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Biomedical subjects

L J Catania

Publications and source records attributed to L J Catania.

6 recordsLinked to original sources

Management of corneal abrasions in an extended-wear patient population.

Contact-lens-related corneal abrasions are a management problem for optometrists because of the risk of ulcerative keratitis, particularly from Pseudomonas. Risks and causes of abrasions should be identified for extended-wear patients, and appropriate steps should be taken to minimize the opportunity for injury. When an extended-wear patient presents with an abrasion, the clinician should take a careful history, conduct a thorough examination, and provide the necessary treatment: discontinuation of lens wear, irrigation of the cornea, use of cycloplegia and dilation of the pupil, utilization of the aminoglycoside tobramycin to treat the abrasion, no patching, and appropriate use of cold compresses and oral nonsteroidal anti-inflammatory drugs. Follow-up evaluations should be provided at 24 and 48 hours and at 3 to 5 days after the injury.

Contact Lenses

A categorical approach to the diagnosis and management of pre- and post-fit contact lens conditions.

There are two essential elements in the successful management of contact lens wear. First, it is necessary to pre-assess common anterior segment disorders which may interfere with wear. Such conditions often require pre-wear remediation and special fitting considerations. Second, post-fit complications must be accurately evaluated regarding risk, etiology and prognosis. Appropriate treatment and follow-up for such complications usually results in continued, successful wear. This paper presents tables including diagnostic and management high-lights of the more common complications. Each table is subdivided into anatomical, diagnostic (alphabetical listings) etiological and risk factor categories for practical referencing.

Conjunctival Diseases

Management of episcleritis.

This literature review coordinates etiology, epidemiology, clinical presentation, different diagnosis and treatment of episcleritis. It shows it to be essentially an uncomplicated, benign condition treated most successfully with supportive measures.

Anti-Inflammatory Agents

Primary eye care for the pediatric patient.

The primary care needs of the pediatric patient include the measurement of norms and deviations in the newborn (neonate) and subsequently, developmental milestones. Considerations of such norms and deviations must include familial and hereditary implications, systemic conditions and general health status. Deviations from the expected norms in the newborn and during development must be evaluated by the parent (as the true primary pediatric provider) and responsible health and eye care professionals. Such evaluation should include a sensitivity and awareness of the ocular and visual status, identification of norms and deviations and appropriate courses of action.

Child

Eye care delivery in prepaid group practice.

This paper represents original research from the clinical implementation over a five-year period of eye care as a primary health care resource within the Medical Group of the Genesee Valley Group Health Association at the Joseph C. Wilson Health Center in Rochester, New York. The primary care delivered at this health maintenance organization has been organized in a multidisciplinary fashion with the doctor of optometry functioning as the primary eye care provider, and clinical administrator, and the ophthalmologist functioning as the medical and surgical consultative specialist. The data and information generated from this research represents four years of extensive clinical care delivered to a prepaid patient population in excess of 35,000 members.

Adolescent