0000000000183269
AUTHOR
Raffaella Morreale Bubella
THE CLINICAL ACTIVITY SCORE IN MANAGEMENT OF GRAVES’ OPHTHALMOPATHY: CORRELATION WITH ORBITAL MR IMAGING.
Our aime was to investigate the correlation between GO ocular parameters obtained by MRI with contrast administration and the well-know clinical indicators of GO and to examine the relationship between the clinical course of hyperthyroidism and GO severity
Azione antalgica di Hydrogel nell'orbitopatia basedowiana
Lacrimal glands herniation in patients with Graves’ Ophthalmopathy: an effective MRI-derived marker of disease activity
Aims and objectives Methods and materials Results Conclusion Personal information References
Adénocarcinome de la glande lacrymale dans un rétinoblastome bilatéral traité avec radiothérapie externe : à propos d’un cas
This clinical case report describes the clinical findings and diagnosis of lacrimal gland adenocarcinoma that developed 20 years after external beam radiotherapy in the treatment of bilateral retinoblastoma. Visual acuity, slit lamp biomicroscopy, fundus color photography, nuclear magnetic resonance, lateral orbitotomy and histological analysis are described.
La valutazione retinica mediante Tomografia a Coerenza Ottica (OCT) nel diabete mellito tipo 1.
Il film lacrimale:dall'anatomia alla semeiotica
Su un caso di sindrome di Wolfram
To aim of this paper was to offer a further contribution to the knowledge af the Wolfram Syndrome within the Italian population about hypotheses of its genetic trasmission and diagnostic problems.The study comprised the genetic investigation and the clinical ophthalmological examination of all the family members. Genetic investigation of family members showed the presence of a genetic disorder,consisting in a mutation of the gene wfs1, located on the short arm of chromosome 4, and which codifies for the protein Wolfranin. The gene wfs1 presents high penetrance and expression,since the mutation is recessive, it can only be clinicallly detected when it is present in the homozygous form. It sh…
L'occhio nella patologia endocrina
Evolution de le gliome du nerf optique chez des patients atteints de neurofibromatose de type I: environ 3 cas
Valutazione tonometrica in due posizioni di sguardo nell'orbitopatia di Graves
Aim.To asses effective role of thickness of superior rectus muscle in the variation of intraocular pression (IOP) in the patients with Graves' ophthalmopathy.Methods.IOP was measured in 76 eyes of 38 patients(mean age,42.4 years;range 19 to 58 years)with Graves' ophthalmopathy in primary and in upgaze position(Elevation with divergence of 23°).Results.IOP in 52 of the 76 eyes was 17.5 +/-2.12 mm Hgin primary position and 21.2 +/-2.75 mm Hg in upgaze position.In the eyes (28)with thickness of the superior rectus muscle >4.6 mm,IOP was 22.7+/-1.48 mm Hg in primary position and 27.1 +/-1.92 mm Hg in upgaze position.The difference in the values in this group is statistically significant ( the p…
Visual Field defects, type A personality,anxiety and coping style in patients with primary open angle glaucoma.
Classification of glaucomatous visual field defects for different severity levels is important. The reasons for this are numerous, and include: to distinguish between healthy and diseased individuals, to have homogeneous grouping criteria when perimetry is used to define the severity of glaucoma, to adjust therapy on the basis of disease severity, to describe visual field conditions in a short and simple format, to monitor the progression of the disease, and to provide a common language for both clinical and research purposes. Many severity classification methods have been proposed, although none have had widespread use in clinical practice. Other methods, like the cumulative defect curve (…
DISCOMFORT OCULARE E QUALITA’DELLA VITA NELLA TERAPIA CRONICA ANTIGLAUCOMATOSA: EFFETTO DI UNA SOLUZIONE OFTALMICA MONODOSE
Lesioni perimetriche nelle neuriti ottiche
Involvement of the visual evoked potentials in type 2 diabetes
Objective :To assess the function of the optic pathway in type 2 diabetics without retinopathy (40 subjects) or with mild Non Proliferative Diabetic Retinopathy (40 subjects). Methods: VEPs , elicited by means of pattern-reversal stimulation, were studied in a group of 80 non-insulin-dependent diabetics . Results: In subjects suffering from diabetes for less than 10 years, with mild retinopathy or without retinopathy, the amplitude N75-P100 decreased, and this is statistically significant with stimulation at 15’. As the time from disease onset increases, VEP latency (P100) shows a greater increase with the use of small checks (15’), than with large checks (30’) and this becomes statisticall…
Traitement séquential avec des corticostéroides dans les ophtalmopathy Graves
Visual field defects,type A personality,anxiety and coping styles in patients with primary open angle Glaucoma
Complications ophthalmologiques au cours d'un diagnostic tardif de granulomatose de Wegener.
Case report di emangioma iuxtapapillare sporadico
Il campo visivo nei soggetti con comportamento di tipo A con glaucoma cronico ad angolo aperto
Obiettivo: Valutare il campo visivo nei soggetti con GCAA di tipo A rispetto a quelli di tipo B Materiali e Metodi : Sono stati studiati 50 pazienti affetti da GCAA senza differenze significative di durata della malattia, dei quali 30 donne e 20 uomini,afferenti all’ambulatorio per il Glaucoma dell’Istituto di Oftalmologia dell’Università degli Studi di Palermo. Sono stati inclusi solo pazienti affetti da lesioni localizzate del campo visivo secondo la stadiazione del danno perimetrico del Glaucoma Staging System 2 (GSS2). L’età media è stata di 63,42 ± 12.9 senza significative differenze tra i due sessi. I pazienti sono stati sottoposti a: 1. Esame biomicroscopico completo 2. Tonometria e …
Ansia e comportamento di tipo A nei soggetti con Glaucoma cronico ad angolo aperto
Azione antalgica di Hydrogel nell'orbitopatia basedowiana
La terapia dell'orbitopatia,nella fase acuta,si basa oltre che sulla correzione della turba endocrinologica,sulla protezione della cornea e sull'uso dei corticosteroidi ad alto dosaggio o di farmaci immunosoppressori o, in alternativa,sulla radioterapia orbitaria.Per attenuare la sintomatologia dolorosa,frequente nella fase acuta e che può inficiare la qualità della vita,data la componente flogistica,abbiamo voluto valutare gli effetti di una terapia antalgica mediante appliocazione sulla superficie palpebrale di un gel chirurgico criogenico decongestinante ( a contenuto di estratto di ananas più acido betaglicirretico),ad oggi utilizzato con risultati soddisfacenti in soggetti sottoposti a…
Antagonisti degli effetti collaterali delle prostaglandine
Considerazioni su un caso di nistagmo familiare essenziale.
A comparatively rare case of familial nystagmus is reported in a girl whose family tree was studied and the interest of which, apart from the need for greater involvement of health personnel and of school staff in campaigns for prevention of sight disturbances in infancy, was mainly related to the particular recessive trasmission bound to chromosome X with incomplete penetrance. The multiplicity of hereditary trasmission, in fact, explains the relative capricious expressivity of this pathological condition which should be born in mild in the event of genetic consultancy.
Ansia,stili di coping e danno campimetrico in pazienti con Glaucoma cronico ad angolo aperto
Tossina botulinica e Neuropatia Ottica
Aberrations cornéennes pre et post intervention de la cataract avec incision supérieure de 2,8 mm en cornée claire.
Parassiti: chi sono?
E' lo stress fattore di rischio per il glaucoma primario ad angolo aperto?
Neuroprotezione del paziente con glaucoma cronico ad angolo aperto:ruolo della Citicolina in soluzione orale
Aim: To verify the efficacy of Citicoline, taken orally, in the prevention of neurological damage in patients with Chronic Open Angle Glaucoma (COA G). Methods: 30 subjects with COA G were divided into 2 groups: 18 subjects (CT group) were treated with Citicoline and 12 (PP group) were treated with placebo. Both groups underwent 3 cycles of treatment. A cycle lasted 60 days and after every cycle there was a wash-out period of 30 days. On day 0, 60, 90, 150, 180, 240 and 270 all subjects underwent an examination of the optic nerve fibres by GDx VVC and a simultaneous recording of pattern reversal VEP s and pattern ER G. Results: In both groups endocular pressure values kept steady below 21 m…
Studio clinico randomizzato e controllato sull'efficacia clinica dell'uso di lenti multifocali refrattive versus diffrattive nella chirurgia della cataratta
L'ansia nella chirurgia della cataratta
Valutazione del tono oculare in diverse posizioni di sguardo nella oftalmopatia di Graves-Basedow
Effetti di una terapia con glucocorticoidi ev ad alte dosi sull'oftalmopatia di Graves moderata-severa:uno studio caso-controllo
Lacrimal gland herniation in Graves ophthalmopathy: a simple and useful MRI biomarker of disease activity
Lacrimal gland (LG) involvement in patients with Graves ophthalmopathy (GO) has been considered as a potential cause of the associated GO symptoms and different studies demonstrated the LG involvement in patients with GO than healthy controls. The aim of this study was to evaluate LG involvement, through measurement of its herniation, using a magnetic resonance imaging (MRI) index, in patients with different GO activities. Thirty-two consecutive Caucasian patients affected by GO were enrolled and grouped in group A (16 with inactive GO, CAS < 3) and B (16 with active GO, CAS ≥ 3) according to their GO activity. All patients underwent clinical-endocrinological assessment, a complete ocular e…
Terapia sequenziale con corticosteroidi nell’Oftalmopatia di Graves
La diplopia : studio epidemiologico nel quinquennio 2009-2013
Anomalie oculari nella Sindrome di Down : risultati di uno studio retrospettivo
Il Campo visivo nei soggetti di tipo A con Glaucoma cronico ad angolo aperto
Tono oculare espessore oculare
Variazione della pressione intraoculare durante le procedure diagnostiche endoscopiche
Obiettivo. Obiettivo del presente studio è stato quello di rilevare qualsiasi possibile variazione nella pressione intraoculare (PIO) in soggetti non glaucomatosi sottoposti a esami endoscopici come la gastroscopia o la colonscopia, al fine di valutare il ruolo della tensione mentale in tali cambiamenti. Metodi. La frequenza cardiaca e il tono oculare sono stati misurati prima e subito dopo le procedure endoscopiche e 30’ dopo la somministrazione di un antagonista delle benzodiazepine in 100 soggetti, 52 uomini e 48 donne, sottoposti a gastroscopia, colonscopia o entrambi gli esami nella stessa occasione. Risultati. La frequenza cardiaca è diminuita da 82,10±14,41 a 76,11±10,96 30’ dopo la …
Evaluation of the anti-inflammatory and analgesic action of hydrogel in thyroid orbitopathy.
Purpose: To evaluate the analgesic efficacy of applying on the eyelid surface sterile hydrogel dressings containing substances such as pineapple extract which has anti-inflammatory and antioedema properties, and 18 beta-glycyrrhetinic acid. Design: Randomized prospective clinical trial. Methods: 50 patients (16 males and 34 females) affected with thyroid-associated orbitopathy in acute phase equally distributed in two groups. The level of patient satisfaction of the treatment was measured by answering a questionnaire before and after the treatment phase. Results: While 24 patients of study group reported an reduction in the pain only 2 of control group did. In the study group questionnaire’…
Disturbi emozionali nel trattamento chirurgico della cataratta
Aim.The aim of this study was to appraise the degree of phychic uneasiness and anxiety in subjects who undergo surgical intervention of the cataract and the degree of satisfaction for the result of the interventetion.Methods.A sample of 50 subjects(22 males and 28 females)has been evaluated before the intervention on the cataract: the level of anxiety was measured by means of the Hamilton Anxiety Rating Scales T(HARS) and the degree of psychic uneasiness and psychopathological (phobia,somatization,depression) demonstrations by means of the test of psychic uneasiness-questionnaire IGD.The evalution of the degree of satisfaction for the results of the intervention has been obtained by means o…
Large diurnal variation of intraocular pressure in open angle glaucoma in subjects with type A behaviour pattern
Aim : To evaluate the possible causes of the greater perimetric damage found in OAG subjects with type A behaviour and the possible role of psycho-physiological stress. Materials and methods : 80 patients with OAG, 44 women and 36 men, 40 with type A behaviour and 40 with type B studied with the Type A/B Personality Questionnaire (A modified version of the Jenkins Activity Survey), underwent a complete ophthalmologic examination consisting of bio-microscopy, tonometry and daily tonometric curve, examination of the visual field by means of Octopus 1-2-3 computerised perimeter and its assessment with the Glaucoma Staging System 2 (GSS2), morphological monitoring of the Retinal Nerve Fibre Lay…
Terapia dell'occhio secco
Epidemiologia delle otticopatie nelle urgenze oculistiche
Chirurgia della cataratta ad approccio refrattivo:"LRI",microincisione e "prelex"
Type A Behavior Pattern
Aim : To evaluate the presence of type A behavior in patients affected by open-angle glaucoma (OAG) and the possible role of psychophysiological stress as a risk factor for OAG. Materials and methods Fifty patients, 30 women and 20 men, affected by OAG, underwent ophthalmological examination consisting of complete biomicroscopy, tonometry and daily tonometric curve, examination of the visual field by means of computerized perimeter "Octopus 1-2-3," and its assessment with the Glaucoma Staging System 2, morphologic monitoring of the retinal nerve fiber layer with GDx VCC and psychological assessment (Hamilton Anxiety Rating Scale) to evaluate the presence of anxiety and its level; type A/B p…
Paisseur centrale de la cornée chez le patients atteints d’acromégalie
Forskolin:valutazione efficacia ipotensiva nei pazienti in terapia massimale
The administration of a single dose collyrium containing hyaluronic acid, amino acids and echinacea purpurea improves the quality-of-life parameters in subjects undergoing chronic therapy for Glaucoma
Corneal aberrations pre and post-application of new contact lens in the astigmatism after penetrating keratoplasty.
Raffronto tra due formulazioni farmaceutiche di Timololo nel trattamento del glaucoma ad angolo aperto
Risonanza magnetica DWI nei pazienti affetti da Orbitopatia di Graves.
Central Corneal Thickness in patients with acromegaly
Introduction Acromegaly is hormonal disorder caused by excessive growth hormone (GH) by the pituitary gland, this results in anatomical changes in many organs and also in the eye and specially in cornea. Objective To perform a connection between the disease activity and the corneal changes Matériels et Méthodes In 28 patients with acromegaly and in 22 voluntary healthy the central corneal thickness (CCT) was measured by pachymeter. And the patients were divided in 2 groups: the first (“group A”) contains 13 cases with not controlled acromegaly; and the other one (“group B”) is related to 15 patients with controlled acromegaly Résultats Patients with acromegaly have a central corneal thickne…