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Showing papers in "American Journal of Ophthalmology in 1993"


Journal ArticleDOI
TL;DR: Simultaneous manometry and Perkins tonometry were performed on 15 eyes on which intraocular procedures were performed and there was a statistically significant relationship between corneal thickness and the error of Perkins tonometric.

632 citations



Journal ArticleDOI
TL;DR: The clinical impression that cytomegalovirus retinitis and HIV-related noninfectious retinal vasculopathy are late manifestations of AIDS is confirmed, an increased risk for patients with low CD4+ counts is demonstrated, and a basis for coherent chemoprophylaxis and screening strategies is suggested.

316 citations


Journal ArticleDOI
TL;DR: Transantral orbital decompression effectively reduces proptosis and usually corrects optic neuropathy in patients with severe Graves' ophthalmopathy, and in other circumstances, the benefits achieved and the side effects incurred must be carefully balanced for each patient before transantral Orbital decompression is considered.

274 citations


Journal ArticleDOI
TL;DR: The initial findings of 67 patients with newly diagnosed unilateral neovascular age-related macular degeneration were examined, finding that eighty-seven percent of these patients had disease that did not meet Macular Photocoagulation Study Group guidelines for laser photocoagulated treatment.

266 citations


Journal ArticleDOI
TL;DR: The titration of the exposure time to mitomycin C may have reduced, but did not eliminate, the risk of prolonged hypotony-induced maculopathy, and further study is needed to establish the optimum protocol for the use of this drug as an adjunct to trabeculectomy.

261 citations


Journal ArticleDOI
TL;DR: There was a statistically significant association of hypotony with longer application time of mitomycin C, and a trend toward increased incidence of hypotonous in primary filtration in the authors' study.

257 citations


Journal ArticleDOI
TL;DR: Trabeculectomy with adjunctive antifibrosis therapy should be used with caution in young myopic patients, and the means of the ages and refractive errors were statistically significantly different in the two groups.

228 citations


Journal ArticleDOI
TL;DR: Exudation of both dyes stopped with clinical improvement, whereas the perfusion deficits remained unchanged, indicating that central serous chorioretinopathy is primarily a choroidal disease.

209 citations


Journal ArticleDOI
TL;DR: In patients with low-tension glaucoma, there was a significant difference in the progression of visual field defects, and patients taking calcium channel blocker therapy demonstrated no evidence of progressive optic nerve damage.

198 citations


Journal ArticleDOI
TL;DR: In a series of 40 consecutive, primary endonasal dacryocystorhinostomy procedures, the overall long-term ostium patency rate in this series was 82%.

Journal ArticleDOI
TL;DR: The data suggest that glaucoma leads to greater loss of magnocellular tissue at the level of the lateral geniculate, as well as to its mag nocellular and parvocellular layers.

Journal ArticleDOI
TL;DR: This paper used a 440-nm test on a bright-yellow background (96 normal eyes, 55 suspect eyes, and 110 eyes that developed glaucoma) to test color visual fields and the predictive ability of the test was assessed in 25 eyes followed up for more than one year.

Journal ArticleDOI
TL;DR: The bulbous portion of the optic nerve was found to have an important role in cerebrospinal fluid circulation and showed interindividual variation and a linear relationship with the intracranial pressure.

Journal ArticleDOI
TL;DR: A modification of the standard pediatric cataract surgical procedure used in 20 consecutive patients with unilateral traumatic, radiation-induced, and developmental cataracts returned to 20/40 or better in all patients and 75% of all patients (15 patients) reached maximum improvement by five weeks.

Journal ArticleDOI
TL;DR: The anatomic characteristics of a relatively small optic nerve head, absent to small physiologic cup, abnormal branching pattern of central retinal vessels, and a lush nerve-fiber bundle layer elevating the disk margins are associated with the occurrence of certain ischemic disease states.


Journal ArticleDOI
TL;DR: None of the test factors studied showed a high sensitivity or positive predictive accuracy in detecting the eyes that later developed angle closure in patients at risk for developing angle-closure glaucoma.

Journal ArticleDOI
TL;DR: Reduction of intraocular pressure and compliance with therapy are important in patients with complete glaucomatous cupping of the optic disk, and the variance of each patient's individual intraocular Pressure readings measured during the follow-up period was lower in the group with stable vision than in those in whom vision decreased.

Journal ArticleDOI
TL;DR: In this article, a prospective multicenter study of the efficacy of current therapeutic strategies for ocular toxoplasmosis in 149 patients was conducted, and the most important factor predicting the duration of inflammatory activity was the size of the retinal lesion itself.

Journal ArticleDOI
TL;DR: It is believed that donor material is frequently the source of microorganisms in endophthalmitis after penetrating keratoplasty, and the frequency of positive donor rim cultures is linked to this belief.

Journal ArticleDOI
TL;DR: To correct a severe refractive error and obviate thick spectacles or contact lenses, an intraocular lens can be placed in the anterior chamber in front of the normal crystalline lens as an alternative to keratorefractive procedures.

Journal ArticleDOI
TL;DR: Although mitomycin C is effective when used in this manner, further study is required to determine the long-term complications and the efficacy and safety of this technique in patients with refractory glaucoma.

Journal ArticleDOI
TL;DR: Phototherapeutic keratectomy appears to be a safe and effective alternative to penetrating keratoplasty in some patients with selected anterior stromal opacities, and uncorrected visual acuity improved in 11 patients, did not improve in five patients, and decreased in two patients, apparently because of an increase in irregular astigmatism.

Journal ArticleDOI
TL;DR: The trough level of FK506 in the whole blood correlated with both the efficacy of the therapy and with the incidence of adverse effects, and a daily dosage of 0.10 to 0.15 mg/kg of body weight per day was suggested as an appropriate therapeutic dosage for refractory uveitis.

Journal ArticleDOI
TL;DR: Basic corneal image-forming properties can be measured from videokeratographs; the properties can been determined, by methods, on irregular corneas in which keratometry is unreliable; and topographic irregularity provides a measure of irregular astigmatism.

Journal ArticleDOI
TL;DR: Diode-laser photoablation of the peripheral retina was found to be an effective treatment for threshold retinopathy of prematurity located in zone 1 and portability and ease of use of the laser system, precision of treatment, and minimal postprocedural adnexal inflammation are further advantages of this therapeutic modality.

Journal ArticleDOI
TL;DR: Spectacles, hard contact lenses, and excimer laser surgery are all superior to soft contact lenses in terms of light scatter and low-contrast visual acuity and excencer laser photorefractive keratectomy produces comparable results to spectacles one year postoperatively.

Journal ArticleDOI
TL;DR: Although most of the scores of the symptoms were significantly decreased in both groups, greater symptomatic relief occurred in the tetracycline hydrochloride-treated patients, however, after three months of treatment there was no significant difference in symptoms between the two groups.

Journal ArticleDOI
TL;DR: In this paper, the benefits of laser photocoagulation to choroidal neovascularization secondary to angioid streaks was investigated in 20 patients with classic (well-defined) CHNE secondary to Angioid staining.