OphthaTherapy https://journalsmededu.pl/index.php/ophthatherapy <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. We guarantee fast publication. 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> Medical Education sp. z o.o. en-US OphthaTherapy 2353-7175 <p><strong>Copyright: © Medical Education sp. z o.o.</strong> License allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.</p> <p><em>Address reprint requests to: Medical Education, Marcin Kuźma (<a href="mailto:marcin.kuzma@mededu.pl">marcin.kuzma@mededu.pl</a>)</em></p> Contemporary possibilities in the diagnostics of anterior and posterior eye diseases with the use of new-generation OCT https://journalsmededu.pl/index.php/ophthatherapy/article/view/1360 <p>Optical coherence tomography is a non-contact imaging method of the anterior and posterior segments of the eye that is based on laser scanning in spectral domain. This study presents diagnostic possibilities of the new generation Solix FullRange™ OCT&amp;OCTA apparatus (Optovue) to examine meibomian glands, cornea, anterior chamber, as well iridocorneal angles and lens. In the posterior segment of the eye it allows for the precise evaluation of the vitreous body, choroid, retina, optic nerve and blood-flow measurements.</p> Katarzyna Paczwa Justyna Mędrzycka Joanna Gołębiewska Radosław Różycki Copyright (c) 2020 https://creativecommons.org/licenses/by-nc/4.0/ 2021-06-21 2021-06-21 8 2 81 86 10.24292/01.OT.300621.1 Retained subretinal perfluorocarbon in multimodal image https://journalsmededu.pl/index.php/ophthatherapy/article/view/1156 <p><strong>Introduction</strong>: Retained subretinal perfluoro-n-octane droplets occur in nearly 1% of the procedures. When subretinal cystoid cavities are registered, differential diagnosis including this condition is needed.</p> <p><strong>Clinical case</strong>: A 77-year-old male presented three small bubbles of perfluoro-n-octane under the papillomacular bundle after vitrectomy due to a retina redetachment, evidenced by multimodal image.</p> <p><strong>Conclusions</strong>: Multimodal image can help to diagnose this condition. There are several signs that can support this diagnosis. If visual acuity is threatened, removing the bubbles is mandatory, accepting risks.</p> Elena Guzmán Almagro Rosario Cobo Soriano Irene Fuentes-Vega Ana Fernández Hortelano Julio González Martin-Moro Copyright (c) 2021 Medical Education sp. z o.o. https://creativecommons.org/licenses/by-nc-nd/4.0 2021-04-08 2021-04-08 8 2 87 91 10.24292/01.OT.100421 Vision impairment as the first symptom of encephalomyelitis in a paediatric patient https://journalsmededu.pl/index.php/ophthatherapy/article/view/1304 <p>An 8-year-old boy was admitted to the Ophthalmology Department due to a vision impairment with an accompanying decrease in visual acuity and bilateral optic disc oedema. As a result of interdisciplinary diagnostics, acute disseminated encephalomyelitis, probably related to preceding infection, was diagnosed.</p> Aleksandra Świerczyńska Małgorzata Woś Copyright (c) 2021 Medical Education sp. z o.o. https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-16 2021-06-16 8 2 93 98 10.24292/01.OT.250521 Selected problems and challenges of ophthalmic care system in Poland https://journalsmededu.pl/index.php/ophthatherapy/article/view/1158 <p>In the perspective of 10–20 years, the ophthalmic care system in Poland will face numerous challenges, and the existing problems will increase. Due to the aging of the population, the incidence of refractive errors and chronic, age-related diseases such as presbyopia, AMD, diabetic retinopathy, glaucoma and cataracts will increase. Due to the change in lifestyle, the incidence of myopia is expected to increase among children and adolescents. The number of ophthalmologists and nurses will decrease and the average age of these professional groups will increase. The number of optometrists in Poland is low, and the legal aspects of practicing the profession of optometrists remain unregulated. Low social awareness contributes to late detection of eye diseases, which worsens the prognosis and increases the costs of treatment.</p> Maciej Osęka Agnieszka Jamrozy-Witkowska Małgorzata Mulak Copyright (c) 2021 Medical Education https://creativecommons.org/licenses/by-nc-nd/4.0/ 2021-03-15 2021-03-15 8 2 100 106 10.24292/01.OT.300321.2 Vitrectomy in stage 5 ROP – surgical and functional results of 1000 vitrectomies https://journalsmededu.pl/index.php/ophthatherapy/article/view/1328 <p>Despite improvements in neonatal care, retinopathy of prematurity is still leading cause of blindness in the world. The most treatment problems pose stage 4 and 5 of this disease. Performing vitrectomy in stage 5 is a subject of controversy among ophthalmologists due to unsatisfactory functional results after the surgery. Therefore, our aim was to present the results of 1000 vitrectomies performed by the author in years 1994–2019 in 1018 eyes of 692 children with stage 5 retinopathy of prematurity. In these children lens sparing vitrectomies and lensectomy-vitrectomy with limbal approach were performed. The results were compared with visual function of 127 untreated children with stage 5 retinopathy of prematurity. Visual acuity of treated patients ranged from 0.05 to no light perception in stage 5 and from no light perception to finger counting in the untreated group. Comparing the functional results of treated and untreated patients, it can be concluded that vitrectomy gives a better chance of gaining useful vision.</p> Marek Edmund Prost Copyright (c) 2021 Medical Education sp. z o.o. https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-23 2021-06-23 8 2 108 113 10.24292/01.OT.080621 The mechanism of intraocular pressure rise after keratoplasty https://journalsmededu.pl/index.php/ophthatherapy/article/view/1361 <p><strong>Purpose</strong>: To determine the pathomechanism of increased intraocular pressure after penetrating and lamellar keratoplasty based on clinical observation and literature data.</p> <p><strong>Materials and methods</strong>: Morphometric analysis of the anterior segment of the eye using spectroscopic optical coherence tomography, gonioscopy and biomicroscopy.</p> <p><strong>Results</strong>: Pre- and postoperative spectroscopic optical coherence tomography scans in patients after keratoplasty reveal deformation of the peripheral cornea, narrowing of the iridocorneal angle, presence of anterior synechiae and various types of pupillary block.</p> <p><strong>Conclusions</strong>: The mechanism of elevated intraocular pressure after corneal grafting is complex and depends on pre-, intra- and postoperative factors, such as anatomy changes of the iridocorneal angle, presence of anterior synechiae, as well as anterior and posterior pupillary block. Spectroscopic optical coherence tomography plays an important role in diagnosis and further treatment management.</p> Diana Wyroślak-Bednarek Zofia Pniakowska Piotr Jurowski Copyright (c) 2020 https://creativecommons.org/licenses/by-nc/4.0/ 2021-06-23 2021-06-23 8 2 114 123 10.24292/01.OT.210521 The application of the femtosecond laser in cataract surgery https://journalsmededu.pl/index.php/ophthatherapy/article/view/1322 <p><strong>Introduction</strong>: Since the introduction, femtosecond laser-assisted cataract surgery (FLACS) was believed to revolutionize cataract surgery. However, the judgment of clinical benefits was found to be far more complex than initially might have been thought. The aim of this review was to analyze the benefits and drawbacks of FLACS compared to traditional phacoemulsification cataract surgery.</p> <p><strong>Results</strong>: The benefits of FLACS include lower cumulated phacoemulsification time and endothelial cell loss, perfect centration of the capsulotomy, and the possibility to perform precise femtosecond-assisted arcuate keratotomy incisions. The major disadvantages of FLACS are: high cost of the laser and the disposables for surgery, FLACS-specific intraoperative capsular complications, as well as the risk of intraoperative miosis and the learning curve.</p> <p><strong>Conclusions</strong>: FLACS seems to be beneficial in some groups of patients i.e., with low baseline endothelial cell count, or those planning to receive multifocal intraocular lenses. Nevertheless, having considered that the advantages of FLACS might not be clear in every routine case, it cannot be considered as cost-effective.</p> Piotr Kanclerz Karolina Pluta Copyright (c) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2021-05-25 2021-05-25 8 2 125 130 10.24292/01.OT.300621.3 SMILE – characteristics of the procedure and the patients’ quality of life https://journalsmededu.pl/index.php/ophthatherapy/article/view/1325 <p>ReLEx® SMILE is a relatively new flapless laser vision correction procedure carried out exclusively by femtosecond laser which earned confidence among both physicians and patients. The procedure constitutes an alternative to LASIK, which was considered so far the golden standard in myopia and myopic astigmatism corrections. The present paper discusses the advantages of the ReLEx® SMILE in comparison with other types of laser vision correction, including the patients quality of life after ReLEx® SMILE.</p> Marika Wolniewińska Barbara Czarnota-Nowakowska Jagoda Wolniewińska Joanna Wierzbowska Jarosław Kocięcki Copyright (c) 2021 Medical Education sp. z o.o. https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-30 2021-06-30 8 2 133 141 10.24292/01.OT.150721.X