“Purpose: To investigate whether intraoperative endolaser retinopexy around the sclerotomy site during pars plana vitrectomy can prevent the postoperative complication of retinal detachment (RD).\n\nMethods:
Two hundred and seventy-eight patients who had undergone 20-gauge pars plana vitrectomy for 4 various vitreoretinal disorders were investigated retrospectively. Patients who had rhegmatogenous RD and who underwent panretinal photocoagulation for diabetic Selleckchem Crenolanib retinopathy were excluded. In Group 1, 152 patients had not undergone laser retinopexy around the sclerotomy site, and in Group 2, 126 patients had undergone laser retinopexy around the sclerotomy site. The incidence rates of postoperative RD were compared.\n\nResults: In Group 1, 7 cases (4.6%) of RD developed: 6 cases (3.9%) of sclerotomy-related retinal breaks, and 1 of a sclerotomy-unrelated retinal break. In Group 2, superior RD developed in 1 case (0.8%), but no sclerotomy-related retinal break was observed.\n\nConclusion: Endolaser
retinopexy around the sclerotomy site is relatively simple to perform, without inducing particular complications. learn more It is expected to reduce the development of postoperative RD (4.6% vs. 0.8%; P = 0.08) and especially sclerotomy-related RD (3.9% vs. 0%; P = 0.03). RETINA 31: 1772-1776, 2011″
“Introduction. It has been shown that obesity is a risk factor for Obstructive Sleep Apneas (OSA) and that it could be related to insulin resistance (IR).\n\nObjective. To establish the frequency of OSA in obese children and adolescents with suggestive symptoms of sleep disordered breathing (SDB) by polisomnografic study (PSG) and to clinically characterize the groups
with and without OSA, and their association with IR.\n\nPatients, material and methods. Descriptive, retrospective, cross-sectional study in patients with obesity and symptoms of SDB examined in the Hospital Nacional de Pediatria “Prof. Dr. Juan P. Garrahan” Pinometostat cost between october/2002 and july/2008 to whom PGS had been done.\n\nAnthropometric and oral glucose tolerance test data were obtained and indices of insulin resistance derived from the homeostatic model were calculated.\n\nWe assessed the presence of OSA defined as apnea-hypopnea Index >= 1 Student’s and Chi Square Tests were used, establishing a level of significance of 0.05.\n\nResults. A total of 58 children were studied (59% M), average age 8.8 +/- 3.5 and Score Z-IMC 2.8 +/- 0.7. In 55.2% of cases, OSA was confirmed, independently of the degree of obesity. 56.9% presented IR. The patients were divided in groups according to the presence or not of OSA. There were no significant differences in age nor in Score Z-IMC. The patients with OSA presented greater frequency of tonsil hypertrophy (p=0.01, OR= 6.86) and IR (p= 0.01, OR= 4,44) and less insulin sensitivity (p= 0.04).\n\nConclusions. Both IR and the presence of tonsil hypertrophy were predictors of OSA.