Szemészet, 2006 (143. évfolyam, 1-4. szám)
2006-12-01 / 4. szám
143. évfolyam (2006) Supplementum I. For statistical analysis, the t-test was used. The mean score-change of the eye symptoms, making a comparison between the initial state and the treated state at either 5 minutes or at 3 weeks, was highly significant (p<0.001). The change was also significant in patients who had been previously treated locally or systemically with antiallergic drugs, as well as in the contact-lens wearers. Serious undesirable incidents were not reported during the period of the study. Initially 14.6% of the patients reported a burning sensation in the eye after instilling Zaditen, which reduced to 6.9 % after the 3-week period of therapy. The preparation was well-tolerated by the patients, and the dosage was safe. The study examined a uniquely large number of Hungarian patients. The results show that the effect of Zaditen eye-drops is rapid and prolonged, and that they are well-tolerated. They are a worthwhile ophthalmic treatment for allergy sufferers in this country. Féloldali exophthalmust okozó paranasalis osteoma ritka esete Koncz Enikő,1 Dombóvári Gergely,2 Rácz István,1 Lakatos László,3 Jakab Lajos,4 Kakuk judit,1 Berhés István2 Sarkkőt Ferenc Kórház, Szemészeti Osztály, Eger 2Markhot Ferenc Kórház, III. Belgyógyászati Osztály, Eger 3Markhot Ferenc Kórház, On-Fül-Gége Osztály, Eger 4Markhot Ferenc Kórház, Radiológiai Osztály, Eger Hirtelen kialakult bal oldali szemhéjoedema, exophthalmus, fejfájás, szédülés miatt felvételre került 63 éves férfi betegünknél orbita, arckoponya CT-vel sinus frontalis ill. ethmoidalisból kiinduló, orbitába 16mm-es bedomborodást mutató osteoma került leírásra. A műtétet cardialis szövődmények miatt nem lehetett elvégezni. Konzervatív therápia mellett szemhéjoedemája megszűnt, exophthalmusa mérséklődött. Megbeszélés: Féloldali exophthalmust okozhatnak az orbita keringési zavarai, gyulladásai, sérülései, tumorai. A melléküregi osteoma viszonylag gyakori benignus daganat, irodalmi ritkaság azonban, hogy intracranialisan vagy intraorbitalisan terjedjen. A rare case of paranasal osteoma causing one-sided exophthalmus Enikő Koncz,1 Gergely Dombóvári,2 István Rácz,1 László Lakatos,3 Lajos Jakab,4 Judit Kakuk,1 István Berhés 2 1 Ferenc Markhot Hospital, Eger: Department of Ophthalmology 2Ferenc Markhot Hospital, Eger: Department of Internal Diseases 3Ferenc Markhot Hospital, Eger: Department of Otorhinolaryngology 4Ferenc Markhot Hospital, Eger: Department of Radiology Report: A 63-year-old male patient was hospitalised because of the sudden onset of left-side exophthalmus, oedema of eyelids, headache, and vertigo. On CT scan an osteoma of the frontal and ethmoidal sinus, that protruded 16 mm into the orbital cavity, was diagnosed. Surgery was not possible because of cardiac complications. By conservative therapy the oedema of the eyelids resolved, and the exophthalmus lessened. Discussion: Causes of one-sided exophthalmus may be: disturbances in blood flow, inflammation, injury, or tumours of the orbit. Osteoma of the paranasal sinuses is a relatively frequent benign tumour, but its extension to the orbital cavity and anterior cranial fossa is a rarity.
