Australian and New Zealand journal of ophthalmology最新文献_第2页

Comparison of extracapsular and phaco-emulsification cataract extraction techniques when combined with intra-ocular lens placement and trabeculectomy: short-term results. 白内障囊外和超声乳化摘除术联合人工晶状体植入术和小梁切除术的短期效果比较。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00074.x

W L Chia, I Goldberg

{"title":"Comparison of extracapsular and phaco-emulsification cataract extraction techniques when combined with intra-ocular lens placement and trabeculectomy: short-term results.","authors":"W L Chia, I Goldberg","doi":"10.1046/j.1440-1606.1998.00074.x","DOIUrl":"https://doi.org/10.1046/j.1440-1606.1998.00074.x","url":null,"abstract":"Unlabelled: BACKGROUND METHODS: Fifty patients who had undergone combined extracapsular cataract extraction (ECCE), intra-ocular lens (IOL) placement and trabeculectomy (ECCE-trab) and 50 who had undergone combined cataract phaco-emulsification, IOL placement and trabeculectomy (phaco-trab) were reviewed over a period of 12 months.Results: Postoperatively, intra-ocular pressure (IOP) in both eyes fell significantly (P < 0.005). Initially, IOP fell to roughly equal degrees (mean IOP being 14 mmHg at 3 months; P = 0.84). At 12 months, IOP in the phacotrab group was slightly lower than that in the ECCE-trab group (13.4+/-4.3 vs 15.4+/-4.4 mmHg, respectively; P = 0.0312). The number of pre-operative medications did not appear to affect outcome (P = 0.124). Visual recovery was approximately 3 months faster in the phaco-trab group. By 12 months there was little difference in visual acuity, with an average improvement of two Snellen lines (P = 0.68). The mean change in astigmatism was significantly less in the phaco-trab group (0.61+/-1.25 vs 1.39+/-1.46 D, respectively, P = 0.0063). Transient hypotony (IOP < 5 mmHg) was more frequent in the phaco-trab group (66 vs 32%, respectively; P < 0.002). The frequency of other complications was not significantly different between the two groups.Conclusion: Both ECCE-trab and phaco-trab procedures are safe and effective. However, the phaco-trab procedure may have slightly improved IOP control, earlier visual recovery and less astigmatism.","PeriodicalId":8596,"journal":{"name":"Australian and New Zealand journal of ophthalmology","volume":"26 1","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20447460","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

Patterns of peri-operative prophylaxis for cataract surgery: a survey of Australian ophthalmologists. 白内障手术的围手术期预防模式:澳大利亚眼科医生的调查。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00072.x

N Morlet, B Gatus, M Coroneo

{"title":"Patterns of peri-operative prophylaxis for cataract surgery: a survey of Australian ophthalmologists.","authors":"N Morlet, B Gatus, M Coroneo","doi":"10.1046/j.1440-1606.1998.00072.x","DOIUrl":"https://doi.org/10.1046/j.1440-1606.1998.00072.x","url":null,"abstract":"Background: Although peri-operative prophylaxis to prevent endophthalmitis is commonly practised by ophthalmologists, no one method has clearly been demonstrated to be more effective than another. We surveyed 570 Fellows of the Royal Australian College of Ophthalmologists to determine what their methods of prophylaxis were and whether these differed for patients who developed endophthalmitis.Methods: The questionnaire asked about the types of antibiotics and other methods of prophylaxis used before, during and after cataract surgery. Of those who reported cases of endophthalmitis, we asked specifically about the methods of prophylaxis used for those patients.Results: The response was 89% and the incidence of endophthalmitis was calculated as 0.11%. There was little difference in the methods of prophylaxis used by those who reported endophthalmitis compared with others, but pre-operative antibiotics were used more commonly by those who reported the disease (P = 0.06). Surgeons who had practised for 20 years or more reported a lower rate of endophthalmitis than others, as did those who performed more than 300 cataract operations per year. However the pattern of prophylaxis used by these two sub-groups was quite divergent. Differences in the methods of prophylaxis had no bearing on the development of endophthalmitis, with the exception that subconjunctival antibiotics were used less often in those patients who developed the disease (P = 0.03).Conclusions: The results of the present study provide no clear answer regarding appropriate peri-operative prophylaxis. The wide range of prophylactic regimens used suggests that no one method is superior to another. Formal case-controlled studies are required to identify which method would be most efficacious.","PeriodicalId":8596,"journal":{"name":"Australian and New Zealand journal of ophthalmology","volume":"26 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20447458","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

The snapped inferior rectus. 断裂的下直肌。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01

L Kowal, S Wutthiphan, P McKelvie

{"title":"The snapped inferior rectus.","authors":"L Kowal, S Wutthiphan, P McKelvie","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To evaluate the management and possible aetiology of the snapped inferior rectus muscle in strabismus surgery.Methods: Three patients are described whose inferior rectus muscle broke across its width some 8-10mm behind the insertion while being held on a squint hook without excessive force during strabismus surgery. The proximal part of the muscle was not found. The distal part of the snapped muscle was excised for pathological examination. Transposition of the inferior halves of the adjacent horizontal muscles to the insertion of the inferior rectus (a modified inverse-Knapp procedure) was performed in all cases.Results: After the transposition surgery, one patient was orthotropic in the primary position, one patient required a prism correction to produce a range of single vision and the third patient was orthotropic after a further operation. There was good depression in one case and the other two had a limitation of depression. In all cases, horizontal movements remained intact and there were no signs of anterior segment ischaemia.Conclusions: The unique relations of the inferior rectus to the surrounding tissues may be a factor in causing the breaking of this muscle. Two of the patients were elderly and this may be a factor also. Transposition surgery is the appropriate management when the proximal part of the snapped muscle cannot be located and has satisfactory but imperfect results.","PeriodicalId":8596,"journal":{"name":"Australian and New Zealand journal of ophthalmology","volume":"26 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20447461","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

Recurrent scleritis in lepromatous leprosy. 麻风性麻风的复发性巩膜炎。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00069.x

A Poon, H MacLean, P McKelvie

引用次数: 0

External argon laser choroidotomy for subretinal fluid drainage. 体外氩激光脉络膜切开术引流视网膜下积液。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00078.x

J K Challa, A B Hunyor, T J Playfair, J Gregory-Roberts, L R Lee

{"title":"External argon laser choroidotomy for subretinal fluid drainage.","authors":"J K Challa, A B Hunyor, T J Playfair, J Gregory-Roberts, L R Lee","doi":"10.1046/j.1440-1606.1998.00078.x","DOIUrl":"https://doi.org/10.1046/j.1440-1606.1998.00078.x","url":null,"abstract":"Purpose: To evaluate the efficacy and safety of external argon laser choroidotomy for drainage of subretinal fluid (SRF) during scleral buckling procedures for the repair of rhegmatogenous retinal detachments.Methods: Fifty eyes of 50 consecutive patients presenting to a hospital-based retinal outpatient clinic with rhegmatogenous detachments underwent choroidotomy with argon endolaser for SRF drainage. The laser parameters used were 0.5s duration and 0.8W power. The primary outcome measures were successful drainage of SRF and incidence of complications. The drainage was considered successful if it was sufficient to complete the planned scleral buckling procedure. The extent of subretinal haemorrhage was graded.Results: The mean age of patients was 55 years (range 16-80 years). Successful drainage of SRF was obtained in 47 eyes (94%). The complications observed at the drainage site included subretinal haemorrhage of less than 1 disc diameter in six eyes (12%) and retinal perforation in one eye (2%).Conclusion: External argon laser choroidotomy appears to be an effective method of draining SRF in rhegmatogenous retinal detachments.","PeriodicalId":8596,"journal":{"name":"Australian and New Zealand journal of ophthalmology","volume":"26 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20447462","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: 42

Perforating eye injuries from external rear vision mirrors. 外部后视镜造成眼穿孔。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00070.x

C G Thompson, R K Griffits, L Cottee, W Nardi, M J Noble

引用次数: 0

The conundrum of endophthalmitis. 眼内炎的难题。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01

M J Elder

引用次数: 0

Visual hallucinations and macular degeneration: an example of the Charles Bonnet syndrome. 视觉幻觉和黄斑变性:查尔斯·邦纳综合征的一个例子。

Australian and New Zealand journal of ophthalmology Pub Date : 1998-02-01 DOI: 10.1046/j.1440-1606.1998.00080.x

J Nadarajah