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Biomedical subjects

H Krastel

Publications and source records attributed to H Krastel.

68 records · Page 4Linked to original sources

[Disturbances of the pupil reflex associated with cerebral infarction in the posterior cerebral artery territory (author's transl)].

Four cases of homonymous hemianopia due to cerebral infarction in the posterior cerebral artery territory showed loss of pupillomotor sensitivity within the hemianopic defects, using small threshold-stimuli under perimetric conditions. Sensory and pupillographic profiles paralleled each other. The recordings were done with a portable pupillograph measuring the infrared light reflected from the iris. A Tübinger perimeter served as stimulator.

Cerebral Arteries↗

Recovery from macular photostress and slow retinal potentials in cured retinal detachment.

After successful surgery for retinal detachment, a series of functional tests was performed, which primarily concerned the contact between photoreceptors and pigment epithelium. Even several months after reattachment the EOG still remained lower than in the fellow eye, when the macula was involved. If maximal visual acuity was reached with a formerly detached retinal area, the photostress recovery time was found to be delayed. The dc-coupled ERG showed distinct impairment of the c-wave in the eye with the reattached retina.

Electrooculography↗

[X-linked night-blindness: clinical and electrophysiological investigations including de-ERG in two families (author's transl)].

Patients from two families with X-linked recessive nyctalopia and myopia were investigated. The functional tests included clinical examinations (visual acuity, color sense, visual fields, dark adaptation) and electrophysiological examinations (ac coupled ERG, dc-coupled ERG, EOG). The dc-coupled ERG registrations were done without general anesthesia. In one case, a comparison with results obtained in 1967 was possible. There was no evidence of increase in functional impairment. On the basis of the electrophysiological results, the nature and localization of the defect causing nyctalopia are discussed. The postreceptoral retinal structures appear not to be involved exclusively.

Adult↗

[Disturbances of the pupil reflex associated with lesions of the upper visual pathway (author's transl)].

In six patients with ischemic lesions of the visual pathways above the lateral geniculate body, the pupil light reflex was investigated under perimetric conditions. The size of the lesions--in four cases caused by lateralized cerebral infarction, in two cases by complicated migraine attacks--was certified by neurological examination and by angiography or computerized tomography respectively. The recordings were done with a portable pupillograph measuring the infrared light reflected from the iris. A Tübinger perimeter served as stimulator. All patients except one, whose visual fields recovered quickly and completely, showed parallel tracings concerning the sensory and the pupillographic profiles, in the older lesions as well as in the recent ones.

Adult↗

Differential diagnosis of typical and atypical congenital achromatopsia. Analysis of a progressive foveal dystrophy and a nonprogressive oligo-cone trichromasy (general cone dysfunction without achromatopsia), both of which at first had been diagnosed as achromatopsia.

Report on two patients whose symptoms suggested the presence of congenital achromatopsia. In one case there was indeed total colour blindness, but a normal photopic ERG. Here, achromatopsia is the present stage in a process of slow functional decay of the central retina. Most probably the underlying disorder is progressive foveal dystrophy, a central form of cone dystrophy. In the other case there was a nonrecordable photopic ERG, but trichromatic colour vision. This appears to be another patient with oligo-cone trichromasy (general cone dysfunction without achromatopsia), as described by Van Lith.

Adult↗