of both eyes began to improve, while the exudation into the area of the posterior pole of the sympathizing eye proceeded; therefore immunosuppressive therapy was started. The manifestations of sympathetic ophthalmia receded gradually. After an alternative way of corticoid reduction was started, a relapse of sympathetic ophthalmia occurred. The relapse was suppressed by a temporary increase of the dosage. Three months after the development of sympathetic ophthalmia, using the treatment described, the uveal inflammation of both eyes receded. At present, two years after the accident, both eyes are in a satisfactory condition with normal visual acuity--on the injured eye with an aphakic correction.
Implantation of a retropupillary artificial intraocular lens into the capsule of the lens is from the anatomical aspect the most physiological type of pseudophakia. The authors compare the early results of implantation of two models of retropupillary intraocular lenses, i.e. an intraocular lens made from one piece (PMMA loop) and an intraocular lens with polypropylene loops Intraocular lenses with PMMA loops are more difficult to insert in the capsule, they keep, however, better in position than intraocular lenses with a polypropylene loop. Greater traumatisation of surrounding tissues during implantation of intraocular lenses with a PMMA loop leads to a higher incidence of posterior synechia and deformation of the pupil. The differences between the two groups are statistically significant. No statistical correlation was found when the functional results were compared. The same applies to peroperative and other postoperative complications (uveitis, non-infectious endophthalmitis, sy. of transillumination and dispersion of pigment and CEM. No case of secondary glaucoma, bullous keratopathy or detachment of the retina was recorded. A corrected vision of 5/15 or better was achieved in 97.50%.