Early Visual Recovery after Penetrating Keratoplasty in One Functional Eye Us ing Piggyback Contact Lens System

Svrha je ovoga rada predstaviti tri odvojena slučaja pacijenata na čijem je jedinome funkcionalnom oku izvršena keratoplastika. Sva su tri pacijenta slijepa na drugo oko zbog različitih oftalmoloških bolesti te im se na jedinome funkcionalnom oku razvila keratopatija koja je zahtijevala transplantaciju rožnice. Na svim pacijentima izvršen je postupak keratoplastike te im je najbolje korigirana vidna oštrina nakon keratoplastike na zahvaćenome oku iznosila od 0,05 do 0,2. U rasponu od tjedan do mjesec dana pacijentima je vidna oštrina, nakon postupka keratoplastike, iznosila 1,0 uz piggyback sustav nošenja kontaktnih leća.The purpose of this paper is to present three separate cases of patients whose only functional eye underwent penetrating keratoplasty and piggyback contact lens fitting in order to restore 1.0 visual acuity. All three patients suffered from some sort of ophthalmological disease process that virtually left them blind in one eye, and in the succeeding eye developed a keratopathic process that required them to undergo corneal transplant. All three patients underwent penetrating keratoplasty and the best corrected visual acuity post-op ranged from 0.05 to 0.2. A week to a month after corneal transplant the patients were fitted with a piggyback contact lens system which restored their vision to a visual acuity of 1.0

FEAR OF BLINDNESS IN PATIENTS UNDERGOING CATARACT SURGERY

Background: Fear is a negative emotion induced by the threat of danger, pain and harm. Cataract surgery is one of the most performed surgeries in the world. The aim of this study was to investigate and analyze the predominant fears in patients undergoing cataract surgery. Subjects and methods: In this cross-sectional study 152 patients were examined. Self-designed questionnaires to examine emotions of the fear, anxiety, nervousness frequency gratitude was used and insecurity immediately before cataract surgery. We also examined what the greatest fear during the cataract surgery was. The fear of blindness was compared with other life fears such as cancer, memory loss, AIDS, stroke and heart attack. The presence of fear was compared in patients having had previous cataract surgery with those undergoing their first cataract surgery. Including criteria were adults with senile cataract. Excluding criteria was ocular co-morbidity, psychiatric disorders, inability to read, deafness and surgery under general anesthesia. Completed questionnaires were analyzed. Pearson\u27s chi-squared test was used. Results: Fear was the most frequent emotion before cataract surgery, present in 60.5% patients. Fear of blindness was the greatest fear during cataract surgery in 55.3% of patients. There was no statistically significant difference in fear in patients having undergone their first cataract surgery and patients before their second cataract surgery (p<0.05). Conclusion: Fear is the predominant emotion before cataract surgery which is in correlation to the leading life fear - fear of blindness. Good preoperative preparation and a trusting doctor-patient relationship are important for reducing the fear of the procedure