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J Ernest

Publications and source records attributed to J Ernest.

10 recordsLinked to original sources
PubMed2004

[Transpupillary thermotherapy of choroidal neovascularisation (CNV) among other methods of treatment].

Choroidal neovascularization (CNV) secondary to age-related macular degeneration is a leading cause of vision loss in adults. Although most patients present with occult CNV, treatment has focused on the small percentage of eyes with well-delineated, classic CNV. Transpupillary thermotherapy is a recent advancement in the management of occult CNV. We demonstrated the effectiveness of transpupillary thermotherapy (TTT) for the treatment of occult choroidal neovascularization (CNV). In a retrospective, case selected trial 50 eyes with CNV secondary to age related macular degeneration (AMD) were studied. The eyes with CNV were treated with diode laser (810 nm) TTT. Laser beam sizes ranged between 0.8 and 3.0 mm and power settings between 700-800 mW. Treatment was given in one area for 1 minute. Transpupillary thermotherapy is a potential treatment for CNV. It is able to close choroidal neovascularization while maintaining visual function in patients with classic and especially occult disease.

Aged↗
PubMed2002

[Retinal detachment after excimer laser surgery].

The increasing number of patients with myopia who had an excimer operation arouses among retinal specialists and refraction surgeons the question whether laser operation can cause or accelerate retinal damage and initiate a motion of the retina. During the last 4 years the authors treated 5 patients with a motion of the retina who were previously subjected to excimer laser surgery on account of severe myopia. The laser procedures were implemented in different departments and then the patients were referred to us on account of complications. Poorer results and a poorer prognosis were recorded in patients with manifest degenerative changes of the periphery and with extensive rhegmatogenic manifestations. In patients without peripheral degeneration the optic functions after surgery of a motion were practically unrestricted. The incidence of rhegmatogenic changes and vitreal traction is according to the authors a contraindication for excimer procedures and they recommend to refer these patients to a vitreoretinal department.

Adult↗
PubMed2002

[Cataract surgery using silicone oil and its elimination via posterior capsulorhexis].

Elimination of silicone oil after a previous vitreoretinal operation is a routine procedure. This procedure is frequently associated with a complicated cataract operation. The standard procedure of oil elimination in one or two stages assumes repeated sclerotomy. Contemporary findings and the authors' experience indicate the risk of the site of sclerotomy. The authors draw attention to a modification of silicone oil elimination while operating the cataract by posterior capsulorhexy which makes it possible to remove the intraocular tamponade without sclerotomy and to implement at the same time peroperative control of the posterior pole. the technique of elimination of silicone via posterior capsulorhexy makes a perfect peroperative check-up of the state of the posterior eye possible it makes it possible to leave the silicone in the eye if it is necessary to prolong the tamponade of the retina it reduces the risk of complications of further sclerotomy it makes reconstruction of the eye by a single operation possible and reduces thus the traumatization of the eye and the patient.

Capsulorhexis↗
PubMed2000

[Pars plana vitrectomy of subretinal neovascular membranes in age-related macular degeneration].

The possibilities of treatment of chorioideal neovascular membrane (CNV) in age-related macular degeneration are very limited. Conservative treatment has no effect, laser coagulation is accepted nowadays as the method of choice only in a selected group of patients and its results are more than disappointing. Surgical extraction of subretinal neovascular membranes opens wider opportunities for improvement of optic functions in indicated patients, in the majority it makes their stabilization possible. The authors present a group of their own 20 patients where extraction of CNV was performed. They describe the technique of extraction, indications and results.

Aged↗
PubMed2000

[Endophthalmitis after cataract surgery].

Endophthalmitis is one of the most serious complications after surgery of cataract. The reported incidence is 0.07 to 0.58%. The authors evaluate a group of 34 cases of endophthalmitis from a total of 13,247 eyes operated on account of cataract in 1990 to 1999 at the ophthalmological department of the Central Military Hospital. They describe the method used and the results. The conclusions are summarized as follows: 1. Early pars plana vitrectomy in developing endophthalmitis improves the chances of maintaining satisfactory visual functions. 2. After the change to ambulatory surgery the authors did not record a higher percentage of postoperative endophthalmitis. 3. As a rule surgical solution of endophthalmitis does not call for IOL.

Cataract Extraction↗
PubMedDate not supplied

Epidemic endophthalmitis after cataract surgery.

PURPOSE: We analyzed the results of pars plana vitrectomy in group of patients with a view to establishing risk factors, optimal therapy, surgical technique and the best timing of the pars plana vitrectomy. METHODS: Eight patients presented features of bacterial endophthalmitis within two days of cataract extraction. We examined the relations between visual outcome and the identity of infecting species, optimal therapy, surgical technique and vitrectomy timing. RESULTS: Pseudomonas aeruginosa was a pathogenic microbe. Unfortunately the source of infection was not found. The long-term (9-12 months) results are not good. Final visual acuity of all eight patients oscillated between 20/200 and no light perception. Three patients were first treated with intravitreal ATB application and vitrectomy followed with 36 hours lateney. Their final VA was no light perception in two patients and hand motion in one. The outcome was better in five patients operated immediately after the onset of endophthalmitis. Final visual acuity in this group was between hand motion and 20/200. CONCLUSIONS: Visual prognosis in cases of endophthalmitis is closely related to the type of infecting organism, the visual acuity at presentation, and the speed of progression of inflammatory signs. The need for prompt vitrectomy as the only chance of retaining at least basic visual functions is fully demonstrated.

Cataract Extraction↗