W H Annesley, B C Leonard, J A Shields, W S Tasman
This study describes the experience of the Wills Eye Hospital Retina Service in the treatment of 125 eyes with retinal angiomatosis, with follow-up ranging from 1 to 15 years. The results of several treatment modalities are compared. In lesions smaller than 2.5 DD, xenon arc photocoagulation, argon laser photocoagulation, and cryotherapy all appear to be effective in eradicating the tumor and salvaging useful visual acuity. For lesions larger than 2.5 DD, cryotherapy appeared to offer the best results. The advantages and disadvantages of the various treatment modalities are discussed.
{"title":"Fifteen year review of treated cases of retinal angiomatosis.","authors":"W H Annesley, B C Leonard, J A Shields, W S Tasman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study describes the experience of the Wills Eye Hospital Retina Service in the treatment of 125 eyes with retinal angiomatosis, with follow-up ranging from 1 to 15 years. The results of several treatment modalities are compared. In lesions smaller than 2.5 DD, xenon arc photocoagulation, argon laser photocoagulation, and cryotherapy all appear to be effective in eradicating the tumor and salvaging useful visual acuity. For lesions larger than 2.5 DD, cryotherapy appeared to offer the best results. The advantages and disadvantages of the various treatment modalities are discussed.</p>","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 3 Pt 1","pages":"OP446-53"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12072781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Standardization of terminology and precise localization of lesions are imperative in the study of the natural course of various retinal vascular and macular disorders. The RAZ localizing system provides an easy and accurate way of documenting and following lesions of the posterior pole in terms of RAZ diameters rather than disc diameters. This type of quantitation is important because consideration regarding prognosis and management is often in terms of involvement of the retinal avascular zone. This type of grid system also permits the clinician to measure and follow the size of some choroidal masses. Based on our preliminary studies, it appears that at this stage of development, this method of studying and recording posterior pole lesions is of useful accuracy. Hopefully, certain guidelines, such as how close one may approach the retinal avascular zone with photocoagulation and still maintain reasonably good vision, can be more accurately determined.
{"title":"Clarification of foveomacular nomenclature and grid for quantitation of macular disorders.","authors":"D H Orth, B S Fine, W Fagman, T C Quirk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Standardization of terminology and precise localization of lesions are imperative in the study of the natural course of various retinal vascular and macular disorders. The RAZ localizing system provides an easy and accurate way of documenting and following lesions of the posterior pole in terms of RAZ diameters rather than disc diameters. This type of quantitation is important because consideration regarding prognosis and management is often in terms of involvement of the retinal avascular zone. This type of grid system also permits the clinician to measure and follow the size of some choroidal masses. Based on our preliminary studies, it appears that at this stage of development, this method of studying and recording posterior pole lesions is of useful accuracy. Hopefully, certain guidelines, such as how close one may approach the retinal avascular zone with photocoagulation and still maintain reasonably good vision, can be more accurately determined.</p>","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 3 Pt 1","pages":"OP506-14"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12072784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central retinal vein occlusion: differential diagnosis and management.","authors":"S S Hayreh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 3 Pt 1","pages":"OP379-91"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12072779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of retinal vascular anomalies.","authors":"J D Gass","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 3 Pt 1","pages":"OP432-42"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12072780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anaerobic ocular infections.","authors":"D B Jones, N M Robinson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"309-31"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12062146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Additional follow-up of 34 cases of prosthokeratoplasty.","authors":"A Donn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"281"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12062498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personal experiences.","authors":"J N Buxton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"268-70"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12062148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Care, needs, and resources.","authors":"A Safir","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"338-41"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12062147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gonioscopy, performed within 48 hours of traumatic hyphema, revealed not only angle recession but also a high incidence of damage to the trabecular meshwork and the Schlemm canal. These trabecular lesions tend to scar and become much more difficult to recognize over the ensuing weeks. Large tears into the ciliary body (angle recession) also had a tendency to "close." Using a specially calibrated BB gun hyphema was induced in rhesus monkeys. Trabecular tears were recognized by gonioscopic and histologic examination. Impaired outflow facility developed between 10 and 30 days after injury in the one surviving animal studied to date. In patients developing open-angle glaucoma years after trauma, evidence of past trabecular injury was seen by gonioscopy in addition to the obvious ciliary body tears (angle recession). The "normal" fellow eye had early glaucoma, ocular hypertension, or "high normal" intraocular pressure. The evidence presented supports the hypothesis that traumatic glaucoma is the result of trabecular meshwork injury from the original trauma and the rapid scarring that results, in combination with an underlying predisposition for the development of primary open-angle glaucoma and the passage of time.
{"title":"Trabecular damage due to blunt anterior segment injury and its relationship to traumatic glaucoma.","authors":"J Herschler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gonioscopy, performed within 48 hours of traumatic hyphema, revealed not only angle recession but also a high incidence of damage to the trabecular meshwork and the Schlemm canal. These trabecular lesions tend to scar and become much more difficult to recognize over the ensuing weeks. Large tears into the ciliary body (angle recession) also had a tendency to \"close.\" Using a specially calibrated BB gun hyphema was induced in rhesus monkeys. Trabecular tears were recognized by gonioscopic and histologic examination. Impaired outflow facility developed between 10 and 30 days after injury in the one surviving animal studied to date. In patients developing open-angle glaucoma years after trauma, evidence of past trabecular injury was seen by gonioscopy in addition to the obvious ciliary body tears (angle recession). The \"normal\" fellow eye had early glaucoma, ocular hypertension, or \"high normal\" intraocular pressure. The evidence presented supports the hypothesis that traumatic glaucoma is the result of trabecular meshwork injury from the original trauma and the rapid scarring that results, in combination with an underlying predisposition for the development of primary open-angle glaucoma and the passage of time.</p>","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"239-48"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11612640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New refinements in synthetic absorbable sutures and their application in ophthalmology.","authors":"J E Blaydes","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23219,"journal":{"name":"Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology","volume":"83 2","pages":"297-301"},"PeriodicalIF":0.0,"publicationDate":"1977-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11540516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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