ABSTRACT
Forty-three patients with glaucoma and 24 patients with ocular hypertension presenting with a retinal vein occlusion were medically assessed. The prevalence of systemic hypertension was 60.5% in those with glaucoma and 66.6% with ocular hypertension. The prevalence of hyperlipidaemia was 38.1% in those with glaucoma and 37.5% in those with ocular hypertension. These findings were compared with those from a carefully age-sex matched group of patients presenting with a retinal vein occlusion without evidence of glaucoma or ocular hypertension. There were no statistical differences between any of the groups (52.2% had systemic hypertension and 28.8% had hyperlipidaemia). There was also a strikingly high prevalence of systemic hypertension (89%) and hyperlipidaemia (55.5%) in nine of the patients who had evidence of a recurrent retinal vein occlusion associated with glaucoma, and these prevalence rates were strikingly similar to the rates in patients with recurrence but without glaucoma. The data suggest that glaucoma or ocular hypertension has a less prominent aetiological role in the development of a retinal vein occlusion than underlying medical causes and that full medical assessment is worthwhile.
Subject(s)
Glaucoma/complications , Ocular Hypertension/complications , Retinal Vein Occlusion/etiology , Aged , Female , Humans , Hyperlipidemias/complications , Hypertension/complications , MaleABSTRACT
We studied the postoperative course of two groups of patients with primary open-angle glaucoma and small residual visual fields undergoing trabeculectomy. We found that there is a considerable risk of sudden loss of visual field after operation on these patients.
Subject(s)
Glaucoma, Open-Angle/surgery , Trabecular Meshwork/surgery , Vision Disorders/etiology , Aged , Humans , Middle Aged , Postoperative Complications , Visual Acuity , Visual FieldsABSTRACT
A consecutive group of 22 children admitted to our hospital with a diagnosis of non-accidental injury, underwent detailed ophthalmic examination within 24 hours of their admission. Five of these children had obvious periocular soft tissue injury, but only two had serious ocular involvement. The indications for ophthalmic examination in cases of suspected non-accidental injury are discussed in the light of these findings.
Subject(s)
Child Abuse , Eye Injuries/etiology , Child , Child, Preschool , Eye Injuries/diagnosis , Hematoma, Subdural/etiology , Humans , Infant , Infant, Newborn , Retinal Hemorrhage/etiology , RiskABSTRACT
A retrospective study of 102 cases of Boberg-Ans intraocular lens implantations was conducted. The operations were performed in 3 Birmingham eye units by 5 consultants and 6 surgeons in training. Follow-up ranged from 6 months to 2 years, with a mean of 12.6 months. No cases with adequate follow-up were excluded. When eyes with pre-existing adverse factors were excluded, 87% achieved 6/12 or better. There were no appreciable difference between the results obtained by consultants and those of surgeons in training. The advantages and disadvantages of the lens are discussed.
