Szemészet, 2006 (143. évfolyam, 1-4. szám)
2006-12-01 / 4. szám
143. évfolyam (2006) Supplementum I. 27 A szemészeti ambuláns előjegyzési rendszer buktatói s Borbándy Agnes, Seres András, Megyesi Mária Semmelweis Egyetem, Szemészeti Klinika, Tömő u., Budapest Napjainkra Magyarországon is elterjedtté vált az ambuláns szemészet vizsgálatokra való előjegyzési rendszer. Az előjegyzéseket általában asszisztens vagy adminisztrátor végzi telefonon keresztül. Klinikánk ambulanciájára többször érkezik olyan beteg, aki több hetet várakozott vizsgálatra, a vizsgálat után viszont sürgősséggel küldik klinikánkra további ellátás céljából. A szerző előadásában néhány tipikus példán keresztül felhívja a figyelmet a vizsgálati előjegyzéskor való célzott kérdések fontosságára, valamint az előjegyzést végző személy különös gondossággal való speciális képzésére. Pitfalls of the appointment-booking system in ophthalmic outpatient departments Agnes Borbandy, András Seres, Maria Megyesi Semmelweis University, Budapest, Department of Ophthalmology (Tömő Street) Appointment systems in ophthalmic outpatient departments have recently become widely popular in Hungary. The booking is usually made by an assistant or administrator, via the telephone. In our Department’s outpatient clinic we see a number of patients, sent from other outpatient departments in the country for urgent examination, who have been waiting for weeks for their initial examination. In this presentation the author points out the importance of educating the staff responsible for making the booking, to train them to ask appropriate questions to determine the urgency of the specific case. Amniotic membrane transplantation after excision of conjunctivalcorneal intraepithelial neoplasia and squamous cell carcinoma - video Damir Bosnar, Nikica Gabric, Iva Dekaris, Ratimir Lazic, Ante Barisic, Zeuka Karaman-Martinovic, Jurica Predovic, Edita Kondza Krstonijevic, Igor Knezovic University Department of Ophthalmology, General Hospital “Sv. Duh ”, Zagreb, Croatia Purpose: to demonstrate the efficacy of amniotic membrane transplantation (AMT) as adjunctive treatment after excision of conjunctival-corneal intraepithelial neoplasia or squamous cell carcinoma (SCC). Amniotic membrane is used to cover large conjunctival defects caused by the excision of malignant tumours. Methods: The medical records of two patients with histopathologically confirmed SCC, and one with intraepithelial neoplasia, were retrospectively reviewed. All patients were treated by tumour excision and AMT using amniotic tissue evaluated and stored by the Lions Croatian Eye Bank. The tumour size pre- and post-treatment, clinical response, and ocular complications were evaluated. In all 3 cases surgery was uneventful. Results: Patients were followed up for at least one year. No recurrences after surgical excision were recorded, and the amniotic graft successfully covered the bare sclera. In one patient signs of limbal stem cell insufficiency were recorded at the time of surgery, resulting (at 1 year after surgery) in circular conjunctivalisation of the cornea; but without clinical signs of tumour recurrence. Conclusion: Excision of planocellular carcinoma, combined with AMT in order to cover the tissue defect caused by tumour excision, seems to be a satisfactory treatment option for patients with SCC. Regular patient check-up by both ophthalmologist and oncologist is crucial in order to prevent spreading of the disease to other tissues.
