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Search Results: 1 - 10 of 44903 matches for " Marilita Michael Moschos "
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Acute visual loss and intraocular hemorrhages associated with endoscopic spinal surgery
Marilita M Moschos,Alexandros Rouvas,Alexios Papaspirou,Michael Apostolopoulos
Clinical Ophthalmology , 2008,
Abstract: Marilita M Moschos, Alexandros Rouvas, Alexios Papaspirou, Michael ApostolopoulosDepartment of Ophthalmology, University of Athens, GreecePurpose: To report a case of acute visual loss after endoscopic spinal surgery.Methods: A patient was immediately referred to our department after epidural endoscopy with severe bilateral visual impairment and underwent complete ophthalmologic examination.Results: Visual acuity was decreased in both eyes. Fundus examination revealed the presence of retinal and vitreous hemorrhages bilaterally. Four months later, visual acuity increased and the hemorrhages were remarkably resolved.Conclusion: The present case represents an extremely rare incidence of intraocular hemorrhage following epiduroscopy.Keywords: visual acuity, hemorrhage, intraocular, BCVA
Metastasis rates and sites after treatment for choroidal melanoma by proton beam irradiation or by enucleation
Chryssanthi Koutsandrea,Marilita M Moschos,Michael Dimissianos,Gerasimos Georgopoulos
Clinical Ophthalmology , 2008,
Abstract: Chryssanthi Koutsandrea, Marilita M Moschos, Michael Dimissianos, Gerasimos Georgopoulos, Ioannnis Ladas, Michael ApostolopoulosDepartment of Ophthalmology, Athens University, Athens, GreecePurpose: To investigate tumor thickness and location, the interval of time between treatment for choroidal melanoma (proton beam irradiation or enucleation) and diagnosis of metastatic disease, and rates and sites of metastasis.Design: Retrospective, interventional, noncomparative case series.Methods: Follow-up of 152 patients with primary choroidal melanoma, between 1992 and 2006 (14 years). One hundred and twenty-one patients were treated with proton beam irradiation and 31 patients were treated with enucleation. Baseline and annual or semiannual ophthalmic examination, B-scan ultrasonography, systemic and laboratory evaluations (liver enzymes, chest X-ray, ultrasonography or magnetic resonance imaging of the liver) were performed according to a standard protocol.Results: Nineteen patients (12.5%) were diagnosed with metastasis during follow-up time after treatment for choroidal melanoma. Thirteen patients (10.7%) of the irradiation group and 6 patients (19.3%) of the enucleation group were diagnosed with metastasis. Eight patients (6.6%) of the irradiation group and 5 patients (16.1%) of the enucleation group were diagnosed with liver metastasis. Ocular complications after proton beam irradiation were recorded. Fifty-nine patients (48.7%) of the irradiation group presented with cataract. Other complications were retinal detachment, retinopathy, vitreous haemorrhage, iris neovascularization, neovascular glaucoma, optic neuropathy, and corneal opacification.Conclusions: In our series, 10.7% of the irradiation group and 19.3% of the enucleation group were diagnosed with metastasis. The liver was the most common site of metastasis in both groups. Cataract was the most common complication in the irradiation group.Keywords: melanoma, metastasis, irradiation, enucleation
A clinical study of annular cyclitis
Marilita Michael Moschos, Yan Guex-Crosier, Ioannis Margetis, Leonidas Zografos
Clinical Ophthalmology , 2009, DOI: http://dx.doi.org/10.2147/OPTH.S4915
Abstract: clinical study of annular cyclitis Original Research (4510) Total Article Views Authors: Marilita Michael Moschos, Yan Guex-Crosier, Ioannis Margetis, Leonidas Zografos Published Date February 2009 Volume 2009:3 Pages 215 - 217 DOI: http://dx.doi.org/10.2147/OPTH.S4915 Marilita Michael Moschos1, Yan Guex-Crosier2, Ioannis Margetis1, Leonidas Zografos2 1Department of Ophthalmology, University of Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, Switzerland Purpose: To investigate six cases of annular cyclitis. Methods: All patients with impairment of visual acuity underwent complete ophthalmologic examination, color fundus photography, laboratory tests and fluorescein angiography. Indocyanine green (ICG) angiography and B-scan ultrasonography were also performed in three cases in order to diagnose the disease. Results: All patients presented a unilateral or bilateral granulomatous uveitis, associated with inflammatory annular cyclitis. They had a shallow anterior chamber, a mildly elevated intraocular pressure (under 25 mm Hg) and an annular serous retinal detachment. A resolution was observed after specific therapy associated with systemic prednisolone therapy and antiglaucomatous drops. Conclusion: This is the first description of an observational study of six patients with inflammatory annular cyclitis.
A clinical study of annular cyclitis
Marilita Michael Moschos,Yan Guex-Crosier,Ioannis Margetis,Leonidas Zografos
Clinical Ophthalmology , 2009,
Abstract: Marilita Michael Moschos1, Yan Guex-Crosier2, Ioannis Margetis1, Leonidas Zografos21Department of Ophthalmology, University of Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, SwitzerlandPurpose: To investigate six cases of annular cyclitis.Methods: All patients with impairment of visual acuity underwent complete ophthalmologic examination, color fundus photography, laboratory tests and fluorescein angiography. Indocyanine green (ICG) angiography and B-scan ultrasonography were also performed in three cases in order to diagnose the disease.Results: All patients presented a unilateral or bilateral granulomatous uveitis, associated with inflammatory annular cyclitis. They had a shallow anterior chamber, a mildly elevated intraocular pressure (under 25 mm Hg) and an annular serous retinal detachment. A resolution was observed after specific therapy associated with systemic prednisolone therapy and antiglaucomatous drops.Conclusion: This is the first description of an observational study of six patients with inflammatory annular cyclitis.Keywords: cyclitis, uveitis, malignant glaucoma
Giant cell arteritis: A rare cause of posterior vasculitis
Marilita M Moschos, Yan Guex-Crosier
Clinical Ophthalmology , 2009, DOI: http://dx.doi.org/10.2147/OPTH.S4643
Abstract: nt cell arteritis: A rare cause of posterior vasculitis Original Research (5048) Total Article Views Authors: Marilita M Moschos, Yan Guex-Crosier Published Date December 2008 Volume 2009:3 Pages 111 - 115 DOI: http://dx.doi.org/10.2147/OPTH.S4643 Marilita M Moschos1, Yan Guex-Crosier2 1Department of Ophthalmology, University of Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, Switzerland Purpose: To report three cases of posterior vasculitis associated with subacute giant cell arteritis (GCA). Methods: Three patients with decreased vision underwent complete ophthalmologic examination and fluorescein angiography. Results: All patients presented posterior vasculitis. Patient 1 had an erythrocyte sedimentation rate (ESR) of 38 mm/hr and a C-reactive protein (CRP) of 28mg/L. Patient 2 and 3 had an ESR of 104 and 95 mm/hr and a CRP of 42 and 195 mg/L accordingly. Diagnosis was established by temporal artery biopsy. Resolution was observed after systemic prednisolone therapy. Conclusion: GCA should be suspected when posterior vasculitis and relatively high ESR and CRP are present.
Cystoid macular edema
Tryfon G Rotsos,Marilita M Moschos
Clinical Ophthalmology , 2008,
Abstract: Tryfon G Rotsos1, Marilita M Moschos21Medical Retina Service, Moorfields Eye Hospital, London, UK; 2Department of Ophthalmology, University of Athens, GreeceAbstract: We review the epidemiology, pathophysiology, and etiology of cystoid macular edema (CME). Inflammatory, diabetic, post-cataract, and macular edema due to age-related macular degeneration is described. The role of chronic inflammation and hypoxia and direct macular traction is evaluated in each case according to different views from the literature. The different diagnostic methods for evaluating the edema are described. Special attention is given to fluoroangiography and the most modern methods of macula examination, such as ocular coherence tomography and multifocal electroretinography. Finally, we discuss the treatment of cystoid macular edema in relation to its etiology. In this chapter we briefly refer to the therapeutic value of laser treatment especially in diabetic maculopathy or vitrectomy in some selected cases. Our paper is focused mainly on recent therapeutic treatment with intravitreal injection of triamcinolone acetonide and anti-VEGF factors like bevacizumab (Avastin), ranibizumab (Lucentis), pegaptamid (Macugen), and others. The goal of this paper is to review the current status of this treatment for macular edema due to diabetic maculopathy, central retinal vein occlusion and post-cataract surgery. For this reason the results of recent multicenter clinical trials are quoted, as also our experience on the use of intravitreal injections of anti-VEGF factors and we discuss its value in clinical practice.Keywords: cystoid macular edema, anti-VEGF, fluoroangiography, OCT, multifocal electroretinography
Giant cell arteritis: A rare cause of posterior vasculitis
Marilita M Moschos,Yan Guex-Crosier
Clinical Ophthalmology , 2008,
Abstract: Marilita M Moschos1, Yan Guex-Crosier21Department of Ophthalmology, University of Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, SwitzerlandPurpose: To report three cases of posterior vasculitis associated with subacute giant cell arteritis (GCA).Methods: Three patients with decreased vision underwent complete ophthalmologic examination and fluorescein angiography.Results: All patients presented posterior vasculitis. Patient 1 had an erythrocyte sedimentation rate (ESR) of 38 mm/hr and a C-reactive protein (CRP) of 28mg/L. Patient 2 and 3 had an ESR of 104 and 95 mm/hr and a CRP of 42 and 195 mg/L accordingly. Diagnosis was established by temporal artery biopsy. Resolution was observed after systemic prednisolone therapy.Conclusion: GCA should be suspected when posterior vasculitis and relatively high ESR and CRP are present.Keywords: giant cell arteritis, posterior vasculitis Horton’s disease, temporal arteritis, uveitis
Anterior segment granuloma and optic nerve involvement as the presenting signs of systemic sarcoidosis
Marilita M Moschos,Yan Guex-Crosier
Clinical Ophthalmology , 2008,
Abstract: Marilita M Moschos1, Yan Guex-Crosier21Department of Ophthalmology, University of Athens, Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, Lausanne, SwitzerlandPurpose: To report a case with anterior and posterior nodules associated with systemic sarcoidosis.Methods: A patient with decreased vision underwent complete ophthalmologic examination, ultrasound biomicroscopy, fluorescein and indocyanine green (ICG) angiography.Results: The patient presented a nodule of the iris of the OS and of the optic nerves of both eyes. Chest computed tomography and tissue biopsy established the diagnosis.Conclusions: Fluorescein and ICG angiography are the only objective exams to demonstrate the extent of ocular involvement in a patient with sarcoidosis.Keywords: sarcoidosis, fluorescein angiography, indocyanine angiography
Viscoat versus Visthesia during phacoemulsification cataract surgery: corneal and foveal changes
Marilita M Moschos, Irini P Chatziralli, Theodoros N Sergentanis
BMC Ophthalmology , 2011, DOI: 10.1186/1471-2415-11-9
Abstract: Participants in our study were 77 consecutive patients, who were randomized into two groups based on type of OVD used during phacoemulsification: Viscoat or Visthesia. All patients underwent a complete ophthalmological examination i.e., measurement of best corrected visual acuity (BCVA) by means of Snellen charts, intraocular pressure examination by Goldmann tonometry, slit lamp examination, fundus examination, optical coherence tomography, specular microscopy and ultrasound pachymetry preoperatively and at three time points postoperatively (day 3, 15, 28 postoperatively). The differences in baseline characteristics, as well as in outcomes between the two groups were compared by Mann-Whitney-Wilcoxon test and Student's t-test, as appropriate.Intraoperatively, there was no statistically significant difference in the duration of the ultrasound application between the two groups, while Viscoat group needed more time for the operation performance. It is also worthy to mention that Visthesia group exhibited less intense pain than patients in Viscoat group. Postoperatively, there was a statistically significant difference in central corneal thickness, endothelial cell count and macular thickness between the two groups, but BCVA (logMAR) did not differ between the two groups.Our study suggests that Viscoat is more safe and protective for the corneal endothelium during uneventful phacoemulsification cataract surgery, while Visthesia is in superior position regarding intraoperative pain. Patients of both groups acquired excellent visual acuity postoperative. Finally, this is the first study comparing OVDs in terms of macular thickness, finding that Visthesia cause a greater increase in macular thickness postoperatively than Viscoat, although it reaches normal ranges in both groups.Ophthalmic viscosurgical devices (OVDs) in cataract surgery were first described by Balazs et al. in 1972 [1]. Since then they are widely used in phacoemulsification cataract surgery. Specifically,
Massive choroidal hemorrhage after intravitreal administration of bevacizumab (Avastin ) for AMD followed by controlateral sympathetic ophthalmia
Dimitrios Brouzas, Chryssanthi Koutsandrea, Marilita Moschos, et al
Clinical Ophthalmology , 2009, DOI: http://dx.doi.org/10.2147/OPTH.S4641
Abstract: ssive choroidal hemorrhage after intravitreal administration of bevacizumab (Avastin ) for AMD followed by controlateral sympathetic ophthalmia Case report (4972) Total Article Views Authors: Dimitrios Brouzas, Chryssanthi Koutsandrea, Marilita Moschos, et al Published Date August 2009 Volume 2009:3 Pages 457 - 459 DOI: http://dx.doi.org/10.2147/OPTH.S4641 Dimitrios Brouzas, Chryssanthi Koutsandrea, Marilita Moschos, Spiros Papadimitriou, Ioannis Ladas, Michael Apostolopoulos 1st Eye Department , University of Athens, Athens, Greece Purpose: To report a severe ocular complication initiated ten days after intravitreal administration of bevacizumab (Avastin ), in a patient with exudative age-related macular degeneration (AMD). Patients and method: Case report. Results: Ten days after intravitreal injection of 1.25 mg Avastin , the patient manifested acute loss of vision with excruciating pain. An extensive choroidal detachment was evident in close contact with the lens, which necessitated an emergency sclerotomy with reconstruction of the anterior chamber. Four months later, the eye proceeded to phthisis bulbi. Five months after the injection, the patient complained of mild pain, photophobia, and visual acuity deterioration from the fellow eye. The diagnosis of sympathetic ophthalmia was suggested and treated with intravitreal injections of triamcinolone acetonide every three months with good response, complicated by elevation of intraocular pressure which we managed with Ahmet valve implantation. Conclusion: Serious ocular complications after intravitreal of Avastin can not be excluded, including massive choroidal hemorrhage and sympathetic ophthalmia of the fellow eye.
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