RESUMO
This prospective study was done to compare the efficacy of timolol and acetazolamide in lowering the intraocular pressure (IOP) secondary to the use of sodium hyaluronate (Healon) in cataract surgery. Fifty patients undergoing extracapsular cataract extraction and implantation of a posterior chamber lens were randomly assigned to one of four treatment groups: no viscoelastic (10 patients), Healon with 0.5% timolol drops postoperatively (12 patients), Healon with acetazolamide postoperatively (16 patients), or Healon only (12 patients). The IOP was measured during the first 24 hours after surgery. Sodium hyaluronate caused a marked increase in IOP in the early (6 to 12 hours) postoperative period. Timolol proved to be more effective than acetazolamide in controlling this pressure increase.
Assuntos
Acetazolamida/uso terapêutico , Extração de Catarata , Ácido Hialurônico/efeitos adversos , Pressão Intraocular/efeitos dos fármacos , Hipertensão Ocular/tratamento farmacológico , Timolol/uso terapêutico , Acetazolamida/administração & dosagem , Administração Oral , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Lentes Intraoculares , Masculino , Pessoa de Meia-Idade , Hipertensão Ocular/induzido quimicamente , Soluções Oftálmicas , Complicações Pós-Operatórias , Estudos Prospectivos , Timolol/administração & dosagemRESUMO
Despite the fact that penetrating abdominal wounds in late pregnancy are becoming increasingly common, there are few such reports in the medical literature. We report the case of a Cambodian woman injured in the border fighting between the Vietnamese and Khmer troops in 1980. Our case is unique in that the fetus survived with a relatively minor fragment wound in the leg. To our knowledge, this is the first report of such a case.