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Biomedical subjects

H Lomícková

Publications and source records attributed to H Lomícková.

At least 19 recordsLinked to original sources

[Spontaneous reduction and absorption of cataracts in childhood].

The authors give an account on spontaneous reduction and absorption of cataracts in nine children. The initial symptom where leukocoria predominated was as a rule detected already in infant age. In one case the affection was bilateral and was manifested by partial pseudoaphakia. The observation comprised also classical secondary aphakia in a 4-year-old girl. Resorption of lenticular masses of cataracts into the shape of membranous discs or reduced masses of a fibrous character took on average 18 months on seven eyes and this process was associated with vascular activity in four lenses. In two of these patients during resorption panuveitis was observed with a hyperergic response in humoral and cellular immunity without obvious general antigenic action which caused atrophy of the optic nerve. Surgical solution of cataract was used in four eyes, PC IOL was implanted in one patient which had a favourable effect on visual function. Histological examination was successful of the extracted reduced lens only in one case. Inside the lenticular capsule was a mixture of the original fibrotically altered cataract masses with ingrowing vascular tissue.

Aphakia↗

[Retinopathy of prematurity over 3 decades].

The authors give an account of 190 premature infants they treated in 1956-1988, suffering from retinopathy of prematurity--ROP, and for prolonged subsequent periods. As the head of the team followed up all the children, there is an integrated view of the problem. The birth weight of the infants was 640 g--1,900 g. From the total number 76.8% infants had a birth weight of 1,500 g or less, 13.7% had a birthweight of 1,000 g or less. Evidence of the increasing rate is provided by the number of patients treated since birth at the department for premature and pathological infants FNM as well as by the number of children admitted from other departments after development of ROP. In 1956-1970, i. e. in 15 years, the authors looked after 34 patients, in 1971-1988, i. e. in 18 years there were 156 children with ROP. In 1956-70 cases of ROP predominated which developed as a result of absolute or relative hypoxia. They were successfully treated by individually adjusted and carefully controlled oxygen therapy (6.9% blind children). In 1971-1975 the possibility to use this therapy declined briskly because after introduction of modern medical technique the number of findings suggesting a hyperoxic insult increased. At that time the results deteriorated greatly (50% blind children). In 1976-1980 the results were favourably influenced by individual dosage of oxygen therapy in all infants, based on regular monitoring of blood gases (10.5% blind children).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

[Cryocoagulation in the treatment of retinopathy of prematurity].

The authors give an account on cryotherapy of retinopathies in the premature--130 eyes of 93 children treated during 1984-1988. Almost in all children cryocoagulation was made, using a transconjunctival approach, in the avascular periphery of the retina under local instillation anaesthesia. Twenty-eight eyes were coagulated already in stage 2 of the proliferative phase (along with the other more severely affected eye), the results being very satisfactory. In this stage, however, spontaneous regression cannot be ruled out. This is the reason why only 102 eyes were evaluated in detail, i.e. those coagulated in stage 3a and the latter were compared with findings in 90 eyes equally affected where cryocoagulation was not performed. In the group after coagulation 51% of the eyes had findings in stage I and II of the cicatricial phase with good and very good vision, in 17.6% the final finding is stage III with vision in the zone of visual debility and 31.4% of the eyes with findings stage IV and V are blind. In the group without coagulation there were 4.4% eyes in stage I and II, 28.9% eyes in stage III and 66.7% in stages IV and V. In eyes after coagulation the percentage of adverse results (31.4%) is by one half lower than in untreated eyes (66.7%).

Child, Preschool↗