ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04340.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Ninety‐two cases of granular corneal dystrophy, most of them belonging to 5 pedigrees are described. The age of manifestation in this Finnish type of granular dystrophy is first in the end of the second decade, and visual acuity is in mean normal through the whole life. An autopsy study showed no changes outside cornea elsewhere in the eyeball. In one family with granular dystrophy, another type of dystrophy, hereditary fleck dystrophy of the cornea, was accidentally foun

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04341.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Fourteen eyes with a juvenile disciform lesion of unknown aetiology in the macula were followed up for 1–6 years. Eyes with inflammatory signs, pre‐existing chorioretinal scars in the macula, or myopia of more than ‐ 5.0 dioptres were not included. Seven eyes in which the subretinal neovascular membrane was within 200 μ from the foveola were followed‐up without treatment. Of these, in 4 the new vessels underwent regression, and the result was good central vision in 3, whereas in 3 eyes the lesion progressed. Seven eyes were treated with photocoagulation: 5 with argon, 2 with krypton laser. In the treated eyes, the neovascular membrane was 200–500 μ from the foveola. New vessels were occluded by photocoagulation in 6 eyes. In the 3 treated eyes in which the new vessels were 350 μ or more from the foveola, the visual acuity improved or remained good (0.8‐1.0), whereas in the remaining 4 the vision deteriorated. In the eyes with good initial result the vision has remained stable in spite of remarkable late pigmentary changes in and a

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04342.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

In a series of 8 patients with recently discovered moderate essential hypertension the blood‐retinal barrier permeability to fluorescein was determined by aid of quantitative vitreous fluorophotometry before and after normalization of the systemic blood pressure. The permeability before medical treatment was 1.69·10‐7cm/sec (± SEM = 0.14) and after medical treatment and normalization of the blood pressure 1.27·10‐7cm/sec (± SEM = 0.12), corresponding to the permeability in a normal population. Thus the blood‐retinal barrier permeability is pathologically increased even in moderate degrees of essential hypertension, but this increase in permeability is

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04343.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A hospital material considered refractively unselected is made up by adult patients referred for general eye examination from other (non‐ophthalmic) departments (n = 1416; 2832 eyes). Thirty per cent of all eyes had negative refractive value. The highest myopia prevalence, about 40%, was seen in the age group 26–45 years. Glass‐demanding myopia (of at least ‐0.75 D) occurred in 14% of the elderly (66 years +) against 27–28% in younger adults. Up to the age of 45, more females were myopic than males. The present prevalences are considerably higher than expected from previous Danish studies. It is discussed to what extent this increase is real. The diabetics of the sample (representing 762 eyes) show a shift towards negative refractive values (37.9% with myopia) as compared to non‐diabetics (27.5%). The diabetic surplus is due to low degree myopia cases. The association between myopia and (well‐controlled) diabetes seems to be a ne

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04344.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

The incidence of eye diseases in Finland and the use of glasses has not been much investigated. During 1979‐80 an inquiry was made in which a questionaire was sent by mail to 12 000 people. 1500 volunteers from Estern, Western and Southern Finland were invited to a clinical eye examination. The incidence of eye diseases was low. A little over 2% of the respondents needed continuous ophthalmic treatment. The mean visual acuity was normal in 80% with glasses. About half of the patients examined wore glasses, slightly more females than male

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04345.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Various ocular complications following cataract surgery were treated using vitrectomy instruments by the pars plana approach. A total of 11 eyes were operated. Eight of these eyes had various anterior segment problems: Secondary cataract (2 eyes), cyclitic pupillary membranes (2 eyes), up‐drawn pupils (3 eyes), and occluding pupillary membrane following haemorrhage (1 eye). In 2 of these eyes opacities in the posterior vitreous were present as well. In addition, pars plana vitrectomy was performed in 3 eyes with presumed bacterial endophthalmitis. In one of these eyes, the vitreous was sterile at the time of the vitrectomy. The vitreous of the 2 other eyes contained Staphylococcus epidermidis, and Staphylococcus aureus, respectively. In the eyes with anterior segment problems, clear optical media were obtained in all cases. The visual outcome in these patients was determined by the condition of the retina at the time of surgery. Two of the eyes with endophthalmitis were saved with some preservation of vision. The third of these eyes which suffered from endopthalmitis caused by penicillinase‐producing Staphylococcus aureus, was lost. In this case vitrectomy and adequate antibiotic therapy was delayed. The modern vitrectomy instruments designed for pars plana vitrectomies are highly suitable for management of anterior segment problems following cataract surgery. When these problems are combined with pathology of the posterior vitreous, both kinds of problems may be dealt with at the same operation. In cases of presumed bacterial endophthalmitis, early vitrectomy should be considered to remove infective organisms, to obtain a definite diagnosis, and at the same time the eye may be perfused with antibiot

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04346.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

In 176 consecutive intracapsular cataract extracted eyes with an iris clip lens (IOL) and 159 eyes with consecutively performed intracapsular extractions (ICCE), the visual outcome and complications were examined in a follow‐up study. The average observation time was 48 months in the IOL group and 53 months in the ICCE group. In both groups the main cause of a visual acuity<0.5 was pre‐operatively recognized maculopathy. Eighty‐six per cent of the remaining IOL eyes and 93% of the remaining ICCE eyes achieved a visual acuity ≥ 0.5. Post‐operative complications were the cause of a visual acuity<0.5 in 11.9% of the IOL and 6.9% of the ICCE group. The most frequent complications were corneal oedema and retinal detachment. Pre‐operative and early post‐operative complications were important factors in the development of late complications in the IOL group. With proper pre‐operative evaluation and good surgical technique intraocular lens implantation is a

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04347.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Forty‐four unselected patients with amaurosis fugax (AF) have been followed for 4.6 years (mean 2.6). Thirty per cent had atheromatous lesions, 20% had miscellaneous diagnoses (temporal arteritis 5, transitory ocular hypertension 2, glaucomatous iritis 1, benign intracraniel hypertension 1), 50% consisted of young, mainly women, in whom no cause was found. Prior to AF 2 had hemiplegia, 4 TCI, one optic atrophy and suspicion in 3. None died, one developed hemiparesis and one macular degeneration. An individuel conservative attitude to AF seems justified in this materia

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04348.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

In a family consisting of 8 surviving siblings, pseudoxanthoma elasticum was diagnosed in 4 sisters. One of them had a severe visual handicap, and another a slight decrease of the visual acuity because of the ocular lesions. The other 2 sisters also had fundal lesions, but they were visually symptom‐free. Great variation was also found in the appearance of the ocular lesions in the affected siblings. In addition to the angioid streaks, the fundal findings in the probands affected included changes of the retinal pigment epithelium, exudative maculopathy, optic disc drusen and ‘fire‐work’‐pattern of drusen of the Bruch's membrane. A similar variety of alterations was also found in the histopathology of

ISSN:1755-375X    

DOI:10.1111/j.1755-3768.1983.tb04349.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY