Orbital varix thrombosis: a rare cause of unilateral proptosis.

Orbital varices are thin walled, low flow, distensible veins which may rarely present with periorbital pain, proptosis or visual loss. Most orbital varices may be managed conservatively and only warrant surgery in the presence of recurrent thrombosis, disfiguring proptosis or acute visual loss. This report concerns an 84-year-old Caucasian woman who was admitted following a fall and noted to have isolated proptosis of the right eye, with vertical diplopia. All biochemical and haematological investigations were normal. A CT scan of the orbits demonstrated a serpiginous soft tissue mass within the superior portion of the right orbit, consistent with a thrombosed orbital varix. Conservative management was agreed with prism glasses and ophthalmological follow-up.

Seasonalizing mountain system recharge in semi-arid basins-climate change impacts.

Climate variability and change impact groundwater resources by altering recharge rates. In semi-arid Basin and Range systems, this impact is likely to be most pronounced in mountain system recharge (MSR), a process which constitutes a significant component of recharge in these basins. Despite its importance, the physical processes that control MSR have not been fully investigated because of limited observations and the complexity of recharge processes in mountainous catchments. As a result, empirical equations, that provide a basin-wide estimate of mean annual recharge using mean annual precipitation, are often used to estimate MSR. Here North American Regional Reanalysis data are used to develop seasonal recharge estimates using ratios of seasonal (winter vs. summer) precipitation to seasonal actual or potential evapotranspiration. These seasonal recharge estimates compared favorably to seasonal MSR estimates using the fraction of winter vs. summer recharge determined from isotopic data in the Upper San Pedro River Basin, Arizona. Development of hydrologically based seasonal ratios enhanced seasonal recharge predictions and notably allows evaluation of MSR response to changes in seasonal precipitation and temperature because of climate variability and change using Global Climate Model (GCM) climate projections. Results show that prospective variability in MSR depends on GCM precipitation predictions and on higher temperature. Lower seasonal MSR rates projected for 2050-2099 are associated with decreases in summer precipitation and increases in winter temperature. Uncertainty in seasonal MSR predictions arises from the potential evapotranspiration estimation method, the GCM downscaling technique and the exclusion of snowmelt processes.

RIPGIS-NET: a GIS tool for riparian groundwater evapotranspiration in MODFLOW.

RIPGIS-NET, an Environmental System Research Institute (ESRI's) ArcGIS 9.2/9.3 custom application, was developed to derive parameters and visualize results of spatially explicit riparian groundwater evapotranspiration (ETg), evapotranspiration from saturated zone, in groundwater flow models for ecohydrology, riparian ecosystem management, and stream restoration. Specifically RIPGIS-NET works with riparian evapotranspiration (RIP-ET), a modeling package that works with the MODFLOW groundwater flow model. RIP-ET improves ETg simulations by using a set of eco-physiologically based ETg curves for plant functional subgroups (PFSGs), and separates ground evaporation and plant transpiration processes from the water table. The RIPGIS-NET program was developed in Visual Basic 2005, .NET framework 2.0, and runs in ArcMap 9.2 and 9.3 applications. RIPGIS-NET, a pre- and post-processor for RIP-ET, incorporates spatial variability of riparian vegetation and land surface elevation into ETg estimation in MODFLOW groundwater models. RIPGIS-NET derives RIP-ET input parameters including PFSG evapotranspiration curve parameters, fractional coverage areas of each PFSG in a MODFLOW cell, and average surface elevation per riparian vegetation polygon using a digital elevation model. RIPGIS-NET also provides visualization tools for modelers to create head maps, depth to water table (DTWT) maps, and plot DTWT for a PFSG in a polygon in the Geographic Information System based on MODFLOW simulation results.

Linking riparian dynamics and groundwater: an ecohydrologic approach to modeling groundwater and riparian vegetation.

The growing use of global freshwater supplies is increasing the need for improved modeling of the linkage between groundwater and riparian vegetation. Traditional groundwater models such as MODFLOW have been used to predict changes in regional groundwater levels, and thus riparian vegetation potential attributable to anthropogenic water use. This article describes an approach that improves on these modeling techniques through several innovations. First, evapotranspiration from riparian/wetland systems is modeled in a manner that more realistically reflects plant ecophysiology and vegetation complexity. In the authors' model programs (RIP-ET and PRE-RIP-ET), the single, monotonically increasing evapotranspiration flux curve in traditional groundwater models is replaced with a set of ecophysiologically based curves, one for each plant functional group present. For each group, the curve simulates transpiration declines that occur both as water levels decline below rooting depths and as waters rise to levels that produce anoxic soil conditions. Accuracy is further improved by more effective spatial handling of vegetation distribution, which allows modeling of surface elevation and depth to water for multiple vegetation types within each large model cell. The use of RIP-ET in groundwater models can improve the accuracy of basin scale estimates of riparian evapotranspiration rates, riparian vegetation water requirements, and water budgets. Two case studies are used to demonstrate that RIP-ET produces significantly different evapotranspiration estimates than the traditional method. When combined with vegetation mapping and a supporting program (RIP-GIS), RIP-ET also enables predictions of riparian vegetation response to water use and development scenarios. The RIP-GIS program links the head distribution from MODFLOW with surface digital elevation models, producing moderate- to high-resolution depth-to-groundwater maps. Together with information on plant rooting depths, these can be used to predict vegetation response to water allocation decisions. The different evapotranspiration outcomes produced by traditional and RIP-ET approaches affect resulting interpretations of hydro-vegetation dynamics, including the effects of groundwater pumping stress on existing habitats, and thus affect subsequent policy decisions.