ABSTRACT
To prevent accidental intraocular injection after inadvertent single needle perforation of the eyeball, the authors recommend moving the needle and watching for corresponding movement of the globe following peribulbar or retrobulbar placement of the needle and prior to injecting. The authors have found this technique to be safe and reliable, with negligible morbidity.
Subject(s)
Eye Injuries, Penetrating/prevention & control , Eye Movements , Needlestick Injuries/prevention & control , Orbit/injuries , Eye Injuries, Penetrating/etiology , Humans , Injections/adverse effects , Needlestick Injuries/etiology , Ophthalmology/methodsABSTRACT
A 30-year-old woman with Alport's syndrome was noted to have unilateral retinal telangiectasia. Intravenous fluorescein angiography was performed to help establish the diagnosis. Photocoagulation was not done since visual acuity was good and there was no apparent threat at this time to central vision. To our knowledge, this is the first reported association of retinal telangiectasia with Alport's syndrome.
Subject(s)
Nephritis, Hereditary/complications , Retinal Diseases/complications , Retinal Vessels , Telangiectasis/complications , Adult , Female , HumansABSTRACT
A bullous retinal detachment with breaks in all quadrants developed in the right eye of a 72-year-old man four weeks after he had undergone cataract extraction. The retina was reattached successfully with a 360-degree scleral buckle. Four weeks later, the retina had redetached and developed fixed folds and broad equatorial membranes. These features and the hazy vitreous suggested massive periretinal proliferation. Fourteen days later, the patient's visual acuity suddenly improved and an examination disclosed that the retina had spontaneously reattached. Visual acuity was 6/12 (20/40) and has remained stable for 14 months.
Subject(s)
Cataract Extraction/adverse effects , Retinal Detachment/pathology , Aged , Humans , Male , Recurrence , Remission, Spontaneous , Retinal Detachment/etiology , Retinal Detachment/surgery , Scleral BucklingABSTRACT
A 22-year-old South American man with known active pulmonary tuberculosis was seen because of marked unilateral loss of vision. A diagnosis of choroidal tuberculoma was made. Resolution of the lesion while under antituberculous medication was documented by the use of serial fundus photographs and fluorescein angiography. The typical presenting features of ocular tuberculosis are discussed. Fluorescein angiography has been performed infrequently in cases of tuberculosis.
Subject(s)
Choroid , Tuberculosis, Ocular/diagnosis , Uveal Diseases/diagnosis , Adult , Antitubercular Agents/therapeutic use , Fluorescein Angiography , Humans , Male , Tuberculosis, Ocular/complications , Tuberculosis, Ocular/drug therapy , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/drug therapyABSTRACT
Description of Grieshaber nibbler for closed vitreous surgery: tip diameter is 1.6 mm, cutting is by four exquisitely cutting blades mounted on axis supported at both ends. Control console determines mode and speed of rotation. Oscillating cutting mode is recommended. Infusion is at the instrument's tip instead of its side. Unusually powerful but adjustable endo-illumination is available through fiberoptics. The fiberoptics tip is shaped to facilitate its introduction into the eye. A separate channel permits suction reversal. Five brief case descriptions illustrate versatility of the instrument. Its main advantages are its exquisite cutting properties, its powerful and adjustable endo-illumination, and its tip-end infusion hole.
Subject(s)
Ophthalmology/instrumentation , Surgical Instruments , Vitreous Body/surgery , Adolescent , Aged , Eye Foreign Bodies/surgery , Eye Injuries/surgery , Fiber Optic Technology/instrumentation , Humans , Lens Subluxation/surgery , Male , Methods , Middle Aged , Retinal Detachment/surgery , Wounds, Penetrating/surgeryABSTRACT
We documented the presence of choroidal folds in a series of 59 eyes. Fifteen separate conditions were established as causes of the choroidal folds. Hyperopia was the most common cuase, although no definite etiology could be established in ten cases.