bluuebunny/crossref_metadata_2025_split huggingface dataset:
Argon Laser Treatment of an Eyelid Margin Capillary Hemangioma
Authors: Gladstone Geoffrey J , Beckman Hugh 
Published: April 2021

SUMMARY
When capillary hemangiomas do not resolve spontaneously, treatment may be indicated. Various forms of therapy have been employed. These include excisional surgery, cryotherapy, sclerosing solutions, embolization, external beam irradiation, steroids, and the argon laser.
We report the use of a standard ophthalmic argon laser combined with curettage on a noninvoluting eyelid margin hemangioma found on a 29-year-old man. Details of the surgical technique are provided and postoperative results documented. We believe this to be the first case of a lid margin hemangioma successfully treated in this manner.
The technique offers these advantages: (1) Selective absorption of the laser energy by the blood-filled tissue allows microablation of the lesion under ideal hemostatic conditions with minimal loss of normal lid tissue. (2) Oculoplastic lid repair is obviated since minimal normal tissue is removed. (3) The procedure can be performed under local anesthesia on an outpatient basis.
Vitrectomy in Children
Authors: Brown Gary C , Tasman William S , Benson William E 
Published: April 2021

SUMMARY
A series of 24 consecutive pars plana posterior vìtrectomìes in children is reported. The postoperative visual acuities improved in 59%, were unchanged in 23%, and worsened in 28%. Trauma was the most common predisposing etiologic factor to vitrectomy and accounted for 59% of cases. Boys in the series outnumbered girls by a ratio of nearly 3:1, a factor most likely attributable to the high incidence of trauma. In no case did visual loss occur as a direct result of vitrectomy.
Computerized Tomography in the Management of Acute Orbital Cellulitis
Authors: Gold Samuel C , Arrigg Paul G , Hedges Thomas R 
Published: April 2021

ABSTRACT
The usefulness of computerized tomography (CT scanning) in managing orbital cellulitis is analyzed in six cases. What appears as orbital abscess on CT scan may not be confirmed at surgery. Careful clinical evaluation and responsiveness to antibiotic therapy are most important in determining the need for surgical intervention.
Wound Necrosis Following Dacryocystorhinostomy in Patients With Wegener's Granulomatosis
Authors: Jordan David R , Miller Douglas , Anderson Richard L 
Published: April 2021

ABSTRACT
Two patients with Wegener's granulomatosis underwent dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction and epiphora. Wound necrosis occurred in each individual with the formation of a nasal-cutaneous fistula. A pedicle flap was the treatment of choice in one case, while direct closure of the necrotic incision site and high-dose steroid therapy was used in the other. Both did well with complete wound healing. The tearing persisted in one and resolved in the other. Dacryocystorhinostomy should be avoided whenever possible in patients with Wegener's granulomatosis, and steroid dosage should be increased if surgery is necessary in the presence of active inflammation.
Surgical Approach to Lamellar Sclerouvectomy for Posterior Uveal Melanomas: The 1986 Schoenberg Lecture
Authors: Shields Jerry A , Shields Carol L 
Published: April 2021

ABSTRACT
We describe a technique of surgically removing melanomas that involve the ciliary body and/or the choroid, while leaving intact the outer portion of the sclera and the overlying sensory retina. This procedure, called a partial lamellar sclerouvectomy, can be subclassified as a partial lamellar sclerocyclochoroidectomy in the case of ciliochoroidal melanomas, and as a partial lamellar sclerochoroidectomy in the case of pure choroidal melanomas.
Successful Treatment of Advanced Retinopathy of Prematurity
Authors: Topilow Harvey W , Ackerman Albert L , Wang Frederick M , Strome Robert R 
Published: April 2021

ABSTRACT
Thirty-nine eyes of 20 premature infants, mean birthweight 922 g, mean gestational age 27 weeks, with active retinopathy of prematurity (ROP), were treated. Thirty-one eyes with stage 3+ ROP and 180° to 360° of preretinal neovascularization received cryotherapy to ablate the zone of peripheral avascular retina. All underwent complete regression of active disease. Eight of these eyes subsequently developed retinal detachments due to ongoing vitreous traction. One detachment was inoperable. Six eyes were successfully reattached following scleral buckling surgery. One of these six redetached and became inoperable after 20 months. Pars plicata vitrectomy was not successful in reattaching the eighth case. Twentyeight of these 31 eyes retain useful visual acuity with follow-up of 15 to 70 months (mean 41 months). There have been no complications resulting from cryotherapy.
Eight other eyes with stage 4 ROP (traction retinal detachment) were treated with cryotherapy and scleral buckling surgery. All were initially reattached, but ongoing vitreoretinal traction caused redetachment in five. One was inoperable. "Open sky" vitrectomy was successful in reattaching three of the other four. Of the six cases that remained reattached with follow-up of 6 to 51 months, only two retain useful vision.
Grid Laser Photocoagulation for Atypical Central Serous Chorioretinopathy
Authors: Roseman Robert L , Olk R Joseph 
Published: April 2021

ABSTRACT
A 30-year-old man had symptoms and signs consistent with bilateral classic central serous chorioretinopathy. Conventional single-session laser treatments to both eyes stabilized the condition for 9 years. The patient then developed atypical central serous chorioretinopathy consisting of tracts of fluid emanating from the posterior pole and bilateral inferior exudative retinal detachments. Diffuse retinal pigment epithelial disease with recurrent leakage in both maculas was treated with grid laser photocoagulation, which was effective in stabilizing the patient's condition.
Mattress Bridge Sutures for Graft Fixation in Pediatric Keratoplasty: New Use of an Old Technique
Authors: Parish Carolyn M , Faris David A , O'Day Denis M 
Published: April 2021

ABSTRACT
Because of decreased scleral rigidity of tissue, penetrating keratoplasty in the pediatric age group is difficult. We have applied an early keratoplasty technique of graft fixation with indirect "bridge" or "overlay" sutures to temporarily stabilize the graft and facilitate wound closure.
Surface Reaction on Glass Anterior Chamber Foreign-body Removed 24 Hours After Injury
Authors: Wolter J Reimer , Lindenmuth Kim A 
Published: April 2021

ABSTRACT
An early stage in the formation of a reactive membrane on the exposed surface of a glass foreign body in the anterior chamber is demonstrated. It is emphasized that the formation of reactive membranes on the surface of foreign bodies in the anterior segment of the eye give the cytologic impression of different stages of successful adaptation.
An Improved Approach to Aqueous Paracentesis
Authors: May Donald R , Noll Francis G 
Published: April 2021

ABSTRACT
We describe a quick and effective technique for performing safe anterior chamber paracenteses. The technique consists simply of inserting a small gauge disposable hypodermic needle without an attached syringe into the anterior chamber. The intraocular pressure and capillary action of the needle readily cause the rapid drainage of aqueous humor. This technique eliminates the cumbersome manipulations and potential complications associated with using an attached syringe for aspiration.
Sympathetic Ophthalmia Following Neodymium:YAG Cyclotherapy
Authors: Edward Deepak P , Brown Steven V L , Higginbotham Eve , Jennings Tom , Tessler Howard H , Tso Mark O M 
Published: April 2021

ABSTRACT
Neodymium:YAG cyclotherapy has been demonstrated to lower intraocular pressure dramatically in patients with uncontrolled glaucoma, with potentially fewer side-effects than cyclocryotherapy. We report the clinical course and histopathological features of a case of sympathetic ophthalmia occurring soon after YAG cyclotherapy.
Contact Transscleral Cyclophotocoagulation With Nd:YAG Laser in Uncontrolled Glaucoma
Authors: Brancato Rosario , Giovanni Leoni , Trabucchi Giuseppe , Pietroni Cristiana 
Published: April 2021

ABSTRACT
To evaluate the effectiveness of contact delivery systems, we treated 23 eyes with uncontrolled intraocular pressure using a continuous wave Nd:YAG laser delivered by a fiber optic. With the fiber's tip perpendicular to the surface of the conjunctiva, 1.5 mm from the corneal limbus, we applied 16 laser spots of 2 J/second energy. Patients were followed for at least 6 months (mean, 8.6 ± 2.4 months). The mean pressure decreased from a pretreatment value of 43.7 mm Hg to a posttreatment value of 24.7 mm Hg (P=0.000). A total of 66.6% of the treated eyes achieved a pressure on last follow-up visit of 25 mm Hg or less. Pain decreased in all the patients treated (P <.005). Complications were minimal.
Trabeculectomy as an Introduction to Intraocular Surgery in an Ophthalmic Training Program
Authors: Morrell Andrew J , Searle Anne E T , O'Neill Eamon C 
Published: April 2021

ABSTRACT
Ninety seven trabeculectomies for open-angle glaucoma performed by either consultants (senior surgeons) or surgeons in training (resident junior staff) were retrospectively analyzed with reference to the outcome of surgery and the complication rate. The results obtained by the trainees were comparable with those obtained by experienced surgeons, suggesting that trabeculectomy is a suitable operation to be performed by surgeons in training.
The Effects of Exercise on Intraocular Pressure in Pigmentary Glaucoma Patients
Authors: Smith David L , Kao Sue F , Rabbani Roya , Musch David C 
Published: April 2021

ABSTRACT
Previous studies of normal volunteers and openangle glaucoma patients have shown that exercise temporarily lowers intraocular pressure. However, two case reports have described pigmentary dispersion syndrome patients who developed symptomatic increased intraocular pressure after exercise. We evaluated the intraocular pressure response to exercise in ten pigmentary glaucoma patients. An exercise protocol was designed to increase the likelihood of lens zonule-iris pigment epithelium contact. Intraocular pressure measurements during the first two hours after exercise showed no statistically significant elevation of mean intraocular pressure. The pressure rose 6 mm Hg and 7 mm Hg respectively at 15 minutes in two eyes, but returned to baseline by 30 minutes. Our results suggest that exercise may not significantly increase the clinical intraocular pressure in pigmentary glaucoma patients.
Tangential-Radial Traction Suturing Technique for Intrascleral Foreign Material Implantation
Authors: Bar S , Savir H , Gasner S , Levy M 
Published: April 2021

ABSTRACT
We used an infredderai implantation technique to anchor a kerato prosthesis in the li m bai sclera of 22 rabbits' eyes. The tangential-radial traction used in this procedure enabled multi vectorial traction forces to be applied while maintaining a tight junction between the biological tissue and the foreign material. During 23 weeks ol follow-up there was no postoperative leakage, no cataracts developed, and the anterior chamber was maintained in all the eyes at all times. No ocular infection developed in any eye during the first postoperative month. The compound-force traction used in this procedure may prove useful in other areas of ocular surgery.
Refinements of the Tarsal Strip Procedure
Authors: Weber Paul J , Popp Jeffrey C , Wulc Allan E 
Published: April 2021

ABSTRACT
We present several refinements in technique that simplify the tarsal strip procedure and enhance its results. Among these refinements are: electrosurgical deepithelialization of conjunctiva and lid margin, use of a V-shaped needle, direct needle passage about the lateral orbital tubercle, and the parallel placement of a buried absorbable suture to unite the upper and lower lid margins and to maintain a long-lasting sharp canthal angle. We have used these maneuvers in 45 patients with few complications; patient acceptance has been high. Also, we have found that using these maneuvers is helpful in teaching the procedure to residents.
Delayed Filtering Bleb Encapsulation
Authors: Ophir Avinoam , Ticho Uriel 
Published: April 2021

ABSTRACT
Encapsulated filtering blebs concomitant with increased intraocular pressure (IOP) developed 47 and 6 months, respectively, after surgery in two women, 46 and 60 years old, respectively, who had undergone trabeculectomy operations in one eye. Both blebs were associated with mild anterior uveitis. Following treatment with topical steroids, cyclopentolate, hypotensive medications, and digital massage, the uveitis resolved and the IOP fell. The likely cause of these late-appearing encapsulated blebs was anterior uveitis.
A "Development Aid" Approach to Third World Surgical Blindness
Authors: Brian Garry , Hollows Fred 
Published: April 2021

ABSTRACT
Establishing local production of intraocular lenses (IOLs) and sutures should be as much a part of surgical blindness prevention assistance to Third World countries as teaching extracapsular cataract extraction with IOL implantation, because it would increase financial independence and encourage economic growth.
Surgical and Medical Management of Patients With Narrow Anterior Chamber Angles: Comparative Results
Authors: Schwartz Gail F , Steinmann William C , Spaeth George L , Wilson Richard P 
Published: April 2021

ABSTRACT
We retrospectively reviewed case records of 70 patients (114 eyes) to assess long-term outcome of surgical and medical treatment of narrow anterior chamber angles. Fifty eyes had undergone a peripheral iridectomy, incisional or laser; 64 had been treated medically, without surgery. The two groups were not strictly comparable. (It is assumed but not proven that, since iridectomy was considered necessary in one group and not in the other, the surgicallytreated patients were more seriously diseased.)
Comparing clinical data obtained at the first visit with data obtained at the last visit, the eyes receiving iridectomies, as compared with those receiving medical treatment alone, showed a greater number of improved anterior chamber configurations (74% vs 28%), had a lower incidence of peripheral anterior synechiae (2% vs 10%), and required fewer glaucoma medications (30% fewer vs 10% fewer). The percentage of eyes with increased intraocular pressure was similar in both groups (36% vs 28%), as was the percentage of those with decreased visual field (17% vs 21%) and decreased visual acuity (66% vs 60%). No significant complications occurred in the eyes receiving laser iridectomies; however, one of the incisionally-treated eyes lost nine Snellen lines of vision.
Bifocal Versus Monofocal Intraocular Lenses in Bilateral Pseudophakia
Authors: Scialdone A , Merighi M , Bertuzzi A , Brancato R 
Published: April 2021

ABSTRACT
After a mean follow up of 19 months, the visual characteristics of eyes with bifocal diffractive intraocular lenses (IOLs) ("bifocals") in one eye were compared with those of fellow eyes with monofocal IOLs ("monofocals") in 29 bilateral Pseudophakic patients. All of the eyes had a distance-corrected acuity of 0.6 or more, but 24.1% of the bifocals and 48.3% of the monofocals had an acuity of 1.00. Near acuity with distance correction was J2 or more in 93.1% of the bifocals and in 17.4% of the monofocals (without correction: 79.3% and 41.4%, respectively). In 55.2% of the bifocals and 20.7% of the monofocals, the combined uncorrected acuity was 0.5 or more for distance and J2 or more for near. Fogging revealed a similar depth of focus in the monofocals and a similar distance focus in the bifocals. The bifocals had two peaks of acuity but no "plateau" between them. The eye with the monofocal IOL was preferred by 37.9% and the eye with the bifocal IOL by 10.3%. Vision in no eye was rated "poor." Visual disturbances were more frequent in the bifocals. No glasses were prescribed for 20.7% of all of these patients; 65.5% required bifocal glasses; 44.8% managed most of daytime without glasses.
Peripheral Iridotomy Using Nd:YLF Laser
Authors: Frangie John P , Park Steve B , Aquavella James V 
Published: April 2021

ABSTRACT
We used the Nd:YLF Oscillator/Regenerative Amplifier Laser (ISL, San Diego, Calif) at 1053 nm to perform peripheral iridotomies in three eyes. The total amount of energy required was greater than the usual amount needed in Nd:YAG peripheral iridotomies. However, each laser pulse uses a much smaller quantity of laser energy and produces a smaller and more refined optical breakdown. The postoperative courses for these patients were uneventful, without postoperative intraocular-pressure spike or increasing anterior-chamber reactions.
Clinical Experience With the Molteno Dual-Chamber Single-Plate Implant
Authors: Freedman Jeffrey 
Published: April 2021

ABSTRACT
A Molteno dual-chamber single-plate implant was placed in 40 consecutive patients, who were followed for a minimum of 6 months. This implant is identical to the single-plate Molteno implant, except for the addition of a pressure ridge to the upper surface of the episcleral plate, which allows the episcleral tissues to function as a temporary, pressure-sensitive valve, limiting the escape of aqueous in the early postoperative period. Confirming earlier studies, we found that use of the modified implant reduced immediate postoperative hypotony, eliminated choroidal hemorrhage, and, by obviating ligature of the silicone tube, permitted immediate reduction of elevated intraocular pressure.
Simultaneous Lateral, Anterior, and Posterior (SLAP) Lower-Lid Blepharoplasty
Authors: Weber Paul J , Popp Jeffrey C , Wulc Allan E 
Published: April 2021

ABSTRACT
We report a hybrid of procedures for correcting the aging lower eyelid - transconjunctival blepharoplasty, skin blepharoplasty, and skin-muscle blepharoplasty - that maximizes the strengths of these procedures while minimizing their shortcomings. Our procedure, a simultaneous lateral, anterior, and posterior blepharoplasty, simultaneously attacks the lateral canthal angle, the anterior lamella, and the posterior lamella of the eyelid.
5-Fluorouracil in Trabeculectomy for Patients Under the Age of 40 Years
Authors: Bansal R K , Gupta Amod 
Published: April 2021

ABSTRACT
In an attempt to enhance the success of trabeculectomy in patients under 40 years old, beginning 48 hours after surgery, we injected 5 to 45 mg (mean, 35 mg) of 5-fluorouracil in 10 eyes of six patients. After a mean follow up of 14.9 months (range, 6 to 27 months), intraocular pressure was below 21 mm Hg in 9 of the 10 eyes, with no antiglaucoma medication.
The Pitfall of Dacryostenosis
Authors: Zehavi Chaya , Zadok Josefh , Sachs Dan 
Published: April 2021

ABSTRACT
We examined a 65-year-old woman with complaints of epiphora, which was diagnosed as due to dacryostenosis. After she had undergone dacryocystorhinostomy for this presumed condition, we discovered a large mass protruding through the incision. A biopsy showed anaplastic carcinoma, and a CT scan revealed that the right-side sinuses were filled with tumor. We conclude that the possibility of paranasal sinus tumors should at least be considered before initiating treatment for complaints of epiphora in elderly patients.
A Surgical Method to Repair Leaking Filtering Blebs
Authors: O'Connor Daniel J , Tressler Charles S , Caprioli Joseph 
Published: April 2021

ABSTRACT
Surgical revision of a chronically-thinned filtering bleb with a leak at the limbus is described. After surgical excision of the scarred cystic conjunctiva and Tenon's fascia surrounding the leaking bleb, relatively uninvolved conjunctiva and Tenon's fascia are mobilized with the help of a large relaxing incision in the superior fornix and sutured over the area of filtration. We have used this technique successfully in five cases to provide fresh tissue to repair the bleb leak and restore adequate filtration.
Encapsulated Filtering Bleb and Subconjunctival 5-Fluorouracil
Authors: Ophir Avinoam , Ticho Uriel 
Published: April 2021

ABSTRACT
Filtering bleb encapsulation (BE) involves fibroblast proliferation and collagen synthesis. We analyzed the effect of 5-fluorouracil (5-FU) on the inhibition of BE. Forty-one patients with primary open-angle glaucoma underwent trabeculectomy in one eye as an initial surgery. Twenty-one of these eyes, randomly chosen, were treated postoperatively with four to six 5-FU subconjunctival injections over 10 days to inhibit bleb scarring; the remaining 20 eyes did not receive 5-FU. After 12 to 24 months, the surgical success rate was significantly higher in the treated eyes (P < .05). However, the incidence of BE was similar: two eyes (9.5% and 10%, respectively) in each group. The difference between the effect of 5-FU in the inhibition of BE and bleb scarring suggests that the characteristics of the two fibroblast populations are heterogeneous.
Prediction of Visual Acuity Recovery in Cystoid Macular Edema
Authors: McDonnell Peter J , Ryan Stephen J , Walonker A Frances , Miller-Scholte Andrea 
Published: April 2021

ABSTRACT
Three consecutive patients participated in a prospective evaluation of Pseudophakie cystoid macular edema. The duration of the macular edema ranged from 6 to 8 months. On the initial visit, the best corrected acuity with spectacles was determined and a potential acuity meter reading was obtained; this test suggested potential for visual recovery in two of the three patients. Sub-tenon's injections of methylprednisolone acetate (20 mg) were administered along with topical 1% prednisolone acetate and 1% atropine. One month later, visual acuity was improved by more than 2 Snellen lines in all three of the patients. A visual acuity measurement with the potential acuity meter that is better than the best corrected acuity with spectacles may reflect the presence of intact, but dysfunctional photoreceptors that are capable of restoring visual acuity upon resolution of the edema.
Tissue Plasminogen Activator Irrigation to Facilitate Removal of Subretinal Hemorrhage During Vitrectomy
Authors: Vander James F 
Published: April 2021

ABSTRACT
I report removing a large submacular hemorrhage by means of vitrectomy combined with use of tissue plasminogen activator (tPA) to facilitate clot removal.
Four months postoperatively, the vision was 20/100 and the retina was flat, with a very thin layer of residual hemorrhage and pigmentary alteration in the macula. Although the long-term prognosis is guarded, this case does suggest that tPA may be a useful adjunct in managing selected cases of subretinal hemorrhage associated with macular degeneration.
Concurrent Benign Teratoid Medulloepithelioma and Pineoblastoma
Authors: Mamalis Nick , Font Ramon L , Anderson Chad W , Monson M Chris , Williams A Thomas 
Published: April 2021

ABSTRACT
Teratoid medulloepithelioma of the ciliary body is a rare tumor usually occurring in young children. Primary tumors of the pineal gland are also quite rare and have a similar age distribution. We report the case of a 2-year-old girl who had a leukocoria of the right eye. Cataract surgery was performed; however, the patient developed a total retinal detachment refractory to treatment. She eventually developed early changes of phthisis bulbi and underwent an evisceration. Histopathologic examination revealed a benign teratoid medulloepithelioma containing islands of hyaline cartilage and rhabdomyoblasts. During the course of her evaluation, a pineoblastoma was discovered and surgically excised. While the association of pineal tumors with retinoblastomas has been well established, no such association has been reported for medulloepitheliomas. To our knowledge, this is the first recorded case of a benign teratoid medulloepithelioma occurring concurrently with a pineoblastoma.
Racial Variation of Optic Disc Parameters in Children
Authors: Mansour A M 
Published: April 2021

ABSTRACT
The optic disc parameters of 66 children without ocular disease were analyzed in a prospective study. The vertical disc diameter, the disc area, and the cup-to-disc ratio were significantly larger in blacks than in whites. The race-based variation of optic disc size demonstrated previously in adults appears to be inherited, as it is also present in children.