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Volume 53, Issue 4, 2025
Online ISSN: 2560-3310
ISSN: 0350-8773
Volume 53 , Issue 4, (2025)
Published: 30.06.2025.
Open Access
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Contents
01.12.2020.
Professional paper
Suconjunctval hemorrhages
Introduction:Subconjunctival hemorrhage or suffusion is bleeding that occurs between the conjunctiva and episclera. It has a distinctive look and often frightens patients. The causes can be varied. Objective: The research was undertaken in order to determine the characteristics of patients within whomsubconjunctival hemorrhage occur. Methods: Retrospective analysis of patients of the Eye Department of the Health Center in KosovskaMitrovica, during 6 months. Results were analyzed SPSS ver 22, i GraphPad INSTAT software package. Results: The change was observed in 63 patients. Male gender was significantly more frequent. The age of patients was diverse-between 5 and 86 years. The causes and conditions associated with subconjunctival hemorrhages are usually eye trauma, in young,and arterial hypertension in elderly patients. Conclusion: Subconjunctival hemorrhage is a relatively common diagnosis in ophthalmology. The change is benign and spontaneously disappears during one to two weeks. It is important to note that the subconjunctival hemorrhage occur in patients with certain risk factors.
Jana Mirković, Isidora Mrkić, Olivera Đokić
01.12.2019.
Original scientific paper
THE INFLUENCE OF PHACOEMULSIFICATION ON CORNEAL OEDEMA IN PATIENTS WITH GLAUCOMA
Introduction: Glaucoma diagnosis is based on consideration of several factors, such as increased intraocular pressure (IOP), damage to the optical disc, and associated visual field loss. Evaluation of the integrity of the corneal endothelium and monitoring of the corneal thickness is indispensable during the preoperative preparation for phacoemulsification. These data are of great importance for later treatment and monitoring of early and late postoperative complications.
Objective: The aim of this study was to determine the central corneal thickness immediately before and after cataract surgery in patients with primary glaucoma (open and closed angle), comparing them with patients who do not have diagnosed glaucoma. Materials and methods: A prospective study covered a total of 159 subjects who performed cataract surgery by the method of phacoemulsification with the implantation of the intraocular lens in the posterior chamber at the Clinic for Eye Diseases at the Clinical Center of Serbia in Belgrade in 2017 and 2018. Pre-operative patients are classified into two groups. The first group with a primary glaucoma consisted of 71 respondents, with an open angle 41 with glaucoma, and a closed angle glaucoma 30. The second group consisted of people who did not have a diagnosed glaucoma, 88 of them. The central corneal thickness was measured using an ultrasound pachymeter. The measurements were made before the operation, 24 hours, 10 and 30 days after the operation, trying to get all done at the same time of day.
Results: Between patients without glaucoma (BG), primary open-angle glaucoma (POAG) and primary glaucoma of closed angle (PACG), there is a statistically significant difference in median age (χ2 = 10.102; DF = 2; p = 0, 006). Among the observed groups there were statistically significant differences in the values measured preoperatively (χ2 = 10.265; DF = 2; p = 0.006). Among the observed groups, there was no statistically significant difference in the values measured in the first postoperative day (χ2 = 4.364; DF = 2; p = 0.099), nor in the 10th postoperative day (χ2 = 3.250; DF = 2; p = 0.197); 30 days after surgery (χ2 = 1.427; DF = 2; p = 0.490). In each of the groups individually, the appearance of oedema or a very statistically significant difference in the first and tenth postoperative day. Statistically significant difference was present 30 days after surgery, but far less compared to early postoperative period.
Conclusion: Based on the values obtained in this prospective study, we estimate that monitoring of corneal thickness has a mandatory place in the observation of patients after cataract surgery. We found that there is no difference in preoperative measurement only between groups without glaucoma and open angle glaucoma. Measurements performed in the first, tenth, thirtieth day do not differ in groups, but edema restitutin in the 30-th day was observed in all observed groups.
Ivan Bogosavljević, Ivan Marjanović, Miloš Gašić, Marija Božić, Vesna Marić, Jana Mirković, Mona Varga, Milena Šaranović, Miroslav Jeremić
01.12.2017.
Professional paper
Dry eye disease incidence in hemodialysis
Introduction: patients undergoing hemodialysis has numerous ophthalmological complications. Aim: To explore if the dry eye disease incidence, in patients undergoing hemodialysis, exists and if its frequency is greater compared to the healthy subjects. Methods: A total of 126 patients undergoing hemodialysis as well as 23 healthy subjects underwent complete ophthalmological examinations. The dry eye disease tests were performed in the patients undergoing hemodialysis: Schirmer test, Tears Break Up Time (TBUT) test and “Red eye syndrome”. Results: Comparing findings of dry eye disease parameters in patients undergoing hemodialysis vs. healthy subjects findings were the following: Schirmer’s test results 52,78% vs. 36,36%, (χ2 = 4,02, p=0,0448, p<0,05) and “Red eye syndrome” 38,10% vs 19,05% ( χ2 = 5,69, p=0,0170, p<0,05), while the TBUT test has shown pathological results in 38.89% of undergoing hemodialysis patients. Conclusions: Dry eye disease is significantly more frequent in patients undergoing hemodialysis than in healthy subjects.
Divna Stamenković, Dubravka Vukša, Olivera Đokić, Jana Mirković, Miloš Mirković, Vesna Jakšić
01.12.2016.
Professional paper
Arthritis follows an acute urogenital or intestinal: Reiters disease
Arthritis following dyzentery or urethritis was mentioned before our era and later by many others. In 1818 Benjamin Brodie described 5 patients with typical „ Reiters disease”: urethritis, conjunctivitis, arthritis. Many diagnostic criteria for Reiters disease / reactive arthritis have been proposed for practical purpose the most acceeptable is the folowing one: posturethritic or postenterocolitic arthritis is Reiters disease / reactive arthritis. The findings of Chlamydiy from the synovia or in the synovial fluid of itients with RD suggest that arthritis may be of infective but not of reactive origin.
Zlatica Petkovic-Mirkovic, Jana Mirkovic, S. Milinic, Tatjana Novakovic, Bogdan Dejanovic, Gordana Nikolic, T. Fajertag, G. Jankovic
01.12.2016.
Professional paper
Impact of ocular comorbidities on visual function and quality of life in cataract and pseudophakic patients
Introduction: Age-related cataract (senile cataract) is one of the leading causes of preventable blindness in the world. Objective: To determine whether other ocular comorbidities (glaucoma, age related macular degeneration, diabetic retinopathy) affect visual function and quality of life in cataract and pseudophakic patients, and, if possible, to determine which disease has a significant effect. Methods: In this study 202 patients were examinated, regarding of the status of cataract on the second, following eye; the patients were divided into two groups: cataract and pseudophakia. Results: Patients with myopia and capsular glaucoma had significant improvement in average visual acuity (0.87 vs. 0.65) after surgery compared to preoperative results (0.38vs.0.24) (p<0.01). Also, patients with age related macular degeneration and non-proliferative diabetic retinopathy with an average preoperative visual acuity (0.05 vs. 0.05) after surgery have a significant improvement in average visual acuity (0.2 vs.0.2) (p<0.01). Patients with primary open-angle glaucoma have significant improvement in average postoperative visual acuity (0.28) compared to the preoperative results (0.05) (p<0.01), while patients with primary angle closure glaucoma had improvement in postoperative average visual acuity (0.1) compared to the preoperative results (0.05) (p<0.1). Conclusion: Significant improvements in postoperative average visual acuity compared to preoperative results reduce difficulties in vision-related activities thus providing higher quality of life.
Dubravka Vuksa, Divna Stamenkovic, Olivera Djokic, Jana Mirkovic
01.01.2016.
Professional paper
The activity of superoxide dismutase in the aqueous humour of the patients with senile cataract
Cataract is a dysfunction of the lens of the eye caused by clouding. By far the most common type of cataract is the senile cataract. The immediate cause of the occurrence of cataract is unknown, but oxidative stress is considered important in its etiopathogenesis. The aim: to examine the intensity of oxidative stress, depending on the type and maturity of senile cataract, through the activity of the superoxide dismutase enzyme (SOD) in the aqueous humor of the patients diagnosed with senile cataract. The average activity of the superoxide dismutase enzyme in the aqueous humor of the patients with early nuclear cataract was 41.16 U/mL, which is a significantly higher value (p<0.01) when compared with that of the patients with other types of early cataract, as well as with that of the patients with total cataract (33.88 U/mL). With aging the activity of the superoxide dismutase enzyme decreases, hence the average activity of the enzyme was significantly lower (p<0.05) in the group of patients over 75 years of age (36.28 U/mL vs. 28.91 U/mL).
Olivera Djokic, Milos Mirkovic, Dubravka Vuksa, Divna Stamenkovic, Jana Mirkovic