• Publikační typ
• časopisecké články MeSH

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

In den letzten Jahren haben sich neue, moderne Therapiekonzepte in der Behandlung von malignen Lidtumoren entwickelt. Die chirurgische Sanierung bleibt jedoch weiterhin ein wichtiger Bestandteil der Therapiemöglichkeiten, welche die mikrochirurgische Tumorexzision im gesunden Gewebe sowie die anschließende Deckung der Defekte umfassen. Ein okuloplastisch erfahrener Ophthalmochirurg ist für die Erkennung und Bewertung der vorhandenen Veränderung zuständig und sollte zusammen mit dem Patienten ein dessen Vorstellungen entsprechendes Vorgehen planen. Die Operationsplanung muss stets individuell erfolgen und passend zum Ausgangsbefund durchgeführt werden. Abhängig von der Defektgröße und Lokalisation stehen dem Operateur unterschiedliche Deckungsstrategien zur Verfügung. Um eine erfolgreiche Rekonstruktion zu gewährleisten, sollte jeder Operateur eine breite Palette rekonstruktiver Techniken beherrschen.

• Klíčová slova
• Defect coverage, Microsurgical tumor excision, Oculoplasty, Ophthalmic surgeon, Reconstructive techniques,
• MeSH
• chirurgové * MeSH
• lidé MeSH
• nádory kůže * chirurgie   MeSH
• nádory očního víčka * patologie   MeSH
• oftalmologie * MeSH
• zákroky plastické chirurgie * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• přehledy MeSH

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

In den letzten Jahren haben sich neue, moderne Therapiekonzepte in der Behandlung von malignen Lidtumoren entwickelt. Die chirurgische Sanierung bleibt jedoch weiterhin ein wichtiger Bestandteil der Therapiemöglichkeiten, welche die mikrochirurgische Tumorexzision im gesunden Gewebe sowie die anschließende Deckung der Defekte umfassen. Ein okuloplastisch erfahrener Ophthalmochirurg ist für die Erkennung und Bewertung der vorhandenen Veränderung zuständig und sollte zusammen mit dem Patienten ein dessen Vorstellungen entsprechendes Vorgehen planen. Die Operationsplanung muss stets individuell erfolgen und passend zum Ausgangsbefund durchgeführt werden. Abhängig von der Defektgröße und Lokalisation stehen dem Operateur unterschiedliche Deckungsstrategien zur Verfügung. Um eine erfolgreiche Rekonstruktion zu gewährleisten, sollte jeder Operateur eine breite Palette rekonstruktiver Techniken beherrschen.

• Klíčová slova
• Defect coverage, Microsurgical tumor excision, Oculoplasty, Ophthalmic surgeon, Reconstructive techniques,
• MeSH
• chirurgové * MeSH
• lidé MeSH
• nádory kůže * chirurgie   MeSH
• nádory očního víčka * chirurgie   MeSH
• oftalmologie * MeSH
• zákroky plastické chirurgie * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

• MeSH
• dějiny 19. století MeSH
• oftalmologie dějiny   MeSH
• školy lékařské dějiny   MeSH
• zdravotnická zařízení dějiny   MeSH
• Check Tag
• dějiny 19. století MeSH
• Publikační typ
• biografie MeSH
• časopisecké články MeSH
• historické články MeSH
• Geografické názvy
• Československo MeSH

• O autorovi
• Fischer, J N

In the group of 42 eyes with extracapsular cataract extraction the postoperative results were very favourable differing conditions. There did not occur any more serious postoperative complications. Authors verified that for a skillful ophthalmic surgeon this operation is easily performed, on the other hand many of them have to overcome some accustomed aversion and to use at present time the needed extracapsular extraction, in spite of the previous routinely used intracapsular technique, which was successfully performed for many years. Present trend of extracapsular cataract extractions is based on the aim to decrease the number of the postoperative complications and to make possible the implantation of the intraocular lenses into the posterior chamber of the eye.

• MeSH
• dospělí MeSH
• extrakce katarakty metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• pooperační komplikace MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

This article aims to present the differential diagnostics of benign and malignant eyelid tumours. The most common malignant eyelid tumour is basal cell carcinoma, followed by squamous cell carcinoma. The common signs of malignity are loss of lashes, ulceration, and infiltration of the lesion. Often the clinical appearance is various and therefore only a histological analysis gives the proper diagnosis. For most tumours, surgical resection is the gold standard of therapy. The reconstruction of the defects should be performed by an experienced oculoplastic surgeon. In malignant tumours that require large safety margins, the defect can be easily very large, and the reconstruction must then be performed with advanced ophthalmic plastic reconstruction techniques.

Dieser Artikel zielt darauf ab, die Differenzialdiagnostik von gutartigen und bösartigen Augenlidtumoren darzustellen. Der am häufigsten bösartige Augenlidtumor ist das Basalzellkarzinom, gefolgt vom Plattenepithelkarzinom. Die häufigsten Anzeichen von Malignität sind Verlust von Wimpern, Ulzeration und Infiltration der Läsion. Das klinische Erscheinungsbild ist vielfältig und daher nur ein histologisches. Die Analyse liefert die richtige Diagnose. Bei den meisten Tumoren ist die chirurgische Resektion der Goldstandard der Therapie. Die Rekonstruktion sollte von einem erfahrenen ophthalmoplastischen Chirurgen durchgeführt werden. Bei bösartigen Tumoren, die großen Sicherheitsabstand erfordern, kann der Defekt leicht sehr groß werden. Die Rekonstruktion muss dann mit fortgeschrittenen Techniken der plastischen Rekonstruktion durchgeführt werden.

• MeSH
• bazocelulární karcinom * diagnóza   chirurgie   MeSH
• diferenciální diagnóza MeSH
• lidé MeSH
• nádory kůže * diagnóza   chirurgie   patologie   MeSH
• nádory očního víčka * diagnóza   chirurgie   MeSH
• zákroky plastické chirurgie * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: Cataract surgery is one of the most common procedures performed by the ophthalmic surgeon. In this paper, we evaluate of postoperative results of the hydrophobic intraocular lens CT LUCIA 611 in patients undergoing routine cataract surgery. METHODS: The study included 23 patients (29 eyes), average age of 69.0 + 9.2 years (span 53 to 86 years) with uncomplicated senile cataract. After phacoemulsification, CT LUCIA 611 intraocular lenses were implanted. Patients were examined 3 months and 6 months after surgery. Uncorrected visual acuity (UVA), best-corrected visual acuity (BCVA), refraction, occurrence of opacities of the posterior capsule, and subjective contentment of patients according to the questionnaire VF-14 (visual functioning) were examined. RESULTS: 3 months after surgery, the average UVA was 0.68 ± 0.4, and BCVA 0.92 ± 0.3. Half-a-year after surgery, UVA was 0.82 ± 0.1 and BCVA 0.94 ± 0.2. Good uncorrected visual acuity and a minimal occurrence of opacities of the posterior capsule corresponded with a high degree of contentment of patients. CONCLUSIONS: On the basis of the authors present experience it can be concluded that the Zeiss CT LUCIA 611 intraocular lens exhibits good and stable postoperative results. Key words: intraocular lens CT LUCIA 611; posterior capsule opacity; phacoemulsification.

• Klíčová slova
• intraocular lens CT LUCIA 611; posterior capsule opacity; phacoemulsification,
• MeSH
• fakoemulzifikace * MeSH
• implantace nitrooční čočky * MeSH
• katarakta * terapie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nitrooční čočky * MeSH
• senioři MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

The authors evaluated the long-term results of posterior scleroplasty in a group 51 children (74 eyes) with progressive myopia followed up 2-4 years after surgery. Stabilization of myopia developed in the axial length of the bulbus in 78% of the children and in objective refraction in 85% patients. In 15-22% of the patients myopia progressed but only by 0.4 D per year. No serious complications were observed or after operation. The authors draw attention of ophthalmic surgeons to scleroplasty because in has a marked effect on the preventive of progressing severe myopia and thus for the long term preservation of satisfactory visual functions.

• MeSH
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• myopie patofyziologie   chirurgie   MeSH
• pooperační komplikace MeSH
• předškolní dítě MeSH
• refrakce oka MeSH
• skleroplastika * MeSH
• zraková ostrost MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• předškolní dítě MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

PURPOSE: To assess the efficiency and safety of cheek-midface lifting for the ophthalmoplastic reconstructive surgical repair of cicatricial lower eyelid malpositions after previously failed surgery. METHODS: In two ophthalmoplastic clinics, 14 eyelids of 13 patients underwent transconjunctival cheek-midface lifting. In a retrospective audit, changes in margin-reflex distance 2 (MRD2), snap-back test, the position of the eyelid after surgery including improving of the presurgical scleral show, the overall patient's satisfaction as well as complications after surgery were recorded. RESULTS: Following transconjunctival cheek-midface lifting, there was a significant improvement of MRD2, snap-back test, and the scleral show (p < 0.001, respectively). However, in three patients the scleral show persisted despite improved MRD2. All patients were satisfied with the results of the surgery. No post-surgical long-term complications were developed. CONCLUSION: Cheek-midface lifting can be a useful technique in severe cicatricial lower eyelid ectropion after previously failed surgery and is a safe and effective reconstructive method for ophthalmic surgeons with good cosmetical results and little postoperative long-term complications.

• Klíčová slova
• Eyelid disease, eyelid disease: cosmetic eyelid and facial surgery, eyelid disease: eyelid malpositions/trichiasis/ptosis, eyelid disease: eyelid reconstruction, oculoplastic eyelid/lacrimal disease,
• MeSH
• ektropion * etiologie   chirurgie   MeSH
• iatrogenní nemoci MeSH
• lidé MeSH
• oční víčka chirurgie   MeSH
• pooperační komplikace MeSH
• retrospektivní studie MeSH
• tvář chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVE: To evaluate the safety and the long term results of anterior chamber phakic lens, Phakic 6 Refractive, for myopia correction. METHODS: In this retrospective study we reviewed the charts of 35 myopic patients (62 eyes) who had implantation of anterior chamber phakic lenses (Phakic 6 Refractive, Ophthalmic Innovations International, California, USA) for correction of myopia. The mean age of patients was 26 years (18 to 45 years). The mean spherical refraction was -9.9 (-4 to -18 D). The best corrected distant visual acuity (BCDVA) was 0.92 (1.2 to 0.3) before surgery. The mean follow-up was 8 years (4 to 10). The mean endothelial cell count was 2481 cells/mm2 and the mean pachymetry was 540 μm before surgery. In those patients who needed a second surgical intervention (explantation or lens reposition) the last follow-up visit is the visit before the lens explantation or reposition. The same surgeon (P. R.) performed all surgeries and used the same technique in each surgery. RESULTS: On the final follow up visit the BCDVA was in the mean 1.02 (1.5 to 0.5). The spherical refraction was in the mean - 0.53 D (-3.0 to +1.0). We noticed a 16% decrease in the mean number of corneal endothelial cells, and no change in the pachymetry values. We had to explant the lenses in 7 eyes (12 %) because of the decreased endothelial cells count. 2 eyes (3.0 %, 1 patient) had to receive treatment for glaucoma, 4 eyes (6.5 %) had to have the artificial lens repositioned, 1 patient had to have photocoagulation therapy for a retinal tear. 93 % of the study eyes had stable refraction during the study period. There was a 10 % increase in the average BCDVA, and there was a 95 % improvement of the original refractive error. CONCLUSIONS: In selected cases, the implantation of Phakic 6 Refractive anterior chamber lens is a viable option despite it is currently largely abandoned. Key words: Phakic 6 Refractive implantation, myopia correction.

• MeSH
• časové faktory MeSH
• dospělí MeSH
• implantace nitrooční čočky metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• myopie patofyziologie   chirurgie   MeSH
• následné studie MeSH
• refrakce oka * MeSH
• retrospektivní studie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH