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Biomedical subjects

M Kmera-Muszyńska

Publications and source records attributed to M Kmera-Muszyńska.

16 recordsLinked to original sources
PubMed2000

[Does macular hole formation have a hormonal cause?].

PURPOSE: To establish the degree of supposed hormonal deficiency in estriadol (E2), gonadotrophins (LH, FSH), growth hormone (GH), insuline-like growth factor 1 (IGF-1) and to assess calcic-phosphatic metabolism in women with idiopathic macula holes as compared to (age-matched) controls. MATERIAL AND METHODS: In 16 female patients aged 65-72, blood E2, LH, FSH, IGF-1 were determined. Serum and 24 h urine excretion calcium and phosphates as well as serum alkaline phosphatase activity were taken as markers of Ca/P metabolism. Bone densitometry was performed in all. RESULTS: Mean actual serum hormone levels were: E2 < 15 pg/ml, LH--31 U/l, FSH--49 U/l, GH--0.1 ng/ml, IGF1--59 ng/ml. The markers of mineral metabolism did not show any abnormality: serum Ca--5.0 mEq/l, P--4.1 mg%, alkaline phosphatase 111 U/l, 24 h urine excretion Ca--121 mg/24 h, P--610 mg/24 h. Mean bone L2-L4 density fell within normal limits: 81% (z = -1.91). CONCLUSIONS: In postmenopausal women with idiopathic macular holes, serum E2, LH, FSH bone metabolic markers and bone density are comparable to those found in women (of the same age group) free of macular holes. Women with macular holes are characterized by lower GH and IGF-1, which prompts further study.

Aged↗
PubMed1999

[Pars plana vitrectomy in the treatment of endophthalmitis].

PURPOSE: To assess the effectiveness of vitrectomy in the treatment of patients with endophthalmitis. MATERIAL AND METHODS: Ten patients with endophthalmitis were qualified for treatment with vitrectomy via pars plana of a cilliary body. Endophthalmitis was diagnosed as resulting from previous: ECCE + I in 3 patients, penetrating bulb injury in 3 patients, penetrating keratoplasty in 1 patient; 3 other patients suffered from endogenous endophthalmitis. In all patients prior to surgical procedure samples of the vitreous were collected for bacteriology and mycology tests. RESULTS: In 9 cases the surgery was followed by intravitreal administration of 1 or 2 antibiotics. In 1 case an antibiotic was added to the infusion solution. In all patients the following data were analyzed together with the result of a surgical procedure: cause of endophthalmitis, visual acquity directly before and after the procedure and over the follow-up period (from 6 months to 3 years), time delay between the onset of endophthalmitis and vitrectomy performed. CONCLUSION: Vitrectomy performed via pars plana of a cilliary body is an effective method of treatment in cases of endophthalmitis. In patients with endophthalmitis early performed vitrectomy, followed by adequate adjuvant pharmacotherapy determine the chances for good postoperative prognosis.

Adult↗
PubMed1997

[The condition of the posterior capsule in pseudophakic retinal detachment].

PURPOSE: Analysis of condition of posterior capsule in pseudophakic retinal detachment. MATERIAL AND METHODS: 37 pseudophakic eyes of 35 patients with retinal detachment were examined. The condition of posterior capsule and the time when retinal detachment was observed were analysed. CONCLUSION: Disruption of the posterior capsule as a complication of cataract surgery was associated with a significant elevated risk of retinal detachment. Uncomplicated posterior capsule prevented acid from vitreous delayed retinal detachment, but is not eliminated, especially in risk factor cases.

Aged↗
PubMed1996

[Surgical decompression of the orbit in a case of post-traumatic retrobulbar hematoma].

The authors present a case of 34-years-old man with retrobulbar hematoma caused by blunt injury accompanied by partial palsy of the oculomotor nerve and ischemia of the optic nerve and retina. Fractures of the orbit were excluded using computer tomography. Surgical decompression of the orbit was performed. The authors obtained quick and marked improvement with normal visual acuity and limitation of adduction.

Adult↗
PubMed1993

[Intraocular tamponade with SF6 gas in the treatment of selected cases of retinal detachment].

The aim of this paper is to present the results of the endotamponade with SF6 gas in the treatment of 19 patients with retinal detachment. The cases selected for the surgery were characterised by the retinal tear situated in the upper part of the fundus of the eye or in the posterior pole with no symptoms of PVR phase C and D and vitreo-retinal traction. The indications for endotamponade, the causes of failures and the complications connected with this kind of surgery were discussed.

Adolescent↗
PubMedDate not supplied

[Prognostic value of treatment trials used during the preoperative period in patients with primary retinal detachment].

Analysed are the results of surgical treatment and the methods applied in patients with primary retinal detachment who have been placed in recumbent position in the preoperative period. It was demonstrated that in all the cases in which after staying in bed one could observe a full or partial retinal re-apposition--a relatively simple and sparing operation was sufficient for a lasting cure. The presented results show that a successful outcome of the reclining position trial constitutes one of the favourable prognostic factors for the success of the surgical intervention.

Adolescent↗
PubMedDate not supplied

[Clinical and histopathological observations of retinal sutures. Preliminary report].

One of the therapeutical methods in the great hole and ora serrata retinal detachment are the retino-scleral sutures. The study evaluates the tolerance of this type of stitches. Experimental investigations have been performed in rabbits with sutures of Ethilon 8-0 or chromic collagen 8-0 put through the sclera. Both segments--the anterior and posterior one have been taken under consideration. The eye have been enucleated on the 1st, 2d, 7th, 14th and 60th day after surgery and evaluated macroscopically. The specimen from the spot of stitching have been executed after fixation in formaline. Clinical observations, macroscopic evaluation of the enucleated eyes and results of the histopathological examination showed good tolerance of the retinal stitches through the tissue of the rabbits eye and indicate the possibility of a clinical utilization of this method.

Animals↗
PubMedDate not supplied

[Temporal arteritis].

Presented is a case of a 74 years old patient whose ailment was diagnosed as Horton's disease (temporal arteritis) on the basis of general clinical symptoms (constant headache, sclerosis of the temporal artery, anorexia and sleeplessness) and ocular signs (poor visual acuity and pale papilloedema).

Aged↗
PubMedDate not supplied

[Experimental studies of using polyester-coated materials of Polish production in surgical treatment of retinal detachment].

The authors evaluated the tolerance of the rabbit eye to a new generation of polyester bands coated by polymethane polyester or by silicone. Investigations consisted on the application of episcleral implants made from polyester coated bands and--for comparison--of already well known polyester non-coated bands The eyes were removed on the 4th, 10th, 30th, 60th and 90th day after operation, macroscopically evaluated and fixed in formaline. The specimen were prepared from the spot of the applied implant together with a margin of surrounding tissues. Clinical observations, macroscopic evaluations as well as histopathological examinations showed a good tolerance of the silicone coated bands; it was discovered instead that the polyurethane coated bands are causing a more pronounced inflammatory reaction in the early postoperative period.

Animals↗
PubMedDate not supplied

[Current views on the etiopathogenesis of proliferative vitreoretinopathy].

Review of current knowledge concerning the etiology and factors associated with development and clinical course of PVR is presented. Special attention was paid to the role of blood-retinal barrier break and iatrogenic factors. The new conception that PVR could be compared with "wound healing" reaction, in which autoimmunological mechanisms were involved is also discussed.

Animals↗
PubMedDate not supplied

[Miragel in surgery of retinal detachment].

The authors presented results of the surgical treatment of 33 patients with retinal detachment, in whom Miragel implants were used for scleral buckling. The studies have confirmed that Miragel is a very good material for retinal detachment surgery and its application on a larger scale is recommended.

Adolescent↗