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EYE DISEASES

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Versione italiana
Academic year
2022/2023
Teacher
MASSIMO BUSIN
Credits
10
Didactic period
Primo Semestre

Training objectives

The course wants to deepen the clinical-rehabilitative management of pateient is affected by pathologies of vision; this process will be done with quantitative and qualitative analysis of clinical data through Life long learning viewpoint.

Prerequisites

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Modulo: 005417 - BIOFISICA
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Basic knowledges of physics, chemistry, biology, algebra and trigonometry

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Modulo: 015331/2 - ERGOFTALMOLOGIA
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Knowledge about anatomy and physiology and ocular anterior segment semeiotics, orthoptics and clinical ophthalmology I and II. Basic knowledges of physics, biology.

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Modulo: 53631 - LA SINDROME ASTENOPEICA: TRATTAMENTO ORTOTTICO
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Knowledge about anatomy and physiology and orthoptics

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Modulo: 53632 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO ANTERIORE
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Knowledge about anatomy and physiology and ocular anterior and posterior segment semeiotics, orthoptics and clinical ophthalmology I and II. Basic knowledges of physics, chemistry, biology, algebra and trigonometry

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Modulo: 53633 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO POSTERIORE
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Knowledge about anatomy and physiology and ocular anterior and posterior segment semeiotics, orthoptics and clinical ophthalmology I and II. Basic knowledges of physics, chemistry, biology, algebra and trigonometry

Course programme

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Modulo: 005417 - BIOFISICA
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INTRODUCTORY NOTES
What is Biophysics? The study of the nervous system with Biophysics. The brain. Specialized areas and interfacing with external devices (i.e. robotic arms, artificial retinae). Performances of natural and artificial nervous systems. Order of magnitudes. Feedback and homeostasis.
BASIC MOLECULAR STRUCTURES AND LAWS
Water structure. Salt solvation. Molecular structure of lipids, proteins and nucleic acids. Protein structure in membrane and in solution. hydropathicity diagrams. Ohm’s law. Nernst and Goldman-Hodgkin-Katz potential.
GENERATION AND PROPAGATION OF NERVOUS SIGNALS
Ligand-, voltage-, mechano-, light-, temperature-dependent channels and selectivity. Channelopathies. Graded potential, action potential, frequency coding, and synaptic transmission. Excitatory, inhibitory, ionotropic, and metabotropic synapses. G-protein enzymatic cascades. Spatial and temporal integration of synaptic signals. Effect of psychotropic drugs on synapses. AgCl electrode and membrane potential recording. Action potential: propagation speed. Na and K current isolation: the local anesthetics. Hodgkin-Huxley model. Saltatory conduction.
VISION AND SENSORY TRANSDUCTION
Eye, retina, rod and cones. Phototransduction cascade and its calcium regulation. The olfactotransduction and the odor perception. Mechanotransduction.

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Modulo: 015331/2 - ERGOFTALMOLOGIA
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Problems of the oculo-visual apparatus related to working assets (ergophthalmologic visit, Judgments of suitability, Frequency of tests, Definition of videoterminal worker and Main risks to the health of VDT operators).

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Modulo: 53631 - LA SINDROME ASTENOPEICA: TRATTAMENTO ORTOTTICO
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The module forecasts 12 hours of lectures.
definition of occupational asthenopia, visual and ocular subjective symptoms of asthenopia employment, risk factors, security management at video, orthoptics assessment of videoterminal and asthenopeic syndrome patients, orthptics training of asthenopeic syndrome

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Modulo: 53632 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO ANTERIORE
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The module forecasts 24 hours of lectures.
Keratoconus ( Features of keratoconus Clinics , predicted Indications Keratoconus Treatment by cross -linking , use of LAC , corneal transplant), Cataracts ( cataract Clinical Features , EVALUATION Preoperative through endothelial count , biometry , surgical procedures , types of intraocular lenses ), Conjunctivitis ( Clinical features , differential diagnosis , therapy), Dry Eye Syndrome ( Clinical features , differential diagnosis , therapy), Pathologies eyelids ( blepharitis , ptosis , entropion , ectropion , tumors )

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Modulo: 53633 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO POSTERIORE
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The module forecasts 36 hours of lectures.
Clinical features of: diabetic retinopathy, macular degeneration relating at ages, vascular retinal occluder of veins and artery. Treatment of rhegmatogenous retinal detachment, tractional , post -traumatic , wet AMD, diabetic retinopathy , vascular non - diabetic congenital and acquired , maculopathy.

Didactic methods

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Modulo: 005417 - BIOFISICA
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The course comprises 16 hours of lecture (2 credits). The lectures are held on a weekly basis in classroom with the aid of Power Point slides, computer simulations, movies, digital animations, and a tablet computer connected to the classroom projector (virtual blackboard). All the sketches drawn on the virtual chalkboard are finally saved in files that will be uploaded, together with all the computer material used in the lecture on a virtual hard disk freely accessible to the students.

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Modulo: 015331/2 - ERGOFTALMOLOGIA
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Lectures.

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Modulo: 53631 - LA SINDROME ASTENOPEICA: TRATTAMENTO ORTOTTICO
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Lectures.

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Modulo: 53632 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO ANTERIORE
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Lectures.

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Modulo: 53633 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO POSTERIORE
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Lectures.

Learning assessment procedures

The final grade is a weighted average of the marks obtained in each tests.

Reference texts

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Modulo: 005417 - BIOFISICA
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Fisiologia e biofisica delle cellule, a cura di V. Taglietti e C. Casella – Edises, 2015

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Modulo: 015331/2 - ERGOFTALMOLOGIA
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Teacher’s handouts
Specific topics can be further developed in the following texts:
- D. Lvo 626/94 – titolo VI e allegato VII (integrato dal D. Lvo 242/96)
- L. 29/XII/2000 n° 422 – art. 21 – Modifiche al D.Lvo 626/94
- Decreto Min. lavoro 2/X/2000 – Linee guida d’uso dei VDT
- Circolare Min. Lavoro 16/2001 – Chiarimenti operativi in ordine alla definizione di “lavoratore esposto” e “Sorveglianza Sanitaria”
- Norme UNI:
+ UNI EN 29241 parte 1^ - Requisiti ergonomici per il lavoro di ufficio con videoterminali (VDT)
+UNI 10530 – Sistemi di lavoro e illuminazione
+ UNI 10380 – Illuminazione di interni con luce artificiale
+ UNI 7498 – Sedie e poggiapiedi dimensioni e caratteristiche costruttive
+ UNI 8582 – Sedie e sgabelli determinazione della stabilità
+ UNI 7367 – Piano di lavoro – scrivania e sedia – tavolo per videoterminale
+ UNI 9095 – Tavoli per VDT – dimensioni

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Modulo: 53631 - LA SINDROME ASTENOPEICA: TRATTAMENTO ORTOTTICO
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Teacher’s handouts
Specific topics can be further developed in the following texts:
- Guida alla professione di Ortottista, a cura di Dilva Drago; anno 2009, ISBN 978-88-7351-268-4

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Modulo: 53632 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO ANTERIORE
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Teacher’s handouts
Specific topics can be further developed in the following texts:
Miglior M.et al., Oftalmologia Clinica, Monduzzi, 2005
Caporossi A., Oftalmologia, Piccin Editore, Padova 2017

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Modulo: 53633 - MALATTIE DELL'APPARATO VISIVO NEL SEGMENTO POSTERIORE
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Teacher’s handouts
Specific topics can be further developed in the following texts:
Miglior M.et al., Oftalmologia Clinica, Monduzzi, 2005