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1
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Witrektomia 27G – aktualny stan wiedzy

100%
Kuprjanowicz L., Lubiński W.
OphthaTherapy
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2017
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vol. 4
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issue 1
25-28
EN
Nowadays, vitrectomy is the primary method of surgical treatment of many retinal, vitreous and vitreo-retinal surface diseases. Over the last several years, we have witnessed minimization of surgical incisions in many areas of medicine, including ophthalmology. It may led to faster recovery, and fewer complications. The paper aims to present the current state of knowledge on the benefits of microvitrectomy, and in particular to present the advantages and disadvantages of the 27-gauge vitrectomy.
PL
W obecnych czasach witrektomia jest podstawową metodą chirurgicznego leczenia wielu chorób siatkówki, szklistki i styku szklistkowo-siatkówkowego. Na przestrzeni ostatnich kilkunastu lat mamy do czynienia z minimalizacją cięć chirurgicznych w wielu dziedzinach medycyny, w tym w okulistyce. Ma to prowadzić do szybszej rekonwalescencji i zmniejszenia liczby powikłań. Celem niniejszej pracy jest przybliżenie aktualnego stanu wiedzy na temat wymiernych korzyści płynących z minimalizacji cięcia w witrektomii, a w szczególności przedstawienie zalet i wad witrektomii 27G.
2
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Porażenie nerwu okoruchowego w przebiegu tętniaka tętnicy szyjnej wewnętrznej – opis przypadku

81%
Post M., Poncyljusz W., Kiszkielis A., Lubiński W.
OphthaTherapy
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2018
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vol. 5
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issue 2
79-83
EN
The authors present a case of a 48-year-old woman with nonspecific headaches followed by right eye ptosis, motility limitation, enlarged pupil and diplopia. The patient presented no other systemic diseases. In the family history, death of father and sister at an early age was stated for an unknown reason. In the neurological and ophthalmological examination, the right oculomotor nerve palsy was revealed. Computed tomography and magnetic resonance angiography confirmed the presence of the aneurysm of the right internal carotid artery. The patient underwent an endovascular procedure – aneurysm coiling. The authors review literature in the subject of oculomotor nerve palsy and intracranial aneurysms.
PL
Autorzy prezentują przypadek 48-letniej kobiety, u której wystąpiły niespecyficzne bóle głowy z następczym opadnięciem powieki, ograniczeniem ruchomości, poszerzeniem źrenicy w prawym oku oraz dwojeniem obrazu. Pacjentka dotychczas nie chorowała. W wywiadzie rodzinnym odnotowano śmierć ojca i siostry w młodym wieku z nieznanej przyczyny. W badaniu neurologicznym i okulistycznym ujawniono porażenie nerwu okoruchowego prawego. Badania tomografii komputerowej oraz angiografii rezonansu magnetycznego potwierdziły obecność tętniaka tętnicy szyjnej wewnętrznej prawej. U pacjentki w trybie pilnym przeprowadzono zabieg endowaskularny – embolizację tętniaka z użyciem coili. Autorzy dokonują przeglądu literatury w zakresie porażenia nerwu okoruchowego oraz tętniaków wewnątrzczaszkowych.
3
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Terapia anty-VEGF a obraz angiografii fluoresceinowej u pacjentów z cukrzycowym obrzękiem plamki

81%
Mozolewska-Piotrowska K., Nowacka B., Lubiński W.
OphthaTherapy
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2016
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vol. 3
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issue 3
185-189
EN
Fluorescein angiography enables the appropriate qualification of patients for intravitreal injections, and simplifies decisions connected with treatment modifications during the anti-VEGF therapy. The aim of this paper is to present changes of fluorescein angiography images in the course of the anti-VEGF therapy in patients with DME, and in particular those with diffuse macular edema. Conclusions: 1. Persisted leakage in fluorescein angiography images in patients with DME treated with intravitreal anti-VEGF injections may indicate increased risk of recurrence and the need for further treatment. 2. Anti-VEGF therapy proved to be effective not only in patients with diffuse DME but also in other types of macular edema due to diabetic retinopathy. 3. Anti-VEGF monotherapy in DME does not always prevent progress of retinopathy to proliferative stage, and it does not eliminate the need for laser panphotocoagulation when NV develops.
4
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Elektroretinogram stymulowany wzorcem oraz fotopowa negatywna odpowiedź w diagnostyce jaskry

81%
Lubiński W., Kirkiewicz M., Karaśkiewicz J.
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EN
The aim of this article is to present data from recent literature and our own experience with respect to the role of pattern electroretinography (PERG) and photopic negative response (PhNR) in glaucoma diagnosis. The results of these studies show that PERG amplitude reduction is an indicator of conversion to manifest glaucoma and a predictor of increased rate of progression of retinal nerve fiber layer (RNFL) thinning in patients with glaucoma suspicion. PERG and PhNR are capable of detecting decreased retinal function when the results of routine diagnostic examinations are still within normal ranges or borderline. PERG and PhNR may also serve to confirm retinal function improvement. Both tests may also serve as an indicator of well-selected IOP-lowering therapy. In patients suspected of normal-tension glaucoma, PERG may be the only indicator of RGCs dysfunction and may be the diagnostic basis for the inclusion of IOP-lowering therapy.
PL
Celem niniejszego artykułu jest przedstawienie danych z najnowszej literatury i doświadczeń własnych dotyczących roli elektroretinogramu stymulowanego wzorcem (PERG) oraz fotopowej negatywnej odpowiedzi (PhNR) w diagnostyce jaskry. Wyniki tych badań wykazują, że redukcja amplitudy PERG jest wskaźnikiem konwersji do pełnoobjawowej jaskry i przyspieszonej progresji ścieńczenia włókien nerwowych siatkówki u pacjentów z podejrzeniem jaskry. Za pomocą PERG i PhNR można wykryć zaburzenia funkcji siatkówki w jaskrze w momencie, gdy wyniki rutynowych badań diagnostycznych są niemiarodajne bądź mieszczą się w granicach normy. PERG i PhNR stanowią dowód na odwracalność dysfunkcji komórek zwojowych siatkówki. Badania te mogą służyć także jako wskaźnik dobrze dobranego leczenia obniżającego ciśnienie wewnątrzgałkowe (CWG). Przy podejrzeniu jaskry normociśnieniowej PERG może być jedynym wskaźnikiem zaburzenia funkcji komórek zwojowych siatkówki i stanowić podstawę włączenia leczenia obniżającego CWG.
5
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The Efficiency of a Visual Skills Training Program on Visual Search Performance

61%
Krzepota J., Zwierko T., Puchalska-Niedbał L., Markiewicz M., Florkiewicz B., Lubiński W.
Journal of Human Kinetics
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2015
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vol. 46
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issue 1
231-240
EN
In this study, we conducted an experiment in which we analyzed the possibilities to develop visual skills by specifically targeted training of visual search. The aim of our study was to investigate whether, for how long and to what extent a training program for visual functions could improve visual search. The study involved 24 healthy students from the Szczecin University who were divided into two groups: experimental (12) and control (12). In addition to regular sports and recreational activities of the curriculum, the subjects of the experimental group also participated in 8-week long training with visual functions, 3 times a week for 45 min. The Signal Test of the Vienna Test System was performed four times: before entering the study, after first 4 weeks of the experiment, immediately after its completion and 4 weeks after the study terminated. The results of this experiment proved that an 8-week long perceptual training program significantly differentiated the plot of visual detecting time. For the visual detecting time changes, the first factor, Group, was significant as a main effect (F(1,22)=6.49, p<0.05) as well as the second factor, Training (F(3,66)=5.06, p<0.01). The interaction between the two factors (Group vs. Training) of perceptual training was F(3,66)=6.82 (p<0.001). Similarly, for the number of correct reactions, there was a main effect of a Group factor (F(1,22)=23.40, p<0.001), a main effect of a Training factor (F(3,66)=11.60, p<0.001) and a significant interaction between factors (Group vs. Training) (F(3,66)=10.33, p<0.001). Our study suggests that 8-week training of visual functions can improve visual search performance.
6
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The Effects of Sports Vision Training on Binocular Vision Function in Female University Athletes

61%
Zwierko T., Puchalska-Niedbał L., Krzepota J., Markiewicz M., Woźniak J., Lubiński W.
Journal of Human Kinetics
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2015
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vol. 49
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issue 1
287-296
EN
Binocular vision is the most important visual cue for spatial orientation in many sports. In this study, we investigated how binocular vision was influenced by an eye training program that may be used to improve individual’s oculomotor function. The experiment involved twenty-four female student athletes from team ball sports (soccer, basketball, handball). After an initial testing session, 12 participants were randomly allocated to the experimental group. Optometric investigation which included synoptophore testing and a test of dissociated horizontal phoria based on the Maddox method was performed three times: before the experiment, after eight weeks of eye training (3 times a week for 20 minutes), and four weeks after the experiment was terminated. Eye exercise methodology was based on orthoptic, sport and psychological aspects of performance. The phoria screening examination showed that exophoria was the most frequent disorder of binocular vision. Low fusional vergence range was also observed. Following the training period, 3 of the 6 oculomotor variables improved. The greatest effect was observed in near dissociated phoria (χ²=14.56, p=0.001 for the right eye; χ²=14.757, p=0.001 for the left eye) and fusional convergence (χ²=8.522, p=0.014). The results of the retention test conducted four weeks after the experiment confirmed the effectiveness of the vision training program. The results of the study suggest that binocular functions are trainable and can be improved by means of appropriate visual training
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