Search PubMed⌕ Search

Biomedical subjects

R M Feldman

Publications and source records attributed to R M Feldman.

At least 55 records · Page 3Linked to original sources
PubMed1988

Surgical therapy of chronic glaucoma in aphakia and pseudophakia.

Most glaucoma surgical procedures are less successful in aphakic or pseudophakic eyes. The authors reviewed 91 consecutive initial glaucoma procedures in aphakic patients from 1979 to 1986 to determine successful outcomes and complications. Success was defined as an intraocular pressure (IOP) of at least 30% below the preoperative value and less than 21 mmHg, less than 2 lines of Snellen acuity loss, and no further surgical intervention. At 9 months, success rates were: trabeculectomy, 4 of 15 patients; cyclodialysis, 3 of 20 patients; neodymium:YAG (Nd:YAG) cyclophotocoagulation, 1 of 8 patients; cyclocryotherapy, 9 of 22 patients; anterior chamber tube shunt (Schocket procedure), 3 of 6 patients; and argon laser trabeculoplasty, 2 of 20 patients. Severe complications included phthisis bulbi in 11% of cyclocryotherapy and severe visual loss in 20% with cyclodialysis and 14% with cyclocryotherapy. Results confirm the difficulty of surgical therapy in these patients.

Aged↗
PubMed1987

Positional changes in the vasculature of the optic disk in glaucoma.

We analyzed 34 sets of optic disk photographs from 19 patients with glaucoma who had been followed up for ten years to evaluate changes in the position of the vasculature of the optic disks over time. Each photograph was analyzed by an image analyzer's edge-defining program for optic disk analysis and by three experienced clinicians. Image analysis of the blood vessels in 16 optic disks showed positional centrifugal shifts. The clinicians consistently noted changes in the appearance of seven optic disks. The difference between the results obtained using the image analyzer and those obtained by clinical observation was significant (P less than .05).

Adult↗
PubMed1987

The use of nonfatiguing strengthening exercises in post-polio syndrome.

This study has been done to determine if there is any beneficial effect from the use of nonfatiguing strengthening exercises in the presence of post-polio syndrome. Following accurate identification by EMG of muscles that could be called "post-polio muscles," the use of physiotherapy by offering nonfatiguing strengthening exercises provided either a maintenance or a beneficial effect to these muscles. Only one muscle demonstrated reduced strength during the treatment protocol for reasons unassociated with the project. All other muscles, 31 in 6 patients, demonstrated either maintenance of pretreatment strength (17 muscles), or improvement (14 muscles). We feel that the combination of accurate identification of these muscles, followed by strict adherence to a supervised program of nonfatiguing exercise for a period of at least 3 months, provides help for these patients who have developed recurrent weakness 20 years after normal function following poliomyelitis.

Electromyography↗
PubMed1985

The use of strengthening exercises in post-polio sequelae. Methods and results.

Some individuals who had poliomyelitis 20 to 30 years ago are now reporting a recurrence of symptoms of weakness in the same muscle groups that were weakened during the initial onset of the disease. Electrophysiological findings on EMG and repetitive stimulation studies identify changes peculiar to this disease. Non-fatiguing progressive resistive exercises have been used to strengthen muscle groups demonstrating this secondary weakness after the muscles have been identified by electrophysiological studies. Favorable results are reported after non-fatiguing exercises which, combined with Occupational Therapy and appropriate orthotic management, have resulted in improvement in function of ambulation and activities of daily living. The causes of muscle atrophy and pain seen in these individuals are also discussed.

Braces↗
PubMed1982

Application of direct magnification radiographic technique to the jaws.

Direct magnification radiography is widely applicable to situations in which enhanced definition and enlarged images are desirable. This technique is capable of providing high subject resolution when conventional radiography is not definitive. It serves as a variable supplementary radiograph for the diagnosis of conditions in the oral and maxillofacial region. The general mechanics of the technique as well as its possible use as a supplementary high detail film are discussed. Three cases are reported in which this technique was applied in the diagnosis of oral and maxillofacial surgery patients.

Aged↗
PubMedDate not supplied

Noncardiogenic pulmonary edema and pulmonary fibrosis in falciparum malaria.

Noncardiogenic pulmonary edema is an uncommon but serious complication of falciparum malaria. A case of fatal noncardiogenic pulmonary edema complicating falciparum malaria is presented in which the unfavorable outcome resulted from rapidly developing pulmonary fibrosis, documented through open-lung biopsy. Possible mechanisms of lung injury in falciparum malaria include: impaired perfusion and tissue hypoxia in the pulmonary microcirculation caused by reduced effective circulating volume; abnormal autonomic effects on the lung resulting from reduced blood flow in the central nervous system; immunologic injury to alveolar-capillary structures; and morphologic changes in the surface membranes of infected erythrocytes leading to sequestration of parasitized erythrocytes in vascular beds and pulmonary capillary damage. That pulmonary involvement in falciparum malaria is usually associated with high-grade parasitemia, concurrent cerebral involvement, and delay in institution of antimalarial therapy emphasizes the importance of early diagnosis and treatment.

Biopsy↗
PubMedDate not supplied

Effects of rate of air pressure change on tympanometry.

The effects of two rates of air pressure change upon the pressure and compliance values and classification of tympanograms were determined in normal subjects and subjects with middle ear pathology. Significant differences in the magnitude of compliance and the air pressure corresponding to maximum compliance were observed. The more rapid rate was associated with a higher measured compliance in both groups of ears. In normal ears, the faster pressure change resulted in a shift in the point of maximum compliance toward a more negative pressure, while the reverse was true for ears with middle ear disease. The different rates of pressure change resulted in a different classification of the associated tympanograms for approximately 25% of the impaired ears. These findings imply that the interpretation of the relative normalcy of the tympanogram should take into account the rate of air pressure change used to acquire the result.

Acoustic Impedance Tests↗
PubMedDate not supplied

Retinal detachment following radial and astigmatic keratotomy.

Serious complications of radial keratotomy are infrequent, but include: iridocyclitis, microbial keratitis, endophthalmitis, corneal perforation, and traumatic wound rupture. We report a case of retinal detachment following microperforation during radial keratotomy.

Adult↗