Ceská a slovenská oftalmologie : casopis Ceské oftalmologické spolecnosti a Slovenské oftalmologické spolecnosti 

About: Ceská a slovenská oftalmologie : casopis Ceské oftalmologické spolecnosti a Slovenské oftalmologické spolecnosti is an academic journal published by Czech Medical Association of J. E. Purkyně. The journal publishes majorly in the area(s): Visual acuity & Medicine. It has an ISSN identifier of 1211-9059. Over the lifetime, 581 publications have been published receiving 2209 citations. The journal is also known as: Czech and Slovak Ophthalmology.

Tears of the retinal pigment epithelium

Abstract: The authors describe spontaneous tears of the retinal pigmented epithelium in three eyes of two patients with age-related macular degeneration. In all instances the development of the tear was associated with an occult choroidal neovascular membrane detected by fluoroangiography. The authors describe typical clinical features and contemporary views regarding the pathogenesis of the tear.

The importance of angle kappa for centration of multifocal intraocular lenses

Abstract: PURPOSE To evaluate patient satisfaction with multifocal intraocular lens (MIOL) implants (AcrySof Restor) in relation to the size of angle kappa and precise centration of the MIOL METHODS Fifty-two eyes of 26 patients were included in this study All patients underwent bilateral phacoemulsification and multifocal intraocular lens implantation (AcrySof Restor) from January 2008 to April 2010 Preoperative and postoperative examinations included slit lamp biomicroscopy, near and distance uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA), contrast sensitivity and measurement of angle kappa Precise centration of the IOL with respect to the centre of the pupil was evaluated postoperatively Subjective photic phenomena were evaluated separately for each eye and the patients were asked to compare the perception between the right and left eye RESULTS Angle kappa was positive in all cases, ranging from +1° to +7° The mean angle kappa was 278° and 210° in the right and left eye, respectively The IOL was centred exactly to the centre of the pupil in 40 eyes In twelve eyes there was a slight decentration of the IOL (3 nasal, 4 temporal, 2 superotemporal, 2 superior, 1 inferior) Different subjective perception of photic phenomena between the two eyes was recorded only in five patients All these patients were among those with a decentred IOL Temporal and superotemporal decentration of the IOL caused pronounced photic phenomena in five cases - in four cases there was a greater angle kappa of +3° to +4° In one case of temporal decentration and a small angle kappa (+1°), the patient failed to observe a difference between both eyes In the cases of inferior, superior and nasal decentration of the IOL, no difference between both eyes was seen CONCLUSION According to our results, temporal decentration of the IOL is associated with the greatest risk in multifocal IOL implantation, particularly in cases with a higher angle kappa An evaluation of angle kappa should be a part of preoperative examination before MIOL implantation Patients with a high angle kappa should be excluded because of a higher risk of postoperative photic phenomena Key words: angle kappa, multifocal intraocular lens, photic phenomena

[The Vogt-Koyanagi-Harada syndrome in children].

Abstract: The Vogt-Koyanagi-Harada syndrome is extremely rare disease in children The first case an 11-year-old boy presenting meningeal signs with liquor pleocytosis, bilateral swelling of optics disc, anterior uveitis and yellow-white multifocal well circumscribed lesions of chorioidea et retina has been documented by means photographs These spots and anterior uveitis with together cephalea and grand mal paroxismus were symptoms of second case an 9-year-old boy Disease demonstrated a decreased number of T-lymphocytes in the periferal blood of both patients Treatment with corticosteroids was successful