Doktor Avram Josif Vinaver (1862-1915) - pionir srpske radiologije

Dr Abraham Joseph Vinaver (1862-1915), a Jew from Poland, was a pioneer of radiology in Serbia. He graduated from the Faculty of Medicine in Warsaw (1887) but lived and worked in Šabac (the Kingdom of Serbia) since 1890. He procured the first X-ray machine and developed a radiological service in Šabac five years after the discovery of X-rays. These were the beginnings of radiology in Serbia. He introduced the application of artesian wells. Dr Abraham Joseph Vinaver - a Participant at the First Congress of Serbian Physicians and Naturalists, Belgrade 1904. "The Diagnostic Importance of X-rays in Lung Disease, especially in Initial Tuberculosis" and "Five Years of Treatment by X-Ray Machines" were the first works in the field of radiology in Serbia by this author. Dr Abraham Joseph Vinaver - Reserve Medical Officer in the Serbian Army. During the Balkan Wars, he was a volunteer with the rank of major engaged in military corps and he participated in the First World War as well. He died of malaria in 1915 in Gevgelija. His dedication to work during the typhus epidemics was put into verses of a poem by his son Stanislav Vinaver. Dr Avram Vinaver Joseph was a nobleman with a great heart, who selflessly sacrificed himself for the Serbian people and Serbia. He gave his contribution to the development of health services in Serbia, both in peacetime and wartime conditions. Dr Abraham Joseph Vinaver laid the foundations for today’s radiology in SerbiaDoktor Avram Josif Vinaver (1862−1915), Jevrejin iz Poljske, bio je pionir srpske radiologije. Diplomirao je na Medicinskom fakultetu u Varšavi (1887). Od 1890. godine živeo je i radio u Šapcu (Kraljevina Srbija). Nabavio je prvi rendgenski aparat i razvio radiološku službu u Šapcu, pet godina po otkriću X-zraka. Bili su to počeci radiologije u Srbiji. Uveo je u primenu arterške bunare. Dr Avram Josif Vinaver − učesnik Prvog kongresa srpskih lekara i prirodnjaka, Beograd 1904. godine. „Dijagnostička važnost Rentgenovih zrakova kod bolesti pluća, naročito kod početne tuberkuloze” i „Pet godina lečenja Rentgenovim zracima” bila su prva saopštenja iz oblasti radiologije u Srbiji ovog autora. Dr Avram Josif Vinaver - rezervni sanitetski major srpske vojske. Za vreme Balkanskih ratova bio je dobrovoljac sa činom majora angažovan u vojnom sanitetu. Učesnik je i I svetskog rata. Umro je od malarije 1915. godine u Đevđeliji. O požrtvovanom radu dr Avrama Josifa Vinavera u vreme epidemije pegavog tifusa u Srbiji svedoči i pesma njegovog sina Stanislava Vinavera. Doktor Avram Josif Vinaver je bio čovek plemenitog srca koji se nesebično žrtvovao za srpski narod i Srbiju. Dao je doprinos razvoju zdravstvene zaštite stanovništva Srbije podjednako i u mirnodopskim i u ratnim uslovima. Doktor Avram Vinaver je postavio temelje današnje radiologije u Srbiji

STAGE 5 RETINOPATHY OF PREMATURITY IN ONE EYE – CASE REPORT

Retinopathy of prematurity (ROP) is a leading cause of blindness in children and one of the most important reasons of blindness in the perinatal period. The aim of the paper was to present a nine-month-old baby boy with esotropia, microphtalmos and completely detached retina in one eye, as the end stage of the disease, who had not been checked for ROP. The boy was born in the 32nd gestational week, with 1670 g birth weight. Indirect ophthalmoscope examination and ultrasonography of the left eye showed stage 5 retinopathy of prematurity. On the right eye, the finding was valid. Retinopathy of prematurity today needs recognition, understanding and awareness among ophthalmologists, pediatricians, neonatologists. Early diagnosis of damage is important in the treatment of ROP

SURGICAL CONDITIONS OF THE ABDOMEN VIEWED ON A NATIVE ABDOMINAL RADIOGRAPH IN AN UPRIGHT POSITION

The paper presents surgical conditions of the abdomen viewed on a native abdominal radiograph in an upright position: atresia anus, the Chilaiditi syndrome, ileus, pneumo-peritoneum, calcified pancreas. Conclusion: A native radiograph of the abdomen in an upright position is a dominant examination method in diagnostics of an acute abdomen, intestinal obstruction and perforation and other pathological conditions of the abdomen

CYTOMORPHOLOGY OF THE BULBAR CONJUNCTIVAL CELLS IN PATIENTS WITH DRY EYE

Dry eye is among the most common pathological conditions in ophthalmology. The aim of our study was to present possibilites of two different cytological methods for examination of cytomorphology of bulbar conjunctival cells- impression cytology (IC) and combined cytological method for scanning electron microscopy in the diagnosis  of dry eye (ICSEM). A hundred and twenty-two patients of both sexes, in different age groups, were analyzed by clinical method (slit lamp, Schirmer I, TBUT, Rose Bengal) and two cytomorphological methods – IC and ICSEM. In patients with dry eye, squamous metaplasia, inflammation and severe loss of adhesiveness of the epithelium were present. ICSEM gives an advantage in early diagnosis of changes, before the lesion of superficial conjunctival epithelium in patients with dry eye. The phenomenon of metaplasia appears in the epithelium of the bulbar conjunctiva in the absence of manifest dry eye and represents the basis for understanding the increased incidence of this syndrome in older patients with dry eye

Central Retinal Artery Occlusion in a Patient with Metabolic Syndrome X

Purpose: To report a case of central retinal artery occlusion (CRAO) in a patient with metabolic syndrome X. Case Report: A 64 year-old-man presented with abrupt, painless, and severe loss of vision in his left eye. Indirect ophthalmoscopy disclosed signs compatible with CRAO and laboratory investigations revealed erythrocyte sedimentation rate of 74 mm/h, C-reactive protein (CRP) level of 21 mg/l, hyperglycemia, hyperuricemia, hypertriglyceridemia and hypercholesterolemia. Fluorescein angiography and immunological studies excluded other systemic disorders. The patient met the full criteria of the National Cholesterol Education Program for metabolic syndrome X. Conclusion: In addition to different vascular complications such as stroke, and cardiovascular disease, metabolic syndrome X may be associated with retinal vascular occlusions

ROENTGEN-OPTHALMOLOGICAL ASPECTS OF SOME EYE DISEASES

The paper presents the roentgen-ophtalmological image, the diagnostic procedures and the differential diagnostics of the eye diseases that can be recognized by the proper roentgen examination of the cranium, the orbit, the saddle pit, the craniostenosis, the M. Sturge-Weber-Krabbe, the congenital hydrocephalus, the eye melanoma malign, the chiasmal syndrome, the retrobulbar tumors, tie primary meningeom n. opticus, the face tumors

Identical twins with “mirror image” anisometropia and esotropia

Introduction. Identical twins account for 0.2% of the world population and 8% of all twins. A “mirror image” variation can be found in 25% of identical twins. Studies of twins assume a special place in human genetics due to the possibility of comparing genetic and other factors. We present two pairs of identical male twins with mirror-image astigmatism and esotropia. Case Outline. The first was a pair of twelve-year old identical twins with “mirror image” myopic astigmatism. The Twin 1 had myopic astigmatism in the right eye, while the Twin 2 was affected by the left eye myopic astigmatism. The second was a pair of six-year old identical twins with esotropia and hypermetropic astigmatism. The Twin 1 had esotropia in the left eye, while the right eye was affected in the Twin 2. Esotropia was surgically corrected. Conclusion. In this study we pointed to the role of genetic factors in the development of refractive error, as well as the type of strabismus. Refraction anomalies (myopia, hypermetropia and astigmatism) are complex heterogeneous disorders and ideal for genetic investigation. The knowledge of genetic mechanisms involved in refractive error susceptibility may allow treatment to prevent progression or to further examine gene-environment interactions. We hope that this paper will initiate further investigation of refraction anomalies in twins and future multicentre studies, which, to our knowledge, have not been conducted in our country so far

NOONAN SYNDROME – CASE REPORT

Noonan Syndrome is a rare, autosomal dominant disorder characterized by short stature, facial abnormalities, congenital heart defects and urogenital malformations. Ocular changes occur in 95% of patients and usually include hypertelorism, ptosis, refractive errors, strabismus, amblyopia, rarely nystagmus, colobomas, cataracts, optic nerve drusen. Case report: We present a case of a boy, 10 months old, referred by the pediatrician because of strabismus. During the general examination of the head and face, we noted that the ears were low-set, and the lower jaw was slightly smaller. Ophthalmological examination revealed hypertelorism, left eye esotropia, hyperopia, and optic disc pit. Other associated malformations were: dilatation of both pyelons, cryptorchidism, pulmonary stenosis. Genetic analysis confirmed the diagnosis of Noonan syndrome. The variety of clinical manifestations of this syndrome indicates that a multidisciplinary approach is necessary for diagnosis, treatment, and follow-up of these patients

Ankyloblepharon Filiforme Adnatum with a bilateral cleft lip and palate

Introduction. Ankyloblepharon filiforme adnatum (AFA) is a rare congenital abnormality of the eyelids that has been reported as an isolated anomaly, but may also be associated with other anomalies or as a part of well-defined syndromes. The aim of this work was to present a case of familial AFA associated with bilateral cleft lip and palate. Case outline. A full-term female newborn (40 weeks’ GA, BM 3,700 g) had bilateral partially fused eyelids at birth, associated with a cleft lip and palate. The surgical treatment was performed five days after AFA was diagnosed. The baby’s mother also had AFA, without a cleft lip or palate. The baby girl has been followed up by a plastic surgeon, a specialist in orthodontics, as well as an ophthalmologist and a pediatrician. Conclusion. This case indicates familial clustering of AFA, whereby it assumes a more severe form in the following generation. A cleft lip and palate in our patient has required surgical treatment, oral and dental rehabilitation, as well as the need for more intensive care and regular follow-ups by multidisciplinary teams

BASIC PRINCIPLES OF THE MASTOID TEMPORAL BONE RADIOGRAPHY

This paper shows the possibilities and advantages of certain methods of temporal bone radiography in diagnosing pathologic conditions and diseases of temporal bones, with description of basic techniques of radiological examinations: Mayer’s axial view of the pyramids, the Stenvers view of the pyramids, the Arcelini view of the pyramids, comparative pyramid radiography by Hass, comparative pyramid radiography by Gras-hey, comparative pyramid radiography in submentovertical projection and comparative pyramid radiography in verticosubmental projection