Joanna Ciszewska

The Efficiency of Short-Wave Diathermy and Laser Stimulation of the Lacrimal Gland in the Treatment of Dry Eye Syndrome

The decrease of tear flow connected with tear film dysfunction leads to changes known as the dry eye syndrome, which is the cause of many undesirable symptoms. The patients complain of burning, photophobia and a feeling of dry eye. Clinical signs of reduction of tear flow may be seen as chronic conjunctivitis. Conjunctivitis is often followed by a defect of corneal epithelium and symptoms of keratitis filiformis, which may lead to severe complications such as corneal ulcerations.

Observation and Clinical Pattern in Patients with White Dot Syndromes: The Role of Color Photography in Monitoring Ocular Changes in Long-Term Observation.

Background The aim of this study was to assess the clinical course and distinctive features of different white dot syndromes (WDS) in patients attending the Ophthalmology Department, Medical University of Warsaw in the years 1995–2015. Material/Methods Sixty-two (62) patients (43 females and 19 males), aged 18 to 77 years, referred with a WDS were included in this prospective study, with observation period ranging from 5 months to 16 years. All patients underwent a complete ophthalmological examination and multimodal imaging studies. Results In this cohort of 62 patients, the following WDS entities were identified: multifocal choroiditis with panuveitis (MFCPU), multifocal choroiditis (MFC), punctate inner choroidopathy (PIC), birdshot, acute posterior multifocal placoid pigment epitheliopathy (APMPPE), subretinal fibrosis and uveitis, multiple evanescent white dot syndrome (MEWDS), serpiginous choroiditis, and single cases of acute annular outer retinopathy (AAOR). Conclusions The study was performed at a Polish referral center and may to some extent reflect the varied geographical distribution of white dot syndromes, as none of the subjects was found to suffer from acute zonal occult outer retinopathy (AZOOR), acute macular neuroretinopathy (AMN), or diffuse unilateral subacute neuroretinitis (DUSN). Long-term follow-up is warranted by the evolution of lesions in the eye fundus, while management depends on correct diagnosis of WDS. When the posterior pole is involved in some cases of the WDS an immunosuppressive treatment, the use of the PDT or anti-VEGF injections were necessary.

Does Nd:YAG laser beam damage to artificial intraocular lenses cause depolymerization of PMMA?

The polymethylmetacrylate (PMMA) widely used in intraocular lenses production is a polymer of methylmetacrylate. The mechanical damage of safe PMMA including laser energy leads to release of toxic monomer MMA to surrounding environment.

Comparison of PMMA and silicone intraocular lens damage due to YAG:Nd laser Q-switch exposition

The opacification of the lens posterior bag after cataract removal with IOL implantation is still the common postoperative complication. The only way of visual acuity improvement in such cases is laser Nd:YAG posterior capsulotomy. Sometimes the accidental damage of PMMA or silicone intraocular lenses occurs. The damage sites in silicone IOL appears smaller than in PMMA IOL.

Efficacy of laser stimulation of the lacrimal gland and collagen punctual occlusion in the treatment of dry-eye syndrome

In this study we would like to monitor the tear secretion during a 7 day period of temporary intracanalicular occlusion and laser stimulation of lacrimal gland in a small group of female suffering of dry eye syndrome.