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Biomedical subjects

C Grapă

Publications and source records attributed to C Grapă.

3 recordsLinked to original sources

[Palindromic posterior scleritis].

The patient, a woman of 45 years old, presents a posterior scleritis at the left eye with palpebral edema, enophthalmos, posterior episcleral congestion, aches at the eye movements and in the extreme glance. Seven years ago she was hospitalized for the same phenomena at the right eye. The posterior palindromic scleritis, more frequent at women, is interpreted as a collagenopathy especially found in rheumatoid polyarthritis determined by a vasculitis through depositions of immune complexes at the level of the short posterior ciliary arteries with the activation of the complement and of the chemical vasoactive mediators.

Diagnosis, Differential↗

[Congenital bilateral abducens paralysis and facial diplegia. The Moebius syndrome].

The patient, 9 years old, presents bilateral congenital paralysis of the facial, disability of the ocular globes abduction, facial cutanate atrophy and partial paralysis of hypoglos, syndrome manifestations that are framed in the disease described by Moebius. The patient also presents epicanthus, hiperthlorysm, atresia of the tear points. The disease is caused by some teratogenic factors which act between the fourth and the seventh week of the intrauterine life with the atresia of the sixth and seventh nucleus and partially of the ninth nucleus as well as of the supranuclear way from the proximity of these nucleus. The variety of the clinical manifestations can be explained through the affectation of the different nervous structures during the embryogenesis, but the congenital paralysis of the abduction and the facial diplegia are the most important manifestations of the syndrome.

Abducens Nerve↗

[Advanced closed-angle glaucoma with intercalary staphylomas].

The case of a 70-year-old woman displaying a quasiabsolute glaucoma with large scleral juxtalimbic ectasias at both eyes is reported. The gonioscopic examination shows a closed-angle glaucoma developing for about 10 years with subacute crises, neglected by the patient. Vision at the right eye 1/50 nc, intraocular pressure at the right eye = 34.4 mmHg vision at the left eye = 3/50 nc, intraocular pressure at the left eye = 41.4 mmHg. The ocular examination reveals a small anterior chamber, sectorial iridic atrophies, a mydriatic pupil, the camerular angle closed. The fundus of the eye shows the atrophy of the papilla and excavation with the C/D ratio 0.9 at the right eye and 0.8 at the left eye. It is pointed out that the closed-angle glaucoma may have a subacute course, leading finally to the quasiabsolute stage, with large scleral ectasias like in the open-angle glaucoma.

Acute Disease↗