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Author:Prof.Festim Halili
Co-Authors:Diturim Xheladini ; Yllza Nesimi ; Besmir Ollomani
H521 831 901 822 559 In 2014 there are 640 patients diagnosed with
Diabetic Retinopathy (diabetes complications
H522 1426 1324 1200 1300 that affects the eye) while in 2015 we have 452
patients, in 2016 there are 460 patients and in
H524 1498 1200 1300 2040 the last year (2017) we have 316 patients
diagnosed with this diagnosis, we can clearly
H36 640 452 460 316
notice that 2014 was the year that held the
Cataract (Tetovo) biggest number of patients.
Zg61 383 326 391 305 CATARACTA – “Zg.61” (the medical code for
cataract). The number of the patients with this
diagnosis increases over the years, so from 2014
we have 305 patients, in 2015 we have 326, in
A. Results of the statistics in state 2016 we have 383 patients and in the last year
Hospital of Tetovo. we have 391 patients.
In 2014 there are 1216 patients with CODES 2014 2015 2016 2017
Hypermetropia (long – sightedness) meanwhile Year Year Year Year
in 2015 we have got 1303 patients, in 2016 –
1427 patients and in the last year there are 1000 H520 3819 3420 2904 2015
patients, we can see that in 2016 there are more H521 1997 1500 1250 985
patients diagnosed with Hypermetropia.
H522 2146 2000 2630 1963
The number of patients diagnosed with Myopia
(short – sighted, lack of foresight) in 2014 is 831, H524 954 995 2500 1200
then in 2015 we have 901 patients, in 2016 there
are 822 patients and in the last year (2017) we H36 760 850 1010 743
have 559 patients, as we can see there are more
patients with this diagnosis in 2015. Cataract (Skopje)
Tetovo Skopje
7% 9%
9% 23% 9%
31%
14%
23%
14%
15%
24% 22%
Case 2
The patient V.A is the daughter of the B.A
(previous patient), so it is about genes but this girl
has suffered from many diagnosis, the first is
RETINOBLASTOMA DEX, SIN (right, left) the
second is OSTEOSARCOMA FEMORIS DEXTRI
(cancer of the right thigh bone) the third is
CAMPANACCI GENUS DEXTRI (non-ossified
knee bone, right) and the fourth is
KYPHOSCOLIOSIS TORACALIS (an abnormal
curvature of the spine). All the cancerous cells
were malign, these diagnosis were earned form the
eye cancer, so as a baby (7 months) she has had eye
cancer which cancer has been detected by her
mother who has noticed a reflection in her eye
pupil while taking a picture of her, when she goes
under surgeries, the left eye is completely removed,
fortunately the tumor has not had metastasis so the
cancer did not destroy the optic nerve but the
Figure 3:R345W mutation cancerous cells were still active but recessive
(hidden) the “active cancer cells”
appear in the age of 8 in the form of
OSTEOSARKOMA so she started 6 block
chemotherapy then she goes through surgery,
doctors remove the knee part along with 5-6 cm of
healthy bone shaft. Because of the high amount of
the body weight only on the left leg, she gained the
Figure 4: Eye dystrophy other diagnosis KYPHOSCOLIOSIS
TORAKALIS. She is 13 now and she lives a
healthy life. Below, we will show some of our
original pictures of the second case.
Psychological statements
Retinoblastoma is the commonest intraocular
childhood malignancy in the world. It affects Patient B.A /
mostly children under 5years of age. It is a curable
cancer when detected early. Survival rate in Patient V.A – has been on depression as long as her
developed countries is at 90% compared with less hair was falling out because of chemotherapy, she
than 50% in developing countries. Delay in has felt unloved and didn’t want anybody near her
presentation and management has been seen as a but as soon as she finished 6 blocks chemotherapy
major contributor affecting outcome. she started to be happy and more positive.
IV. Cases
Case 1
Figure 5: the echography of the eye
F1:
♂
B B
♀
Bb Bb
b
Bb Bb
b
F1:
♂
B B
♀
BB BB
B
Bb Bb
b
V. Ophthalmological
devices