Concentrations of cefotaxime in the anterior chamber of the eye in rabbits and humans.
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Animals↗
Biomedical subjects
H Busse
Publications and source records attributed to H Busse.
Microsurgical reconstruction of destroyed canaliculi lacrimales.
The authors describe the microsurgical technique applied for the primary and secondary reconstruction of destroyed lacrimal canaliculi. In the event of fresh injuries, they recommend the immediate repair of the mucosal tissue and the reconstruction of the muscle tissue after direct or retrograde intubation of the lumina canaliculi. For secondary reopening of a stenosis, depending on the localization and the extent of the injury, various methods can be used, such as retrograde probing, the opening of the canaliculus in the area of the punctum papilla as described by Arlt,, retrograde opening from the tear sac in the manner used by Sattler or from the canaliculus communis following the method of Busse and colleagues. In the event that a substitute is necessary, then the authors recommend the implantation of a hydrophilic tear duct prosthesis in combination with a conjunctivodacryocystostomy in the manner descibed by Stallard.
Constriction, Pathologic↗
[Application of sulfur hexafluoride (SF6) in retinal surgery (author's transl)].
After a short historical survey the indication and technique of the intravitreal injection of SF6-gas within the limits of the actual retinal surgery are discussed and demonstrated by means of 10 cases. The main indications are (1) tamponade of oral and preoral giant tears, (2) tamponade of central retinal foramina, (3) tamponade of equatorial giant holes of 1-2 quadrants as well as tear groups, and (4) SF6-gas as substitute of the vitreous body.
Adult↗
A case of total keratomalacia due to soft contact lens wearing.
A case of total keratomalacia caused by soft contact lens wearing is demonstrated. The reasons for the tragic course were insufficient adaptation to the lens and inadequate information to the patient regarding the problems of wearing of the lens and its cleaning. A subtotal keratoplasty was performed in this case but only the globe could be preserved.
Adult↗
The Kaleff-Hollwich technique and results of external dacryocysto-rhinostomy operation.
After a review of the history of lacrimal surgery the author describes the techniques of dacryocystorhinostomy which are currently performed. The ideal method is that of Ohm (1921) and Dupuy-Dutemps (1921) with its totally closed mucosal anastomosis. Because of the technical problems demonstrated with this technique the author recommends that of Kaleff (1937), modified by Hollwich (1977). The advantages of this method are: 1. The almost closed mucosal cavity which permits primary would healing. 2. The easy strain-free practicability particularly in cases of small scarred sac and pre-positioned ethmoid cells. 3. The sure fixation of the mucosal roof at the subcutis particularly in cases of marked swelling. Finally a survey of long-term and short term observations on all 324 cases from 1964 to 1977 is given.
Anesthesia, Local↗
Genesis and therapy of dacryocystitis neonatorum.
By means of post mortem dacryocystograms and photomicrographs of histological slides, the topography and morphology of the lacrimal ducts in newborn infants are demonstrated. Because of bends in the course of the lower tear duct a percentage of probings will fail to effect satisfactory perforation of Hasner's membrane. In most cases the soft texture of this membrane requires no more than syringing under pressure, using the hollow probe as described by Bangerter (1953).
Dacryocystitis↗
[Plastic and reconstructive surgery of the lacrimal apparatus].
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History, 17th Century↗
[First results with hydrophile tear duct prosthesis (author's transl)].
The author reports on a new tear duct prosthesis from hydrophile silicone. The advantage of this material is its hydrophilia absorbing the tears to the medial angle, and its softness preventing pressure necrosis and allowing an exact fixation in the medial angle of the lid. The implantation of the prosthesis in combination with conjunctivo-dacryocystotomy seems to be the best technique but also other techniques are demonstrated and discussed.
Adult↗
[Retinitis septica Roth (author's transl)].
The authors report on a case of retinitis septica Roth in a 27-year-old pregnant woman with septic pyelonephritis caused by enterobacter aerugines.
Adult↗
[Fundus changes due to arteriosclerosis and chronic-arterial hypertension (author's transl)].
The authors report on difficulties in ophthalmoscopac differential diagnosis of fundus changes due to arteriosclerosis and hypertension. An attempt is made to present a classification of hypertensive alterations which -- in close association with the scheme published by Keith, Wagner and Neubauer -- uses the same descriptive terms but restricts itself to distinguish between changes of the vascular system on the one hand and changes of the parenchym as a consequence of the vascular changes on the other hand.
Adult↗
[Neuritis nervi optici--results of an etiological inquiry and therapeutical results (author's transl)].
The authors report on the results of an etiological inquiry in 71 patients from 1970 to 1977 suffering from neuritis nervi optici. The study includes also the therapeutical results. The findings demonstrate that modern examination techniques did not bring a definite progress of the clarification of the etiological relation: Approximately 50% stay without causality. The identificated causes are on all fours with those found by Rönne (1930) except the diseases following the application of modern drugs, e. g. contraceptives. Therapeutically a combination of systemic and parabulbar application of corticosteroids, drugs for stimulating the blood flow (e. g. Trental, Cosaldon retard), Vitamin-B-complex, and antibiotics are recommended.
Adolescent↗
Anatomy of the naso-lacrimal duct in new-borns: therapeutic considerations.
The topography and morphology of the lacrimal ducts in newborn infants was demonstrated by means of post mortem dacryocystograms and microphotograms of histologic slides. Because of bends in the course of the lower tear duct, a percentage of probings will fail to effect satisfactory perforation of the Hasner membrane. In most cases, the soft texture of this membrane requires no more than syringing under pressure, using a hollow probe as described by Bangerter (1953).
Autopsy↗
[The diagnosis of venous malformation of the orbits (author's transl)].
The authors describe the frequency, clinical features and methods of diagnosis of venous malformations of the orbits based on their own experience and on the relevant literature. Special attention is paid to plain film diagnosis and angiographic methods of investigation. Orbital phlebography is the most suitable method for demonstrating cavernous haemangiomas and orbital varices and for demonstrating the anatomy of the supplying vessels. For this, special apparatus and skills are necessary in order to obtain adequate, or optimal, phlebograms. The radiological features of venous malformation are described and a selection of typical phlebographic findings are illustrated. An attempt is made to evaluate other forms of examination. Possible aetiological factors in the development of venous malformation in the head and neck region are discussed.
Exophthalmos↗
[Results of Nandrolone therapy (Keratyl) in lesions and diseases of the cornea (author's transl)].
The authors report on clinical experiences with the topical application of the synthetic hormone Nandrolon (Keratyl) in diseases of the cornea caused by exogenic, neurogenic, and combined exogenic-endogenic factors. In all cases a positive regenerative effect on epithelium and stroma of the cornea seemed to exist. The present results seem to allow the following range of indications: 1. injuries of the epithelial tissue; 2. ulcera of the cornea (combined with antibiotics); 3. dystrophic diseases of the cornea; 4. certain postoperative treatment after keratoplastic surgery.
Chemical Phenomena↗
[Surgical treatment of entropium senile (author's transl)].
The authors report on a modification of the entropion surgery of Celsus-Hotz which was successfully carried out in 87 patients with entropion senile from 1969 to 1976. After excision of an about 5 mm wide crescentshaped dermal tissue of the lower eyelid about 3 mm down the margin the muscle fibres of the M. orbicularis near the margin are resected. Before suturing the skin 3-6 stitches of Hotz are done to reduce the tarsus. The advantages of this technique are the safe therapeutical effect, the cosmetical effect and the easy correction of this operation in case of a failure.
Aged↗
[The Custodis procedure--technic and results (author's transl)].
Within the post 11 years 2,722 retinal detachments needed surgery. The mostly used procedure of Custodis consists in an implant, which covering the area of the hole is impressed into the sclera by mattress sutures. In 70% of our cases--due to Custodis--we succeeded in avoiding drainage of the subretinal fluid. Since 1966 the additional diathermy and/or lightcoagulation was mostly replaced by cryopexy. Summarizing the number of retinal detachments operated in the University clinic of Münster during 1955--1957 (Pau), 1958--1961 (Böke) as well as ours (1966--1977), 4,030 retinal surgeries (minus 10% encircling procedures) underwent within 18 years a Custodis procedure. The success rate of 85% indicates that Custodis' technic enables to optimal results.
Cryosurgery↗
[Conjunctival covering (Harms) (author's transl)].
The authors report on 7 cases of conjunctival flap cover in the technique of Harms and Mackensen (1963) in cases of leackage of the bleb after filtering operations. The technique consists in excision of the thin conjunctiva of the bleb, undermining of the conjunctiva until the fold, arched incision of the cornea in front of the bleb, incarceration of the conjunctival lip in the corneal incision with fixation by continuous suture with monophile nylon-string (10X0). In 6 of 7 cases the intraocular pressure was spontaneously regulated after the operation with morphological functioning bleb in 4 cases.
Conjunctiva↗