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The role of ego-resiliency in patients with keratoconus

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Florek S., Gościniewicz P., Dębski P., Mrukwa-Kominek E., Pudlo R.
Annales Academiae Medicae Silesiensis
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2024
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issue 78
344-351
PL
WPROWADZENIE: Dotychczas powstało niewiele prac dotyczących powiązań stożka rogówki z zaburzeniami psychicznymi. Żadna z nich nie dotyczy roli prężności psychicznej, która może okazać się kluczowa w radzeniu sobie z przewlekłą chorobą. MATERIAŁ I METODY: W badaniu wzięły udział 74 osoby ze stożkiem rogówki i 92 bez tego rozpoznania. Uczestnicy zostali przebadani za pomocą zestawu narzędzi: kwestionariusza ER-89 do badania prężności psychicznej, Inwentarza stanu i cechy lęku (STAI), Inwentarza depresji Becka (BDI), Skali depresji Hamiltona (HDRS) oraz Inwentarza do badania zaburzeń osobowości według DSM-IV (IBZO-DSM-IV). Analizy statystyczne przeprowadzono za pomocą oprogramowania Statistica 13.3. WYNIKI: W grupach badanej i kontrolnej uwidoczniono istotną statystycznie ujemną regresję optymalnej regulacji (optimal regulation – OR), będącej składową prężności psychicznej (ego-resiliency – ER) w świetle osobowości unikającej, zależnej, natężenia depresji w HDRS oraz zarówno cechy, jak i stanu lęku. Nie uwidoczniono istotnych statystycznie różnic w natężeniu ER pomiędzy grupą badaną i kontrolną. WNIOSKI: Prężność psychiczna wpływa na zmniejszenie natężenia objawów lęku i depresji oraz natężenia cech osobowości zależnej i unikającej. Pacjenci ze stożkiem rogówki nie różnią się natężeniem prężności psychicznej od osób bez tej choroby.
EN
INTRODUCTION: Until now, there has been little work on the association of keratoconus with psychiatric disorders. None of these address the role of ego-resiliency, which may prove crucial in coping with chronic illness. MATERIAL AND METHODS: 74 participants with keratoconus and 92 without this diagnosis participated in the study. The respondents were surveyed using a toolkit: the ER-89 questionnaire for ego-resiliency, the State Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI), the Hamilton Depression Rating Scale (HDRS) and the Inventory for Personality Disorders according to DSM-IV (IBZO-DSM-IV). Statistical analyses were performed using Statistica 13.3 software. RESULTS: A statistically significant negative regression of optimal regulation (OR) as a component of ego-resiliency (ER) in light of avoidant personality, dependent personality, depression intensity on the HDRS, and both trait and anxiety status was evident in both the study and control groups. No statistically significant differences in ER intensity were evident between the study and control groups. CONCLUSIONS: Ego-resiliency reduces the intensity of anxiety and depression symptoms as well as the intensity of dependent and avoidant personality traits. Patients with keratoconus do not differ in the intensity of ego-resiliency from those without the condition.
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Contact lens-related combined Pseudomonas aeruginosa, Acanthamoeba and Candida keratitis among adolescents girls

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Świerczyńska M., Tronina A., Bogocz M., Mrukwa-Kominek E., Filipek E.
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2022
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vol. 9
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issue 1
36-44
EN
Background: We present a case of combined Pseudomonas aeruginosa, Acanthamoeba and Candida keratitis and clinical course of treatment in two adolescents girls who did not follow the rules of proper use of soft contact lenses. Case reports: Two teenage contact lens users sought medical attention, reporting visual impairment, redness and pain of the eye. Slit lamp examination showed unilateral corneal ulcer. Confocal microscopy revealed images compatible with amoebic cysts and yeasts cells, whereas the results of conjunctival swabs confirmed the presence of Pseudomonas aeruginosa. After topical and general treatment in the first patient, the corneal defect was healed, and visual acuity improved. The girl remains under the constant supervision of an ophthalmological clinic. The medications were gradually reduced, but with time she developed crystalline keratopathy. Regrettably, the second patient, despite the applied treatment had recurrent inflammation and progressive corneal thinning, which required amniotic membrane transplantation to prevent perforation. Conclusion: The early identification of the pathogen as well as adequate treatment is crucial, as contact lens-associated keratitis are potentially sight threatening. Patient and caregiver education, adequate contact lens hygiene and consistent follow-up are important to prevent serious complications.
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