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Biomedical subjects

A Dałkowska

Publications and source records attributed to A Dałkowska.

13 recordsLinked to original sources

[Cataract extraction and lens implantation in glaucomatous eyes after trabeculectomy].

PURPOSE: Presentation of problems connected with an implantation of eye lens after trabeculectomy with changed anatomic conditions. PATIENTS AND METHODS: In 51 cases of patients with cataract and glaucoma, following a trabeculectomy operation, ECCE was made by corneal incision and lens implantation into posterior chamber. In the analysis, the following were taken into consideration: state of the eye before cataract operation, intrasurgical difficulties with necessary application of additional surgical actions, evaluation of postoperative course. RESULTS: In 41.1% of patients, surgical operations followed a non-typical way and the below procedures were necessary: loosening of adhesions, mechanical pupillary dilation, tearing off fibrous or stained membrane, iridorrhaphy and pupil reconstruction. Posterior chamber lens was implanted in 96% of patients and the following acuity was achieved: 0.5-1.0 in 25 eyes, 0.3-0.4 in 13 eyes, 0.02-0.2 in 10 eyes. There was no acuity improvement in 3 eyes only. CONCLUSIONS: Operation posterior chamber lens implantation after trabeculectomy can proceed in a non-typical way because of changed anatomic conditions. Postoperative functional results depend on the degree of nerve lesion (injury), but they are often better than preoperative prognoses indicate.

Adult↗

[Professor Witold J. Orłowski. Obituary for 10th anniversary of his death].

The article presents an outline of Prof. W.J. Orłowski's (1918-1988) biography. He studied at Warsaw University (1936-1939) and Lódź University (1945-1947). He became interested in ophthalmology as early as before completing his studies. He graduated in medicine in 1950, few years later obtained doctor's degree and in 1961 received the thid degree (habilitation) and lectureship. From 1st June 1965 till 30th June 1988 he was Head of Ophthalmologic Clinic at Poznań Medical Academy. He wrote a considerable number of ophthalmologic textbooks, 208 research papers, and was an editor of textbooks and periodicals. Prof. W.J. Orłowski's scientific interest focused on retina diseases which resulted in founding Retinological Section in 1970, and thus starting to develop Polish retinology. As a humanist he rendered services to journalism where, as early as his high school time, he used to publish board bulletins, and edited periodicals including "Glass Houses", "The Forge at the Young", "Life of Youth". During his university studies he worked as journalist in "The Republic" and in "Lódź Daily". After graduating from university he continued his medical and journalist passions as author and editor for "Medical News", "Let's Live Longer", "The Eye Clinic". He was an outstanding expert in the history of ophthalmology. Prof. W.J. Orłowski was a man of a wide range of interests. His hobbies included stamps collecting and numismatics. He received wide recognition among both Polish and foreign ophthalmologists as well earned deep respect from his colleagues and students.

History, 20th Century↗

[Intraocular lens implantation in the glaucomatous eye].

Cataract extraction with intraocular lens implantation was performed in 32 eyes of 32 patients in the years 1990-1992. Surgery was performed in 10 eyes with well-controlled intraocular pressure without any antiglaucomatous operation, in 10 because of inadequate control with simultaneous trabeculectomy, in 7 after earlier filtering procedures and in 5 with secondary glaucoma. Surgical technics, intra- and postoperative complications and the results are discussed. Visual acuity in 18 eyes was 0.5-1.0, in 10 eyes 0.1-0.4 and in 2 it was 0.05. The follow-up for all the eyes yielded normal intraocular pressure, in most cases without additional pharmacological treatment.

Adult↗

[Vitreal and retinal changes in the fellow eye in children and adolescents with retinal detachment].

The authors examined 78 fellow eyes in patients aged 2.5-20 years treated for retinal detachment. The examinations were carried out in the course of the hospital treatment and 2-10 years after the discharge from the Ophthalmological Department. In the period of observation the progression of the vitreous changes was seen in 9 eyes and it took the form of appearance or increase of the fibrillar degeneration of the vitreous, the condensation of its basis and of vitreoretinal adhesions; it coexisted with the appearance of new pathological processes in the retina. During the hospital treatment the retinal pathological changes were seen in 30.8 p.c. of cases and in the late examinations in 41 p.c. The most frequently discovered degeneration was the lattice degeneration. The frequency of the fellow eye syndrome in the late examinations increased from 10.2 p.c. to 17.7 p.c. of the examined patients.

Adolescent↗

[Retinal detachment in pseudophakia].

In the years 1987-1991, a total of 851 cataract extraction with artificial lens implantation were performed in the Ophthalmological Clinic of the Medical Academy in Poznań. There were 244 anterior and 607 posterior chamber IOLs. Retinal detachment was observed in this clinical material in 6 eyes (0.7%), only in the group of anterior chamber IOLs. The methods of applied retinal detachment surgery, its results and the status of the fellow eye are presented.

Adult↗