PubMed Health⌕ Search

Biomedical subjects

Andrzej Stankiewicz

Publications and source records attributed to Andrzej Stankiewicz.

26 records · Page 2Linked to original sources
PubMed2002

[Dacryocystography and dacryoscintigraphy in diagnosis of naso-lacrimal duct obstruction].

PURPOSE: To find the right diagnostic test through checking the drainage of lacrimal ducts. MATERIAL AND METHODS: Dacryocystography of lacrimal ducts was performed in 25 patients by using 0.5-1 ml of Lipidiol and conducting X rays in different head positions--3-4 photograph in A-P projection (exposition's parameters 85-90 kV and 12-15 mAs, distance lamp-table: 100-130 cm, Philips Diagnose 93). For stereo estimation--2 oblique photographs of head, deviated at 45 towards central body line. Patient is brought on vertical position and after 5 minutes radiography in A--P projection can show remaining contrast in lacrimal duct. Dacroscintigraphy was done in 200 patients by dropping in conjunctival sac 1 drop of sterile 99mTc, in dose 3.7-7.4 MBq (100-200 uCi). The patients head is immobilized on the support, close to detection head of gamma camera (ediso Nucline TH) with LEHR. Distribution of this drug was visible on the monitor and saved in the computer's memory. Data was registered during 10 minutes, summed up into end picture and then evaluated by sight. RESULTS: Many authors consider dacryoscintigraphy and dacryocystography as methods of choice in establishing correct diagnosis. High sensitiveness and mutual completion of both methods lets us quickly explain the reasons of epiphora and settle further management.

Aged↗
PubMed2002

[Pathogenesis and management of Grave's ophthalmopathy].

The most recent hypothesis on pathogenesis of Graves' Ophthalmopathy (GO) and short characteristics of the disease was presented. Emphasis was placed on the necessity of coordinated treatment of the thyroid dysfunction and ophthalmopathy. Management of hyperthyroidism and Graves' ophthalmopathy, including the latest methods was described.

Graves Disease↗
PubMed2002

[The risk factors for massive suprachoroidal hemorrhage in the material of the Department of Ophthalmology, Medical Academy in Bialystok from 1990 to 2000].

PURPOSE: The aim of our study is evaluation of the risk factors for development of expulsive hemorrhage among patients operated in Department of Ophthalmology, Medical Academy in Białystok from 1990 to 2000. MATERIAL AND METHODS: This was a retrospective study of 18 patients with massive suprachoroidal hemorrhage occurring in association with cataract and glaucoma surgery. RESULTS: The mean age of patients with expulsive hemorrhage was 69.5 years. There were 10 women (55.6%) and 8 men (44.4%). In the population of patients in whom the suprachoroidal hemorrhage occurred hypertension was present in 5 (27.7%) and diabetes in 3 (16.6%). 8 patients (44.4%) had reported atherosclerotic cardiovascular disease. 7 patients (38.8%) had a history of glaucoma, 6 (33.3%) had high myopia. 1 patient had posterior synechiae after uveitis. All surgeries, except one, were performed under local anesthesia. There were no associations between suprachoroidal hemorrhage development and season. CONCLUSION: The results of our study suggest, that the risk factors for the development of massive intraoperative suprachoroidal hemorrhage are: high myopia, glaucoma and systemic cardiovascular diseases. A knowledge of these risk factors can help the physician in identifying patients, who are at a greater risk of having massive suprachoroidal hemorrhage.

Aged↗
PubMed2002

[The evaluation of incidence of massive suprachoroidal hemorrhage n the material of the Department of Ophthalmology, Medical Academy in Bialystok from 1990 to 2000].

PURPOSE: Massive suprachoroidal hemorrhage is a well-known, possibly serious complication of many surgical procedures, including cataract extraction, glaucoma-filtering procedures, penetrating keratoplasty, retinal detachment surgery and pars plana vitrectomy. The aim of our study is evaluation of the incidence of massive suprachoroidal hemorrhage among patients operated in Department of Ophthalmology, Medical Academy in Białystok from 1990 to 2000. MATERIAL AND METHODS: From 1990 to 2000, 6225 intraocular operations, including 5541 cataract extractions, 195 glaucoma-filtering surgeries, 438 retinal detachment surgeries and 51 multiprocedure surgeries were performed. The criteria for diagnosis were the intraoperative signs of suprachoroidal hemorrhage (shallowing of the anterior chamber, increasing of the intraocular pressure, iris prolapse, expulsion of the lens and vitreous, retinal and choroidal elevation and loss of the red reflex) and postoperative ultrasonic examination. RESULTS: 18 eyes were identified with massive suprachoroidal hemorrhage, including 16 eyes during cataract extraction and 2 eyes during filtering procedures. The incidence of suprachoroidal hemorrhage for all intraoperative surgeries was 0.29%. It occurred in 0.28% of cataract surgeries and 1.02% of glaucoma filtering procedures. There were no incidence of suprachoroidal hemorrhage during retinal detachment surgeries. CONCLUSION: A massive suprachoroidal hemorrhage is a relatively rare complication of intraocular operations. Most frequently it is associated with glaucoma filtering surgery.

Aged↗
PubMed2002

[The role of vascular factors in the development of traumatic optic neuropathy in course of closed head injury].

PURPOSE: This study was undertaken to assess the pathogenesis of traumatic optic neuropathy as a consequence of closed head injury. MATERIAL AND METHODS: The clinical material comprised 34 patients (4 women and 30 men, age 14-70 years), who developed clinical symptoms of optic neuropathy after head trauma. A full ophthalmologic survey and colour Doppler examination of the orbital vessels were performed in all patients. RESULTS: Full blindness of the affected eye, persisting since the injury, was noted in 20 patients. Orbital fracture was diagnosed in 15 person, but 4 patients among them had fracture of the optic canal bones. In 16 cases a retrobulbar hematoma was present. In 8 patients, who displayed no light perception after trauma, no flow was observed in the central retinal artery. In 18 other persons there was decreased of blood flow parameters. Only 6 patients had the normal flow in the orbital vessels. CONCLUSION: The reason of the development of optic neuropathy after head injury is not clear. Our results of the blood flow measurement in the orbital vessels suggest, that disturbance of circulation within the optic nerve is very serious factor in the pathogenesis of traumatic optic neuropathy.

Adolescent↗
PubMed2002

[Massive suprachoroidal hemorrhage during cataract surgery: case report].

A massive suprachoroidal hemorrhage is defined as a hemorrhage in the suprachoroidal space of sufficient volume either to cause extrusion of intraocular contents outside of the eye or to force the inner retinal surfaces into apposition ('kissing'). This is a very rare but one of the most serious complications of the intraocular surgeries. The authors describe a case of 84-year-old woman, who developed a massive suprachoroidal hemorrhage during cataract surgery. In our case, the main reason of expulsive hemorrhage development was a Valsalva effect, caused by unexpected cough during surgery. In a Valsalva maneuver, a sudden increase in venous pressure may lead to vessel-wall rupture, by an apparently excessive pressure gradient across the vessel wall. We present clinical and echographical study of this patient.

Aged↗
PubMedDate not supplied

Retinopathy of prematurity: A refresher for obstetricians.

Advances in neonatal care improved the survival of many preterm infants, but also increased the incidence of retinopathy of prematurity (ROP). Numerous risk factors have been associated with the development of ROP, the most important of which are: low birth weight, early gestational age at delivery, and duration of oxygen therapy. Screening premature infants is a critical factor for any prevention and treatment protocol. The Retinopathy of Prematurity Subcommittee of the American Academy of Ophthalmology (AAO) and the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) have developed guidelines that assist practicing physicians in managing children with ROP. A portion of these guidelines is particularly applicable to practicing obstetricians who, along with the pediatricians, are often the primary physicians for the affected families. The aim of this paper is to present a comprehensive overview of the epidemiology, etiology, manifestations, prevention, and management of ROP. In the last section, the authors present guidelines for practicing obstetricians that incorporate the most recent recommendations of ophthalmic and pediatric thought leaders.

Child↗