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L Rejmont

Publications and source records attributed to L Rejmont.

8 recordsLinked to original sources
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↗
PubMed1993

[Suture technic in perforating keratoplasty and postoperative astigmatism].

The authors evaluate postoperative vision, value of astigmatism and keratometry in 25 patients operated in 1992 by perforating keratoplasty, incl. 11 where the disc was fixed by interrupted stitches and 14 by continuous diagonal stitches. After evaluation of the influence of interrupted stitches and continuous diagonal stitches on postoperative astigmatism in perforating keratoplasty the authors recommend the use of diagonal suture. The reason is in the first place the uniform spreading and good adaptation of the transplanted cornea, as well as slighter traumatization and easier removal of stitches. An important role is played also by the larger number of measurable radii of the corneal curvature with regard to possible postoperative correction of astigmatism either by added stitches or differentiated adjustment of the tension of the continuous stitch.

Adult↗
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↗