摘要:

During a 5-year period, 60 patients with uncontrolled glaucoma in one eye, who were considered to have a poor surgical prognosis with conventional drainage surgery, were treated with a single-plate Molteno implant. The surgery was performed in one operation and the tube tied with an absorbable suture in all cases. The overall follow-up was 20.3 ± 11 months (range 3–60). A successful outcome (defined as an intra-ocular pressure ≤21 mm Hg with or without treatment) was achieved in 56% of the 16 eyes with either aphakic or pseudophakic glaucoma, in 71% of the 14 eyes with uncontrolled glaucoma despite a previous filtering procedure, in 46% of the 13 eyes with traumatic glaucoma and in 64% of the 17 eyes with traumatic glaucoma and lens involvement. The visual acuity remained the same or better in 70% (42/60). Early complications of the surgery were transient and easily treated. Late complications included tube exposure in 3 (5%), tube retraction in 2 (3.3%), bleb encapsulation in 5 (8.3%) and corneal decompensation in 1 (1.65%). This study suggests that the single-plate Molteno implant is a useful drainage device with satisfactory results when used for the treatment of refractory secondary glaucoma.

ISSN:0030-3755    

DOI:10.1159/000310324

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

The efficacy of epidermal growth factor (EGF) in reducing the healing time of the cornea after an epikeratoplasty has been evaluated in an open study in two groups of patients. The time required for complete reepithelialization of the cornea was recorded, and the data obtained were analyzed statistically. In the EGF group the reepithelialization was significantly faster than in the control group. These results indicate that EGF is effective in reducing the reepithelialization time of the cornea after an epikeratoplasty.

ISSN:0030-3755    

DOI:10.1159/000310325

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

40 patients, who underwent phacoemulsification and implantation of a polyHema intraocular lens (IOGEL®-1103) were assigned to two groups. After evacuation of Healon from the capsular bag behind the lens and the anterior chamber, either 0.5 ml of 1% acetylcholine chloride or 0.5 ml of balanced salt solution was injected into the anterior chamber. When compared with preoperative values, the mean intraocular pressure (IOP) 6 h postoperatively was unchanged in the acetylcholine group (0 ± 8.5mm Hg) but increased in the control group (+4.1 ± 7.4 mm Hg). 18 h postoperatively, the mean intraocular pressure slightly decreased in the acetylcholine group (––0.5 ± 6.1 mm Hg) compared with an increase of +1.4 ± 4.4mm Hg in the control group. Intraocular pressure exceeding 25 mmHg was observed at 6 h in 2 (10%) patients of the acetylcholine group and in 4 (20%) of the control group. At 18 h intraocular pressure was elevated in only 1 (5%) patient of the acetylcholine group and in 3 (15%) of the control group. From these results we conclude that the evacuation of Healon from the capsular bag behind the implanted lens and acetylcholine reduce the incidence of postoperative elevations of intraocular pressure.

ISSN:0030-3755    

DOI:10.1159/000310327

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

We examined the induction and spontaneous regression of corneal astigmatism among 1,023 phacoemulsification and aspiration (PEA) cataract surgeries performed with standard (n=831) and BENT incisions (n=192). The BENT (between 9 and 12 o’clock) incision is a method of entering the anterior chamber from the oblique side. In the BENT group, the degree of astigmatism was not significantly different from the standard group, 3 months postoperatively (1.48 ± 0.07 vs. 1.25 ± 0.04 dptr.) and 6 months postoperatively (1.30 ± 0.06 vs. 1.28 ± 1.28 ± 0.06 dptr.). However, 1 week and I month postoperatively, the astigmatism resulting from the BENT incision was much less than that of the standard PEA incision (1.69 ± 0.17 vs. 2.96 ± 0.05 and 1.60 ± 0.08 vs. 1.80 ± 0.05 dptr, respectively). Visual acuity also improved faster. The BENT procedure is recommended, because it is a simple way to lessen astigmatism.

ISSN:0030-3755    

DOI:10.1159/000310328

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

We present a family with dominant macular dystrophy and flecks (Stargardt) which was followed for 20 years. Twenty-three subjects out of 48 members in 4 generations underwent fundoscopic examination. Nine asymptomatic patients had a few scattered, small, whitish, drusen-like changes in the posterior pole, and an addditional patient had several clumps of increased pigmentation at the level of the retinal pigment epithelium in the macular region. Five patients had macular degeneration, with the onset of visual loss at between 24 and 30 years of age. The maculopathy started as fine, punctate, pigmentary changes, with transmission retinal pigment epithelial defects (as seen angiographically), or as flecks. The maculopathy progressed into a garland of perifoveal, subretinal flecks with small, central, areolar, chorioretinal atrophy. At the end-stage, there was a larger, central area of choroidal atrophy and a wider wreath of subretinal flecks. Visual acuity stabilized at the 20/200 level. Visual loss preceded clinically visible choroidal atrophy and was coincident with the accumulation of flecks in the foveal region.

ISSN:0030-3755    

DOI:10.1159/000310329

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

A new case of optic disk swelling associated with POEMS syndrome is described. This is a rare disease, but it should be suspected in cases of bilateral optic disk swelling when defining systemic components are present: polyneuropathy (P) organomegaly (O), endocrinopathy (E), monoclonal component (M) and skin changes (S). Usually visual acuity is maintained. However, loss of vision secondary to optic disk swelling and associated macular edema could be found.

ISSN:0030-3755    

DOI:10.1159/000310331

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

Three cases of spontaneous orbital hemorrhages in 3 adult females are reported. All of the patients had acute radiating pain in the orbit, vomiting and proptosis with a limitation of motility and ecchymosis of the eyelids. One was due to a large orbital varix with a preceding history of intermittent exophthalmos; the causes of the other cases could not be determined from their backgrounds. Within a few weeks, all of them had recovered from hematoma and had good prognoses without surgery. Orbital venous bleeding with 40 mm Hg pressure will cause more than 500 g tension on the four rectus muscles. To treat this clinical emergency, hemostasis with compression in the early phase and waiting for its spontaneous absorption are recommended.

ISSN:0030-3755    

DOI:10.1159/000310332

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

The clinical features of Posner-Schlossman syndrome and the various differential diagnoses are described in a 20-year-old patient. Additional to Posner-Schlossman syndrome this patient showed signs of Axenfeld’s anomaly. He also presented symptoms of a status-dysrhaphicus-like state after atrial septal defect and the ability to overstrain the distal finger joints. Posner-Schlossman syndrome, heterochromic cyclitis, anterior-chamber cleavage syndrome and ICE syndrome (irido-corneal-endothelialsyndrome: Chandler’s Cogan-Reesesyndrome and progressive essential iris atrophy) often produce similar effects at the Descemet membrane, the anterior chamber angle and the iris. Because of the same mesodermal origin of these tissues we suggest that all the diseases mentioned above are merely different clinical expressions of one main disease.

ISSN:0030-3755    

DOI:10.1159/000310333

出版商:S. Karger AG    

年代:1992

数据来源: Karger

摘要:

A 16-year-old boy with acute ophthalmoplegic polyneuritis (Fisher’s syndrome) exhibited bilateral internal ophthalmoplegia, but only lateral rectus and superior oblique eye movements were affected. Gaze-evoked nystagmus was also present on left lateral gaze. Pupillary reflex recovered 7 weeks after onset, but neither cholinergic supersensitivity nor light-near dissociation were present during the recovery process. This is the first such case to be reported in which the site of the lesion responsible for the pupillomotor impairment was the Edinger-Westphal nucleus.

ISSN:0030-3755    

DOI:10.1159/000310334

出版商:S. Karger AG    

年代:1992

数据来源: Karger

ISSN:0030-3755    

DOI:10.1159/000310335

出版商:S. Karger AG    

年代:1992

数据来源: Karger