Biomedical subjects
Publications and source records attributed to L Corşatea.
The simplicity of Charleux's technique for peripheral iridectomy is underlined. In a lot of 15 eyes with acute angle closure glaucoma, the i.o.p. after surgery was under 21 mm Hg when the attack lasted less than 48 hours. In a second group of 20 eyes with occludable angle/congener eyes suffered attacks/peripheral iridectomy with Charleux's technique prevented acute angle closure/56 months of postoperative observation.
The paper presents the evolution at ten eyes (nine patients) that presented expulsive hemorrhage during surgical act of extracapsular extraction with implant of crystalline lens. There are several cases of extracapsular extraction than intracapsular extraction which were more short like duration. The frequency of female was 90% from cases. The good results show the efficiency of associated treatment: closing of the eyeball with scleral punctura and internal tamponing. Only one eye was lost functionally.
Are communicated the good results obtained at four eyes with endophthalmia. The patients are treated with fluoroquinolones and cephalosporins at three eye or ampicillin. The eyeball was saved in all cases and at three eyes from it is obtained a good visual acuity.
The authors try to mark the anterior crystalloid before sectioning it, using the chemical touch (solution three coloured acetic or sodium hydroxide) or by means of physical methods (electrocoagulation or diathermy for minimum electric power). In vivo the two last methods have given stable whitish points by the middle of which had been executed the sectioning of the crystalloid. The authors emphasize the advantages that are known by the technique of the extracapsular extraction of the crystalline in the bag and the simplifying of the manoeuvre for marking the anterior crystalloid.
There are discussed the observations that had been done for a period of 10 weeks about, after the YAG-neodymium laser trabeculoplasty for 79 eyes suffering of simple chronic glaucoma. The choosing of the patients has been done because of the tensional uncompensation under the maximum treatment for 42 eyes having ocular tension constantly over 30 mm Hg, or because of the lack tolerating the drugs, the secondary, effects, allergy. The average decreasing was of 6.31 mm Hg, high semnificative from the point of view of statistic mathematics but the decreasing of the tension researches 15 mm Hg for isolated cases, that permitting to decrease or renounce the drugs.
The possibility of improving the aspect of the glaucomatous excavation under the influence of the postoperative ocular hypotonization is shown on 12 eyes (11 patients) observed during the past 13 years. All patients suffered from very advanced chronic simple glaucoma--8 had a C/D 0.9 (postoperatively 0.6 in 3 eyes, 0.4 in 4 eyes and 0.1 in 1 eye), 3 a C/D 0.8 (postoperatively 0.4 in 1 eye and 0.2 in 2 eyes) and 1 a C/D 0.7 (which diminished postoperatively to 0.4). Of the 12 eyes, only one showed an improvement of the visual field, 5 a lowering of the visual acuity (progression of the cataract) and 3 a decrease of the visual field after a new increase of the intraocular pressure.
Retrograde transcorneal iridectomy suggested by Charleux and Etienne was used in 27 eyes (20 patients) suffering from glaucoma with closed angle (in 12 eyes with acute attack and in 15 congeneric eyes) (prophylactic). The post- or intrasurgical complications were absent. The operation was simple and had good results. The hospitalization period was of 2-3 days.
The authors operated 20 eyes of secondary glaucoma, the angle being blocked by goniosynechias (obstructive glaucoma). All the eyes had a past history of 1-7 antiglaucoma operations by conventional techniques without lowering intraocular tension. The Benedikt operation was efficient in 3 of 10 eyes (compensation of less than 24 mmHg with medication); the La Roca technique in 3 of 7 eyes, and the Nesterov operation in none of the 3 eyes in which it was applied.
The authors present the new data on the therapeutic applications of neodymium-YAG laser in ophthalmology.
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