OphthaTherapy. Therapies in Ophthalmology 2022-06-10T09:25:51+02:00 Marcin Kuźma Open Journal Systems <p>"OphthaTherapy. Therapies in Ophthalmology" (abbr.: OphthaTherapy) is a peer-reviewed scientific quarterly publishing papers in: ophthalmology, ophthalmic surgery (including minimally invasive surgery and laser therapy), pharmacological treatment of eye diseases, including glaucoma, as well as work in the contactology. The journal is on the list of the Polish Ministry of Science and Higher Education. For publishing the article, the author receives 20 points.<br>We encourage you to submit: original papers, review articles, case reports, rapid communication, research letters, hypotheses, meeting proceedings, letter to the editor. There are no submission or processing charges.</p> <p><strong>"OphthaTherapy" accepts submissions in English only. Other language versions may be published as additional ones.</strong><br><br><strong><span lang="en-GB">e-ISSN: </span></strong><span lang="en-GB">2543-9987</span><span lang="en-GB">&nbsp;</span><strong><span lang="en-GB"> &nbsp; &nbsp; &nbsp;ISSN: 2353-7175 &nbsp; &nbsp; &nbsp; DOI: </span></strong><span lang="en-GB">10.24292/01.OT<br><br></span><strong><span lang="en-GB">Indexed in:&nbsp;</span></strong><span lang="en-GB">Polish Journals Master List: <strong>20 points<br></strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Index Copernicus:<strong><strong class="ng-binding">72.79</strong></strong><br></span><span lang="en-GB">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Google Scholar<br></span>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Polish Scientific Journal Database<br>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; ARIANTA<br>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; WorldCat</p> Discriminating capabilities of neural and vascular parameters of optical coherent tomography in glaucoma 2022-06-10T09:25:42+02:00 Joanna Wierzbowska <p>Optical coherent tomography (OCT) of the retina and optic nerve disc is the gold standard for imaging in the diagnosis and monitoring of glaucoma and optical coherence tomography angiography (OCTA) is an imaging technique with great scientific and clinical potential in patients with glaucomatous neuropathy. The main advantages of OCT and OCTA are non-invasiveness, speed, repeatability and availability of the procedure. In the article, on the basis of recent meta-analyses, the discriminating abilities of the peripapillary retinal nerve fiber layer (pRNFL) and macular parameters as measured with spectral \domain (SD) and swept source (SS) OCT, in all glaucoma patients and in different glaucoma subpopulations were discussed. In addition, the results of the most important research on OCTA in the diagnosis and monitoring of glaucoma and the limitations of this method are listed.</p> 2022-03-31T00:00:00+02:00 Copyright (c) 2022 Medical Education sp. z o.o. The role of thermography in ophthalmology 2022-05-10T13:41:31+02:00 Anna Modrzejewska <p>Thermography is used to assess the extent and intensity of local hyperaemia and tissue metabolism based on the emitted radiation in the infrared range. In ophthalmology, it is used for the diagnosis of ocular inflammatory conditions. Increased ocular surface temperature is observed in tumours such as melanoma and uveal naevus. Reduced temperature as a result of blood flow disorders is detected in patients with vascular occlusion, glaucoma, diabetic retinopathy or AMD. Lower emission of infrared radiation on the ocular surface was observed in dry eye syndrome due to tear film instability and faster tear evaporation. Thermography is a non-invasive, fast and objective technique, and in the future it may complement the diagnostic process of many ophthalmic diseases.</p> 2021-12-29T00:00:00+01:00 Copyright (c) 2022 Medical Education sp. z o.o. Myopia differential diagnosis 2022-05-11T13:49:41+02:00 Katarzyna Perz-Juszczyszyn <p>Due to the prevalence and the possibility of myopia progression, myopia is currently of particular interest to many specialists in both the field of optometry and ophthalmology. In the initial diagnosis of the patient, it is important to determine whether the refractive error is isolated or if it coexists with other eye disorders/diseases or general health problems. This refractive error can be divided into axial and refractive myopia. In the latter case, the change in refraction may result from too great curvature of the cornea in relation to the length of the eyeball, or an increase in the optical curvatures other than the anterior surface of the cornea, or an increase in the refractive index of at least one of the optical structures, or a shallower anterior chamber of the eye. It is also worth distinguishing myopia associated with complex syndromes.</p> <p>Uncorrected myopia can significantly hinder daily functioning. It is therefore important to detect it as early as possible, correct it properly.</p> 2022-03-31T00:00:00+02:00 Copyright (c) Dry eye syndrome triggered by wearing gas permable contact lens in keratoconus 2022-05-10T13:41:31+02:00 Karolina Stanienda-Sokół Marzena Wysocka-Kosmulska Jakub Słoka Olga Łach-Wojnarowicz Dariusz Dobrowolski Edward Wylęgała <p>A 48-year-old woman suffering from keratoconus of both eyes sought medical attention at the ophthalmology clinic with her left eye having been painful for prior 3 weeks, as well as increased sensitivity to light, foreign body sensation, stinging and watering eye. Her left eye was diagnosed with the dry eye syndrome, in addition to being treated with gas permable contact lens. Physical examination revealed corneal punctate epithelial erosions that stained positively with fluorescein in the left eye. The patient was ultimately diagnosed with dry eye disease of the left eye caused by gas permable contact lens usage.</p> 2022-03-04T00:00:00+01:00 Copyright (c) 2022 Medical Education sp. z o.o. Contact lens-related combined Pseudomonas aeruginosa, Acanthamoeba and Candida keratitis among adolescents girls 2022-06-10T09:25:22+02:00 Marta Świerczyńska Agnieszka Tronina Michał Bogocz Ewa Mrukwa-Kominek Erita Filipek <p><strong>Background</strong>: 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.</p> <p><strong>Case reports</strong>: 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.</p> <p><strong>Conclusion</strong>: 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.</p> 2022-03-31T00:00:00+02:00 Copyright (c) 2022 Medical Education sp. z o.o. Comment to: Disease aetiology-based design of multifunctional microemulsion eye drops for moderate or severe dry eye: a randomized, quadruple-masked and active-controlled clinical trial 2022-06-10T09:25:51+02:00 Anna Nowińska <p>Sacha inchi (<em>Plukenetia volubilis</em>) is an oil plant native to tropical rainforests in South America. The seeds of the plant are a potential source of macro- and microelements, α-linolenic acid and phytochemicals.</p> <p>A single-centre, prospective, masked clinical study was designed to investigate the efficacy and safety of multi-ingredient sacha inchi microemulsion (SIME) eye drops in the treatment of patients with dry disease.</p> <p>Sacha inchi microemulsion (SIME) proved safe and efficacious in re-establishing the physiological protective tear film function and restoring the homeostasis of the ocular surface.</p> 2022-03-14T00:00:00+01:00 Copyright (c) 2020 Recommendations for an improved referral system for specialized glaucoma clinics in Poland 2022-06-10T09:25:35+02:00 Aneta Choręziak Agata Brązert Aleksandra Borys Anna Gotz-Więckowska <p>This study assessed the quality of referral letters to the Glaucoma Outpatient Clinic and patients’ first consultation results. A retrospective study included 196 patients newly referred to the clinic. Referrals were mainly issued by ophthalmologists (156; 79.6%). Regarding their urgency level, the planned referrals (184; 93.9%) were dominant. The majority of referral diagnoses (147; 75%) were confirmed as glaucoma in the clinic, whereas 17 (8.2%) glaucoma diagnoses were rejected. 64 (32.7%) patients did not require further ophthalmological review. The assessment of the quality of referral letters revealed that important clinical data was missing. There is a need to improve the referral system to specialist glaucoma clinics in Poland.</p> 2022-03-31T00:00:00+02:00 Copyright (c) 2022 Medical Education sp. z o.o. Ptosis – diagnostics and treatment 2022-06-10T09:25:46+02:00 Mateusz Jacuński Dominika Białas Radosław Różycki <p>It is estimated that the low position of the upper eyelid affects over 1 million patients in Poland. Ptosis limits the visual field, causes compensatory head positions and the feeling of visual deterioration. The unaesthetic appearance of the eyes additionally contributes to low self-esteem. The aim of this article is to review modern diagnostic algorithms used in the case of a dropped eyelid. The paper also discusses the surgical techniques that are used in the case of ptosis and the guidelines for the correct qualification of the patient to a given surgical method.</p> 2022-03-31T00:00:00+02:00 Copyright (c) 2022 Medical Education sp. z o.o.