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Combined topical and subconjunctival anesthesia in cataract surgery. 表面和结膜下联合麻醉在白内障手术中的应用。
Ophthalmic surgery Pub Date : 1995-05-01
C J Anderson
{"title":"Combined topical and subconjunctival anesthesia in cataract surgery.","authors":"C J Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A combined technique of topical anesthesia (TA) and subconjunctival anesthesia (SCA) was used in 73 consecutive patients undergoing scleral tunnel phacoemulsification cataract surgery. Medical records were evaluated preoperatively, intraoperative, and postoperatively. A patient questionnaire was used to obtain subjective intraoperative and postoperative information. Preoperative and intraoperative sedation of varying degrees was necessary. Ninety-five percent of the patients reported no pain. No patients required additional retrobulbar or peribulbar anesthesia. The most frequent postoperative problems were pain, a need for patching, and headache. The combined TA and SCA technique appeared safe, medically acceptable, and cost-effective.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"205-8"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18655454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transection of the superior rectus muscle during intended superior oblique tenotomy: a report of three cases. 上斜肌腱切断术中横断上直肌:附三例报告。
Ophthalmic surgery Pub Date : 1995-05-01
W R Raymond, M M Parks
{"title":"Transection of the superior rectus muscle during intended superior oblique tenotomy: a report of three cases.","authors":"W R Raymond,&nbsp;M M Parks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reported complications of superior oblique surgery include postoperative vertical or torsional deviation, Brown's syndrome, head tilt, blepharoptosis, and conversion of an A-pattern to a V-pattern. McNeer reported three cases of postoperative vertical deviation, one of which was attributed to severing of the superior rectus tendon. We report three additional cases of inadvertent unrecognized transection of the superior rectus during intended superior oblique tenotomy to emphasize the importance of direct visualization of these tendons during surgery.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"244-9"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18657765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Compliance in patients prescribed eyedrops for glaucoma. 青光眼患者滴眼液的依从性。
Ophthalmic surgery Pub Date : 1995-05-01 DOI: 10.3928/1542-8877-19950501-14
S. Patel, G. Spaeth
{"title":"Compliance in patients prescribed eyedrops for glaucoma.","authors":"S. Patel, G. Spaeth","doi":"10.3928/1542-8877-19950501-14","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-14","url":null,"abstract":"We studied the rate of failure to use eyedrops as prescribed for glaucoma and some of the factors possibly associated with that noncompliance by interviewing 100 patients being followed in a setting emphasizing correct usage. Fifty-nine reported they had not used their eyedrops precisely as prescribed. Factors significantly influencing compliance included daily dose frequency, forgetfulness, inconvenience, and unaffordability. Gender and race were marginally significant factors, with men and blacks reporting somewhat higher rates of missed doses than women and whites. Side effects and age were not significant causes of noncompliance.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"126 1","pages":"233-6"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87769865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 357
Cataract formation in Peter's anomaly after trabeculotomy. 小梁切开术后彼得氏畸形的白内障形成。
Ophthalmic surgery Pub Date : 1995-05-01 DOI: 10.3928/1542-8877-19950501-24
P. Mullaney, A. Al-Awad
{"title":"Cataract formation in Peter's anomaly after trabeculotomy.","authors":"P. Mullaney, A. Al-Awad","doi":"10.3928/1542-8877-19950501-24","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-24","url":null,"abstract":"Trabeculotomy is a well-documented procedure for reducing intraocular pressure in primary infantile glaucoma with cloudy corneas. However, the efficacy of the procedure is reduced in glaucoma associated with other ocular disorders. We report a child with lens-corneal adhesions in whom trabeculotomy produced a secondary cataract.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"153 15 1","pages":"267-6"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73529659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The absence of change does not mean the absence of change. 没有变化并不意味着没有变化。
Ophthalmic surgery Pub Date : 1995-05-01
G L Spaeth
{"title":"The absence of change does not mean the absence of change.","authors":"G L Spaeth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"186-7"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18655449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of three corneal trephines for use in therapeutic penetrating keratoplasties for large corneal perforations. 三种角膜环钻在治疗性穿透性角膜移植术中应用的比较。
Ophthalmic surgery Pub Date : 1995-05-01
J D Ng, M Nekola, V C Parmley, M Richardson, T Mader
{"title":"Comparison of three corneal trephines for use in therapeutic penetrating keratoplasties for large corneal perforations.","authors":"J D Ng,&nbsp;M Nekola,&nbsp;V C Parmley,&nbsp;M Richardson,&nbsp;T Mader","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Corneas with large perforations complicate penetrating keratoplasty due to the increased risk of anterior chamber collapse they pose. We hypothesize that suction trephines should produce more uniform corneal openings than non-suction trephines. Penetrating keratoplasties using Franceschetti-type freeblades, and Hanna and Hessberg-Barron suction trephines were performed on human eye bank eyes with large corneal perforations. The trephined corneas' histologic appearance was graded according to depth, sharpness, and perpendicularity of cut. Suction trephines were easier to use, resulted in less anterior chamber collapse, caused less corneal distortion, and created a sharper, deeper and more perpendicular incision. The Hessberg-Barron and Hanna trephines performed better than the freeblades in this study.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"209-15"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18657759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Compliance in patients prescribed eyedrops for glaucoma. 青光眼患者滴眼液的依从性。
Ophthalmic surgery Pub Date : 1995-05-01
S C Patel, G L Spaeth
{"title":"Compliance in patients prescribed eyedrops for glaucoma.","authors":"S C Patel,&nbsp;G L Spaeth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We studied the rate of failure to use eyedrops as prescribed for glaucoma and some of the factors possibly associated with that noncompliance by interviewing 100 patients being followed in a setting emphasizing correct usage. Fifty-nine reported they had not used their eyedrops precisely as prescribed. Factors significantly influencing compliance included daily dose frequency, forgetfulness, inconvenience, and unaffordability. Gender and race were marginally significant factors, with men and blacks reporting somewhat higher rates of missed doses than women and whites. Side effects and age were not significant causes of noncompliance.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"233-6"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18657761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An ultrasound biomicroscopic dark-room provocative test. 超声生物显微镜暗室刺激试验。
Ophthalmic surgery Pub Date : 1995-05-01 DOI: 10.3928/1542-8877-19950501-19
C. Pavlin, K. Harasiewicz, F. Foster
{"title":"An ultrasound biomicroscopic dark-room provocative test.","authors":"C. Pavlin, K. Harasiewicz, F. Foster","doi":"10.3928/1542-8877-19950501-19","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-19","url":null,"abstract":"Ultrasound biomicroscopy can image the relationship of angle structures under any lighting conditions. Eight patients with narrow angles were examined in the light and in the dark. All of the eyes showed iris thickening and shortening, increased anterior convexity of the iris, and varying degrees of angle narrowing in the dark. In one eye, the angle was completely closed. Iridotomy in this patient flattened the iris profile and opened the angle. The degree of angle opening observed after the iridotomy did not change depending on the lighting conditions. Ultrasound biomicroscopy allows imaging of dynamic changes in anterior ocular structures as they occur and provides information regarding angle occludability in the dark.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"95 1","pages":"253-5"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80420055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 34
Ocular motility defects in patients with the Krupin valve implant. Krupin瓣膜植入患者的眼球运动缺损。
Ophthalmic surgery Pub Date : 1995-05-01 DOI: 10.3928/1542-8877-19950501-13
J. Frank, T. Perkins, B. Kushner
{"title":"Ocular motility defects in patients with the Krupin valve implant.","authors":"J. Frank, T. Perkins, B. Kushner","doi":"10.3928/1542-8877-19950501-13","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-13","url":null,"abstract":"To determine the prevalence of ocular motility defects following placement of a Krupin valve with disk and adjunctive mitomycin-C in glaucoma patients, a retrospective case series of all patients receiving a Krupin valve with disk and intraoperative mitomycin-C in a university-based referral practice was conducted. Each of the seven consecutive patients undergoing placement of a Krupin valve with disk in one eye because of uncontrolled glaucoma, developed significant primary position heterotropia or limitation of ocular rotations. One patient had significant postoperative diplopia. We conclude that the Krupin valve with disk used with intraoperative mitomycin-C can be associated with the development of ocular motility defects. The limitation of rotations appears to relate to the combined mechanisms of implant and cyst bulk and the displacement of the oculorotary muscles by the encapsulating cyst.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"15 1","pages":"228-32"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75791456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
"Noncompliance"--not a patient problem, but rather a sign of a sick doctor-patient relationship. “不服从”——不是病人的问题，而是病态医患关系的标志。
Ophthalmic surgery Pub Date : 1995-05-01 DOI: 10.3928/1542-8877-19950501-05
G. Spaeth
{"title":"\"Noncompliance\"--not a patient problem, but rather a sign of a sick doctor-patient relationship.","authors":"G. Spaeth","doi":"10.3928/1542-8877-19950501-05","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-05","url":null,"abstract":"","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"47 1","pages":"189-93"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82613836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
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