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Biomedical subjects

R Kleiner

Publications and source records attributed to R Kleiner.

24 records · Page 2Linked to original sources
PubMed1992

Repair of retinitis-related retinal detachments with silicone oil in patients with acquired immunodeficiency syndrome.

To provide prompt visual rehabilitation and to reduce the need for repeated operations, we performed vitrectomy with silicone oil tamponade in 16 consecutive eyes with retinal detachments related to cytomegalovirus retinitis and acute retinal necrosis in 13 patients with acquired immunodeficiency syndrome. In all 16 eyes (100%), retinas were reattached with one operation. Preservation of ambulatory vision was achieved in six of eight eyes (75%; mean follow-up, 14.6 weeks). No patient with hand motion visual acuity or worse preoperatively recovered ambulatory vision. Visual acuity recovery was limited by optic nerve disease in five eyes (31%). Silicone oil-related side effects did not adversely affect visual outcome in any eye. Six patients (46%) have since died (mean, 4.4 months postoperatively). These data indicated that successful surgical repair of these detachments can be consistently achieved with this approach. The prognosis for ambulatory vision is strongly related to preoperative visual acuity.

Acquired Immunodeficiency Syndrome↗
PubMed1992

A method for induction of posterior vitreous detachment during vitrectomy.

Complete surgical removal of the posterior vitreous requires the presence of a posterior vitreous separation from the retina. Although a partial or complete posterior vitreous detachment is usually present before surgery, occasionally this separation must be induced during the course of a pars plana vitrectomy. A simple method for creation of a posterior vitreous detachment during surgery is described. This alternative technique seems to be an efficient and safe method for achieving this important surgical objective.

Electrocoagulation↗
PubMed1975

Introduction of intensive milieu therapy in a traditional psychiatric unit.

In spite of a growing interest in clinical psychiatry to experiment with new treatment programs, not least in the field of milieu-therapy, the effect of these programs on the behavior of patients and staff are rarely subjected to systematic evaluation. So the progress in the field is hampered by a lack of clearly defined behavioral data which lends itself to critical analysis, and generally speaking is based on rather loose clinical impressions which make scientific verification difficult the present describes an admittedly crude attempt at systematic evaluation of what happened to staff's and patients' behavior when a relatively intensive milieu-therapy program was introduced in a traditional psychiatric unit, using relatively simple but clearly defined parameters of change in behavior over time. Certain hypotheses about what would happen in terms of group behavior if the new program worked according to its intentions were tested, and generally speaking the conclusion was that the program developed successfully as far as this could be measured by the selected parameters. Data about the patients' evaluation of the effect of the treatment program on themselves, and how this relates to attitudes towards own mental disorders and expectation towards psychiatric treatment at admission to the clinic, as well as social background and group behavior, is analysed, and wil be published in a subsequent paper. So the present paper should be considered as a preliminary report, mainly focusing on certain methodological aspects.

Adult↗