Horia Tudor Stanca

Carol Davila University of Medicine and Pharmacy

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Mihnea Munteanu

Victor Babeș University of Medicine and Pharmacy Timișoara

Bogdana Tăbăcaru

Clinical Emergency Hospital Bucharest

Simona Stanca

Carol Davila University of Medicine and Pharmacy

Cosmin Adrian Teodoru

Lucian Blaga University of Sibiu

Ciprian Danielescu

Grigore T. Popa University of Medicine and Pharmacy

Ovidiu Borugă

Victor Babeș University of Medicine and Pharmacy Timișoara

Florian Baltă

Clinical Emergency Hospital Bucharest

Valeria Mocanu

Victor Babeș University of Medicine and Pharmacy Timișoara

Mihnea Munteanu

Victor Babeș University of Medicine and Pharmacy Timișoara

Cosmin Roșca

Victor Babeș University of Medicine and Pharmacy Timișoara

Cooperative Institutions

Victor Babeș University of Medicine and Pharmacy Timișoara

Clinical Emergency Hospital Bucharest

Carol Davila University of Medicine and Pharmacy

Spitalul Clinic Judeţean de Urgenţă "Pius Brînzeu" Timişoara

Lucian Blaga University of Sibiu

Yahoo (United Kingdom)

Grigore T. Popa University of Medicine and Pharmacy

Emergency University

University of Medicine and Pharmacy of Craiova

Spitalul Universitar de Urgenţă Militar Central Dr. Carol Davila

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[Transluminal embolysis with Yag-Nd-laser].

Oftalmologia (Bucharest, Romania) (2008)

Horia Tudor Stanca Florian Baltă

Transluminal YAG laser embolysis (TYE) could be a therapeutical approach for retinal vascular occlusive diseases. The main indication is branch retinal artery occlusion with visible embolus. We are proud to present three BRAO cases managed successfully using TYE technique.

Embolus

Retinal Artery

Retinal Artery Occlusion

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A 6-month follow-up for patients who underwent Accelerated Epi-on Collagen Crosslinking

Romanian Journal of Ophthalmology (2024)

Alina-Cristina Chiraples Diana Maria Darabus Horia Tudor Stanca Mihnea Munteanu

Accelerated Collagen Crosslinking (A-CXL) is widely used worldwide as an effective treatment for keratoconus due to its efficiency and rapidity. This paper aims to identify relevant changes in visual acuity parameters and topographic measurements before and six months after treatment. A total of 30 eyes from 20 patients who underwent A-CXL between May 2021 and June 2023 and had at least six months of follow-up were analyzed retrospectively. Comparisons between uncorrected visual acuity, best corrected visual acuity, spherical and cylinder diopters, and topographic measurements like Kmax, SIf, SIb, KVf, KVb, BCVf, BCVb, TCT, and CCT were made before and six months after surgery. After the accelerated Collagen crosslinking (A-CXL), BCVA improved, cylinder diopters and Kmax values were reduced, and central corneal thickness (CCT) and thinnest corneal thickness (TCT) were elevated. The study has shown results comparable with other studies regarding the heterogeneity of the group study, good outcomes in measuring the corneal central thickness and thinnest corneal thickness, and good evolution of the refraction and visual acuity. Regarding the specific topography markers, like SIf/SIb, KVf/KVb, BCVf/BCVb, and Kmax, minor differences were observed at 6 months follow-up and were not considered statistically relevant. Other studies show a better correlation at 1-year check-ups and similar results at 6-month follow-ups. This method's main benefits are its brief duration and minimum intrusion, improvement of visual acuity, and the possibility of reintervention for better outcomes.

10.22336/rjo.2024.77

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Sub-inner limiting membrane hemorrhage in a patient with Terson syndrome

International Ophthalmology (2018)

Mihnea Munteanu Elena Cecilia Roşca Horia Tudor Stanca

Vitreous hemorrhage

Limiting

Inner limiting membrane

Internal limiting membrane

10.1007/s10792-018-0822-5

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Citations (22)

Post-Traumatic Cilia Remaining Inert in the Posterior Chamber for 50 Years

Diagnostics (2023)

Cosmin Adrian Teodoru Mihai Roman Adrian Hașegan Claudiu Matei Cosmin Ioan Mohor

Intraocular foreign body injuries (IOFB) can lead to a number of intraocular pathologies; the visual results depend on the mechanism of the injury, the type of foreign body and the subsequent complications. The presence of intraocular cilia (eye lashes) following penetrating injury or surgical intervention is uncommon. In the present paper, we present a case of a 58-year-old woman with a history of eye trauma and a perforated corneal wound in the left eye that occurred 50 years ago. On the ophthalmological exam we noticed in the anterior chamber a straight linear extension, resembling cilia, extending behind the iris. The patient reports that it appeared during COVID-19 infection, after repeated episodes of coughing. After a follow-up period, we decided to remove the eyelash; 24 h after surgery, the patient complained of severe eye pain. Intraocular pressure (IOP) in LE was 54 mmHg. The slit-lamp examination showed perikeratic congestion, corneal edema and mydriasis. Eye hypotensive treatment was started immediately and the patient's general condition slightly improved. Intraocular cilia can be tolerated for many years without causing any ocular reaction. The decision for surgical intervention must be taken according to the individual needs of the patient and his ocular characteristics with careful pre- and post-operative follow up.

Inert

10.3390/diagnostics13091575

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Ophthalmic Vein Thrombosis Associated with Factor V Leiden and MTHFR Mutations

Diagnostics (2023)

Cosmin Adrian Teodoru Mihnea Munteanu Nadina Mercea Alina Moatar Horia Tudor Stanca

Superior ophthalmic vein thrombosis (SOVT) is a rare clinical entity that may be associated with hypercoagulability status. We present a case of a 77-year-old woman who presented to the emergency department complaining of eye ptosis, chemosis and conjunctival congestion in the right eye (RE). The ophthalmological examination revealed best-corrected visual acuity (BCVA) was 0.5 for the right eye (RE) 0.5 and 0.06 for the left eye (LE). Intraocular pressure (IOP) was 25 mmHg in RE and 14 mmHg in LE. Non-contrast computed tomography (CT) of the brain and orbits revealed a hyperreflectivity at the level of the right ophthalmic vein and inferior rectus muscle hypertrophy. An extensive hypercoagulable panel was completed and we found a positive result for Factor V Leiden (heterozygous mutation) and methyl-enetetrahydrofolate reductase (MTHFR-C677T homozygous mutations). Systemic steroidal anti-inflammatory and anticoagulant treatments were started immediately. Gradual resolution of symptoms was noted during the hospitalization, and BCVA in her RE was established at 0.7 at the 10-week follow-up.

Chemosis

10.3390/diagnostics13061052

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OCT in idiopathic macular hole management

Oftalmologia (Bucharest, Romania) (2003)

Horia Tudor Stanca

PURPOSE To demonstrate the potential benefit of OCT in the management of IMH and in the post-operative follow-up of the patients with IMH. MATERIAL AND METHODS Prospective interventional study including 29 patients diagnosed with IMH since april 2002. All the patients underwent OCT of both eyes with the purpose to identify the MH, to define the size of IMH, to determine the stage of MH, to prove the connections between the internal limiting membrane and the posterior hyaloid and to perform differential diagnosis in doubtful cases. We perform surgery for all the cases in stage III and IV and for certain cases in stage II with unsatisfied patients. In stage I and in most of stage II we have performed dynamic follow-up of the patients without surgery. RESULTS The patients were followed for 12 months after surgery. We have controlled the visual acuity (decrease, increase or constant) and changes of IMH profile in OCT (closing of MH with a normal foveal profile, smoothing of MH edges, increase of MH size or no change). We observed a normal foveal profile in 20 cases and an increasing in visual acuity in 16 cases. The functional and anatomical behaviour of the patients was influenced by the stage of MH. CONCLUSIONS OCT gives the possibility to diagnose and staging the MH, but also it offers the possibility to choose the tactics in the management of IMH (taking care of the stage and the hyaloido-foveal traction) and to appreciate the postoperative prognosis. The postop OCT can precisely evaluate the anatomical result of the surgery with the possibility to improve the surgical technique. The management of IMH with the help of OCT is a good choice which gives the possibility to get good functional results and minimize the intra- and postoperative complications.

Internal limiting membrane

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Pseudo-Foster Kennedy Syndrome - a case report.

PubMed (2016)

Cătălina David Elena Suvac Bogdana Tăbăcaru Horia Tudor Stanca

Objective: To report a case of Pseudo-Foster Kennedy (PFK) syndrome and describe its clinical and paraclinical particularities, as well as the diagnostic difficulties and established treatment. Methods: The case of a 60-year-old male patient with sudden, painless visual impairment in the left eye (LE), and a medical history of old optic nerve atrophy in his right eye (RE) was described. Results: The diagnosis of nonarteritic anterior ischemic optic neuropathy (NAION) was established based on the medical history, local and general clinical and paraclinical examination, and temporal artery biopsy. Conclusions: Although there is no current generally accepted treatment for NAION, a correct diagnosis and supportive treatment may contribute to the improvement in visual acuity (VA), improvement that in this case remained stable for 6 months after the onset. The patient is still being monitored and no relapses have been noted.

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Past medical history

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Agreement in Biometric Parameters Between Swept-Source–Optical Coherence Tomography and Optical Low-Coherence Interferometry: Insights into Clinical Precision

Journal of Clinical Medicine (2025)

Mihnea Munteanu Leila Al Barri Simona Stanca Valeria Mocanu Cosmin Roşca

Background/Objectives: Accurate biometric measurements are critical for achieving optimal refractive outcomes in cataract surgery. This study evaluated the agreement of biometric measurements between a swept-source optical coherence tomography (SS–OCT) biometer (Argos®, Movu Inc.) and an optical low-coherence interferometry (OLCI) biometer (Aladdin®, Topcon Corp.). Parameters analyzed included axial length (AL), anterior chamber depth (ACD), lens thickness (LT), keratometry (K1, K2), and white-to-white corneal diameter (WTW). Methods: A total of 170 eyes were examined, and agreement was assessed using Bland–Altman analysis, intraclass correlation coefficients (ICCs), and Pearson correlation coefficients. Results: Excellent agreement was observed for AL (ICC = 0.975), ACD (ICC = 0.960), LT (ICC = 0.951), K1 (ICC = 0.921), and K2 (ICC = 0.927). Moderate agreement was found for astigmatism axis (ICC = 0.655) and cylinder power (ICC = 0.891). Poor agreement was noted for astigmatism-related Jackson cross-cylinder vectors J0 (ICC = 0.334) and J45 (ICC = −0.311), as well as for WTW (ICC = 0.338). Bland–Altman plots demonstrated narrow limits of agreement for most parameters, with mean differences of 0.009 mm for AL and 0.06 mm for ACD. Conclusions: Both devices demonstrated high degrees of agreement for core biometric parameters, supporting their clinical interchangeability. However, the variability in WTW and astigmatism-related measurements highlights the need for caution when precise corrections are required.

10.3390/jcm14051407

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Traditional Method vs AI. Which Is Better? Barrett Universal Ii or Ladas Super Formula

Yasar Ionela-Iasmina Servet Yasar Leila Al Barri Nadina Mercea Mihnea Munteanu

Pursuing optimal visual outcomes following cataract surgery remains a cornerstone of modern ophthalmology. Central to this objective is the precise calculation of intraocular lens power. However, despite significant advancements in biometric measurements and computational algorithms, variability in refractive outcomes continues to pose a challenge. This study aims to analyse the outcomes comprehensively by reviewing established and newer techniques. The eyes included in the study were evaluated based on various criteria, and a total of 210 eyes which met these criteria were included in the research. Our study is a retrospectively designed observational research study. The study included individuals who had experienced successful IOL implantation to correct refractive errors or cataracts. The ARGOS SS-OCT device is a spectral-domain optical coherence tomography system was used in the study. In measuring the lens power, values were obtained using Barrett Universal II and Ladas Super Formula. These values were compared. Postoperative assessments were conducted at 1-3 months, and 3-12 months, including spherical equivalent. In our study, 210 eyes were examined. The mean age of the participants was 63.44±11.62 years. The study's two most frequently used lens brands were ALCON and ZEISS. The lens powers calculated using the Barrett Universal II and Ladas Super Formula were compared. The means of the two calculations were found to be very close, and no statistically significant difference was observed between them. We compared the spherical equivalent values calculated during the participants' first and second postoperative follow-ups. The spherical equivalent values were similar, with no statistically significant difference. Formulas represent significant advances in ophthalmology and significantly improve visual outcomes; however, differences in their methodology and predictive accuracy warrant further analysis.

10.20944/preprints202502.0794.v1

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Empowering education for ophthalmologists

Romanian Journal of Ophthalmology (2017)

Horia Tudor Stanca

Empowering education for ophthalmologistsRomanian Society of Ophthalmology (RSO) and its Partner, the American Academy of Ophthalmology (AAO) are empowering education for Romanian Ophthalmologists by online clinical education resources.There have already been 2 years since RSO signed a partnership with AAO in order to provide access to ONE Network for every Romanian ophthalmologist, this opportunity being welcomed by our members, and being more and more used.Ophthalmic News and Education (ONE) Network is a Global Education Platform for Ophthalmologists launched in November 2007, which nowadays offers access to more than 400 courses and interactive cases, more than 15000 pages of ophthalmic content, more than 3600 clinical images, more than 1800 instructional videos and podcasts, 10 leading scientific journals, these numbers increasing constantly.ONE Network is a great resource for innovative education addressed to trainees offering 24 courses in all subspecialties, more than 100 videos and AAO lectures and more than 1000 self-assessment questions.This online resource for clinical information and instruction also includes up-to-date clinical guidelines translated into 15 languages, including Romanian.AAO collaborates with the Ophthalmology Societies Worldwide and ONE Network, through the Global Alliances, which is an outstanding project that had a significant impact on both clinical education and the delivery of eye care.Last year, during the 2016 AAO Meeting in Chicago, Richard L. Abbott, MD, Secretary for Global Alliances and Past President of the American Academy of Ophthalmology, has unveiled the "Global Directory of Training Opportunities", a service that will help the ophthalmologists worldwide identify the training opportunities (observership, fellowship or preceptorship) outside their country and expand their knowledge and instruction in the United States and internationally.Working with the AAO's Regional Advisors Committee, the Global Alliances has succeeded in just one year to plan and launch a Global Observership Listing Service and this tremendous option can be accessed by every Romanian ophthalmologist through ONE Network platform (aao.org/training-opportunities).The Romanian Society of Ophthalmology is proud to be one of the 70 national Societies that can offer ONE Network as a benefit for their members to stay updated and get the most comprehensive schooling.In addition, dear Romanian Ophthalmologists, feel free to expand your knowledge and identify the best educational opportunities by using ONE Network platform!

Romanian

10.22336/rjo.2017.1

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