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Biomedical subjects

W Omulecki

Publications and source records attributed to W Omulecki.

14 recordsLinked to original sources
PubMed1994

Bilateral uveal melanoma presenting simultaneously.

A case of bilateral uveal melanoma in a 54-year-old man is described. On admission of the patient for a choroidal melanoma of the left eye, an asymptomatic ciliary-body tumour was detected in his right eye. A thorough general examination did not reveal any metastases. The left eye was enucleated and local excision of the tumour in the right eye was performed 2 months later. Histology confirmed the presence of malignant melanomas in both eyes. The tumours were of similar A/B spindle-cell type. The patient remained healthy, showing no sign of metastasis or local recurrence of melanoma 9 months after the date of diagnosis. The visual acuity in his remaining eye remained 6/6. Immunological assessment of the blood serum revealed abnormally high interleukin 1 beta (IL-1 beta) and IL-2 levels. Possible implications of these findings are discussed.

Choroid Neoplasms↗
PubMed1994

[Surgical treatment of lenses dislocated to the vitreous cavity].

Removal of the lens dislocated to the vitreous body is one of the most difficult problems in ophthalmic surgery. The authors present 8 consecutive cases in which the lenses luxated to the vitreous were removed. Pars plana vitrectomy was used to free the lenses from the surrounding adhesions and to carry them over to the pupillary region. Then the limbal incision was performed to remove them from the eye. Good anatomical and functional results achieved in the described cases point to the suitability of this operative method.

Adult↗
PubMed1993

[Abuse of local anesthetics in ophthalmology].

Surface anaesthesia is applied in ophthalmology for minor surgery, diagnostics tests and also in cases of corneal or conjunctival inflammation and injuries. The abuse of such anaesthetics may cause serious complications. The authors emphasize the necessity for their careful application.

Anesthesia, Local↗
PubMed1993

[Early and late observations of intraocular pressure in patients with implanted intraocular lens].

The aim of the paper was to evaluate intraocular pressure changes that follow the implantation of posterior intraocular lens. In two examined groups of patients (I group--sulcus ciliaris, II group--intracapsular implantation) the decrease of average intraocular pressure values was observed in the early days after surgery, then during 3 months, it gradually returned to the initial values. This decrease was less marked in the first group of patients. Long-term observation showed the stabilization of intraocular pressure at a level similar to the mean values before surgery.

Adult↗
PubMed1991

[3 cases of tumors of the optic disk].

Presented are 3 cases of tumors affecting the papilla of the optic nerve. On the basis of the ophthalmoscopic picture, of fluorescein angiography and of clinical symptoms the authors identified a capillary haemangioma, a pigmentary naevus and a meningeal hernia. In all the cases observation did not detect any increase in the changes.

Adult↗
PubMedDate not supplied

[Observation or enucleation--a still unsolved problem in patients with uveal melanoma].

The authors performed retrospective investigations and evaluated the influence of the period of time between the onset of the first symptoms of the disease and the enucleation on the life expectations; the groups of patients treated by enucleation and non-treated were compared. Various opinions on the influence of enucleation on the prognosis in patients with uveal melanoma were discussed.

Age Factors↗
PubMedDate not supplied

[Intraocular lens implantation with circular capsulotomy and "envelope" techniques--comparison of results].

The studies comprised 200 patients with presenile and senile cataract who underwent cataract surgery with IOLs implantation. In 100 consecutive cases circular capsulotomy and in subsequent 100 "envelope" technique were used. The results indicate the advantages of "envelope" method: less intra- and post-operative complications, quicker visual convalescence; it is easier and safer.

Cataract Extraction↗
PubMedDate not supplied

[Visual field in pseudophakia].

Estimation of the visual field in pseudophakic eyes was the aim of this study. Results were compared between the groups of anterior chamber lenses, posterior ciliary sulcus fixation lenses, posterior intracapsular lenses and the control group of phakic patients. Each group consisted of 25 subjects. Visual field measurements were done using dynamic method with Goldmann perimeter and visual field areas were determined by adequate computer program. Statistical analysis of data showed the reduction of visual field in pseudophakic groups when compared to the control group and no significant differences between different types of implants.

Adult↗
PubMedDate not supplied

[Implantation of bifocal intraocular lens from personal material].

Results of 25 bifocal IOLs implantations are presented. Follow-up time ranged from 3 to 6 months. Visual acuity for distant and near vision was estimated. The results were compared with a control group of 50 monofocal IOLs implantations. It was found that bifocal IOLs implantations enable good visual acuity for distant and near vision without additional correction, though visual acuity for distant vision was better in the monofocal group. Patients with bifocal IOLs have complained of glare and/or monocular diplopia more often than patients with monofocal IOLs.

Adult↗
PubMedDate not supplied

[Value of vitrectomy in treatment of lens dislocation into the vitreous].

PURPOSE: To present own experiences in vitrectomy in cases of subluxation or luxation of the lens to the vitreous cavity. MATERIAL AND METHODS: 41 eyes with subluxation (16) and luxation (25) of the lens, operated on between May 1992 and April 1994 were analysed. Before the surgery, secondary glaucoma was observed in 18 eyes, hypotony in 8. The aim of pars plana vitrectomy was to release the lens from the surrounding tissues, then the lens was put into anterior chamber and removed by limbal incision. RESULTS: Visual acuity improvement was achieved in 73% of cases. Intraocular pressure was normalized in 14 eyes. Retinal detachment developed in 2 eyes after the surgery, and in one retina was reattached using silicone oil tamponade. CONCLUSION: Our results indicate that it is possible to remove the dislocated lens using vitrectomy without perfluorocarbon.

Female↗