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Biomedical subjects

B Milder

Publications and source records attributed to B Milder.

18 recordsLinked to original sources
PubMed1988

Orbital lymphangioma.

In summary, we have presented a patient with an uncommon disorder, orbital lymphangioma, with an equally uncommon outcome, restoration of normal visual acuity and ocular motility following total surgical excision. High-resolution axial thin-slice CT scanning with paraxial re-formations was used for preoperative assessment and surgical planning in the case of this 5 1/2-year-old boy with probable lymphangioma of the orbit. The tumor became symptomatic following minor local trauma. Complete excision was possible without impairment of visual or extraocular motor function.

Child, Preschool↗
PubMed1982

Monitoring ophthalmology graduate education. The Residency Review Committee.

Formal monitoring of quality control in American graduate medical education is the task of the residency review committees (RRCs). The RRC for ophthalmology consists of nine members appointed by the American Board of Ophthalmology, the American Academy of Ophthalmology, and the American Medical Association. The RRC meets twice each year to determine the accreditation status of residency training programs. As of 1978, the residents ae board eligible only if they have graduated from accredited programs. The review process is based on data collected in standard hospital information forms and a site survey. An RRC member evaluates this information and makes a recommendation that is discussed and voted on by the nine-member RRC body. In response to pressures for greater quality control and regulatory visibility, the review process has been bolstered by improvements in the data-gathering forms and in the surveyors and by a revision of the minimum requirements for accreditation that provides clearer and more stringent guidelines.

Accreditation↗
PubMed1979

Prescribing glasses for myopia.

Myopia is a one-symptom refraction problem: blurring of distance vision. Correction of the myopia should eliminate this symptom, but a prescription for glasses may, in fact, produce other symptoms equally--or more--disturbing. A few of the more common pitfalls in prescribing for the myopic patient are: (1) failure to recognize accommodative stress masquerading as low myopia; (2) confusion as to when, or whether, to prescribe for the unilateral myopic patient; (3) overcorrecting the myopic refractive error and failure to appreciate the symptoms that result from overcorrection; (4) difficulties in gaining acceptance of bifocals by the myopic presbyopic patient; (5) appropriate selection of bifocal segments; and (6) acquired myopic anisometropia caused by sclerosis of the crystalline lens. Although myopia would appear to be the least troublesome of all refractive problems, the maximizing of visual potential with comfort and safety needs refracting skills, experience, and clinical judgement.

Aniseikonia↗
PubMedDate not supplied

Myopia--a treatable "disease"?

The authors cite various information and misinformation regarding proposed treatments (atropinization, contact lenses, orthokeratology, wearing glasses, not wearing glasses) for the progression of myopia. They conclude that there is insufficient evidence to support the more vigorous approaches to treatment of myopia, and provide some useful explantations for patients and their parents who question the ophthalmologist's decision to treat conservatively.

Accommodation, Ocular↗
PubMedDate not supplied

Progressive power lenses.

With the rapidly increasing public awareness of progressive power lenses for the correction of presbyopia, there has been a corresponding proliferation of manufacturers and types of progressive lens designs. This paper discusses the various lens design philosophies, often grouped in "hard" and "soft" categories. In the absence of visible multifocal segment lines, problems arise in attempting to identify the various lens types, in neutralizing progressive lens powers and in dispensing. These problems are discussed from the viewpoint of the refractionist. The advantages and disadvantages of progressives are considered, together with their indications and contraindications.

Eyeglasses↗
PubMedDate not supplied

Lady Luck.

When a patient with no distance complaints is unable to read with comfort, a shift in the cylinder axes should be among the first things considered. A simple technique for measuring the axes is described, interpretation of the measurements is discussed, and various therapeutic approaches are suggested.

Aged↗
PubMedDate not supplied

A remembrance of Edward Vail Lapham Brown.

E. V. L. Brown's ophthalmic legacy is based on his clinical research accomplishments, including his research centered around the causes of uveitis and his exhaustive studies on refractive errors in childhood, as well as his devotion to teaching, training a corps of carefully trained observers who were meticulous in their diagnostic techniques and surgical skills. This article presents a brief history of E. V. L. Brown's life and recreates what it was like to be a resident under this distinguished ophthalmologist at the University of Chicago Eye Clinic 50 years ago.

History, 19th Century↗