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Biomedical subjects

E Ai

Publications and source records attributed to E Ai.

31 records · Page 2Linked to original sources
PubMed1993

Diffuse unilateral subacute neuroretinitis. Morphometric, serologic, and epidemiologic support for Baylisascaris as a causative agent.

PURPOSE: Several nematodes have been postulated as etiologic agents in diffuse unilateral subacute neuroretinitis (DUSN), but the cause of this condition remains uncertain. The authors report the first case of DUSN from the western United States (northern California), along with morphometric, serologic, and epidemiologic evidence supporting Baylisascaris procyonis as its cause. METHODS: One patient was examined and evaluated for disc edema and transient obscurations of vision. A diagnosis of DUSN was confirmed when a motile nematode was identified within the substance of the patient's retina. Morphometric analysis of the nematode was done from projected fundus photographs. Serologic evidence of Baylisascaris infection was suggested by Western blot analysis. A necropsy was done on 12 raccoons from the area. They were examined for evidence of Baylisascaris infection, previously believed to be nonendemic in the region. RESULTS: The intraocular nematode measured 1727 x 67 microns, most consistent with Baylisascaris. The patient had considerable exposure to raccoons, and was seropositive for B. procyonis infection on Western blot analysis. Necropsy evaluation showed B. procyonis infection in 8 of 12 raccoons examined from the area. CONCLUSIONS: The morphometric, serologic, and epidemiologic findings in this case provide evidence that the raccoon ascarid, B. procyonis, is a cause of the large nematode variant of DUSN.

Acute Disease↗
PubMed1992

Current management of diabetic retinopathy.

Diabetic retinopathy progresses through three distinct stages. A rational approach to management is based on an understanding of the pathophysiology of each stage. Based on the results of national multicentered clinical trials of laser photocoagulation and other treatments, advances in our understanding of the pathogenesis and treatment can now make a dramatic impact on blindness in the diabetic population: Panretinal laser photocoagulation treatment can reduce the risk of vision loss from high-risk proliferative diabetic retinopathy by at least 50%. Laser photocoagulation treatment of clinically significant diabetic macular edema can reduce the risk of vision loss by more than 50%. Vitrectomy can restore useful vision to some patients with severe diabetic retinopathy and vitreous hemorrhage with or without an accompanying traction retinal detachment. Diabetes 2000 is a new project sponsored by the American Academy of Ophthalmology, the goal of which is to eliminate preventable blindness from diabetes by the year 2000. As its name implies, Diabetes 2000 will be a long-term project aimed at a specific disease--diabetic retinopathy and its complications. It will provide the latest research findings to ophthalmologists and primary care physicians as the first priority, followed by the education of patients and the general public. Recent advances and treatment guidelines for the medical and surgical treatment of diabetic eye disease will be emphasized through the continuing education of ophthalmologists, other physicians, and allied health professionals. In later phases, educational programs for diabetic persons and the public will be developed. Ultimately, improved access of diabetic patients to ophthalmologic care and a close working relationship between ophthalmologists and primary care physicians will ensure early detection of diabetic retinopathy and the timely delivery of state-of-the-art treatments.

Aspirin↗
PubMed1991

A multicenter study of Pneumocystis choroidopathy.

We studied 21 patients with the acquired immunodeficiency syndrome and presumed Pneumocystic carinii choroidopathy. The lesions were characteristically yellow to pale yellow in color, appeared at the level of the choroid, and were found in the posterior pole. They varied in size from 300 to 3,000 microns, initially increasing in number before treatment and eventually resolving after systemic antimicrobial therapy. Of the 21 patients, 18 (86%) had received inhaled pentamidine as prophylaxis against Pneumocystis pneumonia. Visual acuity and visual field testing showed little evidence of retinal destruction. Survival after the diagnosis of the choroidopathy ranged from two to 36 weeks. Pneumocystic choroidopathy offers an easily accessible clue to disseminated Pneumocystis infection. When comparing drugs for Pneumocystis prophylaxis, careful ocular examination can provide one indicator of the relative efficacy of protection against extrapulmonary disease.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Bilateral macular holes in sporadic posterior microphthalmos.

The authors report an unusual sporadic case of bilateral posterior microphthalmos in an 8-year-old Chinese girl. Cycloplegic refraction showed hyperopia of 12.5 diopters in both eyes. Anterior segment examination showed normal corneal diameters, open angles, and normal lens thicknesses. Ultrasonography showed short vitreous compartments resulting in short axial lengths of 17.2 mm. Fundoscopy showed full-thickness macular holes associated with radiate retinal striae. This is the first report of bilateral macular hole formation in sporadic posterior microphthalmos. The literature is reviewed.

Child↗
PubMed1987

The treatment of diabetic retinopathy.

Advances in our understanding of diabetic retinopathy have allowed the development of new treatments directed at the preservation of sight. This paper reviews the various clinical stages of this disorder with an emphasis on the underlying pathophysiologic mechanisms. A rational approach to the management of this disorder based upon pathogenesis is then presented.

Adult↗
PubMed1982

Photic maculopathy secondary to short-circuiting of a high-tension electric current.

A 21-year-old man was exposed accidentally to the flash of a high-tension short circuit. He subsequently developed a yellow-gray foveolar lesion with mild central visual loss. Fluorescein angiography demonstrated the area of retinal pigment epithelial disruption and was used to follow its evolution over eight months. The energy level at the retina was estimated at 0.87 Joules/cm2, insufficient to create a thermal burn. Therefore, although the patient suffered thermal facial burns, the foveolar lesion represents a photochemical injury to the retinal pigment epithelium and, hence, is similar to solar retinopathy, eclipse blindness, and arc-welder's retinopathy.

Adult↗
PubMed1981

Visual loss as the initial symptom of systemic lupus erythematosus.

A 42-year-old woman had severe, bilateral visual loss and the initial symptom of systemic lupus erythematosus. Fundus photographs and fluorescein angiograms demonstrated an inflammatory process and severe ischemia. Vision in the less severely affected eye markedly improved after systemic and retrobulbar administrations of corticosteroids.

Adrenal Cortex Hormones↗
PubMedDate not supplied

Spontaneous visual improvement in the first affected eye of patients with bilateral disciform scars.

Patients with macular disciform degeneration may undergo spontaneous improvement in visual acuity of the first affected eye when the second eye later undergoes a decrease in vision. Three hundred twenty-nine cases of age-related macular degeneration (AMD) and presumed ocular histoplasmosis syndrome (POH) were examined. There were 20 patients who strictly met the criteria of a disciform scar causing visual acuity of 20/200 or worse in one eye, and 20/50 or better vision in the second eye, who subsequently developed involvement of the second eye with a decrease in visual acuity to 20/200 or less. Six of these 20 patients (30%), after mean follow-up of 32.8 months, achieved spontaneous visual acuity improvement, defined as at least a five-line improvement on a decimal (logarithmic) scale, with an average increase of 7.6 lines in the first affected eye. At extended mean follow-up of 50.1 months, two of the six lost vision, so that four of the 20 (20%) had five lines or more of improvement.

Adult↗
PubMedDate not supplied

Ophthalmic manifestations of the acquired immunodeficiency syndrome.

1. Ophthalmic manifestations of AIDS involve both anterior and posterior segments and can result in total loss of vision. Understanding of these ocular manifestations has become more important as this disease continues to proliferate. 2. Although the risk of infection by HIV in the ophthalmic setting is remote, ophthalmic health-care workers may come in contact with potentially infectious fluids in the course of normal ocular examination procedures. Infection control procedures are therefore recommended. 3. If health-care workers experience a possible exposure, they should consult a physician specializing in infectious diseases or internal medicine within 1 hour. Individuals should be evaluated for hepatitis B and tetanus, and considered for zidovudine chemoprophylaxis, in addition to being tested for HIV exposure.

Acquired Immunodeficiency Syndrome↗