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Biomedical subjects

E Torczynski

Publications and source records attributed to E Torczynski.

26 records · Page 2Linked to original sources

Sunlight and human cataracts.

Studies of the cataractous lenses of humans in three different geographic locations indicate that where the ultraviolet components of sunlight are more intense, dark brown cataracts result at a higher frequency than in locations where they are weak. Individuals exposed to sunlight regularly by virtue of their outdoor occupations seemed to develop this dark brown type of cataract much more frequently than those who work indoors. The biochemical characteristics of all brunescent cataracts were found to be very similar, whether derived from individuals exposed to high or low levels of sunlight. These findings support the idea that exposure to sunlight specifically enhances brunescent cataract development in humans.

Adult↗

Mucogenic glaucoma and goblet cell cyst of the anterior chamber.

A 25-year-old woman had a unilateral open-angle glaucoma that was initially thought to be caused by an anterior uveitis. A deformity of the chamber angle was noted and interpreted as a peripheral anterior synechia or an old scar. A peculiar haze was noted in the anterior chamber. The intraocular pressure was controlled by trabeculectomy. A slowly enlarging cyst was observed at the site of a previous anterior synechia. Excision of the cyst resulted in clearing of the anterior chamber haze. The second trabeculectomy specimen contained mucous strands. Problems exist, both clinically and histopathologically, in diagnosing and managing this rare form of secondary glaucoma (mucogenic glaucoma).

Adult↗

Unusual Pseudomonas corneal ulcers.

Two rare species of Pseudomonas were isolated from corneal ulcers in two patients. In the first case P. acidovorans was isolated and suspected as the primary pathogenic microorganism in human disease. In the second case P. stutzeri was isolated from ocular sources, but this is the first report of its role in causing corneal disease. The patient in the second case had a scarred cornea, possibly caused by a previous herpetic infection, and this may have been a predisposing factor to the development of the infection by P. stutzeri. Susceptibility studies of both organisms revealed sensitivity to a wide range of antibiotics but resistance to carbenicillin, a drug currently used in the treatment of infections from P. aeruginosa.

Abscess↗

Nonthyropathic exophthalmos.

Although most cases of bilateral exophthalmos and many cases of unilateral exophthalmos are related to hyperthyroidism, there are numerous other diagnostic possibilities. These include tumors, hemorrhage, vascular anomalies and infections. Exophthalmometric measurements are useful in diagnosis and follow-up. The determination of a nonthyroidal etiology for exophthalmos may require sophisticated radiologic and other techniques, as well as a team approach.

Exophthalmos↗

The Dirofilaria parasite in the orbit.

A 51-year-old white man had proptosis, pain, and inflammation of the left orbit and later developed diplopia. Treatment with antibiotics relieved most of the symptoms but a localized painful mass persisted in the left orbit. On biopsy a Dirofilaria worm was found. The patient was treated with corticosteroids and the residual nodule subsided. The patient was seen regularly for five months after surgery and the lesion has not recurred.

Conjunctivitis↗

The architecture of the choriocapillaris at the posterior pole.

The afferent and efferent vessels as well as the choriocapillaris in the human posterior pole, studied in flat preparations, paraffin sections, and Epon sections, formed relatively discrete units of organization which we called lobules. A lobule is a segment of the choriocapillaris supplied centrally by a precapillary arteriole and demarcated peripherally by a ring of postcapillary venules. Observations on the choroidal phase of fundus fluorescein angiography indicated that blood entering a lobule did not intermingle with blood from adjoining lobules. The choriocapillaris in the posterior pole of the human eye, with its supplying and draining vessels, appeared as a mosaic of adjoining lobules that function independently.

Arteries↗