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Biomedical subjects

H Savir

Publications and source records attributed to H Savir.

At least 37 records · Page 2Linked to original sources

Unilateral congenital ptosis due to plexiform neurofibroma, causing refraction error and secondary amblyopia.

An 8-year-old boy with congenital ptosis of the right upper eyelid due to plexiform neurofibroma was operated on because of a rapidly worsening of his ptosis. Only partial removal of the tumor was possible. A hypermetropic astigmatism of the right eye was caused by the condition of the upper lid, with secondary amblyopia. This finding suggests that in cases of congenital ptosis the presence of a lid tumor must be suspected. Such a tumor causes ptosis and this can lead to refraction error and amblyopia.

Amblyopia↗

[Ocular injury by artificial snow spray].

We treated the eyes of 12 children, aged 2.5-16 years, which were injured by artificial snow-spray during Israel's Independence Day festivities in 1987 and 1989. There was chemical damage to the conjunctiva and cornea which took 1-3 weeks to heal.

Adolescent↗

[Hyperviscosity syndrome and eye involvement].

10 patients with serum hyperviscosity syndrome of different etiologies were examined by fluorescein angiography of the ocular fundus. There was no exact correlation between the pathological findings in the fundus of cases with plasma cell dyscrasia and blood viscosity. Only papilledema and retinal venous engorgement were improved by lowering serum viscosity by plasmapheresis. The abnormal circulating immunoglobulins are an important factor in the genesis of the pathological changes in the retina of patients with plasma cell dyscrasia.

Blood Viscosity↗

[Ocular injuries from seashore racketball].

A 3-year prospective study revealed 39 hospitalized cases of ocular injuries from seashore racketball sports. Most were children and young adults and most had internal injuries of the globe. Over a third had retinal edema, 2 eyes were blinded, and at least 4 are subject to serious future complications.

Adult↗

Eye injuries in children in Israel. A nationwide collaborative study.

A nationwide prospective collaborative study on ocular trauma was performed in Israel during a period of 3 years (1981 through 1983). Almost half of the traumas (1127 [47%] of 2416 eyes) were sustained by children younger than age 17 years, and mainly between the ages of 6 and 12 years. Most of the injuries happened at home (38.1%) or in the street (26.8%) and during play and sport (65.1%). The male-to-female ratio among the children was 4:1. Blunt injuries accounted for 59.2%; 30.5% were perforating injuries and the rest were chemical and radiation injuries. The visual acuity at the time of hospital discharge was better than 6/30 in the majority of the eyes but 122 patients (11%) had a visual acuity of less than 6/60, and no light perception was the result in 40 eyes (3%). The reasons for the severe outcome were as follows: 23 eyes (2%) owing to phthisis, 22 eyes (1.9%) were enucleated, and 16 eyes (1.4%) suffered from endophthalmitis.

Adolescent↗

[Metastatic Serratia marcescens endophthalmitis].

A case of metastatic Serratia marcescens (SM) endophthalmitis is described in a 57-year-old diabetic woman, after amputation of her leg above the knee because of peripheral vascular disease. SM cultured from the infected surgical stump was the source of septic emboli to her right eye and lungs, causing endophthalmitis and pneumonia. The ocular infection did not respond to appropriate antibiotic therapy and evisceration was required. SM infection can cause endophthalmitis refractory to antibiotics, and it should be aggressively treated when SM is cultured from any infected site.

Anti-Bacterial Agents↗

[Epiphora as an expression of dry eye].

One of the most common ophthalmic disorders in the elderly is epiphora, a watery eye with overflow of tears. In some patients it appears in a paradoxical form: dry eye indoors and tearing outdoors. We present a 76-year-old man and a 58-year-old woman with this disorder. Despite diagnosis of dry eye, confirmed by several tests, they complained of epiphora. This ceased after treatment with tear substitutes, bromhexine and occlusion of the lacrimal puncti. The possibility that tearing may be an expression of the dry eye state should always be considered.

Aged↗

Methazolamide-associated temporary leukopenia and thrombocytopenia.

A three-week course of methazolamide therapy for chronic open-angle glaucoma resulted in marked leukopenia and thrombocytopenia. Prompt discontinuation of therapy resulted in complete recovery of white blood cell and platelet counts within five days. The recommendations for patients receiving carbonic anhydrase inhibitors for blood count control at six-month intervals are discussed.

Aged↗

A familial syndrome of infantile optic atrophy, movement disorder, and spastic paraplegia.

We describe 19 cases of a familial syndrome consisting of infantile optic atrophy and an early movement disorder in which chorea predominated. About one-half the patients developed spastic paraparesis during the second decade of life. Ataxia and cognitive deficits were common, usually of mild degree. Seventeen of the patients were females. Sixteen had similarly affected siblings, but none had affected parents. All but one belonged to the Iraqi Jewish community in Israel, giving a minimal prevalence rate in this ethnic group of about 1:10,000.

Adolescent↗

Tangential-radial traction suturing technique for intrascleral foreign material implantation.

We used an intrascleral implantation technique to anchor a keratoprosthesis in the limbal sclera of 22 rabbits' eyes. The tangential-radial traction used in this procedure enabled multivectorial traction forces to be applied while maintaining a tight junction between the biological tissue and the foreign material. During 29 weeks of follow-up there was no postoperative leakage, no cataracts developed, and the anterior chamber was maintained in all the eyes at all times. No ocular infection developed in any eye during the first postoperative month. The compound-force traction used in this procedure may prove useful in other areas of ocular surgery.

Animals↗

Lesion-oriented orbitotomy.

The surgical approach to orbital tumor removal is a matter of surgical strategy and preference. Different procedures have been developed, each with its pros and cons. The frontal selective orbitotomy for removal of orbital tumors is a versatile technique with physiologic cuts, relatively small incisions, lesion orientation, fast repair, and minimal trauma. Six case reports demonstrate the use of this technique and its advantages.

Adult↗

"Cold" corneal abscess in psoriasis: a case report.

A single case of "cold: corneal abscess in a psoriatic patient was considered worth reporting as there are no other cases described in the literature. The importance of the correct diagnosis and the management are discussed.

Abscess↗

Endogenous candidal endophthalmitis.

The incidence of systemic mycotic infections, though formerly rare, has increased dramatically over the past two decades. Candida albicans has been recognized as the most common pathogen in endogenous fungal endophthalmitis. Accurate antemortem diagnosis of disseminated candidiasis is made, however, only in a few cases. Ocular findings may often provide the first definitive clue to an underlying mycotic infection. We present four cases of candidal endophthalmitis; in each the ophthalmologist played a major role in the early diagnosis of the underlying systemic infection, allowing specific therapeutic measures to be taken. We also discuss the common predisposing factors, ocular symptoms and findings, clinical course, and response to antifungal therapy.

Aged↗