Comparison of Preoperative and Postoperative Astigmatism after Superotemporal or Superonasal Clear Corneal Incision in Phacoemulsification

The aim of this work was comparison of preoperative and postoperative astigmatism after superotemporal or superonasal clear corneal incision. Twenty eight eyes of 28 patients treated with phacoemulsification through superotemporal or superonasal 3 mm clear corneal incision were examined by kerato-refractometer preoperatively and six months postoperatively. Adequate score was assigned to each preoperative and postoperative K-value with associated axis of astigmatism to enable comparison. Wilcoxon paired samples test was used for statistical analysis. Postoperative uncorrected Snellen visual acuity was 0.5 or better in 26 patients. In one patient visual acuity was 0.3 because of diabetic maculopathy. Postoperative astigmatism was less or equal than preoperative in 18 and greater in 10 patients. There was no statistical difference between the preoperative and postoperative astigmatism (Wilcoxon paired samples test, p=0.966) and therefore the conclusion can be made that the superotemporal or superonasal clear corneal incision has minimal effect on corneal astigmatism

Analysis of the Quantitative Dermatoglyphic Traits of the Digito-Palmar Complex in Patients with Primary Open Angle Glaucoma

Patient with primary open angle glaucoma (PAOG), which is known to have a genetic predisposition, and their immediate relatives unaffected with PAOG, may have some changes in dermatoglyphic traits of the digito-palmar complex, since the trabecular meshwork develops at the same time and with the same hereditary base like dermatoglyphs, which have high genetic transmission. The objective of this study is to determine whether differences in quantitative dermatoglyphic traits of the digito-palmar complex exist between patients with glaucoma and the phenotipically healthy population and whether their family members have the same dermatoglyphic changes. The quantitative dermatoglyphic traits in patients suffering from glaucoma, first-degree members of their family and the phenotypically healthy population have been screened in this study. Descriptive statistics, univariate analysis of variance (ANOVA) and post hoc (Tukey HSD) method have been used. The results have shown that there is a link between the quantitative dermatoglyphic traits of the digito-palmar complex in patients affected by glaucoma and a first-degree healthy member of their family, as well as the difference between patients with glaucoma and their first-degree relatives, which may discriminate them from the phenotypically healthy population. The results of the study mostly affirm the existence of genetic predisposition for the development of primary open-angle glaucoma, thus emphasizing the relevance of hereditary factors in the etiopathogenesis of this disease

Paralytic Strabismus as a Manifestation of Lyme Borreliosis

Lyme disease is a multi-system organ disorder caused by Borrelia burgdorferi. Although ocular manifestations have been reported, these remain a rare feature of the disease. This report shows a 49-years old patient that has been bitten by a tick and as consequence of which developed symptoms of the Lyme disease. In 1998 the patient was hospitalized in our Eye Clinic due to operating treatment of the paralytic strabismus (abductal nerve paralysis), as a rare feature of the Lyme disease. Postoperative squint angle was significantly reduced, but without any temporal movement. Diplopia was still present, though slightly reduced with the use of prism eyeglasses. The improvement of the quality of life was achieved, as well as the patient\u27s satisfaction

Full-Thickeness Anterior Blepharotomy and Transpalpebral Fat Decompression in Graves’ Orbitopathy

A chief morbidity of Graves eye disease is eyelid retraction and exophthalmus. Transpalpebral orbital fat removal accomplished with full thickness anterior blepharotomy was performed in 4 patients (5 orbits). Preoperative and postoperative ocular exposure symptoms, visual acuity, upper eyelid retraction and proptosis were evaluated. In all 5 operated orbits preoperative symptoms resolved; good results were achieved from the functional and cosmetic point of view. Full-thickness anterior blepharotomy combined with fat decompression is a safe and effective surgery for patients with upper eyelid retraction and exophthalmus due to enlarged orbital fat compartment

Trabeculectomy with Mitomycin C in Glaucoma Associated with Uveitis

The patients with uveitic glaucoma are at high risk for failure following drainage surgery because of young age of these patients, preoperative long-term control of inflammation and postoperative complications. Twenty-two trabeculectomies performed in 22 patients with uveitic glaucoma were retrospectively evaluated to analyze the effect of intraoperative application of mitomycin C (MMC). Success rates, postoperative levels of intraocular pressure (IOP) and postoperative complications were studied. After a mean follow-up of 10.6 months (range, 5–28 months), 15 patients (68.2%) achieved IOP of 21mmHg or less without antiglaucoma medications. There were statistically significant reduction in IOP postoperatively during the period studied (p<0.001). Early postoperative complications included chorioidal detachment (9.1%), shallow anterior chamber (9.1%), hyphema (13.6%), macular edema (4.5%) and raised IOP (27.3%). Late postoperative complications included exacerbation of uveitis (4.5%), macular edema (4.5%), cataract (22.7%) and raised IOP (31.8 %). The eyes with raised IOP needed additional antiglaucoma medication. The results of this retrospective and uncontrolled study suggest that intraoperative application of MMC may be a good option for enhancement of short-term trabeculectomy success rates in patients with uveitic glaucoma

Ancient Glass from the Territory of Bosnia and Herzegovina

There were during the Roman period numerous types of glass vessels which were primarily used for household purposes. Among the glass vessels we find jugs, bowls, vases, and glasses (pi. IV, fig. 4; pl. V, fig. 1; pl. VII, fig. 2, 3; pl. VIII, fig. 1—5). Besides, in addition to these types of glass vessels we come across other vessels which were possibly used in a funeral ritual or in some other cult or possibly also were related to a particular custom of the private life of certain individuals. This category of glass vessels includes all types of glass vessels used in the embalment (pi. I, fig. 1—9; pl. II, fig. 1—4; pi. Ill, fig. 1—6; pl. IV, fig. 1—3) as well as the little vessels with a suction tube (pl. VI, fig. 2) and those with a figure of Medusa (pl. VI, fig. 1). The present state of investigation indicates that in the territory of Bosnia and Herzegovina ancient glass belonged to urban centres. That is to say that glass could be afforded only by the wealthier Roman citizens. At this time glass probably represented a certain artistic value which was rated quite highly and consequently could be acquired but by the richer strata of the Roman society. This is suggested also by the findings of glass jugs and other vessels in tombs supposed to have belonged to urban settlements like Stolac (Diluntum) (pl. V, fig. 3; pl. VIII, fig. 1—3) and Gradina (Domavia) (pl. VI, fig. 3). Here one might also include Mogorjelo (villa suburbana), possibly belonging to the Roman city of Narona, and the glass from the ancient economic region of Japra93 (pi. V, fig. 4). On the basis of the above mentioned places where glass was found, it seems, that most of the glass articles come from Herzegovina — which fact is probably due to the nearby Narona as a commercial port and to the river Neretva itself as the main traffic route. Also, one should not neglect the commercial impulses of Salona as the capital of the Dalmatian province. Also, due consideration has to be given to the region of big urban settlements in the Roman Pannonia from where the trade of ancient glass was probably extended again and again to the northern parts of the Roman province of Dalmatia. The influence exerted by these areas in the production of glass is to be felt at Jajce94 (pl. VI, fig. 1, 2) and Japra (pl. V, fig. 4), but it seems that it reaches out even into the central areas of the present-day Bosnia and Herzegovina. As regards the dating of glass vessels from the territory of Bosnia and Herzegovina, we can establish the following: a) ancient glass like all kinds of vessels used for embalment at the time when the cult of incineration was predominant comes from the time from the first century to the middle of the third century A. D. b) ancient glass including various types of vessels (jugs, bowls, glasses, and vases) seems to belong to the time of the fourth century A. D., when we find a predominance of the cult of inhumation and late-ancient built tombs of various types. c) ancient glass seen in this light, it seems, points to a continued custom related to the cult of the dead: from the domination of the cult of incineration the custom of supplying for the dead person various articles — including little glass vessels — is continued into the period of the domination of the cult of inhumation in built tombs as well as in tombs belonging to the Christian cult.95 As regards workshops producing glass during the Roman period, of which there were Comparatively a great many, and also as regards their products which were being sold throughout the Roman Empire (and accordingly also in our parts) I would not say more at this moment than point at a possibility such workshops might have been existing also in the territory of Bosnia and Herzegovina. In fact, geological testing and its results show that in the territory under consideration there are rich layers of quartz sand and these might have been used as a raw material for the production of glass. In this respect it is the northern parts of Bosnia which are richer, particularly along the river. According to the geological estimates the best quartz sand is to be found at Kozluk near Zvornik. Other places rich in quartz sand are Prijedor, Tuzla, Busovača, Sanski Most, Pečnik near Modrič, Klokotnica near Doboj, and Bistrica.96 This information on where quartz sand is to be found indicates a possibility that Roman workshops producing glass might have existed also in the territory of Bosnia and Herzegovina. Accordingly, there exist serious arguments that one day we may discover glass workshops — perhaps near the places where quartz sand is to be found or in the bigger urban centres near these places. This might be the case in the area of Domavia near Srebrenica. The workshops in ancient Sirmium probably used the raw material from Kozluk near Zvornik, as the transport along the Drina and Sava was cheap

Paralitički strabizam kao manifestacija Lyme borelioze

Lyme disease is a multi-system organ disorder caused by Borrelia burgdorferi. Although ocular manifestations have been reported, these remain a rare feature of the disease. This report shows a 49-years old patient that has been bitten by a tick and as consequence of which developed symptoms of the Lyme disease. In 1998 the patient was hospitalized in our Eye Clinic due to operating treatment of the paralytic strabismus (abductal nerve paralysis), as a rare feature of the Lyme disease. Postoperative squint angle was significantly reduced, but without any temporal movement. Diplopia was still present, though slightly reduced with the use of prism eyeglasses. The improvement of the quality of life was achieved, as well as the patient's satisfaction.Lyme borelioza je multisistemska bolest uzrokovana spirohetom Borrelia burgdorferi. Očne manifestacije su opisane, no njihova pojavnost je vrlo rijetka. Predmet našeg rada jest prikaz pacijentice stare 49 godina koju je 1985. godine ugrizao krpelj te je kao posljedicu istog razvila simptome Lyme borelioze. Pacijentica je 1998. godine hospitalizirana na našoj Klinici radi operativnog liječenja paralitičkog strabizma (paraliza n.abducensa), rijetke očne manifestacije Lyme borelioze. Postoperativno je kut škiljenja znatno reduciran, no još uvijek bez pokretljivosti bulbusa temporalno. Dvoslike su još uvijek prisutne, no značajno smanjene korekcijom s prizmama. Postignuto je zadovoljstvo pacijenta uz poboljšanje kvalitete života