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Biomedical subjects

R S Bartholomew

Publications and source records attributed to R S Bartholomew.

At least 19 recordsLinked to original sources
PubMed1999

Spontaneous absorption of a cataractous lens.

A case of spontaneous absorption of a cataractous lens is presented. A 37-year-old woman with Down's syndrome presented with bilateral cataracts. On follow-up, the cataract in her right eye was found to be absorbed with no secondary uveitis or glaucoma. Surgical capsulotomy was performed on the remnant anterior and posterior capsules. Such absorption is known in juveniles and in hypermature cataract, but is rare in adults in the absence of injury or inflammation. Absorption occurred over a period of one year.

Absorption↗
PubMed1997

Incidence, causes, and neodymium:YAG laser treatment of pupillary capture.

OBJECTIVE: To report the incidence of and factors associated with pupillary capture after cataract surgery and evaluate the outcomes of treatment with the neodymium:YAG (Nd:YAG) laser. SETTING: Unit of Ophthalmology, University of Edinburgh, and Royal Infirmary of Edinburgh Trust Hospital, Edinburgh, United Kingdom. METHODS: This prospective study comprised 792 consecutive patients having cataract extraction by one surgeon from 1989 to 1993. Outcome measures were incidence of pupillary capture associated with eye disease and treatment, surgical technique, and intraocular lens (IOL) placement and style; postoperative progress; and results of Nd:YAG treatment. RESULTS: Pupillary capture developed in 30 of the 764 patients (3.9%) having implantation of a posterior chamber IOL a mean of 14 weeks postoperatively (range 2 to 44 weeks). The incidence was significantly higher in eyes with angle-closure glaucoma, combined glaucoma and cataract surgery, can-opener capsulotomy, manual extraction, sulcus IOL implantation, large-optic IOLs, and one-piece IOLs. Neodymium:YAG laser treatment was successful in 8 of 12 eyes. CONCLUSION: Pupiliary capture may be anticipated and when recognized at an early stage, treated successfully with an Nd:YAG laser in most cases.

Administration, Topical↗
PubMed1996

Cracked cartridges during foldable intraocular lens implantation.

We describe five routine phacoemulsification procedures in which a longitudinal split in the injector cartridge occurred during foldable intraocular lens (IOL) implantation. In some cases, this was associated with a broken lens. All lenses (STAAR AA-4203VF) were folded, and implantation was attempted through a 3.5 mm corneal or scleral incision. Visual outcome was not adversely affected in any case. The systems for introducing foldable IOLs have not been perfected, and further refinements in materials and techniques are required.

Aged↗
PubMed1995

Rationalising ophthalmic admissions.

A new ophthalmic admission document has been devised which integrates existing medical and nursing input promoting a more consistent and concise assessment of the patient.

Ambulatory Surgical Procedures↗
PubMed1989

Carcinoid tumour in the lacrimal gland.

A case of carcinoid tumour in the lacrimal gland is described, thought to be a metastasis from a known primary lesion in the mediastinum. The results of light and transmission electron microscopic examination are presented, and the possibility of the lesion representing a second primary tumour discussed.

Aged↗
PubMed1988

Post-cataract astigmatism: its control and correction.

The factors responsible for postoperative astigmatism--wound compression and wound gape--are discussed and illustrated for a number of suture incision combinations. Variability is pronounced. Mid-limbal incisions sutured with 8-0 virgin silk had a range of 8D at four days, 8.5D at four weeks and 9D at three months. Nylon 9-0 double continuous, tied normally, had 8D at four days, 7D at four weeks and 7.5D at three months. The same suture tied tightly gave a range of 5D at four days, 7.5D at four weeks and 6D at three months. Methods of control and correction are discussed and illustrated with case histories.

Absorption↗
PubMed1987

Viscoelastic evacuation of traumatic hyphaema.

A technique for the safe evacuation of traumatic hyphaema is described. The viscoelastic properties of Healonid are used to separate the hyphaema from other ocular tissues and to extrude it through a small corneal incision. Healonid maintains a deep anterior chamber and a stable intraocular pressure. It also protects the lens, cornea, and iris and allows clear observation.

Elasticity↗
PubMed1985

Raised intraocular pressure: an alternative method of referral.

To assess delay in referring patients with suspected glaucoma two methods were studied in a randomised trial: direct referral from optician to ophthalmologist and referral through the patient's general practitioner. Direct referral was reliable for all 49 patients involved, whereas, of the 44 patients referred through their general practitioner, seven waited over three weeks for referral.

Family Practice↗
PubMed1985

Penetration of timolol eye drops into human aqueous humour: the first hour.

Samples of aqueous humour were removed from 26 eyes at the start of cataract extraction. Two drops of timolol 0.5% had been instilled into the conjunctival sac 12-71 minutes before operation. Analysis by gas chromatography showed a mean timolol concentration of 55.46 ng/mg, with a range of 8 to 100 ng/mg.

Aqueous Humor↗
PubMed1984

Epidemiological and other studies in the assessment of factors contributing to cataractogenesis.

Some problems of cataract epidemiology are briefly reviewed. Studies of the incidence and prevalence of cataract, and of economic status, measure social need but cannot, by themselves, point to possible causes. Information on geographical or regional distributions and medical, clinical and occupational studies permit the formulation of socially, medically or experimentally testable hypotheses concerning specific contributory factors. We have found several such factors to be significantly associated with cataract; they appear to be risk factors. Some risk factors are associated with subclinical deviations from the range of normal concentrations of certain plasma constituents, whereas clinically or experimentally acute deviations are known to be rapidly cataractogenic. Other risk factors include medical conditions and certain drugs. Although individuals may have several risk factors, controls have significantly fewer than cataract patients of the same age. This difference in the number of risk factors is also age-related, as is the degree of divergence from the normal range in the concentrations of several plasma constituents.

Aged↗
PubMed1983

Studies of lens enzyme activities in relation to cataract type and plasma constituents.

The specific activities of glutathione reductase (GR), EC 1.6.4.2, and aldolase, (ALD) EC 4.1.2.13, were determined in the homogenates of 60 cataractous lenses. Concentrations of certain plasma constituents and the morphological types of cataract of the patients were known. Investigations were aimed at establishing a possible correlation between enzyme activities and plasma constituents as well as between the specific activities of GR and ALD and type of cataract. A correlation between the specific activity of GR and the urea content of the blood could be identified. Results also indicated a relationship between the decrease in GR activity and the formation of cortical cataracts.

Alkaline Phosphatase↗
PubMed1982

Oxytetracycline in the treatment of ocular rosacea: a double-blind trial.

Thirty-five patients with ocular rosacea were admitted to a trial of systemic oxytetracycline, 250 mg b.d. for 6 weeks. Oxytetracycline produced a significantly higher number of remissions than the placebo, 11/35. With repeated or continuous treatment 19/35 patients achieved a sustained remission for 8 months. There were no side effects. The nonspecific signs of ocular rosacea responded well to the treatment, but no permanent change in the conjunctival or corneal vascularisation occurred.

Clinical Trials as Topic↗
PubMed1982

Toxic amblyopia associated with Crohn's disease.

A 71-year-old patient presented with failing vision. She was a life-long smoker who had suffered from Crohn's disease for at least 13 years and had vitamin B12 malabsorption which failed to correct with intrinsic factor. It is suggested that toxic amblyopia be considered in any patient with visual impairment associated with terminal ileal disease.

Aged↗
PubMed1982

Some risk factors associated with cataract in S.E. Scotland: a pilot study.

Problems of epidemiological studies of cataract are outlined. Some results are reported from a study on 931 cataract patients and 325 non-cataractous individuals. After correction by age and sex several single variables were found to have significant positive or negative correlations with cataract. Interactions between variables were found; these include age, diabetes, the use of diuretics and cataract, between age, sex, the level of alcohol consumption and cataract, and between age, sex, plasma urea levels and the use of different diuretic drugs, only some of which were found to have a positive association with cataract.

Aged↗
PubMed1981

PDS (polydioxanone suture): a new synthetic absorbable suture in cataract surgery. A preliminary study.

PDS (polydioxanone suture), a new synthetic absorbable suture, was used in 21 patients undergoing cataract surgery. It still retains 25% of its tensile strength at 42 days but absorption takes 130-180 days. 1 braided coated and 1 monofilament PDS were adequate as conjunctival sutures but offered no advantage over available materials. 0.5 monofilament PDS was superior in handling qualities to 0.4 virgin silk. It does not need to be removed but retains tensile strength for longer than other absorbable sutures.

Aged↗
PubMed1980

Clinical evaluation of clobetasone butyrate: a comparative study of its effects in postoperative inflammation and on intraocular pressure.

Clobetasone butyrate, a new corticosteroid with a high topical activity, has been compared with prednisolone phosphate and a placebo in the treatment of inflammation following cataract extraction. These 2 steroids were more effective in relieving postoperative inflammation than placebo (P less than 0.05), though no obvious clinical differences between the 2 compounds emerged from this investigation. However, a single-blind comparative study against betamethasone phosphate in patients suspected of having steroid-induced glaucoma showed that, while betamethasone phosphate significantly raised intraocular pressure, clobetasone butyrate had only a minimal effect, and this difference was statistically significant (P less than 0.02).

Administration, Topical↗