Spisanie 1-2015-final

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    EDITORIAL BOARD

    Editor-in-chiefProf. Tzvetan Markov, DSc

    Co-editor-in-chiefAcad. Prof. Pravoslava Guguchkova-Ianchuleva, DSc

    ditor in chargeAss.Prof. Borislav Dabov, MD, PhDditorial managerChristina Vidinova, MD, PhDAdministrative secretaryLubomir Denchev, MD

    Review and computer design editorRumen CvetanovTreasurerIrenna Demircheva, MD

    EDITORIAL COUNCILAss. prof. Lachezar Voinov, MD, PhD - SofiaProf. Marieta Konareva, MD, PhD - PlovdivProf. Chavdar Balabanov, MD, PhD - PlevenProf. Iva Petkova, MD, PhD -SofiaAss. Prof. Zornica Zlatarova, MD, PhD - VarnaAss. Prof. Georgi Yordanov, MD, PhD - Stara Zagora

    ISSN 1311 - 0624

    BULGARIAN REVIEW OF OPHTHALMOLOGY

    . LVIV 2015 1

    Prof. Pravoslava Guguchkova-Ianchuleva DScGSM: 0888 72 64 08

    E-mail: pravian7@yahoo.com

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    Prof. Tzvetan Markov DScGSM: 0894 36 98 07

    E-mail: tzvetanmarkov@abv.bg

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    CONTENTS

    Clinical Ophthalmology - DiagnosticsENDING BLOOD CAPILLARIES IN THE EYE

    Majdrakova I.

    Medical TherapyONE DAY, DISPOSABLE HYDROGEL CONTACT LENSES -

    OPPORTUNITIES, EVALUATION, CLINICAL CHARACTERISTICS

    Grupcheva H., Simova J., Boyadjiev D., Manolova Y.

    Clinical Ophthalmology - Surgery treatmentFEMTOSECOND LASERASSISTED CATARACT SURGERY-

    POINT AND PRINCIPLESTopov A., Kostalevska V., Stoyanova S.

    COMBINATION OF OPERATION TECHNIQUES IN DIABETIC RETINOPATHY

    Dabov B.

    OphthalmgeneticsCONE - ROD DYSTROPHY

    Oblashka M., Ilieva E., Murgova S., Georgiev R.

    SurveyOCCUPATIONAL HAZARDS AS A RISK FACTOR

    FOR UVEAL MELANOMATrifonova K., Djelebov D., Slaveikov K., Trifonova K.Y.,

    Prakova G.

    Helping the Resident Ophthalmologist PROLIFERATIVE PROCESSES IN THE FUNDUS - PVR, PDR

    AND A TRAUMATIC PVRVidinova H.

    Academic development

    Conferences, Symposia, CongressesXIII SYMPOSIUM OF THE NATIONAL GLAUCOMA

    ASSOCIATION - Invitation

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    - Clinical Ophthalmology - Diagnostics 1, 2015 (3-7) Bulgarian review of ophthalmology

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    Ending blood capillaries in the eyeMajdrakova I.

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    Abstract

    When we observed a videorecords of lymphographies of the conjunctiva, we saw, that the dye Patentblau V droped down simultaneously in the lymphatic and blood vessels. Apart from other findings, we fixed that when the blood capillaries reach the limbus, the walls of the loop had increased permeability and intensivly admit the dye. Analogical phenomenon is observed, when there is a close inflammatory focus or neovascularisation after wearing of contact lenses. But we did`not find the above mentioned condition here.Because we observe this finomen very freguently on the videorecords, we considerd that the increased permeability of the blood vessels at the apex, near the limbus is a normal condition. It is due to the necessity of these blood capillaries to nourish the cornea, because there are no vessels. For sure the situation is similar to other circumstances of the capillaries, that reaches the edge of the macula in retina and etc.

    Key words: capillaries, limbus, age related macular degeneration.

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

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    , . . - - . Klinische Monatsblatter fur Augenheilkunde. - - - -2006. . , - - , , . - -

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

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    3.Kunitomo Noboru Microcirculation of Human conjunctiva 1974, Igaku Tosho Shupan LTD , Tokyo

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    Medical Therapy 1, 2015 (8-15) Bulgarian review of ophthalmology

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    One day, disposable hydrogel contact lenses - opportunities, evaluation, clinical characteristics

    Grupcheva H., Simova J., Boyadjiev D., Manolova Y.

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    : 9 2 . 116 , 106 . 25 (18-46), 64% , (79%). - ( 70%) 5.86 ( 6.00). 11 . ( ) 16 (14%), - . 100 % . - , 105 (90.5%). , - , 108 (93%). .

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    Medical Therapy Bulgarian review of ophthalmology

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    Abstract

    Purpose: The purpose of this nationwide, multicentre, prospective study is to perform a trial of one day lenses manufactured from a new material hypergel, and to analyze the subjective evaluation of patients and specialists, and correlate those with the objective findings.

    Methods: Eleven practices were invited in the study with maximum entry per specialist of 10 patients. For unification reasons a special algorithm together with two questionnaires and 2 examination sheets were custom made for the 4 steps of the evaluation process.

    Results: The study was based on 11 practices, 9 of which individual. A total of 116 were recruited, 106 of which were with fully finalized paperwork. The mean age was 25 years (18-46), with female predominance 64%. Most of patients had myopia (79%). The mean score for comfort when re-fitted or adapted (new patients 70%) to one day disposable Bio true lenses was excellent 5.86 (maximal mark 6.00). Only 11 patients evaluated comfort as very good, and 1 good. Preliminary evaluation of the doctors highlighted improvement of visual acuity, without changing the dioptric power in 16 eyes (14%), which is probably related to lubrication. Doctors reported excellent centration in all eyes 100 %. Initial score of the specialists was excellent for 105 patients (90.5%). Final score (at 2 weeks visit) was excellent for vision and comfort for 108 patients (93%). Results were analysed using regression and correlation methods.

    Conclusions: Hypergel is probably the near future of daily disposable lenses as a results of combination of high oxygen permability, constant water content and excellent lubricity. This pilot study provided excellent feed back from patients and contact lens specialists. Daily disposable lenses are the safest and most convenient modality for contact lens wear and their introduction to Bulgarian contact lens practice, might have a significant impact on improving quality of vision and life, regardless of the age.