Faculty of Medicine

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    Item type:Publication,
    ACANTAMOEBA KERATITIS-a case report
    (Ophthalmological Society of Northern Greece, 1998)
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    Antova Velevska M.
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    Bron A.
    Acanthamoeba keratitis still is a problem in ophthalmology because of diagnostic and therapeutic difficulties. To date, Acanthamoeba keratitis is an increasing pathology because of the more widespread use of the contact lenses. The patient was 22 year old myopic student, soft lens wearer. He complained of progressive pain and redness in his left eye since a week. The patient was unsuccessfully treated with topical antibiotics and steroids, including antiviral and antihistamininics. After three months, he complained redness and photophobia with comeal ulcer and Acantamoeba keratitis was suspected. Methods :the essential parasitological diagnosis was confirmed after comeal scarping inoculation onto agar with lown of Eschericia coli and morphological identification and according to the Pussard and Pons classification were done .A therapy with 0,02 PHMB for three months with prolonged decreasing dosage has begun with resolution of the infection. Conclusion: success factor for diagnosis and therapy are early identification of the parasite and the use of intensive therapy with 0,02%PHMB for considerable period of time.
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    Item type:Publication,
    Amblyopia Treatment
    (2006)
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    Ivanovska M
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    Antova Velevska M.
    Purpose: to compare patching and atropine as treatments for moderate amblyopia in children 3 to < 7 years old Material and methods: prospective study of two groups of patients treated with patching or atropine (each group of 30 patients). The patients were from 3 to 7 years old and the visual acuity was measured with E test. The groups consisted of patients with strabismic and /or anisometropic amblyopia. The visual acuity of the amblyopic eye was -20/40 to 20/100. The visual acuity of sound eye was ->- 20/40. Inter eye acuity difference >- 3 lines. The visit schedule for the first 6 months was on 5 weeks, 17 weeks, 26 weeks, and afterwards on every 6 months. Results: Patient characteristics: 47% female. Cause of amblyopia: strabismus 38%, anisometropia 37% and combine –mechanism 24%. 26% received previous treatment for amblyopia. The other results of the study will be discussed further in the paper. Conclusions: both patching and atropine are effective treatments for moderate amblyopia in children 3 to 7 years of age. Patching produces more rapid improvement and possibly slightly better outcome. Atropine has easier administration. Both treatments were well tolerated.
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    Item type:Publication,
    Relapsing hifema-case report
    (2013-06)
    Angelovska A.
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    Fileva V.
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    Sazdovski I.
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    Duma H.