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The bandage lens in bullous keratopathy.

One of the most common indications for the fitting of therapeutic contact lenses is bullous keratopathy, a painful condition often iatrogenic in origin and more usually encountered in elderly patients. A retrospective study of 30 patients fitted with therapeutic lenses for the condition and followed up for at least a year showed that the symptoms of bullous keratopathy were reduced in most cases. There was a higher incidence of suppurative keratitis (13 per cent) than has been reported in previous series. The prescribing of prophylactic antibiotics was haphazard in the series, and the authors suggest further study is needed to determine their precise role.

Adult↗

Parent satisfaction comparing two bandage materials used during serial casting in infants.

Plaster of Paris was compared with semirigid fiberglass casting material during serial casting in 17 infants with clubfoot or rigid metatarsus adductus. Semirigid fiberglass was statistically superior in its durability, convenience, performance, and ease of removal. The average amount of time for home cast removal by the parents was 55 minutes for plaster of Paris and 21 minutes for semirigid fiberglass. Complications such as skin abrasions and cast slip-off were similar for both casting materials. Ninety-four percent of parents strongly preferred semirigid fiberglass rather than plaster of Paris for their child's serial casting.

Casts, Surgical↗

Esmarch's bandage.

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Faculty, Medical↗

Bandage battles: the American Red Cross and the politics of emergency response on the eve of World War I.

A century ago, first-aid instruction enjoyed sudden popularity on both sides of the Atlantic. In Britain and the Dominions, including Canada, classes were organised by the St. John Ambulance Association, while on the European continent several sophisticated national and municipal lifesaving associations rapidly outstripped the St. John model. In this article, which concentrates on hitherto neglected developments in the United States, seeks to establish similarities and differences within a comparative framework. Voluntarism, militarism, and modernity all receive attention, as does the question of bourgeois anxiety, seen by Roger Cooter as an important factor in creating "the moment of the accident".

Canada↗

Microbiological examination of bandage soft contact lenses used in laser refractive surgery.

BACKGROUND: Disposable soft contact lenses are known to be colonized by bacteria and play a key role in bacterial keratitis pathogenesis. Such lenses, commonly used after laser refractive surgery procedures in which postoperative corneal infiltrations are sometimes observed, are potentially a substrate for bacterial inoculation. This study evaluates the extent of such a contamination. METHODS: Sixty disposable lenses collected from 60 eyes of patients who underwent photorefractive keratectomy (PRK), photoastigmatic refractive keratectomy (PARK), or laser in situ keratomileusis (LASIK) for the treatment of myopia or hyperopia were collected under sterile conditions over 4 months and cultured in various media. Results were statistically analyzed and the correlation with clinical and epidemiological data was examined. RESULTS: Eleven (18.3%) of the examined lenses were contaminated with Staphylococcus epidermidis. No other bacteria or fungi were found. Contamination was significantly more common among female patients (P = .036). Correlation with the other clinical or operative parameters examined was statistically insignificant. CONCLUSIONS: Contamination was independent of the surgical procedure and females who were frequent users of eyelid cosmetics displayed higher contamination frequencies, suggesting that bacteria possibly originate from eyelid flora. The isolation of Staphylococcus epidermidis requires close postoperative surveillance, since it is a known cause of keratitis. Prophylactic postoperative treatment with tobramycin, gentamycin, or sulphonamides could be indicated.

Adolescent↗