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Introduction: Improving Outcomes for Patients With Diabetic Macular Edema 导论:改善糖尿病性黄斑水肿患者的预后
Pub Date : 2015-12-12 DOI: 10.3928/23258160-20151101-02
C. Puliafito
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引用次数: 0
Acute Visual Loss Secondary to Sneezing 打喷嚏引起的急性视力丧失
Pub Date : 2014-07-24 DOI: 10.3928/23258160-20140717-01
E. Ozakın, D. Kaplan, O. Ozdemir, N. Acar, A. Cevik, A. Özer, S. Doğan
A case is presented of a 24-year-old woman with acute, painless visual loss that oc- curred after sneezing. The patient had no previ- ous ocular disease history. Ophthalmic work-up revealed a cilioretinal artery occlusion in the right eye. Transesophageal echocardiography showed a secundum atrial septal defect with right-to-left shunt. Sudden visual loss requires thorough inves- tigation to determine the cause. In this case, exami- nation revealed a retinal artery occlusion, whose risk factors include older age, systemic hyperten- sion, diabetes mellitus, atherosclerosis, and giant cell arteritis (temporal) in more than 75% of pa- tients. Especially in patients younger than 40 years, an embolus of cardiac origin (atrial septal defect, patent foramen ovale, or valvular) should be sus- pected as a cause of retinal artery occlusion.
本文报告一24岁女性打喷嚏后出现急性无痛性视力丧失的病例。患者既往无眼部疾病史。眼科检查发现右眼纤毛视网膜动脉闭塞。经食道超声心动图显示继发性房间隔缺损伴右至左分流。突然的视力丧失需要彻底的调查来确定原因。在这个病例中,检查发现视网膜动脉闭塞,其危险因素包括年龄较大,全身性高血压,糖尿病,动脉粥样硬化和巨细胞动脉炎(颞叶),超过75%的患者。尤其是年龄小于40岁的患者,心源性栓塞(房间隔缺损、卵圆孔未闭或瓣膜未闭)应被视为视网膜动脉闭塞的原因。
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引用次数: 0
Concurrent Keratitis and Endophthalmitis Associated With Topical Medications Contaminated by Serratia Marcescens 与黏结沙雷氏菌污染的局部药物相关的并发角膜炎和眼内炎
Pub Date : 2013-06-21 DOI: 10.3928/23258160-20130605-01
M. Shah, A. Pathengay, S. Gedde, H. Flynn, T. Albini
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引用次数: 0
Donor Lenticule Centration for Trephination in DSAEK DSAEK穿刺的供体晶状体集中
Pub Date : 2013-04-01 DOI: 10.3928/23258160-20130410-01
Oren S. Yovel, G. Kleinmann
1 To the Editor: Koenig has described a marking technique of the donor’s lenticule for the improvement of centration during lenticule trephination as part of Descemet’s stripping automated endothelial keratoplasty surgery.1 We would like to commend the author for his publication. During the last years we have been using a similar technique successfully; however, our modification obviates the need for the the 10-mm trephine described in Koenig’s technique. We instill a small drop of vital stain (usually VisionBlue trypan blue 0.06%; DORC International, Zuidland, Netherlands) to the round gutter created after the removal of the anterior lenticule while the donor tissue is still anchored to the artificial anterior chamber. A thin dye film subsequently spreads along and around the gutter, marking the edges of the exposed stroma (Figure). Hence, a central trephination inside or through the mark is feasible, ensuring the creation of a thin and uniform lenticule, which will improve the success of the surgery. We would also like to add that unlike the trephination of a full-thickness cornea for penetrating keratoplasty, the trephination of the posterior lamella for DSAEK causes no sound or sensation in the surgeon’s fingers. These delicate signs are important clues that a complete trephination has taken place. In order to ensure complete trephination, we adopted Busin’s technique. While the lenticule is still pressed in the trephine cradle, we rotate the outer corneal rim with forceps, making sure that a complete cut was made all around. It is important to note that most of the marked margins are cut away from the graft during trephination, limiting the endothelial exposure of the dye.
致编辑:作为Descemet剥离自动内皮角膜移植术的一部分,Koenig描述了一种用于改善晶状体穿刺过程中供体晶状体的标记技术我们要赞扬作者的著作。在过去的几年里,我们成功地使用了类似的技术;然而,我们的修改消除了在科尼格的技术中描述的10毫米环钻的需要。我们滴入一小滴生命染色液(通常是0.06%的VisionBlue台盼蓝;DORC International, Zuidland, Netherlands)与切除前晶状体后形成的圆形沟相连,而供体组织仍固定在人工前房上。随后,一层薄薄的染料膜沿着沟槽及其周围扩散,标记出暴露的基质的边缘(图)。因此,在标记内部或通过标记进行中心穿刺术是可行的,确保形成薄而均匀的晶状体,这将提高手术的成功率。我们还想补充一点,与穿透性角膜移植术的全层角膜钻孔术不同,DSAEK的后板钻孔术不会在外科医生的手指中产生声音或感觉。这些微妙的迹象是一个完整的钻孔已经发生的重要线索。为了保证完全钻孔,我们采用了Busin的技术。当晶状体仍被压在环钻支架上时,我们用镊子旋转角膜外缘,确保周围都被完全切开。需要注意的是,在穿刺过程中,大部分标记的边缘从移植物上切除,限制了染料在内皮细胞的暴露。
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引用次数: 0
Welcome to OSLI Retina 欢迎来到OSLI视网膜
Pub Date : 2013-01-01 DOI: 10.3928/23258160-20130103-01
C. Puliafito
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引用次数: 0
OsiriX: An Open-Source Multimodal Image Processing Platform for OCT Image Enhancement OsiriX:用于OCT图像增强的开源多模式图像处理平台
Pub Date : 2012-11-01 DOI: 10.3928/15428877-20120920-01
Eric J Sigler, C. Adam
Recent advances in ophthalmic imaging have created the need for accurate, user-friendly, and widely compatible viewing platforms. In addition, post-capture image manipulation including micrometer-level measurements are becoming increasingly important. OsiriX is an opensource viewing platform approved by the U.S. Food and Drug Administration originally designed for viewing Digital Images and Communication in Medicine (DICOM) images generated by radiologic studies. The authors report the use of OsiriX for importing optical coherence tomography images, highlighting details with various contrast windows, and accurate calibration for detailed anatomic measurements. This viewing modality may be useful in performing accurate, detailed manipulations of ophthalmic images for clinical evaluation, research, and publication purposes. [Ophthalmic Surg Lasers Imaging 2012;43:S135-S138.]
眼科成像的最新进展创造了对精确、用户友好和广泛兼容的观看平台的需求。此外,包括微米级测量在内的捕获后图像处理变得越来越重要。OsiriX是一个由美国食品和药物管理局批准的开源观看平台,最初设计用于观看放射学研究产生的医学数字图像和通信(DICOM)图像。作者报告了使用OsiriX导入光学相干断层扫描图像,用各种对比度窗口突出细节,并对详细的解剖测量进行精确校准。这种观察方式可能对临床评估、研究和出版目的的眼科图像进行准确、详细的操作有用。[j] .中国眼科杂志;2012;33(4):555 - 557。
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引用次数: 0
Electron Micrograph Characteristics of Persistent Enterococcus faecalis Organisms on Surgically Removed Capsular Bag 手术切除囊袋上持久性粪肠球菌生物的电镜特征
Pub Date : 2012-09-01 DOI: 10.3928/15428877-20121108-01
P. Braich, Darlene Miller, H. Flynn, A. Schefler
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引用次数: 1
Progressive Visual Field Loss Associated with Optic Disc Drusen over 25 Years 25年以上视盘萎缩伴进行性视野丧失
Pub Date : 2010-06-03 DOI: 10.3928/15428877-20100525-09
I. Emfietzoglou, V. Grigoropoulos, I. Vergados, P. Nikolaidis, I. Halkiadakis, G. Theodossiadis, P. Theodossiadis
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引用次数: 0
Optical Coherence Tomography Imaging of Macular Hemorrhage Caused by Retinal Arterial Macroaneurysm 视网膜大动脉瘤所致黄斑出血的光学相干断层成像
Pub Date : 2010-06-03 DOI: 10.3928/15428877-20100525-08
A. Almony, M. Dhalla, G. Shah
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引用次数: 0
Phacoemulsification and LensIris Diaphragm Retropulsion Syndrome 超声乳化术与LensIris隔膜后退综合征
Pub Date : 2005-11-01 DOI: 10.3928/1542-8877-20051101-14
D. Saad, M. C. Céspedes, A. M. Palmer, Maria Pazos Lopez
: Lens-iris diaphragm retropulsion syndrome is mainly caused by a reverse pupillary block as a result of a defect or laxity in the zonular apparatus. It is characterized by a posterior displacement of the lens-iris diaphragm with posterior iris bowing, pupil dilation, and pain. The authors describe a new management technique using an iris hook retractor to lift the iris to relieve the pupillary block.
晶状体-虹膜隔膜后退综合征主要是由于瞳孔带状体的缺陷或松弛而引起的反向瞳孔阻滞。其特征是晶状体-虹膜膜后移位,虹膜后弯曲,瞳孔扩大和疼痛。作者描述了一种新的管理技术,使用虹膜钩式牵开器提起虹膜以解除瞳孔阻塞。
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引用次数: 7
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Ophthalmic surgery and lasers
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