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Changes in the Anterior Segment after 25G+PPV
Kopecký, Adam ; Pašta, Jiří (advisor) ; Baráková, Drahomíra (referee) ; Studený, Pavel (referee)
Univerzita Karlova 1. lékařská fakulta Studijní program: Zobrazovací metody v lékařství (P5150) Studijní obor: Zobrazovací metody v lékařství (5103V000) MUDr. Adam Kopecký Změny na předním segmentu po 25G+ PPV Changes in the Anterior Segment after 25G+ PPV Abstract Vedoucí závěrečné práce/Školitel: doc. MUDr. Jiří Pašta, CSc., FEBO Praha, 2019 Abstract: Pars plana vitrectomy is a dominant surgical method in posterior segment surgery of the eye. The principle of this method is the surgical approach via the pars plana anatomical region. With this approach, surgeon performs the posterior segment surgery without directly affecting the anterior segment of the eye. Short-term effect of pars plana vitrectomy on the anterior segment of the eye has been repeatedly proven. That might be an important factor both in assessing the complications of this method and planning the surgery in complicated patients. Generally, it is presumed that we do not observe long-term effects on anterior segment after pars plana vitrectomy. The aim of our work is to evaluate the long-term changes in the anterior segment after the uncomplicated 25G + PPV with gas tamponde. The group of 20 patients was selected according to strict indication criteria. Using a series of examinations, we examined specific parameters such as: intraocular...
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Changes in the Anterior Segment after 25G+PPV
Kopecký, Adam ; Pašta, Jiří (advisor) ; Baráková, Drahomíra (referee) ; Studený, Pavel (referee)
Univerzita Karlova 1. lékařská fakulta Studijní program: Zobrazovací metody v lékařství (P5150) Studijní obor: Zobrazovací metody v lékařství (5103V000) MUDr. Adam Kopecký Změny na předním segmentu po 25G+ PPV Changes in the Anterior Segment after 25G+ PPV Abstract Vedoucí závěrečné práce/Školitel: doc. MUDr. Jiří Pašta, CSc., FEBO Praha, 2019 Abstract: Pars plana vitrectomy is a dominant surgical method in posterior segment surgery of the eye. The principle of this method is the surgical approach via the pars plana anatomical region. With this approach, surgeon performs the posterior segment surgery without directly affecting the anterior segment of the eye. Short-term effect of pars plana vitrectomy on the anterior segment of the eye has been repeatedly proven. That might be an important factor both in assessing the complications of this method and planning the surgery in complicated patients. Generally, it is presumed that we do not observe long-term effects on anterior segment after pars plana vitrectomy. The aim of our work is to evaluate the long-term changes in the anterior segment after the uncomplicated 25G + PPV with gas tamponde. The group of 20 patients was selected according to strict indication criteria. Using a series of examinations, we examined specific parameters such as: intraocular...
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Needs of a patient after vitrectomy in ophthalmologist unit
CHIMIAKOVÁ, Soňa
The principle of a quality nursing care is a detection and satisfaction of biological, mental, social and spiritual needs which are altered by the illness. The mission of nurses is to help individuals, families and groups meet their current needs and achieve their maximum physical, mental and social satisfaction in accordance with the environment they live and work in. The objective of the thesis was to find out what kind of needs the patients after vitrectomy in ophtalmologist unit have and how are these needs satisfied. Another objective was to find out in which ways are the patients educated by the nurses. Before the research itself the questions were selected. The first question was to identify needs of patients after surgery in the opthalmologist unit in hospital in Kyjov and the second question was enquiry about meeting these needs. Third question raised was about education of patients after vitrectomy. The fourth question was to find out if the nurse can, by suitable education, prevent the patient from fear of returning home. The last fifth question was to find out if the nurses recommend cooperation with multidisciplinary team. The thesis consists of a theoretical and a practical part. The objective of the theoretical part was to give sufficient information on the patient´s needs. I also summarize problems which the patients may encounter when they are discharged from hospital and during subsequent socialization. In the practical part I used qualitative research using the method of case studies and in depth interviews with the use of dictaphone. The research sample consisted of patients in the ophtalmologic unit in hospital in Kyjov. Altogether, 10 patients were interviewed. The second part of research sample consisted of 5 nurses from the opthalmologist unit who were being observed while educating patients. In the discussion individual findings were discussed and reseach questions were evalutated. With regard to qualitative research the resulting hypotheses are stated in the last part of the thesis. The results show that the most frequent needs indicated by the patients were: absence of pain, security and safety, sleep and rest, food and drink and defecation. Furthermore, the needs of patients are being satisfied by suitable interventions. The nurse does help patients by suitable education to reduce the fear of returning home and the nurses do recommend cooperation with multidisciplinary team. The objective of the thesis was accomplished. The findings of the thesis can be used for training of nurses and medical staff who may encounter people with visual impairment also in other hospital units. They can contribute to improved care for these patients.
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