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Biomedical subjects

J B Bateman

Publications and source records attributed to J B Bateman.

At least 91 records · Page 5Linked to original sources

Clinical and computer-assisted analyses of preoperative and postoperative accommodative convergence and accommodation relationships.

A group of 329 patients who underwent bilateral medial rectus muscle recession for esodeviation were analyzed for factors most closely correlated with the outcome. The data evaluated included age of onset of strabismus, refractive error, year of surgery, age of surgery, sex, preoperative esodeviation, and clinical assessment of preoperative and postoperative heterophoria. Linear regression analysis was used to evaluate the relationships of these parameters. Computer-assisted logistic regression analyses and discriminant analyses were used to assess predictive variables for a postoperative increase or decrease in the accommodative convergence and accommodation (AC/A) relationship represented by the clinical assessment method.

Accommodation, Ocular↗

Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine.

Retinoscopy was performed on a population of predominantly white esotropic children younger than 5.5 years with cyclopentolate 1% and atropine 1.0%. Atropine 1.0% revealed +0.34 diopters more hyperopia than cyclopentolate 1.0%, when the mean differences between the two drugs were examined. Mean difference analysis would probably indicate that atropine retinoscopy was unnecessary. However, 22% of the children had +1.0 diopters or more of hyperopia uncovered by atropine. This significant subpopulation suggests that in young patients with esotropia, an atropine refraction is essential to uncover the maximum amount of hyperopia. Almost all of this subgroup with +1.00 or greater hyperopia had an initial cyclopentolate retinoscopy of +2.00 diopters or more. Therefore, retinoscopy using atropine cycloplegia becomes even more important in this population. There was a trend for the greater differences to be in children older than age 2 years. However, these values were not statistically significant.

Accommodation, Ocular↗

Heterogeneity of retinal degeneration and hearing impairment syndromes.

Retinal abnormalities associated with hearing loss may be inherited alone or with additional manifestations. Environmental insults, such as rubella embryopathy, may also cause these abnormalities. We studied 13 patients with retinal abnormalities and hearing loss. Five had Usher's syndrome (retinitis pigmentosa and hearing impairment), one had crystalline retinopathy, two had associated enamel dysplasias, two had clumped pigmentary retinopathy, and three had Amalric-Diallinas syndrome. Our findings suggest considerable heterogeneity of syndromes involving retinal abnormalities and hearing loss.

Adolescent↗

Meningococcal conjunctivitis.

Meningococcal conjunctivitis is typically described as an acute purulent infection. An atypical case of mild catarrhal conjunctivitis occurred in a 19-year-old college student. The meningococci were identified as Neisseria meningitidis, group A, and were isolated from the throats of the patient and her roommate. The conjunctivitis responded rapidly to treatment with sodium sulfacetamide, and it was not treated systemically. A short review of the literature of meningococcal conjunctivitis is presented, and the current recommendation for prophylaxis is discussed.

Administration, Topical↗

Coronal adenomas.

The incidence and morphologic features of coronal adenomas, benign epithelial tumors of the ciliary processes, were studied in 500 autopsy cases. Macroscopically, coronal adenomas are white, globular, often cystic in appearance, of limited growth potential, and found only on the ciliary processes. Microscopically, they contain convoluted sheets or tubes of nonpigmented epithelium, between which are found varying amounts of amorphous eosinophilic, PAS-positive, extracellular material. Coronal adenomas were present in 153 (31%) of 500 cases, were bilateral in 23 (15%), and were thus present in 176 (18%) of the 1,000 eyes examined. Two clinically important complications of coronal adenomas were found, sectoral cataracts and misdiagnosis as iris tumor.

Adenoma↗

The supposed role of micro-biological aerosol stabilizers as substitutes for bound water: a study of an in vitro model system.

In order to test a suggestion that inositol may take the place of water in maintaining the stability of desiccated cells, the reversible endothermic association of tobacco mosaic virus protein (TMVP) was studied turbidimetrically in presence of this substance. Its effect was to lower the temperature at which association takes place, the positive standard enthalpy and standard entropy of reaction both being increased by about 30%. The hypothesis of direct substitution of bound water by inositol at the site of macromolecular association leads to the contrary prediction that the association temperature would be raised. It is suggested that the observed effect of inositol may result from a conformation change in TMVP brought about by binding of inositol at positions adjacent to the site of reaction.

Aerosols↗

Ocular colobomata.

Ocular colobomata present diagnostic and therapeutic challenges in patients of all ages, but especially in young children. The "typical" coloboma, caused by defective closure of the fetal fissure, is located in the inferonasal quadrant, and it may affect any part of the globe traversed by the fissure from the iris to the optic nerve. Ocular colobomata are often associated with microphthalmia, and they may be idiopathic or associated with various syndromes. Types and severity of complications vary depending on the location and size of the colobomata. This article reviews the pathogeneses, categorization, genetic bases, differential diagnoses and management of ocular coloboma.

Abnormalities, Multiple↗

Ocular features of multiple sulfatase deficiency and a new variant of metachromatic leukodystrophy.

Multiple sulfatase deficiency, a newly recognized autosomal recessive disorder caused by a deficiency of several sulfatase enzymes, is characterized by psychomotor retardation, ichthyosis, and mild organomegaly. Patients with metachromatic leukodystrophy, also an autosomal recessive disorder, have a deficiency of a single sulfatase enzyme, arysulfatase A. The ocular features of a patient with multiple sulfatase deficiency and a patient with a new biochemical variant of metachromatic leukodystrophy are described. The patient with multiple sulfatase deficiency had a unique, peripheral lens opacity and a panretinal degeneration. The patient with a new variant of metachromatic leukodystrophy exhibited a cherry-red spot.

Cataract↗

Congenital nystagmus in identical twins: discordant features.

Identical twins with congenital nystagmus were examined and studied with eye movement recordings and videotaping. The nystagmus differed in its location of the null zone, its frequency and amplitude, the degree of persistence in the dark, and the degree of impairment of pursuit and optokinetic nystagmus. As the two boys have the identical genetic constitution, we postulate that the discordant features of the nystagmus represent variable expressivity or, alternatively, the influence of environmental factors.

Diseases in Twins↗

Ligneous conjunctivitis: an autosomal recessive disorder.

Two siblings, a boy and a girl, developed a chronic, bilateral conjunctivitis with large recurrent pseudomembranes. The diagnosis of ligneous conjunctivitis was made by excisional biopsies in both. The family was referred for genetic counseling after the second child developed the disorder. On the basis of this family and previous reports, we believe that ligneous conjunctivitis is a genetic disorder inherited in an autosomal recessive pattern and that genetic counseling should be offered to the parents of affected children.

Child, Preschool↗

Congenital ocular fibrosis syndrome associated with the Prader-Willi syndrome.

We report an 11-year-old boy with both the congenital ocular fibrosis and the Prader-Willi syndromes. Since birth he has had bilateral blepharoptosis and fixed ocular misalignment in downward gaze. Pathological examination of the extraocular muscles showed replacement by fibrous tissue. Additionally, the child had the typical clinical features of the Prader-Willi syndrome including mental retardation, hypotonia, short stature, hypogonadism, and obesity. The Prader-Willi syndrome has been consistently associated with interstitial deletions of the long arm of chromosome 15. Although our patient appeared to have normal chromosomes, he may indeed have an undetectable deletion which may be responsible for both syndromes. We believe that the gene(s) for the congenital ocular fibrosis syndrome may be located near the gene(s) for the Prader-Willi syndrome on the long arm of chromosome 15.

Chromosomes, Human, 13-15↗