Biomedical subjects
Publications and source records attributed to A B Radian.
Three patients with unilateral iridoschisis and glaucoma (1 with bilateral open-angle glaucoma, 1 with unilateral glaucoma) were observed for 3 to 15 years. In none of these patients did iridoschisis progress and a good control of the glaucoma was achieved. The mechanism of this rare condition is yet not clear.
In 3 patients under local pilocarpine medication, corneal marginal infiltration and limbic ulcerations were noted that were typical for allergic marginal keratitis. A classical allergic conjunctivitis was present in every case. They healed after pilocarpine instillations were suspended and local corticosteroids together with oral antihistaminic drugs were applied. Marginal allergic erosions of the cornea is another form of secondary complication in patients using pilocarpine.
The simplicity of Charleux's technique for peripheral iridectomy is underlined. In a lot of 15 eyes with acute angle closure glaucoma, the i.o.p. after surgery was under 21 mm Hg when the attack lasted less than 48 hours. In a second group of 20 eyes with occludable angle/congener eyes suffered attacks/peripheral iridectomy with Charleux's technique prevented acute angle closure/56 months of postoperative observation.
In three eyes which underwent cataract extraction no evidence of senile pseudoexfoliation was found either before, or immediately after, surgery in spite of repeated biomicroscopical examination under full mydriasis. Years later pseudoexfoliative material was found on the anterior hyaloid and on the pupillary border. In another case, wherein the lens was traumatically dislocated and had lain in the inferior vitreous chamber for 53 years, pseudoexfoliative material was present on the anterior hyaloid, but not in the vitreous. Collating these clinical observations with data from electron and light microscopy studies, the authors refute the assumption that lens epithelium is the source of pseudoexfoliative material.
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Are presented the results obtained by artificial lens pupillary implant (Fedorov) at 22 eyes, 18 patients between 48-81 years old, to which the development of cataracta was characterized by a great difference between the eyes. It have been obtained 63% very good visual acuity (5/10 and over) and 31% good (5/15-5/40). The authors Conclusion is the artificial lens implant may be done on diabetic patients if FO doesn't have great modifications.
There are discussed the observations that had been done for a period of 10 weeks about, after the YAG-neodymium laser trabeculoplasty for 79 eyes suffering of simple chronic glaucoma. The choosing of the patients has been done because of the tensional uncompensation under the maximum treatment for 42 eyes having ocular tension constantly over 30 mm Hg, or because of the lack tolerating the drugs, the secondary, effects, allergy. The average decreasing was of 6.31 mm Hg, high semnificative from the point of view of statistic mathematics but the decreasing of the tension researches 15 mm Hg for isolated cases, that permitting to decrease or renounce the drugs.
It is presented a case of symptomatic separating of the retina which ophthalmoscopic examination, that with a Goldmann glass and that of echographic one have justified the enucleation for. The anatomopathological examination hasn't put in evidence any tumour and the subsequent clinical evolution has evidenced an orbital hydatid cyst.
The possibility of improving the aspect of the glaucomatous excavation under the influence of the postoperative ocular hypotonization is shown on 12 eyes (11 patients) observed during the past 13 years. All patients suffered from very advanced chronic simple glaucoma--8 had a C/D 0.9 (postoperatively 0.6 in 3 eyes, 0.4 in 4 eyes and 0.1 in 1 eye), 3 a C/D 0.8 (postoperatively 0.4 in 1 eye and 0.2 in 2 eyes) and 1 a C/D 0.7 (which diminished postoperatively to 0.4). Of the 12 eyes, only one showed an improvement of the visual field, 5 a lowering of the visual acuity (progression of the cataract) and 3 a decrease of the visual field after a new increase of the intraocular pressure.