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PubMed1989

Iatrogenic compartment syndrome, A follow-up of four cases caused by elastic bandage.

We describe four patients suffering from lower limb compartment syndromes which were caused by constrictive bandages applied after stripping of varices. The dressing was erroneously only partially removed, when the patients started complaining of severe pain and tension in the operated legs. The damages varied from extended irreversible neuromuscular defects to lesser functional handicaps. Three patients had corrective surgery. The clinical follow up over several years showed little improvement, secondary complaints were frequent.

Adult↗
PubMed2001

Role of the bandage soft contact lens in the postoperative laser in situ keratomileusis patient.

PURPOSE: To determine whether a bandage soft contact lens (BSCL) is routinely needed in the postoperative laser in situ keratomileusis (LASIK) patient and whether topical tetracaine 0.5% or diclofenac sodium 0.1% (Voltaren) is more effective in relieving patient discomfort than a BSCL. SETTING: LCA-Vision Center, Toronto, Ontario, Canada. METHODS: In this prospective randomized comparative study, all patients had bilateral simultaneous LASIK procedures. Post-LASIK patient comfort was evaluated through 3 arms of the study: BSCL versus no BSCL, 40 consecutive patients with 1 eye randomized to receive a BSCL and no BSCL in the fellow eye; BSCL versus tetracaine 0.5%, 26 consecutive patients with 1 eye randomized to receive a BSCL and tetracaine 0.5% in the fellow eye; tetracaine 0.5% versus Voltaren, 54 consecutive patients with 1 eye randomized to receive tetracaine 0.5% and Voltaren in the fellow eye. RESULTS: The patient preferences after LASIK were as follows: BSCL versus no BSCL-12 (30%) versus 23 (58%) (P =.062); BSCL versus tetracaine 0.5%-4 (15%) versus 22 (85%) (P <.001). On average, the eyes with no BSCL had a 2-line improvement in uncorrected visual acuity over the BSCL eyes. Tetracaine 0.5% versus Voltaren-13 (24%) versus 21 (39%) (P =.170). CONCLUSIONS: The routine use of a BSCL in the postoperative LASIK patient is not necessary. Voltaren and tetracaine 0.5% were safe and more effective in relieving postoperative patient discomfort and resulted in improved visual acuity immediately postoperatively.

Anesthetics, Local↗
PubMed1986

[Bandage lenses in neuroparalytic keratitis].

The successful treatment of two cases of neuroparalytic keratitis with bandage lenses is described. The possible pathogenesis of epithelial damage and our experience with the problems of fitting soft contact lenses on anesthetic corneas are discussed.

Adult↗
PubMed1992

Accuracy of intraocular pressure measurements with two different tonometers through bandage contact lenses.

The intraocular pressure (IOP) of nine cadaver eyes was set by a manometer at 10 mm Hg increments from 10 to 50 mm Hg. Pressure measurements at each of these settings were taken using the Digilab Pneumatonometer and Tono-Pen to determine the accuracy of these instruments. In addition, four brands of therapeutic contact lenses were placed on the eyes, and IOPs were measured through them to determine whether or not comparable IOPs could be obtained through a range of bandage contact lenses. We found a significant difference (p < or = 0.0000) between the measurements obtained by the two instruments at a given manometric setting. Digilab Pneumatonometer's pressures correlated well with manometric pressures. Tono-Pen consistently underestimated manometric pressures. At 50 mm Hg, Digilab Pneumatonometer's mean measurement was 47.5 mm Hg, whereas Tono-Pen's mean was only 38.9 mm Hg. IOPs assessed through all contact lenses were comparable to the measurements without lenses. Multiple regression of score showed that the measured pressure was explained by manometric pressure (81%), the choice of instrument used (5.5%), and the lens thickness (0.09%). The Pierson correlation coefficient was 0.93. This study showed that Pneumatonometer could accurately measure IOP with and without a therapeutic contact lens, but Tono-Pen was equally inaccurate with and without lenses, giving false low measurements.

Analysis of Variance↗
PubMed2004

Survey of bandage lens use in North America, October-December 2002.

PURPOSE: The purpose of this work was to report the findings of a survey of current modes of bandage lens (BL) use by optometrists and ophthalmologists in Canada and the United States in 2002. METHODS: Two thousand voluntary surveys were sent to ophthalmic practitioners across the United States and Canada. The survey contained a questionnaire with 15 questions about the practitioner's background and BL-prescribing trends and views. It also contained a 10-patient list with parameters such as patient profile, BL type, and pharmaceutical use. RESULTS: Seventy-two percent of those opthalmic practitioners who returned surveys have prescribed soft contact lenses for therapeutic purposes. BLs are most often used for corneal wound healing and for managing postoperative complications. Pharmaceuticals are concomitantly administered in more than 81% of the patients treated with BLs. The most commonly prescribed pharmaceuticals are antibiotics (47.5% of patients) and antiinflammatory drugs (42% of patients). ACUVUE and Focus Night & Day lenses are the most popular choices for BLs. Most respondents (93%), regardless of whether they routinely prescribed BLs, would be interested in a BL that could deliver a topical pharmaceutical drug. CONCLUSIONS: The results from the survey indicated that BL use is prevalent across North America. The BL-prescribing habits of North American practitioners indicate that there is a strong interest and need for a drug-delivering therapeutic soft contact lens.

Contact Lenses, Hydrophilic↗
PubMed2006

Treatment of refractory vernal ulcers with large-diameter bandage contact lenses.

PURPOSE: To report two cases of refractory vernal ulcers in which the fitting of a large-diameter (22 mm) hydrogel (Contaflex T75) bandage contact lens (BCL) ameliorated the signs and symptoms of the condition. METHODS: Two patients with refractory vernal ulcers are described. Mechanisms of the effect of a large-diameter lens across the ocular surface are discussed in this condition. RESULTS: The first patient is a 10-year-old boy who had been treated unsuccessfully for a left vernal corneal ulcer with topical prednisolone 0.5% and olopatadine. The vernal ulcer resolved 2 weeks after the fitting of a large-diameter BCL. The second patient is a 4-year-old boy who had been intolerant of all his previous topical medications partly because of his ocular discomfort in association with the right vernal ulcer. A large-diameter BCL was fitted in his right eye. The BCL was removed 2 weeks later with complete healing of the corneal vernal ulcer. Owing to his improved comfort, the patient was able to tolerate topical prednisolone 0.5% drops. CONCLUSIONS: Large-diameter BCLs may be a useful treatment option in the management of refractory vernal ulcers.

Child↗
PubMed2006

Successful management of aniridic ocular surface disease with long-term bandage contact lens wear.

PURPOSE: To present an aniridic patient with failed penetrating keratoplasties OU (PK) who underwent successful repeat PK OD, which has remained clear for 4 years with continuous bandage lens (BCL) wear. METHODS: A 73-year-old aniridic woman who had a failed PK complicated by ocular surface disease refused limbal stem cell transplantation and underwent repeat PK in her right eye. The immediate postoperative course was uneventful except for mild irregularity of the graft epithelium. Two months postoperatively, she presented with an epithelial defect along the inferotemporal graft margin adjacent to an exposed, loose interrupted suture. The suture was removed, and although the initial epithelial defect healed, she suffered recurrent episodes of epithelial breakdown and generalized whorl epitheliopathy. A BCL was inserted and rendered prompt healing of the graft epithelium, which has remained smooth and intact for 4 years. RESULTS: The graft remains thin and clear with a smooth and intact epithelial surface beneath the BCL and no signs of limbal stem-cell deficiency. CONCLUSION: Long-term BCL wear provided good corneal transplant surface protection in an aniridic patient with recurrent epithelial breakdown, thereby sparing the need for limbal stem cell transplantation and the use of potentially toxic systemic immunosuppressive therapy. Meticulous follow-up is required to monitor contact lens loss and epithelial breakdown as well as signs of secondary infectious keratitis.

Aged↗
PubMed1982

Conjunctival and contact lens bacterial flora during continuous 'bandage' lens wear.

The conjunctival and contact lens bacterial flora in a group of 63 patients continuously wearing hydrophilic lenses for therapeutic reasons are reported. Thirty-three patients received topical antibiotics both before and during lens wear. There were no significant differences between the flora on the conjunctiva and on the posterior surface of the lenses. Coagulase negative staphylococci were the most commonly occurring microorganisms. Of these, Staph. epidermidis was the predominant species. Before lens fitting the conjunctival flora was significantly more scant in the group receiving topical antibiotics than in the other group (P less than 0.05). The same group showed an apparently increased bacterial growth after lens fitting, while an opposite trend was noted in the group not receiving topical antibiotics. However, none of these changes were even remotely statistically significant. The fitting of 'bandage' lenses does apparently not in itself necessitate the use of topical antibiotics.

Administration, Topical↗
PubMed1984

Deposits on hydrophilic 'bandage' lenses. A scanning electronmicroscopic and x-ray microanalytic study.

Scanning electronmicroscopy of 34 continuously worn Sauflon PW 'bandage' lenses showed an initial deposition of cellular debris, followed by an increasing, general, non-penetrating, organic coating, particularly on the anterior lens surface. No microorganisms were found. X-ray microanalysis of the 34 Sauflon PW lenses as well as 11 daily worn Hydroflex m lenses showed that elements may be added to or 'washed out' from the lenses during storage before preparation for microscopy. The elements obtained were constituents of both normal tear fluid and lens storage solutions. Only sulphur appeared firmly bound in the deposits, probably as sulphur-containing macromolecules of ocular mucus. Calcium was only detected in a few cases.

Contact Lenses, Hydrophilic↗
PubMed2003

[Pulmonary embolism after placement of an Esmarch bandage for ankle surgery].

We report the case of a woman scheduled for surgical fixation of an ankle fracture who developed a pulmonary embolism during application of an Esmarch compression bandage for exsanguination of the limb. Tracheal intubation and mechanical ventilation were needed to reanimate the patient and surgery had to be postponed 15 days. Orthopedic surgery, pneumatic tourniquets for providing a bloodless field and other risk factors contribute to the development of pulmonary embolism, which is often fatal. Accurate diagnosis by plasma D-dimer determination and imaging (perfusion scintigraphy, vascular Doppler ultrasound, echocardiography and pulmonary angiography) is discussed, along with therapeutic approaches to consider when managing pulmonary embolism.

Ankle Injuries↗
PubMedDate not supplied

Esmarch's bandage technique in distal bypass surgery.

Esmarch's rubber bandage technique has been applied to 49 distal bypass surgeries in 46 patients during the past ten years. The primary and secondary patency rates at 5 years after femoro-tibial bypass surgery were 82% and 92%, respectively. This technique has the following advantages: (1) it minimizes surgical injury of the arterial wall because there is less dissection around the anastomotic site; (2) it decreases scar formation in the anastomotic area after surgery; (3) it maintains abundant muscular blood flow by preserving small branches to muscles, and (4) it provides a bloodless surgical field and easy handling for fine sutures without using vascular clamps. We consider that the avoidance of long circumferential dissection of the artery may play an important role in improving long-term patency in distal bypass surgery.

Adult↗
PubMed1992

Use of a bandage contact lens in perforating injuries of the cornea.

Four cases of perforating corneal injuries as a result of work-related injuries are presented. All were managed with a bandage contact lens and surgical intervention was avoided. Topical pilocarpine was used to free incarcerated iris in two cases. All patients received a course of broad-spectrum systemic antibiotics, and also used topical preservative-free chloramphenicol for the duration of contact lens wear. No lens related complications occurred. Final unaided visual acuities were the same or better than at presentation.

Adult↗
PubMed1991

Bandage contact lens augmentation of 5-fluorouracil treatment in glaucoma filtration surgery.

The use of 5-Fluorouracil (5-FU) to inhibit scarring following filtration surgery has been hampered by corneal epithelial defects and their accompanying inflammation. This toxicity, which occurs during the crucial period in which the risk of bleb failure is highest, has previously been a relative contraindication to further 5-FU use. We have found the early placement of a therapeutic bandage contact lens permits extended administration of 5-FU during this period, minimizing discomfort and inflammation as well as enhancing bleb survival.

Aged↗
PubMed1989

[Experience in the treatment of fractures of the ankle with a functional plaster bandage].

Formation of the functional contour plaster bandage within the limits of the foot along the border of the fissure of the ankle joint with preservation of the contours of the ankles 4-8 weeks after the treatment was started in accordance with the severity of the fractures of the ankles in 95 patients both without (6) and with (89) dislocation of the bone fragments allowed to achieve the bone consolidation of the ankle fragments with recovery of the supportive ability of the extremity in 85 (89.5%) of the patients, after 6-8 weeks (7.2%) in the patients without displacement and after 10-13 weeks (11.3%) with displacement of the bone fragments of the ankles. 10 patients (10.5%) with ruptures of intertibial syndesmosis (8) and non-unions of the bone fragments (2) were subsequently given surgical treatment.

Adolescent↗
PubMed1987

[Postoperative treatment of medial meniscectomy with an elastic bandage of the Van Unen type].

On the basis of a clinical review of a consecutive series of 27 medial meniscectomies of the knee, the authors report the results obtained by the systematic use of the Van Unen elastic bandage ii the post-operative period. The use of this technique would appear to be advantageous both as a means of speeding up functional recovery of the joint operated on and as a means of preventing complications of an arthrosynovitic type which are often secondary to early rehabilitation treatments.

Humans↗
PubMed1978

Bandage lenses and the use of topical solutions containing preservatives.

Eight patients with severe keratoconjunctivitis sicca and filamentary keratitis requiring treatment with continuous wear bandage lenses and frequent instillation of artificial tears were studied. The lenses were removed after wear from 3 to 8 weeks and subjected to ultraviolet spectrophotometric evaluation for the presence of the preservative, benzalkonium chloride. No evidence of benzalkonium chloride in the lenses was seen and no clinical evidence of corneal damage was noted. The use of topical medication containing benzalkonium chloride as a preservative in conjunction with hydrophilic lens appears to be clinically acceptable.

Benzalkonium Compounds↗
PubMed1980

Soft contact lens bandage for Ramsay Hunt syndrome with facial palsy.

A patient under the primary care of a physician was referred to a military O.D. who subsequently referred the patient to the author as a consulting contact lens specialist. The patient exhibited the Ramsay Hunt Syndrome and was unable to blink or close her right eye. Patching had been attempted but was discontinued due to the neuralgia of the epidermal tissue of the lids. A hydrophilic contact lens was used to bandage the cornea. The patient was thereby able to maintain corneal integrity until the viral problem subsided and she regained her ability to function normally through the interdisciplinary cooperation of the eye care of professionals.

Adult↗
PubMed1996

Use of oversized bandage soft contact lenses in the management of early hypotony following filtration surgery.

BACKGROUND AND OBJECTIVE: Initial overdrainage following filtration surgery can be frustrating to manage. The authors reviewed the records of 10 patients with early postoperative hypotony following filtration surgery who were treated with application of an oversized 17.0-mm bandage soft contact lens (BSCL). PATIENTS AND METHODS: Nine eyes had undergone trabeculectomy with either mitomycin-C or 5-fluorouracil intraoperative application, and one eye had undergone tenonectomy 4 years following trabeculectomy. On postoperative day 1, seven eyes were hypotonous, and three other eyes became hypotonous following suture removal or lysis. An oversized 17.0-mm BSCL was placed immediately following the diagnosis of hypotony on all eyes except one, which had the BSCL applied after 24 hours of observation. RESULTS: In 9 of 10 cases intraocular pressure rose 5 to 12 mm Hg following placement of the BSCL. During a 6- to 18-months follow-up, all successfully treated eyes had final intraocular pressures of 5 to 11 mm Hg, with extensive low to moderate height blebs. CONCLUSION: Oversized BSCLs can be a useful tool in the management of early hypotony following filtration surgery.

Aged↗