ABSTRACT
Description of a case of malignant melanoma of iris and ciliary body in a man of 59 years old. Clinically an interesting sign was the mahogany discolouration of the greyish cataract in the quadrant in front of the tumour. The tumour was removed following the technic of H.-S. STALLARD. Eighteen months later an E.C.C.E. was performed and a "Meur" model of implant inserted (optic in the post chamber and haptics in anterior chamber). Visual acuity in 1989 was 6/6 with glasses and a single binocular vision was recovered.
Subject(s)
Cataract/etiology , Ciliary Body , Iris Neoplasms/complications , Melanoma/complications , Uveal Neoplasms/complications , Follow-Up Studies , Humans , Iris Neoplasms/surgery , Lenses, Intraocular , Male , Melanoma/surgery , Middle Aged , Uveal Neoplasms/surgerySubject(s)
Lenses, Intraocular , Evaluation Studies as Topic , Humans , Mathematics , Postoperative Period , Statistics as TopicSubject(s)
Cataract Extraction , Lenses, Intraocular , Adolescent , Adult , Aged , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Middle AgedSubject(s)
Anti-Inflammatory Agents/administration & dosage , Framycetin/administration & dosage , Heparin/analogs & derivatives , Phenylephrine/analogs & derivatives , Clinical Trials as Topic , Conjunctivitis/drug therapy , Drug Combinations/administration & dosage , Heparin/administration & dosage , Humans , Keratitis/drug therapy , Ophthalmic Solutions , Phenylephrine/administration & dosageSubject(s)
Depth Perception , Diplopia/diagnosis , Vision Tests/methods , Child , Hemianopsia/diagnosis , Humans , Vision Tests/instrumentationSubject(s)
Cataract Extraction , Cyclopentolate/therapeutic use , Phenylacetates/therapeutic use , Aged , Female , Humans , Male , Middle Aged , Pupil/drug effectsSubject(s)
Anophthalmos/surgery , Conjunctiva/surgery , Orbit/surgery , Sclera/transplantation , Adult , Humans , Surgery, Plastic/methodsSubject(s)
Aniseikonia/diagnosis , Contact Lenses , Lenses, Intraocular , Aniseikonia/physiopathology , Humans , Methods , Optics and PhotonicsABSTRACT
To become an implant surgeon means that one is ready to accept some opposition from part of the profession as well as to known all the shortcomings of conventional cataract extraction. A good knowledge of the history of implantation is necessary to avoid past errors in the shape, manufacture sterilization and in the locus of insertion of the intra-ocular lens. At the start few indications will be retained mainly unilateral cataracts traumatic or not, the aim being restoration of a full binocular vision. The interest of the test of Pulfrich is stressed for the follow up of cataract. A large number of contra-indications will be respected mainly corneal dystrophics or degeneration, uveitis, myopia, detachment and diabetes. The would-be implant surgeon has to train in modern extracapsular cataract extraction, learn the refinements of implantation technique with a full and constant respect of the corneal endothelium. He also should be able to cope with eventual complications and to suture the implant to the iris. He has at first to limit his choice to a small number of implant models which have proved safe: the iris clip and iridocapsular models of C. D. Binkhorst and the slotted-medallion of J. G. F. Worst. Experience will allow in time widening of indications and new improvements of technique.
Subject(s)
Education, Medical, Continuing , Lenses, Intraocular , Ophthalmology/education , Cataract Extraction/methods , Humans , Medicine , Postoperative Complications/prevention & control , SpecializationABSTRACT
A case of hemangioma of the retina is reported. Its typical ophtalmoscopic and fluorescein angiographic aspects are studied. The benign evolution is stressed in spite of a possible macular risk checked by argon laser therapy.
