Biomedical subjects
Publications and source records attributed to Nicholas J Volpe.
A patient displayed a pink mass on the right optic disc and normal visual function that was diagnosed as a capillary hemangioma. Seven months later, he developed typical features of nonarteritic anterior ischemic optic neuropathy (NAION) in that eye. Such a long latency between "preeruptive" and "eruptive" disc edema has not been well documented in NAION.
Idiopathic sclerosing inflammation of the orbit is a distinct form of orbital inflammatory disease characterized by slow and relentless involvement of orbital structures. It is this insidious and relentless course that makes distinction from neoplastic lesions clinically difficult. We report the case of a patient with a several-week history of headache and decreased vision that was originally thought to represent an optic nerve sheath meningioma, based on clinical and radiographic evaluation. Subsequent histopathology from an optic nerve biopsy, however, was more consistent with optic nerve glioma. Eventually, pathologic examination of whole sections through the optic nerve was required to establish and confirm the actual diagnosis of sclerosing orbital inflammation.
PURPOSE: To describe the success of a unilateral recess/resect procedure incorporating an adjustable medial rectus muscle resection in the treatment of adult exotropia. METHODS: The charts of 60 consecutive adult patients with exotropia undergoing lateral rectus muscle recession and adjustable medial rectus muscle resection from November 1998 to August 2003 were reviewed. RESULTS: In 56 (93%) patients, postoperative alignment was within 10 prism diopters of orthophoria. Using adjustable suture technique, a small esodeviation was consistently created in the field of gaze away from the resected medial rectus muscle, and this may guard against recurrence of exotropia. CONCLUSIONS: The use of adjustable medial rectus muscle resection is an alternative, successful, and reliable procedure for the management of adult exotropia.