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Biomedical subjects

M F Kraushar

Publications and source records attributed to M F Kraushar.

At least 37 records · Page 2Linked to original sources

Pseudohypopyon in Best's vitelliform macular dystrophy.

We examined ten eyes with pseudohypopyon in seven patients with Best's vitelliform macular dystrophy. Fluorescein angiography showed hyperfluorescent defects in the retinal pigment of the superior half of the lesion in all ten eyes. The electro-oculographic findings were abnormal in all four patients who underwent this test. The fluid shifted slightly in two of six patients whose heads were turned to the side for an hour or longer, indicating that the material was probably located between the retinal pigment epithelium and the sensory retina. The volume of the hypopyon increased in one eye.

Adolescent↗

Learning scleral depression with binocular indirect ophthalmoscopy.

Scleral depression with binocular indirect ophthalmoscopy will be easier to learn if the examiner observes the patient's pupillary reflex through the ophthalmoscope without looking through the hand-held condensing lens. When the tip of the scleral depressor is properly positioned the pupillary reflex will darken slightly. If the condensing lens is then moved into position the actual scleral depression will be visible.

Humans↗

Malignant melanoma of the choroid presenting as choroidal detachment following cataract surgery.

The progression of a monocular nuclear cataract was observed for thirty-two months in an eye which was apparently otherwise normal. Three weeks after uncomplicated cataract surgery the patient presented with an apparent detachment of the choroid which enlarged dramatically within a relatively short time and which was further complicated by a retinal detachment. The subsequent development of rubeosis iridis and increased intraocular pressure suggested some other etiology. Ultrasonography revealed a malignant melanoma which was confirmed following enucleation. Transillumination of all suspected postoperative choroidal detachments is recommended with more definitive examination when indicated.

Aged↗

Toxoplasmic retinochoroiditis presenting s serous detachment of the macula.

Of the many causes of serous detachment of the macula, toxoplasmic retinochoroiditis is one of the least common. A case presented which responded to only medical treatment. The clinical picture of this case is consistent with the theory that the organisms may in some instances reach the retina from the optic nerve through an embryologic extension of the ventricular system of the brain. Early diagnosis and treatment can prevent significant permanent visual loss as well as unnecessary retinal photocoagulation.

Child↗

Line copy presentation slides with Kodalith.

Line copy presentation slides with white letters on a blue background can be produced with a two-step process. The slides are more permanent than diazo slides, and the process is faster and less expensive.

Ophthalmology↗

Suturing technique for extraocular muscle surgery.

A method for suturing extraocular muscles is presented which provides a safe, anatomically perfect means of reattaching extraocular muscles after recession, resection, or after disinsertion at retinal surgery.

Humans↗

Retrolental fibroplasia--res ipsa non loquitur.

The misconception that retrolental fibroplasia (RLF) occurs only in premature infants who have been exposed to excessive concentrations of oxygen is discussed. The fact that RLF occurs without exposure to oxygen is documented. Basic principles of jurisprudence regarding medical malpractice relating to RLF are discussed. Since RLF can occur without exposure to oxygen the doctrine of res ipsa loquitur should not apply. The burden of proof should still rest with the plaintiff.

Humans↗

Rentrolental fibroplasia in a full-term infant.

A 3,800-g infant, born after 40 weeks' gestation, developed retrolental fibroplasia, documented by indirect ophthalmoscopy. Elevated arterial oxygen tensions may have occurred during brief treatment for two episodes of cyanosis.

Adult↗

Lacrimal drainage following repair of inferior canaliculus.

Eight cases of surgically repaired lower canaliculi were studied to ascertain whether the lower canaliculus is necessary for normal lacrimal drainage and whether it is advisable to probe the superior canaliculus during inferior canalicular repair. Six of 8 patients sutdied had no epiphora despite unsuccessful surgery and a normal Schirmer"1 test. Surgery was successful on 2 pateints. These results indicate that only cosmetic repair is necessary for lacerated lower canaliculi. It is suggested that the upper canalliculus alone provides sufficient lacrimal drainage to prevent epiphora.

Adult↗

Miotics and retinal detachment: upgrading the community standard.

The majority of ophthalmologists who responded to a questionnaire regarding the relationship between miotics and retinal detachment felt that such a relationship does exist, and that myopia and aphakia/pseudophakia predispose to the formation of new retinal breaks or to retinal detachment from pre-existing breaks with miotics. Horseshoe breaks and dialyses are pre-existing lesions that should be treated prophylactically prior to miotic therapy. Patients with no predisposing pathology or whose eyes have lattice degeneration or operculated breaks should be warned of possible retinal detachment prior to starting miotics. Not performing a peripheral retina examination prior to prescribing a miotic is acceptable, but not optimal, medical practice. Examining the peripheral retina or obtaining a retina consultation prior to prescribing a miotic may be beneficial to the patient and could be invaluable in the defense of litigation.

Humans↗