General Hospital of Veroia

Véroia, Greece

General Hospital of Veroia

Véroia, Greece
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Chatziralli I.P.,National and Kapodistrian University of Athens | Chatziralli I.P.,General Hospital of Veroia | Keryttopoulos P.,General Hospital of Veroia | Papazisis L.,General Hospital of Veroia | Moschos M.M.,National and Kapodistrian University of Athens
Clinical and Experimental Optometry | Year: 2012

An 86-year-old man presented with blurred vision and pain in the left eye. A slitlamp examination revealed anterior uveitis with hypopyon. During the investigation of the uveitis, the diagnosis of tuberculosis was confirmed. Hypopyon is a rare manifestation of uveitis due to tuberculosis. © 2012 The Authors. Clinical and Experimental Optometry © 2012 Optometrists Association Australia.

Chatziralli I.P.,Specialized Eye Hospital Ophthalmiatreion | Chatziralli I.P.,General Hospital of Veroia | Sergentanis T.N.,National and Kapodistrian University of Athens | Peponis V.G.,Specialized Eye Hospital Ophthalmiatreion | And 2 more authors.
Graefe's Archive for Clinical and Experimental Ophthalmology | Year: 2013

Background: Our study aims to investigate the possible risk factors for poor vision-related quality of life in patients scheduled to undergo phacoemulsification. Methods: Participants in our study were 220 patients who were eligible for phacoemulsification cataract surgery. All participants underwent a routine ophthalmological examination and completed the Visual Function Questionnaire-25 (VFQ-25), which encompasses 12 subscales and the composite score. Sociodemographic and lifestyle parameters were evaluated as potential risk factors for low VFQ-25 composite score, as well as subscale scores. Multivariate regression analysis was performed. Results: Composite score did not exhibit any significant associations. General Health subscale score was positively associated with higher educational level. Patients who currently worked presented with lower Vision Specific Mental Health subscale score (OR: 0.33, 95 % CI: 0.18 to 0.63). Vision Specific Role Difficulties subscale score was positively associated with exercise (OR: 1.89, 95 % CI: 1.30 to 2.75). Vision Specific Dependency subscale score was independently positively associated with marital status (married vs single/widowed/divorced, OR: 1.83, 95 % CI: 1.08 to 3.12) but inversely with current working status (OR: 0.40, 95 % CI: 0.20 to 0.79). Males exhibited lower Peripheral Vision subscale score compared with females (OR: 0.19, 95 % CI: 0.04 to 0.91). Conclusions: Baseline vision-related quality of life in cataract patients presenting for surgery seems affected by inherent sociodemographic and lifestyle parameters, such as gender, educational level, marital status, current working status and exercise. Therefore, clinicians should be aware of the discrepancies that risk factors may confer, and should thus focus on the most vulnerable subgroups. © 2012 Springer-Verlag Berlin Heidelberg.

Chatziralli I.P.,General Hospital of Veroia | Sergentanis T.N.,National and Kapodistrian University of Athens | Kanonidou E.,General Hospital of Veroia | Papazisis L.,General Hospital of Veroia
BMC Research Notes | Year: 2012

Background: Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery. Methods. 291 patients who underwent uneventful phacoemulsification were randomized into two groups ( Identifier: NCT01247155): i) Next day review (NDR group, n=146) and ii) No next day review (NNDR group, n=145). The rate of complications, percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign and best corrected visual acuity (BCVA) on postoperative day 28 were analyzed. Results: In the NDR group, 5.5% of patients developed a postoperative complication, whereas the respective rate was 6.2% in the NNDR group. The difference was not statistically significant (p=0.791). The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups. The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups. Conclusions: First postoperative day review could be omitted in cases of uneventful cataract surgery. © 2012 Chatziralli et al.; licensee BioMed Central Ltd.

Moschos M.M.,National and Kapodistrian University of Athens | Chatziralli I.P.,National and Kapodistrian University of Athens | Chatziralli I.P.,General Hospital of Veroia | Siasou G.,National and Kapodistrian University of Athens | Papazisis L.,General Hospital of Veroia
Klinische Monatsblatter fur Augenheilkunde | Year: 2012

Background: Computer use can cause visual problems. The purpose of our study was to evaluate visual problems due to computer use in young adults. Patients and Methods: Participants in our study were 87 adults, 48 male and 39 female, mean aged 31.3 years old (SD 7.6). All the participants completed a questionnaire regarding visual problems detected after computer use. Results: The mean daily use of computers was 3.2 hours (SD 2.7). 65.5 % of the participants complained for dry eye, mainly after more than 2.5 hours of computer use. 32 persons (36.8 %) had a foreign body sensation in their eyes, while 15 participants (17.2 %) complained for blurred vision which caused difficulties in driving, after 3.25 hours of continuous computer use. 10.3 % of the participants sought medical advice for their problem. There was a statistically significant correlation between the frequency of visual problems and the duration of computer use (p = 0.021). 79.3 % of the participants use artificial tears during or after long use of computers, so as not to feel any ocular discomfort. Conclusions: The main symptom after computer use in young adults was dry eye. All visual problems associated with the duration of computer use. Artificial tears play an important role in the treatment of ocular discomfort after computer use. © Georg Thieme Verlag KG Stuttgart · New York.

Throat pain is one of the most frequent complaints prompting patient visits to healthcare professionals. Primary care physicians being the first contact point are frequently encountered with symptoms such as sore throat and odynophagia. However, high level of diagnostic uncertainty exists when the oropharyngeal examination is normal despite patients' complaints of severe pain. We present four Caucasian Greek patients, two males aged 47 and 57 years and two females aged 32 and 47 years respectively admitted to an Ear Nose and Throat department of a general hospital, with severe throat pain and initially normal oropharyngeal examination. This case series highlights the necessity for a high level of suspicion on the part of the primary care physicians when facing patients complaining of severe throat pain since their symptoms may indicate conditions such as supraglottitis, lingual tonsillitis or pemphigus vulgaris. A careful clinical examination, including an indirect laryngoscopy, is required especially when the initial oropharyngeal examination is normal.

Kanonidou E.,General Hospital of Veroia | Chatziralli I.P.,General Hospital of Veroia | Konidaris V.,General Hospital of Veroia | Kanonidou C.,General Hospital of Veroia | Papazisis L.,General Hospital of Veroia
Contact Lens and Anterior Eye | Year: 2012

Purpose: To evaluate the impact of contact lenses wear vs. spectacles wear on visual function of young adults with mild to moderate myopia. Methods: 57 students (27 male and 30 female) with a mean age of 23 years old participated in the study. Their mean best corrected visual acuity was 10/10 binocularly, all suffered from mild to moderate myopia (-3.75. sph/SD 1.25. sph) and they were both contact lenses and spectacles wearers. The VF-14 questionnaire was administered to assess the contact lenses wear vs. spectacles wear impact score on general daily living among the young individuals. It was used translated in Greek after following the 'translation-back translation' procedure. Results: The mean VF-14 score among spectacles and contact lenses wearers was 100 and 86.78 (SD 4.08) respectively. Although there was a significant difference between the two groups (p<. 0.05), both scores were related to a satisfactory functional vision for daily living. The contact lenses wearers were facing difficulty especially while driving at night, seeing steps, as well as doing fine handwork (i.e. sewing, knitting or carpentry). Conclusions: The use of both spectacles and contact lenses provides satisfactory visual functioning for daily activities in young individuals suffering from mild to moderate myopia. However, there is a spectacles' wear superiority in personal satisfaction when compared to contact lenses. © 2012 British Contact Lens Association.

Vogiatzis I.,General Hospital of Veroia | Koulouris E.,General Hospital of Veroia | Sidiropoulos A.,General Hospital of Veroia | Giannakoulas C.,General Hospital of Veroia
Hippokratia | Year: 2013

Introduction: Anaphylactic shock and pulmonary edema are unusual but life-threatening adverse reactions to drugs. We encountered a case of serious anaphylactic shock and acute pulmonary edema caused by a single oral intake of acetazolamide, a frequently used medication by several medical specialties especially in ophthalmology. Case presentation: An 80-year-old female was admitted to our emergency Coronary Unit presenting symptoms and signs of shock with acute pulmonary edema. Patient was hospitalised at the Opthalmological Department with intention to undergo cataract surgery. Approximately, four hours before operation, half a tablet of acetazolamide 250 mg was given, in order to control her pre-operative intraocular pressure. Half an hour later, she complained of nausea, became cyanotic, and suffered acute respiratory failure with characteristic massive pulmonary edema. Ventilatory support was initiated and O2 saturation increased to 89%. She was administered 2 ampoules of intravenously furosemide. The blood chemistry panel was normal, as well as myocardial cytolysis tests. Chest radiograph showed enlarged cardiothoracic index, illdefined vessels, peribronchial cuffing, alveolar edema. An echocardiogram showed normal atria and ventricles, normal systolic function, and excluded pulmonary hypertension. Furosemide (40 mg/IV, S: 1x3) and oxygen (8 Lt/min) were administered for the following 24 hours. Clinical improvement was seen and the O2 saturation was normalized. ECG controls were normal. The patient experienced a full recovery and was discharged 3 days later. Conclusion: The relationship between anaphylactic shock with acute pulmonary edema and acetazolamide seems highly probable in this case, considering the short time between drug assumption and onset of symptoms (about 30 minutes) and the absence of previous diseases to which symptoms could be related. The patient was not previously treated with acetazolamide. Nowadays, the clinical use of acetazolamide is very limited. Its principal uses are in the preoperative treatment of closed angle glaucoma and continuative therapy of open angle glaucoma.

Chatziralli I.P.,General Hospital of Veroia
Bulletin de la Société belge d'ophtalmologie | Year: 2011

The benefit of cataract surgery in the general population concerning visual acuity and subjective visual function has been well established. However, a small proportion of patients are dissatisfied after cataract surgery. Our study aims to evaluate patients' dissatisfaction after phacoemulsification cataract surgery related to low visual function and to analyze the factors associated with this outcome. 397 patients, who underwent uneventful phacoemulsification cataract surgery, participated in the study. All the participants completed a self-administered questionnaire which evaluated their visual function pre- and post-operatively. Best Corrected Visual Acuity (BCVA) was measured before and after cataract surgery and patients' contentment if they were satisfied or not with the result of the surgery was also recorded. Macular disease, diabetic retinopathy and glaucoma were the main factors limiting the final visual result after phacoemulsification cataract surgery. It is very important for the patients to be preoperatively fully aware of the presentation of the aforementioned fundus pathology and to be warned about the predicted visual outcome after cataract surgery.

Chatziralli I.P.,General Hospital of Veroia | Kanonidou E.D.,General Hospital of Veroia | Keryttopoulos P.,General Hospital of Veroia | Dimitriadis P.,General Hospital of Veroia | Papazisis L.E.,General Hospital of Veroia
Open Ophthalmology Journal | Year: 2012

Background: Many of the common systemic diseases present characteristic changes in the fundus of the eye, but fundoscopy is often performed by an ophthalmologist. Our purpose was to assess the value of fundoscopy for the general practitioners (GPs) regarding the diagnosis and management of the cases which they face in daily practice. Methods: 689 patients were referred by GPs to the outpatient ophthalmology department for fundoscopy during the year 2010. The causes of this referral, the results of ophthalmoscopy and its significance in the final diagnosis were recorded and analyzed. Results: In 22 patients (3.1%), fundoscopy revealed optic disc edema. In 7 patients with head trauma (9.7%), fundoscopy revealed intravitreous haemorrhage and Berlin edema. From the patients with photopsias or floaters, 5 (10.2%) had retinal detachment. Finally, in cases with diabetes mellitus or hypertension, ophthalmoscopy was very important to detect the existence and grade the degree of diabetic or hypertensive retinopathy, if they appeared, and as a result to evaluate the prognosis of the disease. Conclusions: Fundoscopy is fundamental for the GP, as it may help to confirm or exclude the diagnosis of many common diseases. Nevertheless, there are clinical entities where ophthalmoscopy should be performed by an ophthalmologist, in order to be more specific and accurate, and GP should be able to recognise these cases. © Chatziralli et al.

PubMed | General Hospital of Veroia
Type: Journal Article | Journal: Hippokratia | Year: 2016

Coronary artery dissection is a rare complication of blunt thoracic trauma which can become rapidly lethal necessitating prompt diagnosis and treatment. Most reported cases of coronary artery injury, including dissection, involve the left anterior descending coronary artery, given its anatomical location in relation to the impact.A 72-year-old male, who was involved in a vehicular accident, sustained blunt thoracic trauma which resulted in isolated right coronary artery dissection and acute myocardial infarction. The culprit lesion was found in coronary angiography in the proximal right coronary artery and was successfully repaired with percutaneous coronary intervention and one drug-eluting stent placement.Traumatic dissection of coronary arteries must be suspected in blunt thoracic trauma. It can be treated with interventional management and results in a fairly good prognosis. Hippokratia 2015; 19 (3): 278-280.

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