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At least 631 records · Page 35Linked to original sources
PubMed1991

[Retinal detachment after perforating injuries of the eye. I. Analysis of anamnestic data related to the injury, analysis of deficiencies in the primary care of the eye injury and principles of prevention of post-traumatic retinal detachment].

In 1977-1987 the authors operated by the cryosurgical method 69 patients on account of detachment of the retina. The detachment occurred in 37 patients after simple perforation of the eye and in 32 patients after perforation with a foreign intraocular body. In all patients the perforation penetrated as far as the vitreous body. In the first part of the paper the authors analyze in detail anamnestic data related to the injury: age, mechanism of injury, rapidity and method of surgical treatment, chemical nature of foreign body and its size, rapidity and method of extraction of the foreign body. In the subsequent part the authors define the principles of prevention of post-traumatic detachment of the retina during surgical treatment of the injury. Finally the basic shortcomings of primary treatment of the injury from the aspect of detachment of the retina are outlined, as recorded in the group treated by the authors.

Adolescent↗
PubMed2006

Age-related eye disease, visual impairment, and survival: the Beaver Dam Eye Study.

OBJECTIVE: To investigate the relationship of age-related maculopathy, cataract, glaucoma, visual impairment, and diabetic retinopathy to survival during a 14-year period. METHODS: Persons ranging in age from 43 to 84 years in the period from September 15, 1987, to May 4, 1988, participated in the baseline examination of the population-based Beaver Dam Eye Study (n = 4926). Standardized protocols, including photography, were used to determine the presence of ocular disease. Survival was followed using standardized protocols. RESULTS: As of December 31, 2002, 32% of the baseline population had died (median follow-up, 13.2 years). After adjusting for age, sex, and systemic and lifestyle factors, poorer survival was associated with cortical cataract (hazard ratio [HR], 1.21; 95% confidence interval [CI], 1.06-1.37), any cataract (HR, 1.16; 95% CI, 1.03-1.32), diabetic retinopathy (HR per 1-step increase in 4-level severity, 1.36; 95% CI, 1.14-1.63), and visual impairment (HR, 1.24; 95% CI, 1.04-1.48) and marginally associated with increasing severity of nuclear sclerosis (HR, 1.07; 95% CI, 0.99-1.16). Age-related maculopathy and glaucoma were not associated with poorer survival. Associations tended to be slightly stronger in men than women. CONCLUSIONS: Cataract, diabetic retinopathy, and visual impairment were associated with poorer survival and not explained by traditional risk factors for mortality. These ocular conditions may serve as markers for mortality in the general population.

Adult↗
PubMed1995

Age-related eye disease and survival. The Beaver Dam Eye Study.

OBJECTIVE: To investigate the relationship of cataract, age-related maculopathy, glaucoma, and visual impairment to survival in the population-based Beaver Dam Eye Study. DESIGN: In this population-based study, visual acuity was measured with use of standardized protocols. At baseline, stereoscopic color fundus photographs and color slit-lamp and retroillumination photographs were graded in a masked fashion to determine the presence of age-related maculopathy and cataract, respectively. Deaths were ascertained by contacting family members, daily review of obituaries, and use of vital status records. PARTICIPANTS: Subjects aged 43 through 84 years who lived in Beaver Dam, Wis, were identified and examined between 1988 and 1990. RESULTS: From the time of the baseline examination until a median of 4 years later, 9.5% (467/4926) of the population had died. After correcting for age and sex, poorer survival was associated with more severe nuclear sclerosis (5-year survival of 88.9% for the most severe compared with 94.1% for the least severe stage) and visual impairment (5-year survival of 87.5% for impaired compared with 91.8% for unimpaired vision). However, after controlling for systemic factors, only more severe nuclear sclerosis in people without diabetes was significantly associated with poorer survival (hazard ratio per level of severity, 1.19; 95% confidence interval, 1.00 to 1.40). CONCLUSIONS: These data suggest that after controlling for age and sex, nuclear sclerotic cataract severity, cataract surgery, and visual impairment are risk indicators for poorer survival. Cortical cataract, posterior subcapsular cataract, glaucoma, and age-related maculopathy were unrelated to poorer survival.

Adult↗
PubMed1978

Development of the compound eyes of dragonflies (Odonata). IV. Development of the adult compound eyes.

The changes in the directions of view of marked larval ommatidia were observed after the emergence of the adult. Those ommatidia that had been present during the first larval instar had the most posterior directions of view in the adult visual field while the newest ommatidia that had not been functional for vision in the aquatic larva contributed to the anterior and dorsal foveas of the aerial adults. The changes in interommatidial angles at emergence are discussed. Contrary to the general trend for interommatidial angles between retained larval ommatidia to decrease at emergence, the interommatidial angles in the larval fovea of aeshnid visual predators increase at emergence. The modifications in an odonate compound eye at emergence are like an exaggeration of the modifications that occur at the moult from one larval instar to the next, except that the newest ommatidia do not have any compromises in their design for use in the aquatic vision of the larvae. This is in contrast to the ommatidia retained from the earliest larval instars which have to have the most compromises in their design so that they can be adapted for the visual requirements of every larval instar, as well as the adult. This is discussed in relation to the trend among advanced species of odonates to replace the larval ommatidia by an entirely new set of adult ommatidia.

Animals↗
PubMedDate not supplied

Extrusion of eye socket magnetic implant after MR imaging: potential hazard to patient with eye prosthesis.

Metallic implants or prostheses can be potentially hazardous during magnetic resonance (MR) imaging because of movement or dislodgment of the foreign object. Magnetic eye implants have been reported to exhibit strong movement when placed in water and exposed to a field of 1.5 T. The authors report a case of orbital implant extrusion possibly caused by the movement of a magnetic orbital implant during MR imaging at 0.5 T.

Aged↗
PubMed1982

Clinical studies on high and low power laser radiation upon some structures of the anterior and posterior segments of the eye. Experiences in the treatment of some pathological conditions of the anterior and posterior segments of the human eye by means of a Nd:YAG laser, driven at various power levels.

A Q-switched Nd:YAG laser apparatus has been used in the treatment of a number of pathological conditions of the anterior and posterior segments of the human eye. This laser system may be driven in a free running mode, thereby allowing variation of pulse duration over a range of 12 ns to 10 ms. With increasing pulse duration, non-linear mechanical damage patterns characteristic of the biological effects at the lower exposure duration range become unimportant when compared to the so-called thermal effects met at the upper pulse duration range. The thermal damage mechanisms may be useful when applied together with the mechanical damage mechanism, for instance when iris perforations are intended. Because the Wise-Witter irradiation method for the treatment of open angle glaucoma depends on low power, thermal mechanisms, this instrument may also be useful for the treatment of this disease entity. This same irradiation mode may also be applied to at least some irradiation tasks of the retina and choroid.

Choroid↗
PubMed1981

Clinical studies on the efficiency of high power laser radiation upon some structures of the anterior segment of the eye. First experiences of the treatment of some pathological conditions of the anterior segment of the human eye by means of a Q-switched laser system.

A series of pathological conditions such as pupillary block glaucoma, angle block glaucoma, acoria, pupillary membranes and goniosynechias of various origins have been treated successfully by means of pulses emitted from a Nd:YAG Q-switched laser above optical breakdown threshold. Since linear absorption is not required, non-pigmented or entirely transparent structures are easily dissected by this method. We have also opened the supraciliary and suprachoroidal space in a series of cases of wide angle glaucomas. In all cases however, the clefts closed by secondary wound reactions. This method may be applied to extracapsular cataract surgery for opening the anterior capsule before lens extraction and to the hydrophthalmic eye.

Cataract Extraction↗
PubMed1991

Midfacial fractures and the eye: the development of a system for detecting patients at risk of eye injury.

Maxillofacial trauma is often complicated by injury to the eye. Such injuries may be difficult to detect and may therefore be missed. Detailed ophthalmic examinations were carried out prospectively on 363 patients who had sustained midfacial fractures. Fifty four parameters comprising maxillofacial, radiological and ophthalmic data were recorded and coded for each patient. All encoded data were divided into predictors (the data potentially available to the maxillofacial surgeon) and outcome (the data potentially available to the ophthalmologist). Statistical methods of regression, and the analysis of contingency tables, led to the identification of the principal predictors indicative of underlying ophthalmic injury and thence to a scoring system which predicts the severity of such injuries. Impaired visual acuity is the principal predictor and when employed alone gives a sensitivity value of 80%. Pure blow-out fracture or comminuted facial fracture, double vision and amnesia emerged as additional factors which yielded an efficient scoring system with a sensitivity of 89% and specificity of 90% for the population upon which it was based. A score sheet is provided in the paper. These predictors can be remembered from the acronym Blow-out fracture, Acuity, Diplopia, Amnesia, Comminuted Trauma. As many such injuries result from a BAD ACT, it is easily remembered. This scoring system requires to be tested upon a new population of individuals in order to determine its efficacy.

Amnesia↗
PubMed2004

Functional neuroanatomical correlates of eye movements during rapid eye movement sleep in depressed patients.

In depressed patients, REM density, or the number of rapid eye movements (REMs) per minute of REM sleep, is a correlate of depression severity and clinical outcomes. We investigated the functional neuroanatomical correlates of average REM counts (RC), an automated analog of REM density, in depression. Thirteen medication-free depressed patients underwent all night polysomnography and positron emission tomography (PET) scans using [(18)F]fluoro-2-deoxy-d-glucose ([(18)F] FDG) during REM sleep. Regression analyses were conducted with Statistical Parametric Mapping (SPM-99). Average RC significantly and positively correlated with relative regional cerebral metabolic rate of glucose (rCMRglc) bilaterally in the striate cortex, the posterior parietal cortices, and in the medial and ventrolateral prefrontal cortices. Average RC were negatively correlated with rCMRglc in areas corresponding bilaterally to the lateral occipital cortex, cuneus, temporal cortices, and parahippocampal gyri. The areas where average RC was positively correlated with rCMRglc appear to constitute a diffuse cortical system involved in the regulation of emotion-induced arousal. The observed pattern of correlations suggests that average RC may be a marker of hypofrontality during REM sleep in depressed patients.

Adult↗
PubMed1988

The effect of trimethoprim-polymyxin B sulphate ophthalmic ointment and chloramphenicol ophthalmic ointment on the bacterial flora of the eye when administered to the operated and unoperated eyes of patients undergoing cataract surgery.

Both eyes of patients undergoing cataract surgery were treated with an ointment preparation containing either trimethoprim 5 mg/g and polymyxin B sulphate 10,000 units/g, or chloramphenicol 1%. The antibiotic preparations were administered four times daily on the day prior to surgery, once in the morning prior to surgery and twice daily for fourteen days post-operatively. Cultures from conjunctivae and lid margins were taken prior to treatment, pre-operatively and post-operatively on selected days including the fourteenth post-operative day. The effect of the antibiotics on conjunctival and lid margin flora was determined by enumerating patients with positive cultures prior to treatment which were eradicated following treatment and patients with organisms which were cultured de novo in spite of antibiotic treatment. There was no significant change in the number of patients with organisms isolated from conjunctivae and lid margins (p greater than 0.1 in each case, Sign test) over the sixteen day study period with either treatment. Additionally, when the effect of the two preparations on the number of patients with organisms obtained from conjunctivae and lid margins was compared, there was no significant difference between them (p greater than 0.1 conjunctival cultures, p greater than 0.1 lid margin cultures, Fisher's Exact probability test).

Bacteria↗
PubMed2003

Dynamic eye plant models and the control of eye movements.

Models of the oculomotor plant (globe, muscles, pulleys, and orbital tissues) fall into three categories: 1). one-dimensional dynamic with lumped plant elements, 2). three-dimensional dynamic with lumped plant elements, or 3). three-dimensional static with distinct plant elements. The second class of models is most often used when studying the neural control of 3-D eye movement, because they best represent the plant dynamics. However, they are often faulted because they make two unrealistic assumptions: 1). muscle pairs act along the three orthogonal axes (symmetry assumption); and 2). the force generated by the muscles depends only on their innervation (force assumption). It turns out that the symmetry assumption is quite benign, because in a realistic model of the plant the deviations from orthogonal axes can be easily accounted for by simple adjustments to the innervation. In contrast, the force assumption introduces some serious problems. In the present paper, the authors show that a realistic, dynamic model of the geometry of the orbit, with independent muscles, makes different predictions than a similar model with lumped muscles. This difference arises because muscle force is a function of both innervation and muscle length.

Biomechanical Phenomena↗
PubMed1976

Eye disorders: Looking at the eye for clues to systemic disease.

There are many systemic diseases in which eye signs detectable without an ophthalmoscope may be present. Examples are congenital glaucoma in neurofibromatosis, corneal involvement in mycosis fungoides, chloroma in leukemia, and uveitis and glaucoma in herpes zoster.

Acute Disease↗
PubMed1975

Repetitive spikes in photoreceptor axons of the scorpion eye. Invertebrate eye structure and tetrodotoxin.

A graded depolarization accompanied by nerve impulses can be recorded from the scorpion lateral and median eyes in response to light. Electron microscopy shows that axons forming the optic nerve arise directly from the photoreceptors. Thus, photoreceptors must respond both by the generation of a slow receptor potential and the initiation of spikes. The latency of the first spike, and the maximal and mean discharge frequencies were a function of light intensity. Spikes were abolished by tetrodotoxin. Repetitive firing to light therefore appears to be a normal response of scorpion photoreceptors and is the result of regenerative Na influx in the cell membrane.

Animals↗
PubMed2005

High altitude and the eye: a case controlled study in clinical ocular anthropometry of changes in the eye.

Tribal natives of two spatially separate districts of Lahaul-Spiti (mean altitude = 3300 m) and Kinnaur (mean altitude = 1,700 m) in the Himalayan state of Himachal Pradesh have lived for centuries as closed isolated groups, marrying within the local community up to the recent past. Studies on highland natives in the Andes have shown differences in chest diameters, lung volumes, hematocrit, and the like, in those living at high altitudes. We wanted to study whether stay at high altitude for generations confers any change in the ocular anthropometry. No study of this nature is available in the literature. We studied the ocular parameters using Snellen's charts, Standard Royal-Air-Force Rule, A-2,500 Sonomed A-Scan, Goldmann's aplanation tonometer, and S-7,000 Autorefractometer on 50 healthy volunteers at the Indira Gandhi Medical College Out Patient Department at Shimla (mean altitude = 2,100 m). Those living at higher altitudes in Lahaul-Spiti [LS] (n = 10) had significantly wider nose bridge width (p < 0.05); inter-inner canthal distance [IICD] (p < 0.05); inter-outer canthal distance [IOCD] (p < 0.05); and interpupillary distance [IPD] (p < 0.05) than the group living at Kinnaur (n = 40) at lower elevation. The LS group also had narrower palpebral fissure length in the vertical dimension (p = 0.05) and a lower IOP (p = 0.002) than the Kinnaur group. The axial length, lens thickness, and anterior chamber depth were comparable in the two groups. It appears that the eye and its adnexa respond to hypoxia, ultraviolet radiations, and persistent snow cover at high altitude by altering its anthropometry in a subtle but discernible manner. This was a hitherto unexplored area in the literature. Further studies to elucidate and substantiate the findings of the study are indicated.

Accommodation, Ocular↗
PubMed1987

Responses to tuberculin in the guinea-pig eye as a model of cell mediated immune responses in the external eye.

The clinical and histological findings in an animal model of ocular cell mediated immune responses are described. These were evoked in sensitised guinea-pigs by dropping tuberculin into the conjunctival sac or injecting it under the palpebral conjunctiva. When tuberculin was dropped into the conjunctival sac, higher doses were required to evoke a strong response than when it was injected subconjunctivally. When high doses of antigen were used for challenge, a mild response was observed in unchallenged contralateral eyes. The cellular response at low doses of tuberculin consisted predominantly of mononuclear cells. At higher doses the cellular infiltrate was more pronounced, and polymorphonuclear cells tended to predominate 24 hours after challenge, while at 48 hours mononuclear cells predominated.

Animals↗
PubMed1995

Do patients presenting to accident and emergency departments with the sensation of a foreign body in the eye (gritty eye) have significant ocular disease?

A total of 1155 consecutive patients selected on symptomatology alone who presented to an ophthalmic accident and emergency (A&E) department over a period of 3 months from a total patient population of 3522 were assessed. The study showed that about 96% of the patients reporting a sensation of a foreign body in their eye had no serious ocular disease. Most patients had a superficial mechanical injury or minor microbial infection. Steroid drugs were prescribed to only 2.1% of the patients. Topical steroid treatment was contraindicated in 0.35% of the patients. A low rate of morbidity was noted, suggesting that these patients could have been treated adequately in a general A&E department rather than an ophthalmic department.

Emergencies↗
PubMed2003

Dry eyes. Eye series. 3.

During her regular check-up a 68 year old woman patient mentions, as an aside, that the recent hot weather has left her eyes with a 'dry, gritty feeling'. The feeling is more noticeable toward the end of the day and on further questioning has gradually become more prominent over the past few years.

Aftercare↗
PubMed2003

The National Eye Institute of The National Institutes of Health: its history and impact on clinical eye care.

BACKGROUND: Research supported by the National Eye Institute (NEI) of the National Institutes of Health (NIH) has contributed to the visual well being of the world. Pertinent citations from the literature were compiled to produce a clinical database reviewing major studies of the NEI and their outcomes. METHODS: Using Internet search engines and library resources, clinical NEI studies were reviewed. Their purpose, description, outcome and clinical importance are summarized. RESULTS: The results of major clinical NEI research are presented and included are the current modalities of treatment for each disease studied. CONCLUSION: Each NEI study yielded results upon which current scientific guidelines for the treatment or prevention of ocular disease are based.

Biomedical Research↗