Background: We aimed to determine the socio-economic factors associated with unmet healthcare needs of the population aged 20 and over in Serbia. Methods: We used data from the 2013 National Health Survey (NHS) of the population of Serbia. We focused only on the data concerning the population aged 20 and over. The final sample thus included 13,765 participants. The logistic regression was used to examine the socio-economic factors associated with unmet health care needs. Results: According to the data obtained in this study, 26.2% of the population aged 20 and over reported unmet health care needs during the previous 12 months. The multivariate analysis shows that significant indicators of unmet healthcare needs include: gender, age, marital status, level of education, financial and employment status. Conclusion: Females, the elderly and those with the lowest levels of education and household income, as well as those who are divorced and unemployed are at highest risk of unmet healthcare needs. Different policies and approaches should be taken into consideration when it comes to vulnerable population groups in order to reduce the currently existing gaps to a minimum and provide more equal opportunities for health care to all citizens.

To investigate the effi cacy of a posterior sub-Tenon's capsule triamcinolone injection for treating eyes with non-infectious posterior and intermediate uveitis. A total of 31 eyes from 20 patients with non-infectious posterior uveitis and 18 eyes from 10 patients with non-infectious intermediate uveitis that inadequately responded to treatment with systemic corticosteroids and second-line immunosuppressive agents were enrolled in the study. All patients received a posterior sub-Tenon TRACT o investigate the effi cacy of f f f a a a a p p p posteri ri rior or or sub-Ten en en enon's capriamcinolone injection f f f fo o or tre e eat at at ati in i g eye es wit t th h h h non-infecposterior and interm m m media a a ate te te te uveitis. total of 31 eyes s s f f from m m m 2 2 20 patients wit th n non-infectious rior uveitis an n n nd d d d 18 8 8 8 eyes from 10 patie ents w w with non-inus intermedi di di d ate e e uveitis that inadequately re re re esponded to ment with h h h sys s st t te t mic corticosteroids and d second nd nd nd-line imosuppre e es s s ssive e e e agents were enrolled in th he study. A A A All pas receiv v ved a a a posterior sub-Tenon`s injec ction of 20 mg/m / / / l l l mcinol ol ol olone e e e. Th e parameters we examin ned included the wing g: g g be e es e t corrected visual acuity, y, central f foveal thickfl u u uo u rescein angiography score and intra aocular pressure. The e e mean b b bes es est t correcte te te t d d d visual acuity was signifi cantly ov v v ved f f f fr r ro r m m m m th th the control l l l vi v v v si si si it, t, t, t 0.15±0.30 0 logMAR (Snelq q quiva va va vale e e ent n n 0.7), compared to to to o the h h h baseline measurements, ± ± ±0 ± .3 3 3 30 0 0 0 logMAR (Snellen equ u ui u va a alent 0.2 25; P<0.05). Th e n c c cen n ntral f foveal thickness (C ( FT F FT F ) ) ) ) and th he mean score for esc c c cein angiography (FA) were e e signific cantly decreased t t t the e e e baseline (CFT: 320±34 μm; m; m; FA mea an score: 5.9±1.9) a ared ed ed ed to the twelve-week cont t t tr r ro r l visit (C CFT: 235±30 μm; e e ean sc c c cor o o o e: 1.2±1.1; P<0.00 0 00 001 1) 1 1 . Five eyes s had intraocular ur r re spikes th th that a at a req q equi ui ui uire re red d d d a topical an nti-glaucomatous men en ent. po o os st s s er r rio i i i r sub-Tenon`s injection of tr riamcinolone can ficantl tl tl tly im m m mprove visual acuity and decr rease macular oea in pati t t t ents ts ts ts with non-infectious posterio or and interme edi di di d ---veitis. C C C Com o o o pl pl pl p ications were minimal, an nd there w w were no that requir ir ir ired e e s s s sur u u u gical treatment for elev vated i i in nt n raocular ure. Th e resu u ult l l l s su su u ugg g g est that the posterio or sub b b-Tenon`s inn of triamcino o olo lo lo l ne i i is an important for rm of of of o therapy for nfectious posterior or or r and nd d i intermediate uv veitis. s s eywords: Intermedi di di d at a a a e uv uv uv veitis, poste erior r r uveitis, trinolone, fl uorescein an...

Background/Aim. Measurement of intraocular pressure (IOP) over therapeutic silicone hydrogel soft contact lenses by a non-contact method of tonometry could be applied in opthalmologic practice but the results obtained are still controversial. The aim of this study was to evaluate the effect of spherically designed silicone hydrogel soft contact lenses and their power on values of IOP measured by using a noncontact tonometry method. Methods. We measured IOP with and without spherical silicone hydrogel soft contact lenses on 143 eyes of 80 subjects who did not have any ocular or systemic diseases. Results. The Wilcoxon statistical analysis test for ranking average values of IOP measured on 143 eyes over a spherical silicone hydrogel soft contact lenses showed significantly higher values compared to those measured with no contact lenses (15.81 ? 3.46 mm Hg vs 14.54 ? 3.19 mm Hg; respectively; Z = -5.224, p = 0.001). Refractive power analysis of the contact lenses of -9.00D to +6.00 D showed a significant difference of IOP in the range from 0.00D to -6.00D. Conclusion. Non-contact tonometry is not an accurate method of IOP measuring over spherical silicone hydrogel soft contact lenses which belong to therapeutic contact lenses.

SUMMARY -Multifocal serpiginoid choroiditis is an infectious variety of serpiginous choroiditis. Th e disease is characterized by infectious etiology and overlapping clinical features in an intermediary form of acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis. In a 33-year-old patient, bilateral multiple placoid partially confl uent chorioretinal lesions were diagnosed after a febrile fl u-like episode. On the right eye, there was a progressive decrease in visual acuity. Later, the lesions had a prolonged progressive devastating clinical course and widespread distribution of placoid lesions, and took the form of serpiginoid choroiditis. We conducted extensive laboratory work-up and ancillary investigation for granulomatous diseases such as tuberculosis and sarcoidosis, and the results were not consistent with these entities. Systemic medical work-up revealed a history of exposure to the human immunodefi ciency virus, herpes simplex virus 1, varicella zoster virus and cytomegalovirus. Th e titer of Mycoplasma pneumoniae IgM antibodies was positive. After serological analysis positive for Mycoplasma pneumoniae, systemic antibiotic therapy and anti-infl ammatory doses of corticosteroids were administered. Improvement of visual acuity after the introduction of causal antibiotic therapy in combination with anti-infl ammatory therapy confi rmed our suspicion that Mycoplasma pneumoniae was the etiologic cause of multifocal serpiginoid choroiditis.