Ultrasonography is useful part of ophthalmic examination for detection, evaluation and follow up of different vitreo-retinal pathologies.

A 50 year old man presented to Eye clinic University clinical centre Tuzla with bilateral visual impairment. Clinical examination revealed low visual acuity and keratoconus in both eyes, white cataract in right eye and diabetic retinopathy in left eye. Ultrasonography examination was normal. The patient underwent Trypan blue capsule staining, phacoemulsification and implantation of intraocular lens Alcon AcrySof SN60T9 16 D spherical and 6.0 D cylinder power. Phacoemulsification went uneventful and early postoperative recovery was successful. Visual acuity improved to 0,8 and fundus examination revealed background diabetic retinopathy. Postoperative follow up two years after surgery showed no signs of keratoconus progression and visual acuity maintained the same.

Introduction:Anophthalmia is congenital absence of the eyes; it may be unilateral or bilateral. Though rare, it occurs worldwide. It usually occurs in association with other systemic malformations.Case report:Therefore, the case of a female child delivered in University Clinic Center Tuzla is presented here with bilateral anophthalmia. The diagnosis was confirmed with an ocular computer tomography (CT) scan that showed under development of both globes within the orbit with a conclusion of bilateral anophthalmia. No other anomalies were found.Conclusion:This is unique case in the territory of Bosnia and Herzegovina, as according to the literature this is the first case of anophthalmia presented in this region. Currently two years ago she is followed both in ophthalmic and pediatric clinic at University Clinical Center in Tuzla.

Purpose:To evaluate safety and efficacy of day care cataract surgery in developing country. Patients and Methods:This prospective study included 200 patients planned for cataract surgery during October and November 2012 divided in to two groups, day care cataract surgery (DCCS) and inpatient cataract surgery (ICS), with same number of male and female patients right and left eyes. All patients had same operative conditions and postoperative follow up.Results:The average age of patients in this study was 68.4 ± 7.47 years. Visual acuity before cataract extraction was 0.1754 where 44.5% of patients had severe visual impairment and another 23% had complicated cataract. Posterior capsule rupture was noted in 4.5% of cases. The main risk factors in both groups were: higher age, female gender, left side, complicated cataract, higher dioptric power of IOL and ECCE. Regular control opthalmologic examinations 30, 90 and 180 days after the cataract extraction did not reveal signs bullous keratopathy, wound dehiscence, cystoid macular edema and endophtalmitis in any of patients. Postoperative visual acuity 180 days after the operation in DCCS was 0.920 ± 0.154 and 0.928 ± 0.144 in ICS. Visual acuity less than 0.5 was noted in 4.5% due to posterior eye segment changes. Patients in DCCS group had 30 control examinations more and 95 days of hospitalization less than ICS with 16.5% cost reduction.Conclusion:The concept of day care cataract surgery is equally safe and more cost effective than inpatient cataract surgery.

Aim. To compare binocular vision quality following unilateral implantation of either a monofocal or multifocal IOL. Methods. A prospective randomized double-blind study of postoperative binocular vision quality that included 100 patients with monocular cataract from regular operating program at the Eye Clinic UCC Tuzla. Patients were randomized into two groups of 50 patients, with implanted refractive multifocal zone-progressive IOL(AMO model NXG1) or monofocal IOL (Alcon AcySof model MA60BM). Parameters essential to evaluate the binocular vision quality were tested 6 weeks after surgery. Function of fusion was tested with a Bagolini-Maddox test with striped glasses and a cross at 6m distance. Stereo vision was tested with the Titmus stereotest with polaroid glasses at 40cm distance. Results. Unaided near visual acuity was significantly better in “multi” group, while unaided distance visual acuity was almost same in both groups. Analysis of intraocular implant influence on the basic binocular vision functions, showed that 42(84%) patients in “multi” and 36(72%) patients in “mono” group had normal finding and there was no statistically significant difference between the groups. In stereo vision test, threshold of 100 arc seconds was achieved in 34(68%) in “multi” and 11(22%) patients in “mono” group. This difference was statistically significant. Conclusion. Lower levels of binocular vision are better after implantation of multifocal IOL rather than those with implanted monofocal IOL, but not statistically significant. In higher level of binocular vision there is a statistically significant improvement in binocular vision in favor of the multifocal IOL