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Biomedical subjects

L Nawrocka

Publications and source records attributed to L Nawrocka.

3 recordsLinked to original sources

[Cataract in uveitis in children].

PURPOSE: To evaluate the anatomical and functional state of eyeballs after cataract extraction in uveitis in children and to analyze the factors affecting visual outcome. MATERIAL AND METHODS: Among 182 examined eyes with uveitis we have observed cataract in 22 eyeballs of 17 children (12%). Before operation in 72.7% cases visual acuity was less or equal 0.02, in the others it was not more than 0.2. The age of patients ranged between 2 and 18 years, the mean age 8 years. The cause of uveitis was: chronic tonsillitis or sinusitis in 6 patients, juvenile rheumatoid arthritis in 2 patients, heterochromic Fuchs iridocyclitis in 2 children, in the others the cause was unknown. In 4 eyeballs (18%) we have observed increased intraocular pressure before operation. Follow-up ranged from 6 months to 15 years, the mean was 5 years. RESULTS: We have obtained normal visual acuity in 31.8% cases and better than 0.1 in 68.2% od eyes. In children with juvenile rheumatoid arthritis, 2 eyeballs lost light perception as a result of corpus vitreous fibrosis and in one case we have observed only light perception. Optic nerve glaucomatous neuropathy was the cause of poor functional result in 2 eyes (0.02 and 0.04). Another causes of not satisfactory visual acuity were: corneal dystrophy (2 eyes), cystoid macular oedema (2 eyes) and amblyopia ex anopsia (2 eyes). CONCLUSIONS: We have obtained normal or good visual acuity in majority of the operated eyes. The causes of poor vision were the anatomical changes after uveitis before the cataract extraction.

Adolescent↗

[Tumors of the eye in childhood].

Cases of benign and malignant tumors treated in Children's Ophthalmological Clinic of Silesian Medical Academy in Katowice in the years 1982-1991 were presented. The clinical material comprises 135 eyes in 129 children. The benign tumors occurred in 83 children (64.3%) and malignant tumors in 46 children (35.7%). The most often observed benign tumor was naevus pigmentosus (23.7%) and the malignant tumor was mainly retinoblastoma (34.8%).

Adolescent↗

[Ocular changes in Down's syndrome].

The authors analyzed the kind of ocular changes and methods of therapy in 34 children, aged 5 months to 14 years, treated in the clinic in the years 1982-1992. The most frequent change was congenital cataract. The other signs observed were: Brushfield's spots, alternate esotropia, nystagmus, partial optic atrophy, retinal detachment, congenital glaucoma, ectropion and keratoconus. Occurrence of several anomalies were frequent. The adequate surgical treatment was applied depending on the kind of changes. Cataract extraction was made by aspiration method. Visual acuity improved in 58.8% of eyes.

Adolescent↗