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Showing papers in "Ophthalmology in 1991"


Journal Article•DOI•
TL;DR: A new system for grading age-related maculopathy using stereoscopic 30 degrees color fundus photographs, standard circles printed on plastic to assess size and area, and a specially designed lightbox to allow better discrimination of subtle drusen is described and measures of reliability are reported.

1,172 citations


Journal Article•DOI•
TL;DR: Clinical ultrasound biomicroscopy (UBM) has shown significant potential as an aid in diagnoses of ocular disease and the ability to define the relationship of the iris, posterior chamber, zonules, ciliary body, and lens is potentially helpful in understanding mechanisms of glaucoma.

707 citations


Journal Article•DOI•
TL;DR: Multivariate analyses showed both sex (women) and age (older) to be significant and independent predictors of poorer visual acuity.

676 citations


Journal Article•DOI•
TL;DR: Using techniques of molecular epidemiology, the authors demonstrate that an organism isolated from the vitreous was genetically indistinguishable from an isolate recovered from the patient's eyelid, conjunctiva, or nose in 14 (82%) of 17 cases of endophthalmitis.

618 citations


Journal Article•DOI•
Earl A. Palmer1, John T. Flynn2, Robert J. Hardy3, Dale L. Phelps4  +181 more•Institutions (24)
TL;DR: The timing of retinal vascular events correlated more closely with postconceptional age than with postnatal age, implicating the level of maturity more than postnatal environmental influences in governing the timing of these vascular events.

613 citations


Journal Article•DOI•
TL;DR: Preliminary experience is reported in using mitomycin to improve the prognosis in trabeculectomy operations considered otherwise likely not to succeed.

554 citations


Journal Article•DOI•
TL;DR: The authors reviewed the incidence of hospital-linked postoperative endophthalmitis at the Bascom Palmer Eye Institute between January 1, 1984 and June 30, 1989 and observed an incidence of 0.093% in cases operated on between September 1, 1976 and December 31, 1982.

496 citations


Journal Article•DOI•
TL;DR: In a majority of the observed cases of endophthalmitis, some form of intraoperative communication with the vitreous cavity existed, and use of topical povidone-iodine in over 3000 cases was not associated with any adverse reactions.

464 citations


Journal Article•DOI•
TL;DR: A 1-year follow-up study on a consecutive series of 26 sighted eyes undergoing PRK found that visual acuity with glare decreased from 20/27 preoperatively to 20/31 after 1 year, and risk factors for scarring include noncompliance with postoperative steroid medication, high myopic corrections, and high steroid responders.

461 citations


Journal Article•DOI•
TL;DR: Prophylactic adjuvant therapy could be explored as a means to increase disease-free survival in patients with uveal melanoma.

366 citations


Journal Article•DOI•
TL;DR: In this article, the authors compared the rates of retinal detachment (RD) repair and hospitalization for endophthalmitis after extracapsular cataract extraction (ECCE) in 1986 and 1987 with those following inpatient catarach extraction in 1984.

Journal Article•DOI•
TL;DR: Serum total and high-density lipoprotein (HDL) cholesterol were measured in a sample of individuals examined between 1984 and 1986 and support the current management strategies for diabetes, which include control of level of glycemia, blood pressure, and blood lipids.

Journal Article•DOI•
TL;DR: In this paper, the authors reviewed the records of 302 eyes of 185 patients with diffuse diabetic macular edema treated with modified grid laser photocoagulation between the years 1981 and 1990 and found that visual acuity was improved in 14.5%, unchanged in 60.9%, and worse in 24.6% of eyes.

Journal Article•DOI•
TL;DR: In a prospective study of 2789 angiographic procedures in 2025 patients, the authors found that the percentage of adverse reactions depended strongly on the patient's angiography history as discussed by the authors.

Journal Article•DOI•
TL;DR: The incidence of late bleb-related endophthalmitis after 5-FU trabeculectomy appears to be higher than that for trabECUlectomy without adjunctive 4-fluorouracil injections, and it is unclear whether this is due to an increased risk of infection or a different underlying cause.

Journal Article•DOI•
Jonathan J. Dutton1•
TL;DR: The coralline hydroxyapatite sphere as a buried integrated ocular implant appears to offer excellent cosmetic reconstruction without the unacceptable infection and extrusion rates seen with other integrated implants.

Journal Article•DOI•
TL;DR: In this paper, the authors report a series of 20 eyes from 20 patients in whom inadvertent perforation of the globe occurred during local anesthesia for ocular surgery, and 15 (75%) of the 20 eyes were successfully repaired, and, in five eyes (25%), the final visual acuity was 20/70 or better.

Journal Article•DOI•
TL;DR: Subgroup analysis of the suturing technique showed that the technique of wound closure, as well as the wound size, influenced the induced astigmatism, however, the variability in the amount of induced cylinder was least with the 4.0-mm wound.

Journal Article•DOI•
TL;DR: The charts of 23 patients with needle penetration of the globe during retrobulbar or peribulbar injections between January 1980 and May 1990 were reviewed and possible needle penetration risk factors included high myopia, previous scleral buckling procedures, injection by nonophthalmologists, and poor patient cooperation during the injection.

Journal Article•DOI•
TL;DR: The average uncorrected visual acuity in the 7 normally sighted eyes with attempted corrections of 5 diopters (D) or less was 20/40 from month 2 on; the eyes with greater than 5 D attempted corrections had an average of 20/80- at month 2, which declined to 20/200- by month 6 as discussed by the authors.

Journal Article•DOI•
TL;DR: Of 1102 consecutive patients treated with beta irradiation after pterygium removal at the Queensland Radium Institute from 1973 through 1978, 503 had a follow- up ophthalmologic examination in 1989, while a further 82 had at least a 10-year follow-up from ophthalMologic records.

Journal Article•DOI•
TL;DR: Serum and tear samples from 37 patients with atopic keratoconjunctivitis were analyzed to quantify total and specific IgE antibodies, suggesting that clinical differences between groups of patients with chronic allergic external eye disease are not associated with specific patterns of IgE production.

Journal Article•DOI•
TL;DR: In this paper, the authors reviewed two hundred seventy eyes with premacular fibroplasia consecutively treated by pars plana vitrectomy and membrane peeling and found that visual improvement was achieved in 43% of eyes at 6 to 12 months, in 54% at 1 to 2 years, in 60% at 2 to 3 years, and in 58% at 3 to 5 years.

Journal Article•DOI•
TL;DR: The study predicts that there would be approximately 700 fewer cases of postoperative endophthalmitis annually in the United States if intraocular lenses with haptics made of polymethyl-methacrylate, rather than polypropylene, were used exclusively.

Journal Article•DOI•
TL;DR: The results suggest that laser therapy is as effective as cryotherapy in the treatment of ROP (P = 0.285).

Journal Article•DOI•
TL;DR: Computer-assisted analysis of corneal topography was performed in 17 normally sighted human eyes during the first year after excimer laser photorefractive keratectomy (PRK) for myopia, finding an optical zone with a smooth power transition to the peripheral cornea.

Journal Article•DOI•
TL;DR: Intravitreal ganciclovir appears to be a safe and effective alternative in patients intolerant of intravenous anti-CMV drugs.

Journal Article•DOI•
TL;DR: While the increased rate of RD after ICCE versus ECCE confirms previously held clinical beliefs, the increase in the risk following phacoemulsification (P less than 0.0001) has not been reported previously.

Journal Article•DOI•
TL;DR: Results suggest that attention to multiple preoperative and intraoperative ocular and systemic variables may allow identification and prophylaxis of patients at risk for SEH.

Journal Article•DOI•
TL;DR: With longer follow-up, it is likely that more children will be diagnosed with glaucoma after lensectomy/vitrectomy procedures and the authors believe such patients should be followed as glAUcoma suspects for the rest of their lives.