Politics in a medical journal?
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Biomedical subjects
Publications and source records attributed to R H Bedrossian.
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Our patient was thrown through the roof of a soft-top Jeep. The right upper and lower lids and the cheek were separated completely from their attaching structures and were hinged laterally over the zygomatic arch. The patient had normal extraocular rotations but could not see when the face flap was replaced. Steps in repair of these separated structures are described. A satisfactory cosmetic and functional result was achieved by anatomic reconstruction. Ptosis surgery at a later date was necessary to give a more normal appearance.
Blindness from orbital hemorrhage following surgery, direct trauma, and remote trauma is not common. Compression cyanosis is a rare condition which may cause blindness. Non-ocular injuries may direct attention elsewhere and emergency surgical procedures may be necessary to save life. Orbital decompression can be carried out simultaneously with the other surgery. One case of blindness from abdominal compression and another with orbital, chest, and arm trauma are presented of patients who had emergency orbital decompression along with their other surgical procedures.
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This study evaluated the predictability of results by adjusting eye muscle sutures in anesthetized patients. Consideration was given to the differences in the eye positions when the patient was awake and anesthetized. Observations were made under what the anesthesiologist considered was plane two of surgical anesthesia with the eyes in a stable position. Care was taken that effects of depolarizing agents, if given, had worn off. Twenty-nine operations were performed on 28 patients. Results at six months after surgery were consistent within 5 degrees (10 PD) of orthotropia in 25 operations. There were three cases of undercorrected vision by 6 degrees in patients with esotropia. These patients required no additional surgery. One patient had a 10 degrees difference from the anticipated result.
Sixty-two children were treated with atropine in one eye for one year; the fellow eye was the control. The eyes were switched the second year. Twenty-eight patients were treated for four years on the same basis. Control eyes showed significant increases in myopia compared to treated eyes. Some treated eyes showed decreases in myopia; no decreases were seen in control eyes. Posttreatment data analysis indicates the effects are long-term.
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