ABSTRACT
Primary oxalosis causes a flecked retina showing multiple small luminous spots at the posterior pole which can be seen by fluorescein angiography. In a young female patient who was observed for 4 years we did not find any deterioration. In 2 patients with secondary oxalosis, there was no evidence of fundus alterations.
Subject(s)
Calcium Oxalate/urine , Fundus Oculi , Retinal Diseases/pathology , Carbohydrate Metabolism, Inborn Errors/diagnosis , Carbohydrate Metabolism, Inborn Errors/pathology , Child, Preschool , Female , Fluorescein Angiography , Humans , Kidney Failure, Chronic/pathology , Nephrocalcinosis/pathology , Prognosis , Retinal Diseases/diagnosisABSTRACT
The authors report on the effect of timolol in cases of secondary glaucoma and buphthalmus in 143 eyes. Constant regulation of intraocular pressure was achieved by treatment with timolol in 67 eyes. A remarkable effect was observed in cases of complicated buphthalmus. The results were least favorable in cases of hemorrhagic secondary glaucoma.
Subject(s)
Glaucoma/drug therapy , Propanolamines/therapeutic use , Timolol/therapeutic use , Hemorrhage/drug therapy , Humans , Hydrophthalmos/drug therapyABSTRACT
The authors report about the findings in 102 children with congenital glaucoma. The intraocular pressure was normalized in 90% after goniotomy and trabeculotomy. The postoperative average i.o. pressure was 16,6 mmHg.
Subject(s)
Glaucoma/congenital , Child, Preschool , Female , Glaucoma/surgery , Humans , Infant , Infant, Newborn , Intraocular Pressure , Male , Sclera/surgery , Trabecular Meshwork/surgeryABSTRACT
Since more than 40 years the judgement of the degree of disability in cases of unilateral aphakia is discussed. This means the effort toward an advisory objectivity on the one hand and human understanding for the patient's damage on the other hand. It is supposed to repeal the 4th emergency ordinance of 1932 and to pay pensions below 20% of the degree of disability, too. As long as new legislatory measurements do not exist, the maintenance of a pragmatic authoritative activity is plead for, which assigns for a pension-duty compensation in cases of unilateral aphakia and/or pseudoaphakia independent on the optic result.--The situation in cases of bilateral aphakia is also discussed.
Subject(s)
Aphakia, Postcataract/economics , Aphakia/economics , Disability Evaluation , Social Security , Germany, West , Humans , Social Security/legislation & jurisprudence , Visual AcuityABSTRACT
The reasonability of cataract extractions is mentioned with exposition of the interests of the insuring bodies and of the patient. We discuss individually the terms "medical treatment", "obligation to tolerance" and "reasonability". The surgical method and the general physical assessment of the patient earn special consideration for a "reasonable" cataract extraction. We also discuss the special situation of the surgeon.
Subject(s)
Cataract Extraction , Informed Consent , Physician-Patient Relations , Adult , Aged , Cataract Extraction/psychology , Child, Preschool , Female , Germany, West , Humans , Legislation, Medical , Male , Patient ComplianceABSTRACT
The authors report on 7 cases of conjunctival flap cover in the technique of Harms and Mackensen (1963) in cases of leackage of the bleb after filtering operations. The technique consists in excision of the thin conjunctiva of the bleb, undermining of the conjunctiva until the fold, arched incision of the cornea in front of the bleb, incarceration of the conjunctival lip in the corneal incision with fixation by continuous suture with monophile nylon-string (10X0). In 6 of 7 cases the intraocular pressure was spontaneously regulated after the operation with morphological functioning bleb in 4 cases.
Subject(s)
Conjunctiva/surgery , Glaucoma/surgery , Cornea/surgery , Fistula , Humans , Methods , Microsurgery/methods , Postoperative Complications/surgery , Sclera/surgery , Suture TechniquesSubject(s)
Lacrimal Apparatus Diseases/therapy , Adolescent , Adult , Aged , Child , Child, Preschool , Dacryocystitis/etiology , Dacryocystitis/therapy , Female , Humans , Infant , Lacrimal Apparatus/anatomy & histology , Lacrimal Apparatus/physiology , Lacrimal Apparatus Diseases/diagnosis , Lacrimal Apparatus Diseases/surgery , Lacrimal Duct Obstruction/diagnosis , Lacrimal Duct Obstruction/etiology , Lacrimal Duct Obstruction/therapy , Male , Methods , Middle AgedABSTRACT
The authors report on a modification of the entropion surgery of Celsus-Hotz which was successfully carried out in 87 patients with entropion senile from 1969 to 1976. After excision of an about 5 mm wide crescentshaped dermal tissue of the lower eyelid about 3 mm down the margin the muscle fibres of the M. orbicularis near the margin are resected. Before suturing the skin 3-6 stitches of Hotz are done to reduce the tarsus. The advantages of this technique are the safe therapeutical effect, the cosmetical effect and the easy correction of this operation in case of a failure.
Subject(s)
Entropion/surgery , Aged , Eyelids/surgery , Female , Humans , Male , Postoperative Complications/prevention & control , Suture TechniquesABSTRACT
By means of a short and long-term study the recanalising effect of Kaleff-Hollwich's (1977) Dacryocystorhinostomy was determined and compared with Ohm's (1921) and Dupuy-Dutemps (1921) methods. With both procedures a high percentage (75-85) of permanent patency of the tear ducts is obtained. With Kaleff-Hollwich's method a practically continuous mucosa anastomosis can be formed. Stenosis by insufficiency of the canaliculi can be avoided in the opinion of the authors by exact refixing of the medial palpebral ligament. Information in the literature of patency in over 90 percent of cases is revealed after critical evaluation in the great majority of such reports as post-operative ability to rinse the tear ducts in one direction and give no indication of the end result.