ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

In the recent pediatric ophthalmology and strabismus literature, there have been some important papers. Topics have included ocular outcomes in children born before 32 weeks of gestation, a practical correlate of Teller visual acuities and visual behavior in a real environment in a severely handicapped child, and a debate on the indications and efficacy of population screening for amblyopia. New information on the creation of refractive errors by earlier eyelid closure than used previously and a new torsionometer represent new sensory information. New information about motor adaptations in strabismus includes a new evaluation of saccade disconjugacy in deep amblyopia and in anisometropia. Spasmus nutans may be a longterm rather than a self-limiting disease, and the debate on neuroimaging in this condition has been evaluated. A subtle predictor of outcome in the surgical treatment of partially accommodative esotropia is presented, as well as an important case report on the treatment of a metabolic cause of strabismus in chronic progressive external ophthalmoplegia with coenzyme Q10- Finally, some information is presented on the treatment of hereditary retinal dystrophies with nonautologous retinal pigment epithelial cell transplants to the subretinal space of the dystrophic retina-the first experimental model of a successful biologic treatment of which I am aware and a possible indicator of future trends in human disease.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

New knowledge of the pathophysiology of amblyopia has evolved through animal research over the past 30 years. We now know that development and treatment of amblyopia have a critical and sensitive period. After more than a millennium, patching of the dominant eye remains the cornerstone of amblyopia treatment, and compliance plays an important role in its effectiveness. Compliance can now be measured objectively with an occlusion monitoring device. The first successful attempts have been made to pharmacologically influence the plasticity of the human visual system.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Comitant strabismus has been investigated and treated for centuries. Advances in understanding the etiology of this disorder have improved our ability to successfully treat it. This article addresses recent insights into the causes and treatments of comitant strabismus, with a focus on congenital esotropia, intermittent exotropia, and adult strabismus.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

During the past year, there have been interesting reports on the association of head tilt, facial asymmetry, and congenital superior oblique palsy. The etiology of sixth nerve palsy and its outcome in adults and children have been studied in two large series, and an orbital surgical approach has been reported to be valuable in cases of Brown's syndrome and superior oblique overaction.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This article reviews some of the past year's important papers, with particular emphasis on interesting connections between congenital pathology of the central nervous system and infantile strabismus, neuroimaging findings in meningomyelocele sustaining A-pattern strabismus, surgical outcome in strabismic children with cerebral palsy, and oculomotor problems in cerebral vascular diseases. Oculographic findings in myasthenic ocular palsies and a new form of congenital ocular fibrosis are also reviewed.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Although CO2lasers have been used in medicine for almost 30 years, recent developments have changed the way they are being used. Several laser technologies have altered the CO2laser delivery system, making it useful for the treatment of wrinkles, photoaged skin, and acne scarring. Histopathologically, the resurfacing CO2lasers produce morphologic alterations similar to medium-depth chemical peels. Many of the same principles applied to chemical peels and dermabrasion are useful in the evaluation and treatment of patients undergoing laser resurfacing. The results of laser therapy appear to be more predictable than those from dermabrasion and chemical peeling and produce fewer sequelae. Laser resurfacing can be used alone or as an adjunct to other cosmetic surgical procedures.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Several aspects of orbital implants are reviewed. Hydroxyapatite has become one of the most commonly used implants for anophthalmic patients and has many of the characteristics desirable in an implant, although reports of significant complication rates are noted. Recent editorials acknowledge the advancement that hydroxyapatite has given in treating anophthalmic patients but add a note of caution in its extensive use. It may be reasonable to limit the use of hydroxyapatite to patients who are highly motivated. Other recent advances in surgical technique, evaluation, and treatment of complications from hydroxyapatite are discussed. In addition, recent trends in treating orbital fractures are reviewed.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Dacryocystorhinostomy remains the mainstay of treatment of acquired primary and secondary obstructions of the lacrimal drainage system. The advent of the endoscope has prompted renewed interest in the intranasal or endonasal approach to fistulae formation. As results of the intranasal approach are reported, they are compared with the time-tested and effective external approach, bringing controversy to the once staid subject of lacrimal drainage surgery. Debate continues regarding the optimal timing of intervention in the treatment of congenital nasolacrimal duct obstruction. Clinical outcome analysis suggests that early office-based lacrimal probing is more cost-effective than a hospital-based procedure. Others warn that when other factors are included in the decision process, the recommended course of intervention may be different. If dacryocystorhinostomy is required in a child with congenital nasolacrimal duct obstruction, the results by an experienced surgeon are comparable with those in an adult operated on for primary acquired lacrimal obstruction.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID