[Diseases of fatty tissue and fat metabolism disorders in rheumatological practice. II].
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Biomedical subjects
Publications and source records attributed to W Müller.
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On the basis of an organ preserving operative case, the patho-physiological postulation of the origin and the diagnostic difficulty of this rare clinical picture are discussed. Out of the only 30 cases known in the world literature, 26 nephrectomies had to be made. Decisive for the formation are the grave concomitant injuries which mask the local symptomatology of the ureter tear. The duration of the interval trauma - therapy influences decisively the chances of organ preservation (from many weeks to 37 years is unknown).
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The authors report on 3 cases of the hypotony syndrome following trabeculotomy in young patients. 2 of these patients had glaucoma chronicum, the third had a clinical picture resembling pigment glaucoma. All 3 patients had before the operation a wide anterior chamber angle. Thy hypotony syndrome was treated conservately with atropine in the first two cases. Under this treatment a temporary increase in intraocular pressure was noted, by which the hypotony syndrome disappeared. In this state gonioscopy showed a cyclodialysis gap. In the third patient the cyclodialysis gap and an obvious leakage cushion occurred together with the hypotony syndrom. Because of this finding an operation against the hypotony syndrom was performed, by which however, the intraocular pressure could not be sufficiently increased and the hypotony syndrome up till now could not be removed.
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