RESUMEN
A total of 44 children who suffered from vernal conjunctivitis were treated with topical dexamethasone 0.1% 4 times daily for 6 weeks and tested for their intraocular pressure. There was a statistically significant difference (P less than 0.01) between the responders in our group of children and a group of normal adults reported on by Armaly in 1965.
Asunto(s)
Conjuntivitis/tratamiento farmacológico , Dexametasona/farmacología , Presión Intraocular/efectos de los fármacos , Administración Tópica , Adolescente , Adulto , Factores de Edad , Niño , Preescolar , Dexametasona/uso terapéutico , Femenino , Humanos , MasculinoRESUMEN
Two patients who had previously undergone uneventful operations for strabismus showed healing of corneal dellen and erosion after withdrawal of colchicine therapy. It is suggested that the exhibition of colchicine therapy for familial Mediterranean fever in these two cases was responsible for initial persistence of these two postoperative complications.
Asunto(s)
Colchicina/efectos adversos , Estrabismo/cirugía , Cicatrización de Heridas/efectos de los fármacos , Adolescente , Niño , Córnea/cirugía , Fiebre Mediterránea Familiar/tratamiento farmacológico , Humanos , Masculino , Complicaciones PosoperatoriasRESUMEN
In this population based study we have reviewed the files of all patients who underwent an extracapsular cataract extraction (ECCE) between 1984 and 1987, were normotensives prior to surgery, and were followed up for at least 10 months after the ECCE. From a total of 1047 operations 746 qualified for the inclusion criteria; of these, 16 (2.1%) were found to have a consistently raised intraocular pressure (greater than 21 mmHg) on more than two occasions) at four months or later after surgery and throughout at least a six-month period. An increased incidence of secondary aphakic glaucoma was associated with anterior chamber IOL implantation (p less than 0.001) and posterior capsule rupture (p less than 0.01), but not with any of the other variables examined (age, sex, surgeon).
Asunto(s)
Extracción de Catarata , Hipertensión Ocular/etiología , Complicaciones Posoperatorias/etiología , Adulto , Anciano , Anciano de 80 o más Años , Cámara Anterior/cirugía , Femenino , Estudios de Seguimiento , Humanos , Israel , Lentes Intraoculares , Masculino , Persona de Mediana Edad , Factores de RiesgoRESUMEN
Data for the first 12 months are reported for an ongoing, multicentre, clinical study comparing the long-term, ocular hypotensive efficacy and safety of topical levobunolol (0.5% and 1%) and timolol (0.5%). This study was a double-masked trial testing 88 patients with chronic open angle glaucoma or ocular hypertension. During the 12-month period drops were instilled twice daily into both eyes after a washout of prestudy ocular hypotensive medication. The effect of the three treatments in reducing intraocular pressure (IOP) was similar. Mean IOP reductions over the 12 months averaged 7.2 mmHg for the 0.5% levobunolol group, 6.2 mmHg for the 1% levobunolol group, and 6.0 mmHg for the timolol group. Decreases in mean heart rate of up to 5 beats per minute were observed in the 0.5% levobunolol group, up to 8 beats per minute in the 1% levobunolol group, and up to 4 beats per minute in the timolol group. Several patients were removed from the study owing to side effects possibly related to levobunolol treatment.
Asunto(s)
Glaucoma de Ángulo Abierto/tratamiento farmacológico , Levobunolol/uso terapéutico , Hipertensión Ocular/tratamiento farmacológico , Adulto , Anciano , Presión Sanguínea/efectos de los fármacos , Ensayos Clínicos como Asunto , Método Doble Ciego , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Presión Intraocular/efectos de los fármacos , Masculino , Persona de Mediana Edad , Distribución Aleatoria , Factores de Tiempo , Timolol/uso terapéuticoRESUMEN
Duane's syndrome is a condition in which the eye exhibits palsy during abduction, with retraction of the globe and narrowing of the palpebral fissure of the affected side during adduction. Two patients with this condition underwent re-recession of the medial rectus muscle, to a position of 13.5 mm from the limbus, to treat a cosmetically unacceptable head-turn and esotropia in the primary position. Postoperatively, improvement of the head-turn with good binocular single vision in the primary position was achieved in both cases.
Asunto(s)
Síndrome de Retracción de Duane/cirugía , Esotropía/cirugía , Movimientos Oculares/fisiología , Movimientos de la Cabeza/fisiología , Músculos Oculomotores/cirugía , Niño , Preescolar , Síndrome de Retracción de Duane/complicaciones , Síndrome de Retracción de Duane/fisiopatología , Esotropía/etiología , Esotropía/fisiopatología , Femenino , Estudios de Seguimiento , Humanos , Reoperación , Visión Binocular , Agudeza VisualRESUMEN
Glass lenses were inserted in ten eyes. Nine eyes achieved 6/12 or better visual acuity. No complications related to the intraocular lens were encountered. Because of our satisfactory initial results we feel that glass intraocular lens implantation may be considered as an alternative, especially in eyes with corneal opacity or diabetic retinopathy.
Asunto(s)
Lentes Intraoculares/normas , Anciano , Catarata/complicaciones , Enfermedades de la Córnea/complicaciones , Vidrio , Humanos , Lentes Intraoculares/métodos , Persona de Mediana Edad , Agudeza VisualRESUMEN
A case of orbital cellulitis in which the causative organism was Streptococcus faecalis--the first such case to the authors' knowledge--is reported. Although Hemophilus influenzae and pneumococci are most frequently encountered in orbital cellulitis, this case shows that Streptococcus faecalis may also be responsible. Prompt identification of the bacteria is urged.