Depigmented iris sector in tuberous sclerosis.
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Female↗
Biomedical subjects
G Kranias
Publications and source records attributed to G Kranias.
Significance of scintillating scotoma of late onset.
Scintillating hemianopic scotomas are usually caused either by migraine or, more rarely, vertebral-basilar insufficiency. We report two patients in whom this symptom was probably caused by platelet microthrombi in pial vessels of the visual cortex. These patients were similar in that they had scintillating scotomas which began after the age of fifty and abnormal platelet aggregability. Since increased platelet aggregability is associated with cerebral vascular accidents and is treatable, older patients who develop teichopsias should have appropriate hematological tests.
Age Factors↗
Preservation of retinal function in the RCS rat by laser treatment.
The Royal College of Surgeons (RCS) rats have been used as a model for human retinitis pigmentosa. Studies on these animals have shown that the degeneration of the retina is associated with a buildup of debris produced by shed rod outer segment discs. It has been reported that localized laser lesions can increase phagocytosis in these rats. This study examined the effect of laser burns on the function of the retina of the RCS rats. One eye of 19-day-old RCS rats was treated with laser and the other eye used as control. The retinal function was measured by electroretinography at 5, 10, 15, 20, 25, 30, and 40 days after lesioning. The morphology of the retina was examined at 24 and 43 days after laser treatment. The results show that the retinal function in the treated eye was improved at all intervals and that this improvement was significant at 15, 20, and 25 days. Morphologic examination showed a significant reduction in debris accumulation in the area of the laser spot. However, at sites distal to the laser burns, no morphologic difference between the treated and untreated eyes was noted. It is concluded that the progress of retinal dysfunction in the RCS rats can be retarded by laser treatment.
Animals↗
Bilateral atypical nodular posterior scleritis.
PURPOSE: To evaluate ocular features of nodular posterior scleritis simulating choroidal melanoma. METHODS: A 60-year old woman presented with blurred vision in her right eye of two weeks duration. On examination she had a mild right-globe proptosis with an episcleral nodular mass as well as a large elevated nonpigmented choroidal mass involving the nasal quadrant. RESULTS: A and B-scan ultrasonography showed a medium to high-reflective solid choroidal mass. MRI demonstrated a bi-convex mass in the medial aspect of the right globe with signal characteristics compatible with choroidal melanoma. Biopsy of the extraocular lesion demonstrated chronic inflammatory cell infiltrate suggestive of posterior scleritis. She responded to corticosteroid therapy. On evaluation 41 months later she was noted to have a similar choroidal mass in the left eye. CONCLUSIONS: The physician should be aware of the clinical manifestations and diagnostic hall marks of nodular posterior scleritis in order to differentiate this inflammatory process from choroidal melanoma.
Choroid Neoplasms↗