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Pupić-Bakrač A, Knežević J, Pupić-Bakrač J, Škegro I, Pavan J, Jukić A, Rašić M, Jukić T. Aesthetic and Functional Outcomes of Upper Blepharoplasty Combined with Dacryoadenopexy in Lacrimal Gland Prolapse. Aesthetic Plast Surg 2024:10.1007/s00266-024-03972-9. [PMID: 38565726 DOI: 10.1007/s00266-024-03972-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 02/27/2024] [Indexed: 04/04/2024]
Abstract
INTRODUCTION Lacrimal gland prolapse (LGP) is a term used to describe a benign, anterior displacement of the lacrimal gland. If this condition is not properly addressed during upper blepharoplasty, the aesthetic and functional results are less than optimal. This study aimed to report the surgical outcomes of upper blepharoplasty combined with dacryoadenopexy in patients with LGP. METHODS We reported an unusual case of severe LGP in a young patient. In addition, we performed a systematic review of the English literature on surgical cases of LGP published between 1973 and 2023. Eligible articles were analyzed for individual patient data (IPD) and aggregate patient data (APD). The primary predictor variable was the surgical technique used for lacrimal gland repositioning/suspension. The primary outcome variable was relapse rate. RESULTS The bibliographic search retrieved 488 surgical cases of LGP: 12 in IPD, and 476 in APD datasets. The relapse rates in the IPD and APD cohorts were 8.3% (1/12) and 1.2% (6/476), respectively. Within the APD dataset, no significant difference in the relapse rates between dacryoadenopexy via suture suspension and Whitnall's ligament suspension (5/409 and 1/20, respectively; P > 0.05) was observed. Light cauterization of the lacrimal gland capsule and surrounding soft tissues was performed in mild LGP cases (< 4 mm prolapse), with a relapse rate of 0% (0/47). CONCLUSION Upper blepharoplasty combined with dacryoadenopexy proved to be a safe surgical procedure with very satisfactory aesthetic outcome and minimal relapse rate. LEVEL OF EVIDENCE III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Ana Pupić-Bakrač
- Department of Ophthalmology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000, Zagreb, Croatia.
| | - Josip Knežević
- Department of Ophthalmology, University Hospital Centre Zagreb, Kišpatićeva ul. 12, 10000, Zagreb, Croatia
| | - Jure Pupić-Bakrač
- Department of Otorhinolaryngology and Maxillofacial Surgery, General Hospital Zadar, Bože Peričića 5, 23000, Zadar, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, University Hospital Centre Zagreb, Kišpatićeva ul. 12, 10000, Zagreb, Croatia
| | - Josip Pavan
- Department of Ophthalmology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000, Zagreb, Croatia
| | - Anđela Jukić
- Department of Ophthalmology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000, Zagreb, Croatia
| | - Mario Rašić
- Department of Otorhinolaryngology and Maxillofacial Surgery, University Hospital for Tumors, Sestre Milosrdnice University Hospital Centre, Ilica 197, 10000, Zagreb, Croatia
| | - Tomislav Jukić
- Department of Ophthalmology, University Hospital Centre Zagreb, Kišpatićeva ul. 12, 10000, Zagreb, Croatia
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Lešin Gaćina D, Marčinko D, Kuzman T, Škegro I, Vidas Pauk S, Škegro B, Tomić M, Bulum T, Jandroković S. Personality dimensions and treatment adherence among glaucoma patients: the role of self-transcendence. Curr Med Res Opin 2024; 40:583-590. [PMID: 38404158 DOI: 10.1080/03007995.2024.2323644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 02/22/2024] [Indexed: 02/27/2024]
Abstract
BACKGROUND Cloninger's psychobiosocial model of personality proposes that consistent patterns of health behavior are determined by the complex interaction of different neurobiological processes of the patient's temperament and character dimensions. Poor medication adherence is a pervasive problem among glaucoma patients and can lead to increased morbidity and disability. The objective of the present study was to investigate the association between Cloninger's personality dimensions and medication adherence among glaucoma patients. METHODS The cross-sectional study was conducted among 113 primary open-angle glaucoma (POAG) patients. The treatment adherence was assessed through a valid and reliable self-administered questionnaire, the Culig Adherence Scale (CAS). Personality dimensions were evaluated using the abbreviated version of the Temperament and Character Inventory-Revised (TCI-140). Statistical analyses were performed using TIBCO Statistica 14.0.1. The study protocol was registered in the DRKS - German Clinical Trials Register; (DRKS-ID: DRKS00022081). RESULTS According to CAS, only 39.8% of patients were adherent to glaucoma treatment. Adherence was significantly negatively related only to the character dimension of Self-Transcendence (p < 0.05). No other TCI-140 dimension was significantly associated with medication adherence (p > 0.05). CONCLUSIONS The results suggest that POAG patients with higher scores on the Self-Transcendent personality dimension are more likely to experience difficulties adhering to medication regimen. The study highlights the importance of a holistic approach to glaucoma treatment, which takes into account not only the biological aspects of disease but also the psychosocial factors that influence patient behavior. Healthcare providers may need to consider glaucoma patients' personality dimensions, beliefs and values when developing treatment plans and strategies to improve medication adherence.
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Affiliation(s)
- Dina Lešin Gaćina
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
| | - Darko Marčinko
- Department of Psychiatry and Psychological Medicine, Zagreb University Hospital Centre, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Tomislav Kuzman
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Sania Vidas Pauk
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
| | | | - Martina Tomić
- Department of Ophthalmology, Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia
| | - Tomislav Bulum
- School of Medicine, University of Zagreb, Zagreb, Croatia
- Department of Ophthalmology, Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia
| | - Sonja Jandroković
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
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Mikuš M, Matak L, Vujić G, Škegro B, Škegro I, Augustin G, Lagana AS, Ćorić M. The short form endometriosis health profile questionnaire (EHP-5): psychometric validity assessment of a Croatian version. Arch Gynecol Obstet 2023; 307:87-92. [PMID: 35819491 DOI: 10.1007/s00404-022-06691-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 06/26/2022] [Indexed: 02/02/2023]
Abstract
PURPOSE To translate, adapt and validate the Endometriosis Health Profile-5 (EHP-5) in Croatian population. METHODS This validation study is a part of a prospective, observational study (EHP-5 CRO) with aim of implementation of EHP-5 and to provide better insight in quality of life consideration of women with endometriosis in Croatian clinical practice. A 150 consecutive patients with surgically proven endometriosis were enrolled. The translation to Croatian followed standardized procedure. Cronbach's Alpha was calculated to calculate internal consistency reliability of EHP-5. The test-retest reliability was calculated using intraclass correlation coefficient (ICC). The t test for independent samples was used to assess known-groups validity. RESULTS Both EHP-5 core and EHP-5 modular parts of the questionnaire had good internal consistency, assessed by the Cronbach's Alpha coefficient (α = 0.793 and α = 0.842, respectively). Obtained results indicate very good reliability for core as well as for modular part of EHP-5 questionnaire (ICC = 0.896 and 0.936, respectively). The independent t test showed that women who reported their pain with VAS scale 7 or more had significantly higher results (p < 0.001) on EHP-5 (M = 50.63) compared with women who reported their pain 6 or less (M = 26.91). Furthermore, we found statistically significant difference between women who are infertile with women who are fertile (p < 0.001), whereby infertile women had higher average result on EHP-5 (M = 49.55) compared with fertile women (M = 34.36). CONCLUSIONS The Croatian version of the EHP-5 have very good psychometric characteristics and can be used as a reliable tool for assessing patients with endometriosis in everyday clinical practice.
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Affiliation(s)
- Mislav Mikuš
- Department of Obstetrics and Gynecology, University Hospital Center, Zagreb, Croatia
| | - Luka Matak
- Department of Obstetrics and Gynecology, General Hospital, Zadar, Croatia.
| | - Goran Vujić
- Department of Obstetrics and Gynecology, University Hospital Center, Zagreb, Croatia
| | - Bernarda Škegro
- Department of Rheumatology, Physical and Rehabilitation Medicine, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, University Hospital Center, Zagreb, Croatia
| | - Goran Augustin
- Department of Surgery, University Hospital Center, Zagreb, Croatia
| | - Antonio Simone Lagana
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), Gynecology Oncology, University of Palermo, Palermo, Italy
| | - Mario Ćorić
- Department of Obstetrics and Gynecology, University Hospital Center, Zagreb, Croatia
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Lešin Gaćina D, Jandroković S, Vidas Pauk S, Pupić-Bakrač A, Vukojević N, Petriček I, Škegro I, Galiot Delić M. BILATERAL SEROUS CHORIORETINOPATHY AND PIGMENTARY GLAUCOMA - WHAT IS THE ASSOCIATION? Acta Clin Croat 2022; 61:727-734. [PMID: 37868183 PMCID: PMC10588375 DOI: 10.20471/acc.2022.61.04.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 11/03/2022] [Indexed: 10/24/2023] Open
Abstract
We present a patient with concurrent pigmentary glaucoma, bilateral central serous chorioretinopathy and unilateral optic disc pit, and propose a possible association of these conditions. Comprehensive ophthalmic examination of a 36-year-old man who was complaining of blurry vision and pain in the eyes showed reduced visual acuity on the left eye, elevated intraocular pressure in the right eye, bilateral signs of pigment dispersion syndrome, and bilateral central serous chorioretinopathy, combined with optic disc pit in the left eye. Visual field and optical coherence tomography findings demonstrated functional and structural glaucoma changes. Choroidal circulation abnormalities were observed by angiographic methods. Genetic and developmental anomalies of the external layer of the optic disc cup that gives rise to many anterior and posterior eye segment structures suggest a possible association of a clinical condition characterized by the combination of pigmentary glaucoma, central serous chorioretinopathy and optic disc pit. Future research would enable to determine proper diagnostic protocols, treatment and follow-up procedures for this chronic-progressive disorder.
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Affiliation(s)
- Dina Lešin Gaćina
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
| | - Sonja Jandroković
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Sania Vidas Pauk
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
| | - Ana Pupić-Bakrač
- Department of Ophthalmology, Zadar General Hospital, Zadar, Croatia
| | - Nenad Vukojević
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Igor Petriček
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
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Kuzman T, Meter A, Kalauz M, Masnec S, Škegro I, Jonjić I. Influence of Donor Thickness on Visual Acuity in Descemet's Stripping Automated Endothelial Keratoplasty. J Ophthalmic Vis Res 2022; 17:462-469. [PMID: 36620718 PMCID: PMC9806308 DOI: 10.18502/jovr.v17i4.12296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 03/21/2022] [Indexed: 12/02/2022] Open
Abstract
Purpose Conventional Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) is a corneal transplantation procedure where the patient's inner dysfunctional layer is replaced with donor lamella. The data currently present in the literature about the correlation between lamellar thickness and visual acuity is sometimes contradictory and lacks clarity. Methods Study included 55 eyes that underwent the conventional DSAEK procedure. Patients had no other comorbidities that could affect visual acuity. Data about lamellar thickness and visual acuity were measured six months after surgery with anterior segment optical coherent tomography (A5-OCT). Results The results show that visual acuity before surgery improved from 0.82 to 0.25 logMAR after surgery. Better visual acuity of 0.20 logMAR was achieved with postoperative lamellas thinner than 124 μm, while statistically significantly lower visual acuity of 0.29 logMAR was gained with postoperative lamellas thicker than 124 μm. Conclusion Our results suggest that the goal after conventional DSAEK is to have postoperative lamellas thinner than 124 μm in the eye, as this will result in better postoperative visual acuity. This value represents the optimal thickness for conventional DSAEK surgery that could minimize tissue loss for eye banks and surgeons may experience fewer problems during surgery, while obtaining good final visual acuity.
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Affiliation(s)
- Tomislav Kuzman
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
| | - Ana Meter
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
| | - Miro Kalauz
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
| | - Sanja Masnec
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
| | - Ivan Škegro
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
| | - Ivana Jonjić
- Department of Ophthalmology, University Hospital Center Zagreb, Zagreb, Croatia
- https://orcid.org/0000-0002-7137-5059
- https://orcid.org/0000-0003-1740-9198
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Barišić Kutija M, Kuzman T, Kalauz M, Jukić T, Perić S, Jandroković S, Škegro I, Masnec S, Mrazovac Zimak D, Vukojević N. LENS CARE COMPLIANCE RATES AND PERCEPTIONS AMONG RIGID GAS PERMEABLE CONTACT LENS WEARERS - A PILOT STUDY. Acta Clin Croat 2022; 61:198-205. [PMID: 36818931 PMCID: PMC9934039 DOI: 10.20471/acc.2022.61.02.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Accepted: 02/25/2020] [Indexed: 02/09/2023] Open
Abstract
The aim was to estimate compliance rate among rigid gas permeable lens wearers (RGPLW) in lens system care, identify procedures in lens care process with poorest compliance levels, and assess concordance between participant reported practices and their subjectively perceived compliance. The study included outpatient RGPLW managed at Zagreb University Hospital Center in Zagreb, Croatia. They filled out a questionnaire that included demographic data, duration of lens wear, self-evaluation compliance grade, and 14 lens care procedures and wearing habits indicative of compliance. There were 50 patients (mean age 34.6 years, 68% female). Full compliance was found in a single patient. The mean number of non-compliant procedures was 5.48, with 32% of participants non-compliant in more than 50% of the compliance criteria. Critical procedures of the lens care process were infrequent lens case exchange (74%), using tap water for lens (70%), and improper case cleaning (68%). The mean lens case replacement time was 9.8 months (SD 6.76), with only 26% of patients replacing lens case at least once in 3 months. Excessive daily lens wear was associated with greater total number of non-compliant procedures (p<0.0008). RGPLW were aware of their inappropriate lens care only when achieved non-compliance in almost 50% of the procedures. In conclusion, lens wearers were not aware of their extremely low compliance rate in several aspects of lens and lens case maintenance. Study results indicated the key procedures the practitioners should focus on when evaluating subjective and objective compliance and reinforcing care and hygiene education of RGPLW.
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Affiliation(s)
| | - Tomislav Kuzman
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Miro Kalauz
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Tomislav Jukić
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Sanja Perić
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia
| | - Sonja Jandroković
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Sanja Masnec
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
| | | | - Nenad Vukojević
- Department of Ophthalmology, Zagreb University Hospital Center, Zagreb, Croatia;,University of Zagreb, School of Medicine, Zagreb, Croatia
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Lešin Gaćina D, Jandroković S, Vidas Pauk S, Škegro I, Bošković J, Tomić M, Pupić-Bakrač A, Vlašić D. The medication adherence among glaucoma patients during the coronavirus disease 2019 pandemic in Croatia. Eur J Ophthalmol 2022; 33:333-340. [PMID: 35791501 PMCID: PMC9260194 DOI: 10.1177/11206721221112150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
PURPOSE This study aimed to evaluate the level of treatment adherence and identify predictors of adherence in glaucoma patients during the coronavirus disease 2019 (COVID-19) pandemic in Zagreb, Croatia. METHODS The cross-sectional study was conducted among primary open-angle glaucoma (POAG) patients at the Department of Ophthalmology, University Hospital Centre Zagreb, between 1st April 2020 and 1st April 2021. The sociodemographic data, clinical, and drug information were recorded. The treatment adherence was assessed through a self-administered questionnaire, the Culig Adherence Scale (CAS). Statistical analyses were performed using TIBCO Statistica™ 14.0.0. RESULTS 113 POAG patients (48M/65F) with a mean age of 65.89 ± 8.53 years were included in this study. According to the CAS, only 39.8% of patients adhered to topical glaucoma treatment. Educational level was positively related to adherence to treatment (p = 0.022). The main predictors for adherence were the patients' positive attitude towards the drug's effect, family support, and good relationship with the healthcare providers (p < 0.05, respectively). The majority of patients stated forgetfulness as the main reason for skipping drug dosing. CONCLUSIONS Non-adherence to treatment was prevalent among patients with POAG during the COVID-19 pandemic in Zagreb, Croatia. Personal beliefs and attitudes towards treatment, family support, and patient-healthcare provider relationship were significant predictors of adherence. Special consideration should be given to the whole health system-level strategies targeting the adherence to treatment, especially in crises, in order to achieve positive therapeutic outcomes.The study protocol was registered in the DRKS - German Clinical Trials Register, DRKS-ID: DRKS00022081.
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Affiliation(s)
- Dina Lešin Gaćina
- Department of Ophthalmology, Zagreb
University Hospital Center, Zagreb, Croatia,Dina Lešin Gaćina, Department of
Ophthalmology, Zagreb University Hospital Center, Kišpatićeva 12, 10 000 Zagreb,
Croatia.
| | - Sonja Jandroković
- Department of Ophthalmology, Zagreb
University Hospital Center, Zagreb, Croatia,University of Zagreb, School of
Medicine, Zagreb, Croatia
| | - Sania Vidas Pauk
- Department of Ophthalmology, Zagreb
University Hospital Center, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, Zagreb
University Hospital Center, Zagreb, Croatia,University of Zagreb, School of
Medicine, Zagreb, Croatia
| | | | - Martina Tomić
- Department of Ophthalmology, Vuk
Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur
University Hospital, Zagreb, Croatia
| | - Ana Pupić-Bakrač
- Department of Ophthalmology, Zadar General Hospital, Zadar, Croatia
| | - Domagoj Vlašić
- Department of Ophthalmology, Dubrovnik General Hospital, Dubrovnik, Croatia
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Lešin Gaćina D, Jandroković S, Marčinko D, Škegro I, Vidas Pauk S, Tomić M, Škegro B, Barišić Kutija M, Ivkić PK. Anxiety and Treatment Adherence among Glaucoma Patients during COVID-19 Pandemic and Earthquakes in Croatia. Psychiatr Danub 2022; 34:348-355. [PMID: 35772157 DOI: 10.24869/psyd.2022.348] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND The COVID-19 epidemic and earthquakes in Croatia during 2020 suddenly disrupted everyday life and caused psychological disturbances in population. The purpose of the present study was to assess the prevalence of anxiety symptoms and the level of treatment adherence in glaucoma patients during the pandemic. The paper also aimed to evaluate the correlation between anxiety symptoms, treatment adherence and treatment outcomes in the studied cohort. SUBJECTS AND METHODS This cross-sectional study was conducted among primary open-angle glaucoma (POAG) patients at the Department of Ophthalmology, Zagreb University Hospital Center, during one year. The Beck Anxiety Inventory (BAI) was used to measure the level of anxiety symptoms. Treatment adherence was estimated by the Culig adherence scale (CAS). Glaucoma damage was determined for each patient from the level of structural and functional impairment of the worse eye, by retinal nerve fiber layer (RNFL) thickness and mean defect (MD), respectively. Statistical analyses were performed, with a P value of less than 0.05 considered being statistically significant. RESULTS This study included 113 POAG patients, with a mean age of 65.89 years. The median of the BAI total score in all patients was 10. According to the CAS, 60.2% of patients were non-adherent to glaucoma treatment during the COVID-19 outbreak. The BAI total score was significantly negatively related to adherence to local glaucoma treatment (p<0.001). A significant negative association was also observed between adherence and MD (p=0.017), while no correlation was found between adherence and RNFL thickness (p=0.228). CONCLUSION Considerable proportion of patients with glaucoma have shown non-adherence to treatment during the COVID-19 pandemic. Anxiety severity was associated with lower adherence, thus indirectly influencing therapeutics outcomes. Special consideration should be given to the strategies promoting mental health and interventions focusing on treatment adherence in glaucoma patients in a time of emergencies.
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Affiliation(s)
- Dina Lešin Gaćina
- Department of Ophthalmology, Zagreb University Hospital Center, Kišpatićeva 12, 10000 Zagreb, Croatia,
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Vidas Pauk S, Vukojević N, Jandroković S, Kalauz M, Tomić M, Masnec S, Škegro I, Mrazovac Zimak D. Bilateral juxtapapillary choroidal neovascularization secondary to Birdshot chorioretinopathy-case report. Clin Case Rep 2021; 9:e04601. [PMID: 34429993 PMCID: PMC8365546 DOI: 10.1002/ccr3.4601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 06/29/2021] [Accepted: 06/30/2021] [Indexed: 11/24/2022] Open
Abstract
Central vision loss, photopsia, floaters, and macular edema in a highly myopic patient can easily be misinterpreted as high myopia complications. In atypical cases, detailed examination and a thorough diagnostic workup are required to establish the proper diagnosis, which is often beyond the scope of diagnoses initially considered.
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Affiliation(s)
- Sania Vidas Pauk
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
| | - Nenad Vukojević
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
- School of MedicineUniversity of ZagrebZagrebCroatia
| | - Sonja Jandroković
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
- School of MedicineUniversity of ZagrebZagrebCroatia
| | - Miro Kalauz
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
- School of MedicineUniversity of ZagrebZagrebCroatia
| | - Martina Tomić
- Department of OphthalmologyVuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic DiseasesMerkur University HospitalZagrebCroatia
| | - Sanja Masnec
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
- School of MedicineUniversity of ZagrebZagrebCroatia
| | - Ivan Škegro
- Department of OphthalmologyZagreb University Hospital CenterZagrebCroatia
- School of MedicineUniversity of ZagrebZagrebCroatia
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Masnec S, Vidas Pauk S, Jurilj M, Kalauz M, Kuzman T, Škegro I, Jukić T, Jandroković S, Seiwerth S, Barišić Kutija M. Enterococcus Faecalis Corneal Ulcers with Endophthalmitis and Consequent Bilateral Blindness as a Result of Unrecognised Intentional Self-Injury - A Case Report. Psychiatr Danub 2021; 33:676-680. [PMID: 34718300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Sanja Masnec
- Department of Ophthalmology, Zagreb University Hospital Center, Kišpatićeva 12, 10000 Zagreb, Croatia
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Meter A, Kuzman T, Kalauz M, Škegro I, Masnec S, Pavan J. POSTOPERATIVE THINNING OF LAMELLAR DONOR GRAFT AFTER CONVENTIONAL DESCEMET'S STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY. Acta Clin Croat 2018; 57:653-657. [PMID: 31168202 PMCID: PMC6544102 DOI: 10.20471/acc.2018.57.04.07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 10/18/2018] [Indexed: 11/24/2022] Open
Abstract
- The purpose of this study was to evaluate postoperative deturgescence of lamellar donor graft after conventional Descemet's stripping automated endothelial keratoplasty (DSAEK). It was a prospective study that included 55 eyes of patients (mean age 70.9±9.4 years; female 61.8%, male 38.2%). Preoperative thickness of lamella was compared with postoperative thickness six months after surgery. Central lamellar graft thickness decreased from 142±27 µm preoperatively to 124±20 µm 6 months postoperatively (p<0.01). After performing conventional DSAEK corneal transplantation, surgeons should expect deturgescence of corneal graft and reduction in thickness of lamellae by about 12% of initial thickness according to our results. We found this information important for better planning of surgical procedures and knowing what to expect after surgery, as well as for better cooperation with eye banks when ordering pre-cut corneal tissue.
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Kalauz M, Masnec S, Kordić R, Kuzman T, Vidas S, Škegro I, Jandroković S, Perić S. Posterior Capsule Opacification and Nd:YAG Rates with Two Acrylic Intraocular Lenses after Age-Related Cataract Treatment: Three-year Results. Semin Ophthalmol 2016; 33:395-401. [DOI: 10.1080/08820538.2016.1247182] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Miro Kalauz
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Sanja Masnec
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Rajko Kordić
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Tomislav Kuzman
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Sania Vidas
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
| | - Ivan Škegro
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
| | - Sonja Jandroković
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
| | - Sanja Perić
- Department of Ophthalmology, Zagreb University Hospital Centre, Zagreb, Croatia
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Škegro I, Suić SP, Kordić R, Jandroković S, Petriček I, Kuzman T, Kalauz M, Perić S, Masnec S. Ocular surface disease in pseudoexfoliation syndrome. Coll Antropol 2015; 39:43-45. [PMID: 26040066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Aim of the study is to determine connection between pseudoexfoliation (PEX) syndrome and symptoms and signs of ocular surface disease. Tear film break-up time test, Schirmer II test and assessment of lid parallel conjunctival folds were performed in 40 PEX syndrome patients and 40 controls. All data was statistically analyzed. Results show statistically significant difference in every component between groups, most prominent in tear film break up time test. We have concluded that patients with PEX syndrome have higher predisposition of tear function disorders and that both components of dry eye syndrome are present in PEX syndrome.
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Kuzman T, Kutija MB, Juri J, Jandroković S, Škegro I, Olujić SM, Kordić R, Cerovski B. Lens wearers non-compliance—Is there an association with lens case contamination? Cont Lens Anterior Eye 2014; 37:99-105. [DOI: 10.1016/j.clae.2013.08.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2013] [Revised: 08/01/2013] [Accepted: 08/02/2013] [Indexed: 11/30/2022]
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