Orbital size measurement based on computed tomography imaging for surgical safety

Determining the orbital size makes it possible to manoeuvre safely within theorbit during a surgical procedure. Based on the measurements performed ona multi-layer head computed tomography images, the length was determined of the medial, superior, inferior and lateral orbital walls. Also angles were determined between the superior and inferior walls, between the medial and lateral walls, between the inferior wall and Frankfurt plane and between the anterior and posterior segments of the orbital wall. With these measurements it was possible to establish that the safe space for surgical exploration of the orbit (that is the space between the orbital margin and optic canal) is approximately 40 mm. Moreover, it was determined that the medial wall is parallel to the vertical axis of the body and that the angle between the inferior wall and the Frankfurt plane is 19.7°. The angle between the posterior segment of the inferior wall (posterior to the inferior orbital fissure) and the anterior segment is 130.8°. These data will significantly increase the safety of orbital surgeries

Electron-topological, energetic and π-electron delocalization analysis of ketoenamine-enolimine tautomeric equilibrium

The ketoenamine-enolimine tautometic equilibrium has been studied by the analysis of aromaticity and electron-topological parameters. The influence of substituents on the energy of the transition state and of the tautomeric forms has been investigated for different positions of chelate chain. The quantum theory of atoms in molecules method (QTAIM) has been applied to study changes in the electron-topological parameters of the molecule with respect to the tautomeric equilibrium in intramolecular hydrogen bond. Dependencies of the HOMA aromaticity index and electron density at the critical points defining aromaticity and electronic state of the chelate chain on the transition state (TS), OH and HN tautomeric forms have been obtained

Eye surgery in the elderly

Dorota Raczyńska, Leopold Glasner, Ewelina Serkies-Minuth, Magdalena A Wujtewicz, Kamila Mitrosz Department of Ophthalmology, Medical University of Gdansk, Gdansk, Poland Abstract: Extending life expectancy is a human achievement. It does however entail problems. Ophthalmic treatments are widely recognized as having a low risk of general complications. A classic example is cataract surgery, considered to be one of the safest and most frequently performed surgical procedures in the world. However, advanced age brings with it risks that should be considered before surgery. Eye operations, as with procedures on other organs, are largely dependent on the quality of surgical tissues. Therefore, the elderly are at increased risk of complications. Improved general health and postoperative follow-up with the use of noninvasive technologies such as optical coherence tomography translate into lower intraoperative risk and better postoperative prognosis. In this review, we discuss the impact of general health on operational prognosis, therapeutic problems, and technical difficulties which a surgeon and anesthesiologist may encounter in the process. We also consider new technology and strategies specifically aimed at treating eye conditions in the elderly. Keywords: eye surgery, eye aging, anesthesiology in ophthalmology, cataract, glaucoma, vitrectomy, age-related macular degeneratio